Cyproterone Acetate Mediates IRE1α Signaling Pathway to Alleviate Pyroptosis of Ovarian Granulosa Cells Induced by Hyperandrogen

Objective: Hyperandrogenemia (HA) is the main pathophysiological change that takes place in polycystic ovary syndrome (PCOS). Cyproterone acetate (CYA) is a drug commonly used to reduce androgen in patients with PCOS. Long-term and continuous exposure to HA can cause ovarian granulosa cells (GCs), p...

Full description

Bibliographic Details
Main Authors: Yan Zhang, Xianguo Xie, Yabo Ma, Changzheng Du, Yuan Jiao, Guoliang Xia, Jinrui Xu, Yi Yang
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Biology
Subjects:
Online Access:https://www.mdpi.com/2079-7737/11/12/1761
_version_ 1797461335505633280
author Yan Zhang
Xianguo Xie
Yabo Ma
Changzheng Du
Yuan Jiao
Guoliang Xia
Jinrui Xu
Yi Yang
author_facet Yan Zhang
Xianguo Xie
Yabo Ma
Changzheng Du
Yuan Jiao
Guoliang Xia
Jinrui Xu
Yi Yang
author_sort Yan Zhang
collection DOAJ
description Objective: Hyperandrogenemia (HA) is the main pathophysiological change that takes place in polycystic ovary syndrome (PCOS). Cyproterone acetate (CYA) is a drug commonly used to reduce androgen in patients with PCOS. Long-term and continuous exposure to HA can cause ovarian granulosa cells (GCs), pyroptotic death, and follicular dysfunction in PCOS mice. The aim of this study was to investigate whether CYA could ameliorate the hyperandrogenemia-induced pyroptosis of PCOS ovarian GCs by alleviating the activation of the IRE1α signaling pathway. Methods: Firstly, thirty PCOS patients with HA as their main clinical manifestation were selected as the study group, and thirty non-PCOS patients were selected as the control group. The GCs and follicular fluid of the patients were collected, and the expression of pyroptosis-related proteins was detected. Secondly, a PCOS mouse model induced by dehydroepiandrosterone (DHEA) was constructed, and the treatment group model was constructed with the subcutaneous injection of cyproterone acetate in PCOS mice. The expression of pyroptosis-related protein in ovarian GCs was detected to explore the alleviating effect of CYA on the pyroptosis of ovarian GCs in PCOS mice. Thirdly, KGN cells-i.e., from the human GC line-were cultured with dihydrotestosterone, CYA, and <i>ERN1</i> (IRE1α gene) small interfering RNA in vitro to explore whether CYA can alleviate the activation of the IRE1α signaling pathway and ameliorate the hyperandrogenemia-induced pyroptosis of PCOS ovarian GCs. Results: The expression of pyroptosis-related proteins was significantly increased in ovarian GCs of PCOS patients with HA as the main clinical manifestation, and in the PCOS mouse model induced by DHEA. After treatment with CYA, the expression of pyroptosis-related proteins in the ovarian GCs of mice was significantly lower than that in PCOS mice. In vitro experiments showed that CYA could ameliorate KGN cells’ pyroptosis by alleviating the activation of the IRE1α signaling pathway. Conclusion: This study showed that CYA could ameliorate the activation of the IRE1α signaling pathway in mouse GCs and KGN cells, and also alleviate pyroptosis in ovarian GCs. This study provides a new mechanism and evidential support for CYA in the treatment of PCOS patients.
first_indexed 2024-03-09T17:18:57Z
format Article
id doaj.art-269061ac83d149308a905e713c015599
institution Directory Open Access Journal
issn 2079-7737
language English
last_indexed 2024-03-09T17:18:57Z
publishDate 2022-12-01
publisher MDPI AG
record_format Article
series Biology
spelling doaj.art-269061ac83d149308a905e713c0155992023-11-24T13:23:01ZengMDPI AGBiology2079-77372022-12-011112176110.3390/biology11121761Cyproterone Acetate Mediates IRE1α Signaling Pathway to Alleviate Pyroptosis of Ovarian Granulosa Cells Induced by HyperandrogenYan Zhang0Xianguo Xie1Yabo Ma2Changzheng Du3Yuan Jiao4Guoliang Xia5Jinrui Xu6Yi Yang7Key Laboratory of Ministry of Education for Conservation and Utilization of Special Biological Resources in the Western, School of Life Sciences, Ningxia University, Yinchuan 750021, ChinaKey Laboratory of Ministry of Education for Conservation and Utilization of Special Biological Resources in the Western, School of Life Sciences, Ningxia University, Yinchuan 750021, ChinaKey Laboratory of Ministry of Education for Conservation and Utilization of Special Biological Resources in the Western, School of Life Sciences, Ningxia University, Yinchuan 750021, ChinaKey Laboratory of Ministry of Education for Conservation and Utilization of Special Biological Resources in the Western, School of Life Sciences, Ningxia University, Yinchuan 750021, ChinaThe Second Clinical College of China Medical University, 77 Puhe Road, Shenbei New District, Shenyang 110000, ChinaKey Laboratory of Ministry of Education for Conservation and Utilization of Special Biological Resources in the Western, School of Life Sciences, Ningxia University, Yinchuan 750021, ChinaKey Laboratory of Ministry of Education for Conservation and Utilization of Special Biological Resources in the Western, School of Life Sciences, Ningxia University, Yinchuan 750021, ChinaKey Laboratory of Ministry of Education for Conservation and Utilization of Special Biological Resources in the Western, School of Life Sciences, Ningxia University, Yinchuan 750021, ChinaObjective: Hyperandrogenemia (HA) is the main pathophysiological change that takes place in polycystic ovary syndrome (PCOS). Cyproterone acetate (CYA) is a drug commonly used to reduce androgen in patients with PCOS. Long-term and continuous exposure to HA can cause ovarian granulosa cells (GCs), pyroptotic death, and follicular dysfunction in PCOS mice. The aim of this study was to investigate whether CYA could ameliorate the hyperandrogenemia-induced pyroptosis of PCOS ovarian GCs by alleviating the activation of the IRE1α signaling pathway. Methods: Firstly, thirty PCOS patients with HA as their main clinical manifestation were selected as the study group, and thirty non-PCOS patients were selected as the control group. The GCs and follicular fluid of the patients were collected, and the expression of pyroptosis-related proteins was detected. Secondly, a PCOS mouse model induced by dehydroepiandrosterone (DHEA) was constructed, and the treatment group model was constructed with the subcutaneous injection of cyproterone acetate in PCOS mice. The expression of pyroptosis-related protein in ovarian GCs was detected to explore the alleviating effect of CYA on the pyroptosis of ovarian GCs in PCOS mice. Thirdly, KGN cells-i.e., from the human GC line-were cultured with dihydrotestosterone, CYA, and <i>ERN1</i> (IRE1α gene) small interfering RNA in vitro to explore whether CYA can alleviate the activation of the IRE1α signaling pathway and ameliorate the hyperandrogenemia-induced pyroptosis of PCOS ovarian GCs. Results: The expression of pyroptosis-related proteins was significantly increased in ovarian GCs of PCOS patients with HA as the main clinical manifestation, and in the PCOS mouse model induced by DHEA. After treatment with CYA, the expression of pyroptosis-related proteins in the ovarian GCs of mice was significantly lower than that in PCOS mice. In vitro experiments showed that CYA could ameliorate KGN cells’ pyroptosis by alleviating the activation of the IRE1α signaling pathway. Conclusion: This study showed that CYA could ameliorate the activation of the IRE1α signaling pathway in mouse GCs and KGN cells, and also alleviate pyroptosis in ovarian GCs. This study provides a new mechanism and evidential support for CYA in the treatment of PCOS patients.https://www.mdpi.com/2079-7737/11/12/1761hyperandrogenemiapyroptosisgranulosa cellsIRE1α signaling pathway
spellingShingle Yan Zhang
Xianguo Xie
Yabo Ma
Changzheng Du
Yuan Jiao
Guoliang Xia
Jinrui Xu
Yi Yang
Cyproterone Acetate Mediates IRE1α Signaling Pathway to Alleviate Pyroptosis of Ovarian Granulosa Cells Induced by Hyperandrogen
Biology
hyperandrogenemia
pyroptosis
granulosa cells
IRE1α signaling pathway
title Cyproterone Acetate Mediates IRE1α Signaling Pathway to Alleviate Pyroptosis of Ovarian Granulosa Cells Induced by Hyperandrogen
title_full Cyproterone Acetate Mediates IRE1α Signaling Pathway to Alleviate Pyroptosis of Ovarian Granulosa Cells Induced by Hyperandrogen
title_fullStr Cyproterone Acetate Mediates IRE1α Signaling Pathway to Alleviate Pyroptosis of Ovarian Granulosa Cells Induced by Hyperandrogen
title_full_unstemmed Cyproterone Acetate Mediates IRE1α Signaling Pathway to Alleviate Pyroptosis of Ovarian Granulosa Cells Induced by Hyperandrogen
title_short Cyproterone Acetate Mediates IRE1α Signaling Pathway to Alleviate Pyroptosis of Ovarian Granulosa Cells Induced by Hyperandrogen
title_sort cyproterone acetate mediates ire1α signaling pathway to alleviate pyroptosis of ovarian granulosa cells induced by hyperandrogen
topic hyperandrogenemia
pyroptosis
granulosa cells
IRE1α signaling pathway
url https://www.mdpi.com/2079-7737/11/12/1761
work_keys_str_mv AT yanzhang cyproteroneacetatemediatesire1asignalingpathwaytoalleviatepyroptosisofovariangranulosacellsinducedbyhyperandrogen
AT xianguoxie cyproteroneacetatemediatesire1asignalingpathwaytoalleviatepyroptosisofovariangranulosacellsinducedbyhyperandrogen
AT yaboma cyproteroneacetatemediatesire1asignalingpathwaytoalleviatepyroptosisofovariangranulosacellsinducedbyhyperandrogen
AT changzhengdu cyproteroneacetatemediatesire1asignalingpathwaytoalleviatepyroptosisofovariangranulosacellsinducedbyhyperandrogen
AT yuanjiao cyproteroneacetatemediatesire1asignalingpathwaytoalleviatepyroptosisofovariangranulosacellsinducedbyhyperandrogen
AT guoliangxia cyproteroneacetatemediatesire1asignalingpathwaytoalleviatepyroptosisofovariangranulosacellsinducedbyhyperandrogen
AT jinruixu cyproteroneacetatemediatesire1asignalingpathwaytoalleviatepyroptosisofovariangranulosacellsinducedbyhyperandrogen
AT yiyang cyproteroneacetatemediatesire1asignalingpathwaytoalleviatepyroptosisofovariangranulosacellsinducedbyhyperandrogen