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Orexin A Ameliorates Ovarian Dysfunction in Premature Ovarian Insufficiency Mice by Inhibiting Granulosa Cell
Fengqin Yu1, Tengzhen Wu1, Lina Li1
1Department of Obstetrics and Gynecology, Nanjing Jinling Hospital, Nanjing, China.
Abstract:
Premature ovarian insufficiency (POI) is a condition characterized by the early depletion of ovarian follicles, leading to infertility and various systemic complications. Granulosa cell (GC) pyroptosis contributes significantly to the pathogenesis of POI. Orexin A, a neuropeptide involved in regulating wakefulness, has been shown to exert anti-inflammatory effects. This study investigates the potential protective role of orexin A in POI by targeting pyroptosis in ovarian GCs. We found that orexin A significantly reduced oxidative stress and the activation of the NLRP3 inflammasome in POI mice, thereby improving serum hormone levels and follicle count. Additionally, orexin A inhibited pyroptosis in cyclophosphamide (CTX)-treated KGN cells by downregulating NLRP3, caspase-1, and gasdermin D (GSDMD) expression. These effects were mediated through the activation of adenosine 5'-monophosphate-activated protein kinase (AMPK) signaling, which is known to regulate cellular metabolism and suppress inflammasome activation. In conclusion, orexin A has the potential to alleviate POI by inhibiting NOD-like receptor thermal protein domain-associated protein 3 (NLRP3) inflammasome-mediated pyroptosis and activating AMPK signaling, offering a promising therapeutic approach for POI treatment.
Insights
Orexin A protects against premature ovarian insufficiency (POI) by reducing ovarian cell pyroptosis and inflammation. This neuropeptide activates AMPK signaling, offering a potential new treatment for POI.
Area of Science:
- Reproductive Biology
- Endocrinology
- Cellular Biology
Background:
- Premature ovarian insufficiency (POI) involves early ovarian follicle depletion, causing infertility and systemic issues.
- Granulosa cell (GC) pyroptosis is a key factor in POI development.
- Orexin A, a neuropeptide with anti-inflammatory properties, is explored for its therapeutic potential in POI.
Purpose of the Study:
- To investigate the protective effects of Orexin A on ovarian granulosa cells in premature ovarian insufficiency (POI).
- To determine if Orexin A can inhibit pyroptosis and its underlying mechanisms in POI.
Main Methods:
- Utilized a mouse model of POI and cyclophosphamide (CTX)-treated KGN cells (ovarian granulosa cell line).
- Assessed the impact of Orexin A on oxidative stress, NLRP3 inflammasome activation, serum hormone levels, and follicle count.
- Analyzed the expression of NLRP3, caspase-1, and gasdermin D (GSDMD) following Orexin A treatment.
- Investigated the role of adenosine 5'-monophosphate-activated protein kinase (AMPK) signaling pathway.
Main Results:
- Orexin A significantly reduced oxidative stress and NLRP3 inflammasome activation in POI mice.
- Orexin A treatment improved serum hormone levels and ovarian follicle count in POI mice.
- Orexin A inhibited pyroptosis in CTX-treated KGN cells by downregulating NLRP3, caspase-1, and GSDMD.
- These protective effects were linked to the activation of the AMPK signaling pathway.
Conclusions:
- Orexin A demonstrates potential therapeutic benefits for premature ovarian insufficiency (POI).
- Orexin A alleviates POI by inhibiting NLRP3 inflammasome-mediated pyroptosis in granulosa cells.
- Activation of AMPK signaling is a key mechanism through which Orexin A exerts its protective effects in POI.
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