Why the study?
Malfunction of abdominal adipose tissue can exacerbate reproductive and metabolic disorders in PCOS, but the role of adipose-secreted signaling mediators in systemic equilibrium requires investigation.
Does the metabonomic profile of abdominal subcutaneous adipose tissue differ between women with PCOS and unaffected individuals?
Does the metabonomic profile of abdominal subcutaneous adipose tissue differ between women with PCOS and unaffected individuals?
Metabolome alterations, specifically decreased isoleucine, may play a vital role in PCOS symptoms and represent a novel therapeutic target.
Decreased isoleucine may link to PCOS pathophysiology; hypothesis-generating for therapeutic targeting pending prospective trials.
Introduction: Polycystic ovary syndrome (PCOS) is a complex endocrine disorder that often coexists with a metabolic disorder. Studies have demonstrated that the malfunction of adipose tissue, particularly abdominal adipose tissue, could exacerbate reproductive and metabolic problems in PCOS patients. Adipose tissue-secreted signaling mediators (e.g., lipids and metabolites) would then interact with other body organs, including the ovary, to maintain the systemic equilibrium. Methods: In this study, we examined adipose samples from PCOS patients and unaffected individuals using a liquid chromatography-mass spectrometry-based metabonomics approach (LC-MS/MS). PCOS biomarkers were selected using multivariate statistical analysis. Results: Our pathway analysis revealed that these differential metabolites could be engaged in inflammatory diseases and mitochondrial beta-oxidation. We further developed an in vitro PCOS cell model to examine the effects of hyperandrogenism on granulosa cells and related metabolic disorders. We noted that isoleucine recovered the promotive effect on cell apoptosis, inhibitory effect on cell proliferation, sex hormone secretion, and mitochondrial function induced by dehydroepiandrosterone. Our gas chromatography-mass spectrometry targeted analysis (GC-MS/MS) revealed that isoleucine was significantly decreased in PCOS patients. Discussion: Based on these results, we speculate that metabolome alterations are vital in ameliorating PCOS symptoms. This may be a novel therapeutic target for PCOS treatment. Our study provides preliminary evidence that these findings will enhance our ability to accurately diagnose and intervene in PCOS.
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Di et al. (2023) studied this question.
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