[en] Background: Atractylodes macrocephala Koidz (AMK) is a tonic herb widely prescribed in most Asian countries, which has been clinically used as the dominant herb in most of the Chinese medicinal formula of treating polycystic ovarian syndrome (PCOS). Objective: To explore the effects of a polar extract of AMK (EAMK) in a hyperandrogenic rat model of PCOS induced by testosterone propionate. Material and methods: Sixty rats were randomly allocated to five groups of 12: healthy controls; untreated PCOS; three groups of treated PCOS (high, medium and low-dose EAMK). PCOS was induced with a single injection of testosterone propionate on the ninth day after birth. The plasma levels of total testosterone (TT), sex hormone binding globulin (SHBG), androstenedione, luteinizing hormone (LH), follicle stimulating hormone (FSH), antimüllerian hormone (AMH) were measured by enzyme-linked immunosorbent assays. The expression of FSH receptors (FSHR) and aquaporin-9 (AQP-9) in the ovaries of the rats was measured by real-time quantitative PCR and immunohistochemistry. We also measured the expression of FSHR and AQP-9 in human ovarian granulosa-like KGN cells, control and EAMK-treated, in the absence and presence of dihydrotestosterone (DHT). Results: EMAK significantly improved the estrous cycles, decreased the plasma levels of TT, FAI and androstenedione of the PCOS rats in a dose-dependent manner (P < 0.01) and the EAMK groups displayed significantly higher plasma FSH levels and lower LH/FSH and AMH levels than the PCOS control group (P < 0.001). In a dose-dependent manner, the EAMK treatments significantly decreased the FSHR expression levels and increased AQP-9 expression both in the ovaries of PCOS rats (P < 0.001) and in the KGN cells treated with DHT (P < 0.001). Conclusions: EAMK alleviates the PCOS rats' hyperandrogenism and regulates the ovarian expression of FSHR and AQP-9.
Disciplines :
Pharmacy, pharmacology & toxicology
Author, co-author :
Zhou, J.
Barry, J.A.
Pan, J.-X.
Wang, F.-F.
Fu, Z.-Z.
Hardiman, P.J.
Duez, Pierre ; Université de Mons > Faculté de Médecine et de Pharmacie > Service de Chimie thérapeutique et Pharmacognosie
Qu, Fan
Language :
English
Title :
An Atractylodes macrocephala Koidz extract alleviates hyperandrogenism of polycystic ovarian syndrome
Publication date :
23 December 2016
Journal title :
International Journal of Clinical and Experimental Medicine
eISSN :
1940-5901
Publisher :
e-Century Publishing Corporation, United States - Wisconsin
Volume :
9
Issue :
2
Pages :
2758-2767
Peer reviewed :
Peer Reviewed verified by ORBi
Research unit :
M136 - Chimie thérapeutique et Pharmacognosie
Research institute :
R550 - Institut des Sciences et Technologies de la Santé
Azziz R. Polycystic ovary syndrome is a family affair. J Clin Endocrinol Metab8; 93: 1579-1581.
Li R, Zhang Q, Yang D, Li S, Lu S, Wu X, Wei Z, Song X, Wang X, Fu S, Lin J, Zhu Y, Jiang Y, Feng HL and Qiao J. Prevalence of polycystic ovary syndrome in women in China: a large community- based study. Hum Repr013; 28: 2562-2569.
Qu F, Wang FF, Yin R, Ding GL, El-Prince M, Gao Q, Shi BW, Pan HH, Huang YT, Jin M, Leung PC, Sheng JZ and Huang HF. A molecular mechanism underlying ovarian dysfunction of polycystic ovary syndrome: hyperandrogenism induces epigenetic alterations in the granulosa cells. J Mol Med (Berl) 2012; 90: 911-923.
Azziz R, Carmina E, Dewailly D, Diamanti-Kandarakis E, Escobar-Morreale HF, Futterweit W, Janssen OE, Legro RS, Norman RJ, Taylor AE, Witchel SF; Task Force on the Phenotype of the Polycystic Ovary Syndrome of The Androgen Excess and PCOS Society. The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report. Fertil Steril 2009; 91: 456-488.
Siklar Z, Ocal G, Adiyaman P, Ergur A and Berberoglu M. Functional ovarian hyperandrogenism and polycystic ovary syndrome in prepubertal girls with obesity and/or premature pubarche. J Pediatr Endocrinotab 2007; 20: 475-481.
Tang T, Glanville J, Hayden CJ, White D, Barth JH and Balen AH. Combined lifestyle modification and metformin in obese patients with polycystic ovary syndrome. A randomized, placebocontrolled, double-blind multicentre study. Reprod 2006; 21: 80-89.
Zhou J, Ouedraogo M, Qu F and Duez P. Potential genotoxicity of traditional chinese medicinal plants and phytochemicals: an overview. Phytother Res 2013; 27: 1745-1755.
Arentz S, Smith CA, Abbott JA and Bensoussan A. A survey of the use of complementary medicine by a self-selected community group of Australian women with polycystic ovary syndrome. BMC Complement Altern Med 2014; 14: 472.
Arentz S, Abbott JA, Smith CA and Bensoussan A. Herbal medicine for the management of polycystic ovary syndrome (PCOS) and associated oligo/amenorrhoea and hyperandrogenism; a review of the laboratory evidence for effects with corroborative clinical findings. BMC Complement Altern Med 2014; 14: 511.
Lee JC, Lee KY, Son YO, Choi KC, Kim J, Kim SH, Chung GH and Jang YS. Stimulating effects on mouse splenocytes of glycoproteins from the herbal medicine Atractylodes macrocephala Koidz. Pedicine 2007; 14: 390-395.
Zhou J, Qu F and Yu Y. Chemical and ecological evaluation of a genuine Chinese medicine: Atractylodes macrocephala Koidz. Afr J Tradit Complement Altern Med 2011; 8: 405-411.
Wang KT, Chen LG, Yang LL, Ke WM, Chang HC and Wang CC. Analysis of the sesquiterpenoids in processed Atractylodis Rhizoma. Chem Phull (Tokyo) 2007; 55: 50-56.
Du J, Zhang W, Guo L, Zhang Z, Shi H, Wang J, Zhang H, Gao L, Feng G and He L. Two FSHR variants, haplotypes and meta-analysis in Chinese women with premature ovarian failure and polycystic ovary syndrome. Mnet Metab 2010; 100: 292-295.
King LS and Agre P. Pathophysiology of the aquaporin water channels. Rev Physiol 1996; 58: 619-648.
Preston GM, Carroll TP, Guggino WB and Agre P. Appearance of water channels in Xenopus oocytes expressing red cell CHIP28 protein. Science 1992; 256: 385-387.
McConnell NA, Yunus RS, Gross SA, Bost KL, Clemens MG and Hughes FM Jr. Water permeability of an ovarian antral follicle is predominantly transcellular and mediated by aquaporins. Endocrinology 2002; 143: 2905-2912.
Pastor-Soler N, Isnard-Bagnis C, Herak-Kramberger C, Sabolic I, Van Hoek A, Brown D and Breton S. Expression of aquaporin 9 in the adult rat epididymal epithelium is modulated by androgens. Biol Reprod 2002; 66: 1716-1722.
Wang J, Tanji N, Sasaki T, Kikugawa T, Song X and Yokoyama M. Androgens upregulate aquaporin 9 expression in thstate. Int J Urol 2008; 15: 936-41.
Huang HF, He RH, Sun CC, Zhang Y, Meng QX and Ma YY. Function of aquaporins in female and male reproductive systems. Hum Reprod Update 2006; 12: 785-795.
Qu F, Wang FF, Lu XE, Dong MY, Sheng JZ, Lv PP, Ding GL, Shi BW, Zhang D and Huang HF. Altered aquaporin expression in women with polycystic ovary syndrome: hyperandrogenism in follicular fluid inhibits aquaporin-9 in granulosa cells through the phosphatidylinositol 3-kinashway. Hum Reprod 2010; 25: 1441-1450.
Tamura N, Kurabayashi T, Nagata H, Matsushita H, Yahata T and Tanaka K. Effects of testosterone on cancellous bone, marrow adipocytes, and ovarian phenotype in a young female rat model of polycystic ovary syndrome. Fertil Steril 2005; 84 Suppl 2: 1277-1284.
Doi SA, Al-Zaid M, Towers PA, Scott CJ and Al- Shoumer KA. Steroidogenic alterations and adrenal androgenss in PCOS. Steroids 2006; 71: 751-759.
Jiang H, Shi J and Li Y. Screening for compounds with aromatase inhibiting activities from Atractylodes macrola Koidz. Molecules 2011; 16: 3146-3151.
Escobar-Morreale HF, Asuncion M, Calvo RM, Sancho J and San Millan JL. Receiver operating characteristic analysis of the performance of basal serum hormone profiles for the diagnosis of polycystic ovary syndrome in epidemiologicalies. Eur J Endocrinol 2001; 145: 619-624.
Tian X, Ruan X, Mueck AO, Wang J, Liu S, Yin D, Lu Y, Wu H and Zhang Y. Anti-Mullerian hormone levels in women with polycystic ovarian syndrome compared with normal women of reproductive agein China. Gynecol Endocrinol 2014; 30: 126-129.