To investigate the effects of berberine on glucose and lipid metabolism, sex hormone binding protein, adiponectin (LPS), NF-κB and MAPK signaling pathways in polycystic ovary syndrome (PCOS) model rats. Female SD rats were randomly divided into control group, PCOS model group, berberine (0.216 g/kg) group, metformin (0.135 g/kg) group and Dyne-35 (0.18 mg/kg) group, 10 rats in each group. The rats in PCOS model group were treated with letrozole 1 mg.kg by ig for 3 weeks. After 28 days of drug intervention, the body constitution, ovarian and uterine indexes of the rats were detected, and the changes in the number of ovarian follicles were observed by HE staining. The levels of serum sex hormone, glucose and insulin, triglyceride and cholesterol, sex hormone-binding protein and adiponectin were determined by ELISA, and the protein expressions of p38-MAPK, C-Jun and NF-κB in ovarian tissues were determined by Western blot. Compared with control group, body weight of model group was increased (<0.05), and uterine index was decreased (<0.05); The number of follicles was increased (<0.05). Serum levels of luteinizing hormone (LH), testosterone (T) and LH/FSH ratio were increased (<0.05), follicular estrogen (FSH) level was decreased (<0.05), total cholesterol (TC), triglyceride (TG), fasting insulin and insulin index (HOMA) were increased (< 0.05). The content of sex hormone binding protein (SHBG) was decreased and the content of adiponectin (LPS) was increased (<0.05). The protein expressions of p38-MAPK, c-Jun and NF-κB in ovarian tissue were up-regulated (<0.05). Compared with model group, in berberine group, the uterine index and the number of secondary follicles were increased(<0.05), the serum levels of luteinizing hormone (LH) , testosterone (T) and the ratio of LH/FSH were decreased (<0.05), and the protein expression levels of p38-MAPK and NF-κB in ovarian tissue were down-regulated (<0.05), which were similar to those of Dyne-35 group. Berberine significantly decreased serum triglyceride (TG), insulin level and insulin index (<0.05), increased serum SHBG level and decreased serum LPS level (<0.05), which were similar to those of metformin. Berberine can regulate sex hormone disorder and insulin resistance (IR) in PCOS rats by down-regulating the expressions of p38-MAPK and NF-κB protein in ovarian tissues and decreasing the serum content of LPS.

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