Key result
Upregulated lncRNA MALAT1 in granulosa cells of patients with PCOS predicted positive clinical pregnancy outcomes with an area under the curve of 0.771.
Why the study?
Whether long noncoding RNA is involved in anti-Mullerian hormone's role in follicular development in polycystic ovary syndrome is unknown.
Does lncRNA MALAT1 expression affect granulosa cell proliferation and predict pregnancy outcomes in patients with PCOS?
Case-Control (n=133)
No
Does lncRNA MALAT1 expression affect granulosa cell proliferation and predict pregnancy outcomes in patients with PCOS?
lncRNA MALAT1 is upregulated in PCOS, inhibits granulosa cell proliferation, and may serve as a predictor for clinical pregnancy outcomes.
Answers are grounded in this paper and cite their sources.
AMH upregulates MALAT1 to inhibit granulosa cell proliferation in PCOS; leaves open its role as biomarker or therapeutic target.
Follicle arrest is one of the main characteristics of polycystic ovary syndrome (PCOS), the most common endocrinological disorder in reproductive-aged women. Increasing evidence proves that high anti-Mullerian hormone (AMH) levels may play an important role in follicular development. Long noncoding RNA (lncRNA) with a length of more than 200 nt is widely involved in the directional differentiation, growth, and development of cells, whereas whether lncRNA is involved in AMH’s role in follicular development is unknown. In this study, we analyzed lncRNA expression in ovarian granulosa cells (GCs) collected from women with and without PCOS via high-throughput sequencing. The results showed that a total of 79 noncoding transcripts were differently expressed in GCs of PCOS patients, including upregulated lncRNA MALAT1. The upregulation of MALAT1 was further confirmed by RT-qPCR in GCs from a larger cohort of PCOS patients. Furthermore, knockdown MALAT1 can promote the proliferation of KGN cell in vitro. These data suggested a role for MALAT1 in the development of PCOS. Meanwhile, MALAT1 and phosphorylated SMAD 1/5 (Ser463/465) protein were upregulated in KGN cells after exogenous AMH stimulation, which identified AMH perhaps as a regulator for the expression of MALAT1. We also found that MALAT1 can predict clinical pregnancy outcome to a certain extent by ROC curve analysis (area: 0.771, p = 0.007, 95% CI: 0.617–0.925, sensitivity: 57.1%, specificity: 91.7%). Thus, our findings revealed a role of lncRNA MALAT1 in inhibiting granulosa cell proliferation and may be correlated with pregnancy outcome in PCOS.
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Tu et al. (2022) conducted a case-control in Polycystic ovary syndrome (PCOS) (n=133). lncRNA MALAT1 expression vs. Controls without PCOS was evaluated on Prediction of clinical pregnancy outcome (AUC 0.771, 95% CI 0.617-0.925, p=0.007). Upregulated lncRNA MALAT1 in granulosa cells of patients with PCOS predicted positive clinical pregnancy outcomes with an area under the curve of 0.771.
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