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Torstensson, S; Ascani, A; Risal, S; Lu, H; Zhao, A; Espinosa, A; Lindgren, E; Johansson, MH; Eriksson, G; Barakat, M; Karlsson, MCI; Svensson, C; Benrick, A; Stener-Victorin, E.
Androgens Modulate the Immune Profile in a Mouse Model of Polycystic Ovary Syndrome.
Adv Sci (Weinh). 2024; e2401772
Doi: 10.1002/advs.202401772
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Web of Science
PubMed
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- Co-authors Med Uni Graz
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Ascani Angelo
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- Abstract:
- Polycystic ovary syndrome (PCOS) is associated with a low-grade inflammation, but it is unknown how hyperandrogenism, the hallmark of PCOS, affects the immune system. Using a PCOS-like mouse model, it is demonstrated that hyperandrogenism affects immune cell populations in reproductive, metabolic, and immunological tissues differently in a site-specific manner. Co-treatment with an androgen receptor antagonist prevents most of these alterations, demonstrating that these effects are mediated through androgen receptor activation. Dihydrotestosterone (DHT)-exposed mice displayed a drastically reduced eosinophil population in the uterus and visceral adipose tissue (VAT). A higher frequency of natural killer (NK) cells and elevated levels of IFN-γ and TNF-α are seen in uteri of androgen-exposed mice, while NK cells in VAT and spleen displayed a higher expression level of CD69, a marker of activation or tissue residency. Distinct alterations of macrophages in the uterus, ovaries, and VAT are also found in DHT-exposed mice and can potentially be linked to PCOS-like traits of the model. Indeed, androgen-exposed mice are insulin-resistant, albeit unaltered fat mass. Collectively, it is demonstrated that hyperandrogenism causes tissue-specific alterations of immune cells in reproductive organs and VAT, which can have considerable implications on tissue function and contribute to the reduced fertility and metabolic comorbidities associated with PCOS.
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eosinophils
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hyperandrogenism
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immunology
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insulin resistance
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NK cells
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Polycystic ovary syndrome