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.

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.