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Hyperandrogenism and insulin resistance contribute to hepatic steatosis and inflammation in female rat liver.

Artikel i vetenskaplig tidskrift
Författare Yuehui Zhang
Fanci Meng
Xiaoyan Sun
Xue Sun
Min Hu
Peng Cui
Edvin Vestin
Xin Li
Wei Li
Xiao-Ke Wu
John-Olov Jansson
Linus Ruijin Shao
Håkan Billig
Publicerad i Oncotarget
Volym 9
Nummer/häfte 26
Sidor 18180-18197
ISSN 1949-2553
Publiceringsår 2018
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för fysiologi
Sidor 18180-18197
Språk en
Länkar dx.doi.org/10.18632/oncotarget.2447...
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämneskategorier Endokrinologi, Invärtesmedicin, Fysiologi

Sammanfattning

Women with polycystic ovary syndrome (PCOS) are at high risk for nonalcoholic fatty liver disease (NAFLD). While insulin resistance is a common trait for both PCOS and NAFLD, hyperandrogenism is also considered to be a key factor contributing to PCOS, and the molecular mechanisms behind the interactions between insulin resistance and hyperandrogenism in the female liver remain largely unexplored. Using chronic treatment with insulin and/or human chorionic gonadotropin (hCG), we showed that all female rats with different treatments induced imbalance between de novo lipogenesis and mitochondrial β-oxidation via the Pparα/β-Srebp1/2-Acc1 axis, resulting in varying degrees of hepatic steatosis. Given the fact that hepatic lipid metabolism and inflammation are tightly linked processes, we found that hCG-induced hyperandrogenic rats had strongly aggravated hepatic inflammation. Further mechanistic investigations revealed that dysregulation of the IRS-PI3K-Akt signaling axis that integrated aberrant inflammatory, apoptotic and autophagic responses in the liver was strongly associated with hyperandrogenism itself or combined with insulin resistance. Additionally, we found that hCG-treated and insulin+hCG-induced rats developed visceral adipose tissue inflammation characterized by the presence of "crown like" structure and increased inflammatory gene expression. Because a more pronounced hepatic steatosis, inflammatory responses, and hepatocyte cell damage were observed in insulin+hCG-induced PCOS-like rats, our finding suggest that NAFLD seen in PCOS patients is dependent of hyperandrogenism and insulin resistance.

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