Role and mechanism of alpa1-antitrypsin in polycystic ovary syndrome.

Saudi Med J

From the Department of Chemistry and Life Science (Pan, Wang), School of Chemistry and Life Science, Changchun University of Technology; from the Department of Cell Biology (Pan, Aizezi, Xue), Norman Bethune College of Medicine, Jilin University; and from the Department of Reproductive Medical Center (Lu), The Second Hospital of Jilin University, Reproductive Medical Center, Changchun, China.

Published: December 2022

AI Article Synopsis

  • The study aimed to investigate the relationship between alpha1-antitrypsin (A1AT), pro-inflammatory cytokines, and other related factors in rats with polycystic ovary syndrome (PCOS).
  • Female rats were divided into control and PCOS groups, with the latter receiving a high-fat diet and letrozole to induce PCOS, and various molecular analyses were conducted.
  • Results showed that A1AT levels decreased in PCOS rats while neutrophil elastase (NE), IL-1β, and IL-8 levels increased, suggesting that A1AT may help reduce PCOS symptoms by targeting these inflammatory factors.

Article Abstract

Objectives: To determine the relationships among alpha1-antitrypsin (A1AT), pro-inflammatory cytokines, neutrophil elastase (NE), interleukin (IL)- 1β, and IL-8 in cases with polycystic ovary syndrome (PCOS).

Methods: Female rats in the control group were fed and watered normally. Female rats in the PCOS group were given high-fat diets and letrozole (1% carboxymethyl cellulose' [CMC] solution) CMC by gavage at a dose of l mg/kg body weight daily for 23 days. The mRNA levels of A1AT and NE in rat ovaries were detected by performing real-time polymerase chain reaction (PCR) in the laboratory of Norman Bethune College of Medicine, Jilin University, China in 2017. All serum samples were collected from the Second Hospital of Jilin University from October 2021 to November 2021 for obesity concurrent with PCOS. Molecular docking of A1AT with NE, IL-8, and IL-1β was investigated using the Insight II software ZDOCK tool. This study was carried out at the Reproductive Center, The Second Hospital of Jilin University, Changchun, China from June 2021 to July 2022.

Results: The expression of the A1AT mRNA decreased in the ovary tissues of PCOS rats relative to that of healthy controls, while the expression of NE mRNA increased compared to that of normal controls. The serum A1AT expression in PCOS cases decreased considerably relative to their expression in normal controls. However, the expression of NE, IL-1β, and IL-8 increased significantly relative to their expression in the control (<0.05 for all). The Insight II ZDOCK molecular docking simulations showed that A1AT has direct interaction sites for NE, IL-1β, and IL-8.

Conclusion: Alpha1-antitrypsin is closely associated with NE, IL-1β, and IL-8. Therefore, we speculate that A1AT might ameliorate PCOS symptoms by inhibiting pro-inflammatory factors: NE, IL-1β, and IL-8.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994513PMC
http://dx.doi.org/10.15537/smj.2022.43.12.20210398DOI Listing

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