Disulfidptosis in PCOS pathogenesis: Multi-omics identification of LRPPRC as a diagnostic biomarker and therapeutic

Lele Ling1, Shiyu Zhang1, Dongyao Zhang1

  • 1Department of Obstetrics and Gynecology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China.

Iscience
|July 24, 2026
PubMed

Insights

Polycystic ovary syndrome (PCOS) involves granulosa cell injury, where disulfidptosis plays a key role. Leucine-rich pentatricopeptide repeat-containing protein (LRPPRC) deficiency worsens PCOS, suggesting LRPPRC-mediated disulfidptosis as a therapeutic target.

Area of Science:

  • Reproductive biology
  • Cellular and molecular biology
  • Metabolic disease research

Background:

  • Polycystic ovary syndrome (PCOS) presents with reproductive dysfunction, insulin resistance, and metabolic issues.
  • The specific role of disulfidptosis in granulosa cell injury within PCOS remains largely unknown.
  • Granulosa cells are crucial for follicular development and oocyte maturation.

Purpose of the Study:

  • To investigate the role of disulfidptosis in granulosa cell injury in PCOS.
  • To identify key genes and pathways involved in disulfidptosis in the PCOS follicular microenvironment.
  • To evaluate the diagnostic and therapeutic potential of disulfidptosis-related factors in PCOS.

Main Methods:

  • Integrated single-cell and bulk transcriptomic analyses were performed on PCOS patient samples.
  • Gene expression levels of disulfidptosis-related genes (LRPPRC, NDUFS1, OXSM) were analyzed.
  • A diagnostic model was developed, and Mendelian randomization was used to identify causal genetic factors.
  • Functional assays were conducted using cell cultures under glucose deprivation, and in vivo studies were performed in PCOS mouse models.

Main Results:

  • Granulosa cells were identified as the primary cell type associated with disulfidptosis in PCOS.
  • Downregulation of LRPPRC, NDUFS1, and OXSM correlated with mitochondrial dysfunction and redox imbalance.
  • A diagnostic model achieved an AUC of 0.867, and LRPPRC was identified as a protective factor for PCOS.
  • LRPPRC deficiency induced granulosa cell death via disulfidptosis, which was rescued by specific inhibitors.
  • Overexpression of LRPPRC in mice improved follicular development and hormonal balance.

Conclusions:

  • Disulfidptosis, particularly LRPPRC-mediated, is implicated in granulosa cell injury in PCOS.
  • LRPPRC acts as a protective factor against PCOS development and progression.
  • LRPPRC-mediated disulfidptosis represents a potential diagnostic biomarker and therapeutic target for PCOS.

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