Interactions among Peroxisome Proliferator Activated Receptor-, Insulin Signaling Pathways, and Steroidogenic Acute Regulatory Protein in Human Ovarian Cells
Donna Seto-Young,
Dimiter Avtanski,
Marina Strizhevsky,
Grishma Parikh,
Parini Patel,
Julia Kaplun,
Kevin Holcomb,
Zev Rosenwaks and
Leonid Poretsky
G. J. Friedman Diabetes Institute and the Division of Endocrinology, Department of Medicine (D.S.-Y., D.A., M.S., G.P., P.P., J.K., L.P.), Department of Obstetrics and Gynecology (K.H.), Beth Israel Medical Center and Albert Einstein College of Medicine, New York, New York 10003; Institute of Biology and Immunology of Reproduction (D.A.), Bulgarian Academy of Sciences, Sofia 1113, Bulgaria; and Center for Reproductive Medicine and Infertility (Z.R.), Weill Medical College of Cornell University, New York, New York 10021
Address all correspondence and requests for reprints to: Leonid Poretsky, M.D., or Donna Seto-Young, Ph.D., Division of Endocrinology, Beth Israel Medical Center, Seventh Floor, Fierman Hall, 317 East 17th Street, New York, New York 10003. E-mail: lporetsk{at}bethisraelny.org and dyoung{at}chpnet.org, respectively.
Context and Objective: Peroxisome proliferator activated receptor-(PPAR-) agonists thiazolidinediones (TZDs) are thought to amelioratehyperandrogenism in polycystic ovary syndrome by reducing hyperinsulinemia.However, TZDs also exhibit direct effects in the human ovary.We examined interactions among PPAR-, insulin signaling pathways,and steroidogenic acute regulatory (StAR) protein in human ovariancells.
Materials and Methods: Mixed human ovarian tissue culture thatcontained granulosa, theca, and stromal cells, and a cultureof purified granulosa cells obtained during in vitro fertilization,were established as previously described. Cells were culturedin the presence or absence of insulin, with or without 25 or50 µM rosiglitazone or pioglitazone. Expression of PPAR-,insulin receptor, or insulin receptor substrate (IRS)-1 in bothcell systems and of the StAR protein in granulosa cells wasmeasured using immunoprecipitation and immunoblotting.
Results: Rosiglitazone stimulated expression of PPAR-, insulinreceptor - and ß-subunits, and IRS-1 up to 168% (P< 0.05), 679% (P < 0.006), 290% (P < 0.037), and 323%(P < 0.01) of baseline, respectively. Pioglitazone stimulatedexpression of PPAR-, insulin receptor - and ß-subunits,and IRS-1 up to 222% (P < 0.01), 362% (P < 0.001), 402%(P < 0.029), and 492% (P < 0.03), respectively. Insulinalone stimulated expression of PPAR-, -subunit and ß-subunitof insulin receptor, and IRS-1 up to 174% (P < 0.001), 692%(P < 0.014), 275% (P < 0.024), and 431% (P < 0.01),respectively. In purified granulosa cell culture, rosiglitazonestimulated expression of StAR protein up to 540% (P < 0.007),and pioglitazone stimulated expression of StAR protein up to670% (P < 0.007). Insulin alone stimulated expression ofStAR protein up to 600% (P < 0.012).
Conclusions: Insulin and TZDs independently stimulate expressionof PPAR-, insulin receptor, IRS-1, and StAR protein in humanovarian cells. Thus, PPAR-, insulin receptor with its signalingpathways, and StAR protein constitute a novel human ovarianregulatory system with complex interactions among its components.
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