Neonatal exposure to androgens dynamically alters gut microbiota architecture

in Journal of Endocrinology
Authors:
Alexia Barroso Department of Cell Biology, Physiology, and Immunology, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Cordoba, Reina Sofia University Hospital, Cordoba, Spain
CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain

Search for other papers by Alexia Barroso in
Current site
Google Scholar
PubMed
Close
,
Jose Antonio Santos-Marcos CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain
Lipids and Atherosclerosis Research Unit, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain

Search for other papers by Jose Antonio Santos-Marcos in
Current site
Google Scholar
PubMed
Close
,
Cecilia Perdices-Lopez Department of Cell Biology, Physiology, and Immunology, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Cordoba, Reina Sofia University Hospital, Cordoba, Spain
CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain

Search for other papers by Cecilia Perdices-Lopez in
Current site
Google Scholar
PubMed
Close
,
Ana Vega-Rojas CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain
Lipids and Atherosclerosis Research Unit, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain

Search for other papers by Ana Vega-Rojas in
Current site
Google Scholar
PubMed
Close
,
Miguel Angel Sanchez-Garrido Department of Cell Biology, Physiology, and Immunology, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Cordoba, Reina Sofia University Hospital, Cordoba, Spain
CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain

Search for other papers by Miguel Angel Sanchez-Garrido in
Current site
Google Scholar
PubMed
Close
,
Yelizabeta Krylova CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain
Lipids and Atherosclerosis Research Unit, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain

Search for other papers by Yelizabeta Krylova in
Current site
Google Scholar
PubMed
Close
,
Helena Molina-Abril Department of Applied Mathematics I, University of Seville, Seville, Spain

Search for other papers by Helena Molina-Abril in
Current site
Google Scholar
PubMed
Close
,
Claes Ohlsson Centre for Bone and Arthritis Research, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

Search for other papers by Claes Ohlsson in
Current site
Google Scholar
PubMed
Close
,
Pablo Perez-Martinez CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain
Lipids and Atherosclerosis Research Unit, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain

Search for other papers by Pablo Perez-Martinez in
Current site
Google Scholar
PubMed
Close
,
Matti Poutanen Centre for Bone and Arthritis Research, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden
Institute of Biomedicine, Research Centre for Integrative Physiology and Pharmacology, University of Turku, Turku, Finland

Search for other papers by Matti Poutanen in
Current site
Google Scholar
PubMed
Close
,
Jose Lopez-Miranda CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain
Lipids and Atherosclerosis Research Unit, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain

Search for other papers by Jose Lopez-Miranda in
Current site
Google Scholar
PubMed
Close
,
Manuel Tena-Sempere Department of Cell Biology, Physiology, and Immunology, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), University of Cordoba, Reina Sofia University Hospital, Cordoba, Spain
CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain
Institute of Biomedicine, Research Centre for Integrative Physiology and Pharmacology, University of Turku, Turku, Finland

Search for other papers by Manuel Tena-Sempere in
Current site
Google Scholar
PubMed
Close
, and
Antonio Camargo CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain
Lipids and Atherosclerosis Research Unit, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain

Search for other papers by Antonio Camargo in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-0415-4184

Correspondence should be addressed to M Tena-Sempere or A Camargo: fi1tesem@uco.es or antonio.camargo@imibic.org

*(A Barroso and J A Santos-Marcos contributed equally to this work)

Restricted access
Rent on DeepDyve

Sign up for journal news

Gonadal steroids strongly contribute to the metabolic programming that shapes the susceptibility to the manifestation of diseases later in life, and the effect is often sexually dimorphic. Microbiome signatures, together with metabolic traits and sex steroid levels, were analyzed at adulthood in neonatally androgenized female rats, and compared with those of control male and female rats. Exposure of female rats to high doses of androgens on early postnatal life resulted in persistent alterations of the sex steroid profile later on life, namely lower progesterone and higher estradiol and estrone levels, with no effect on endogenous androgens. Neonatally androgenized females were heavier (10% at early adulthood and 26% at adulthood) than controls and had impaired glucose homeostasis observed by higher AUC of glucose in GTT and ITT when subjected to obesogenic manipulations. Androgenized female displayed overt alterations in gut microbiota, indicated especially by higher Bacteroidetes and lower Firmicutes abundance at early adulthood, which disappeared when animals were concurrently overfed at adulthood. Notably, these changes in gut microbiota were related with the intestinal expression of several miRNAs, such as miR-27a-3p, miR-29a-5p, and miR-100-3p. Our results suggest that nutritional and hormonal disruption at early developmental periods not only alters the metabolic programming of the individual later in life but also perturbs the architecture of gut microbiota, which may interact with the host by a cross-talk mediated by intestinal miRNAs; phenomena that may contribute to amplify the metabolic derangement caused by obesity, as seen in neonatally androgenized female rats.

Supplementary Materials

 

  • Collapse
  • Expand
  • Alonso-Magdalena P, Morimoto S, Ripoll C, Fuentes E & Nadal A 2006 The estrogenic effect of bisphenol A disrupts pancreatic beta-cell function in vivo and induces insulin resistance. Environmental Health Perspectives 114 106112. (https://doi.org/10.1289/ehp.8451)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Bokulich NA, Kaehler BD, Rideout JR, Dillon M, Bolyen E, Knight R, Huttley GA & Gregory Caporaso J 2018 Optimizing taxonomic classification of marker-gene amplicon sequences with QIIME 2’s q2-feature-classifier plugin. Microbiome 6 90. (https://doi.org/10.1186/s40168-018-0470-z)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Bolyen E, Rideout JR, Dillon MR, Bokulich NA, Abnet CC, Al-Ghalith GA, Alexander H, Alm EJ, Arumugam M, Asnicar F, et al.2019 Reproducible, interactive, scalable and extensible microbiome data science using QIIME 2. Nature Biotechnology 37 852857. (https://doi.org/10.1038/s41587-019-0209-9)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Byrne CS, Chambers ES, Morrison DJ & Frost G 2015 The role of short chain fatty acids in appetite regulation and energy homeostasis. International Journal of Obesity 39 13311338. (https://doi.org/10.1038/ijo.2015.84)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Callahan BJ, McMurdie PJ, Rosen MJ, Han AW, Johnson AJ & Holmes SP 2016 DADA2: high-resolution sample inference from Illumina amplicon data. Nature Methods 13 581583. (https://doi.org/10.1038/nmeth.3869)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Castellano JM, Bentsen AH, Sanchez-Garrido MA, Ruiz-Pino F, Romero M, Garcia-Galiano D, Aguilar E, Pinilla L, Dieguez C, Mikkelsen JD, et al.2011 Early metabolic programming of puberty onset: impact of changes in postnatal feeding and rearing conditions on the timing of puberty and development of the hypothalamic kisspeptin system. Endocrinology 152 33963408. (https://doi.org/10.1210/en.2010-1415)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Cross TL, Kasahara K & Rey FE 2018 Sexual dimorphism of cardiometabolic dysfunction: gut microbiome in the play? Molecular Metabolism 15 7081. (https://doi.org/10.1016/j.molmet.2018.05.016)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Eckel LA 2011 The ovarian hormone estradiol plays a crucial role in the control of food intake in females. Physiology and Behavior 104 517524. (https://doi.org/10.1016/j.physbeh.2011.04.014)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Faulkner JL & Belin de Chantemele EJ 2019 Sex hormones, aging and cardiometabolic syndrome. Biology of Sex Differences 10 30. (https://doi.org/10.1186/s13293-019-0246-6)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Flint HJ, Bayer EA, Rincon MT, Lamed R & White BA 2008 Polysaccharide utilization by gut bacteria: potential for new insights from genomic analysis. Nature Reviews: Microbiology 6 121131. (https://doi.org/10.1038/nrmicro1817)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Freeland KR & Wolever TM 2010 Acute effects of intravenous and rectal acetate on glucagon-like peptide-1, peptide YY, ghrelin, adiponectin and tumour necrosis factor-alpha. British Journal of Nutrition 103 460466. (https://doi.org/10.1017/S0007114509991863)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gophna U, Konikoff T & Nielsen HB 2017 Oscillospira and related bacteria – from metagenomic species to metabolic features. Environmental Microbiology 19 835841. (https://doi.org/10.1111/1462-2920.13658)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hammer Ø, Harper DAT & Ryan PD 2001 PAST: paleontological statistics software package for education and data analysis. Palaeontologia Electronica 4 9.

  • Horstman AM, Dillon EL, Urban RJ & Sheffield-Moore M 2012 The role of androgens and estrogens on healthy aging and longevity. Journals of Gerontology: Series A, Biological Sciences and Medical Sciences 67 11401152. (https://doi.org/10.1093/gerona/gls068)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Imamura F, Sharp SJ, Koulman A, Schulze MB, Kroger J, Griffin JL, Huerta JM, Guevara M, Sluijs I, Agudo A, et al.2017 A combination of plasma phospholipid fatty acids and its association with incidence of type 2 diabetes: the EPIC-InterAct case-cohort study. PLoS Medicine 14 e1002409. (https://doi.org/10.1371/journal.pmed.1002409)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Insenser M, Murri M, Del Campo R, Martinez-Garcia , Fernandez-Duran E & Escobar-Morreale HF 2018 Gut microbiota and the polycystic ovary syndrome: influence of sex, sex hormones, and obesity. Journal of Clinical Endocrinology and Metabolism 103 25522562. (https://doi.org/10.1210/jc.2017-02799)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Jie Z, Xia H, Zhong SL, Feng Q, Li S, Liang S, Zhong H, Liu Z, Gao Y, Zhao H, et al.2017 The gut microbiome in atherosclerotic cardiovascular disease. Nature Communications 8 845. (https://doi.org/10.1038/s41467-017-00900-1)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kim YS, Unno T, Kim BY & Park MS 2019 Sex differences in gut microbiota. World Journal of Men’s Health 38 4860. (https://doi.org/10.5534/wjmh.190009)

  • Klindworth A, Pruesse E, Schweer T, Peplies J, Quast C, Horn M & Glockner FO 2013 Evaluation of general 16S ribosomal RNA gene PCR primers for classical and next-generation sequencing-based diversity studies. Nucleic Acids Research 41 e1. (https://doi.org/10.1093/nar/gks808)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Koolschijn PC, Peper JS & Crone EA 2014 The influence of sex steroids on structural brain maturation in adolescence. PLoS ONE 9 e83929. (https://doi.org/10.1371/journal.pone.0083929)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Liu S, da Cunha AP, Rezende RM, Cialic R, Wei Z, Bry L, Comstock LE, Gandhi R & Weiner HL 2016 The host shapes the gut microbiota via fecal microRNA. Cell Host and Microbe 19 3243. (https://doi.org/10.1016/j.chom.2015.12.005)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lozupone C & Knight R 2005 UniFrac: a new phylogenetic method for comparing microbial communities. Applied and Environmental Microbiology 71 82288235. (https://doi.org/10.1128/AEM.71.12.8228-8235.2005)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lv Y, Liang T, Wang G & Li Z 2018 Ghrelin, a gastrointestinal hormone, regulates energy balance and lipid metabolism. Bioscience Reports 38 BSR20181061. (https://doi.org/10.1042/BSR20181061)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Markle JG, Frank DN, Mortin-Toth S, Robertson CE, Feazel LM, Rolle-Kampczyk U, von Bergen M, McCoy KD, Macpherson AJ & Danska JS 2013 Sex differences in the gut microbiome drive hormone-dependent regulation of autoimmunity. Science 339 10841088. (https://doi.org/10.1126/science.1233521)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mauvais-Jarvis F 2015 Sex differences in metabolic homeostasis, diabetes, and obesity. Biology of Sex Differences 6 14. (https://doi.org/10.1186/s13293-015-0033-y)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mauvais-Jarvis F, Clegg DJ & Hevener AL 2013 The role of estrogens in control of energy balance and glucose homeostasis. Endocrine Reviews 34 309338. (https://doi.org/10.1210/er.2012-1055)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • McDonald D, Price MN, Goodrich J, Nawrocki EP, DeSantis TZ, Probst A, Andersen GL, Knight R & Hugenholtz P 2012 An improved Greengenes taxonomy with explicit ranks for ecological and evolutionary analyses of bacteria and archaea. ISME Journal 6 610618. (https://doi.org/10.1038/ismej.2011.139)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Moreno-Indias I, Sanchez-Alcoholado L, Sanchez-Garrido , Martin-Nunez GM, Perez-Jimenez F, Tena-Sempere M, Tinahones FJ & Queipo-Ortuno MI 2016 Neonatal androgen exposure causes persistent gut microbiota dysbiosis related to metabolic disease in adult female rats. Endocrinology 157 48884898. (https://doi.org/10.1210/en.2016-1317)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Navakanitworakul R, Hung WT, Gunewardena S, Davis JS, Chotigeat W & Christenson LK 2016 Characterization and small RNA content of extracellular vesicles in follicular fluid of developing bovine antral follicles. Scientific Reports 6 25486. (https://doi.org/10.1038/srep25486)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Nilsson ME, Vandenput L, Tivesten Å, Norlen AK, Lagerquist MK, Windahl SH, Borjesson AE, Farman HH, Poutanen M, Benrick A, et al.2015 Measurement of a comprehensive sex steroid profile in rodent serum by high-sensitive gas chromatography-tandem mass spectrometry. Endocrinology 156 24922502. (https://doi.org/10.1210/en.2014-1890)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pinilla L, Barreiro ML, Gonzalez LC, Tena-Sempere M & Aguilar E 2002 Comparative effects of testosterone propionate, oestradiol benzoate, ICI 182,780, tamoxifen and raloxifene on hypothalamic differentiation in the female rat. Journal of Endocrinology 172 441448. (https://doi.org/10.1677/joe.0.1720441)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Polderman KH, Gooren LJ, Asscheman H, Bakker A & Heine RJ 1994 Induction of insulin resistance by androgens and estrogens. Journal of Clinical Endocrinology and Metabolism 79 265271. (https://doi.org/10.1210/jcem.79.1.8027240)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Rao PM, Kelly DM & Jones TH 2013 Testosterone and insulin resistance in the metabolic syndrome and T2DM in men. Nature Reviews: Endocrinology 9 479493. (https://doi.org/10.1038/nrendo.2013.122)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Razquin C, Liang L, Toledo E, Clish CB, Ruiz-Canela M, Zheng Y, Wang DD, Corella D, Castaner O, Ros E, et al.2018 Plasma lipidome patterns associated with cardiovascular risk in the PREDIMED trial: a case-cohort study. International Journal of Cardiology 253 126132. (https://doi.org/10.1016/j.ijcard.2017.10.026)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ritchie ME, Silver J, Oshlack A, Holmes M, Diyagama D, Holloway A & Smyth GK 2007 A comparison of background correction methods for two-colour microarrays. Bioinformatics 23 27002707. (https://doi.org/10.1093/bioinformatics/btm412)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Romero-Ruiz A, Skorupskaite K, Gaytan F, Torres E, Perdices-Lopez C, Mannaerts BM, Qi S, Leon S, Manfredi-Lozano M, Lopez-Rodriguez C, et al.2019 Kisspeptin treatment induces gonadotropic responses and rescues ovulation in a subset of preclinical models and women with polycystic ovary syndrome. Human Reproduction 34 24952512. (https://doi.org/10.1093/humrep/dez205)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sanchez-Garrido MA, Castellano JM, Ruiz-Pino F, Garcia-Galiano D, Manfredi-Lozano M, Leon S, Romero-Ruiz A, Dieguez C, Pinilla L & Tena-Sempere M 2013 Metabolic programming of puberty: sexually dimorphic responses to early nutritional challenges. Endocrinology 154 33873400. (https://doi.org/10.1210/en.2012-2157)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sanchez-Garrido MA, Ruiz-Pino F, Manfredi-Lozano M, Leon S, Garcia-Galiano D, Castano JP, Luque RM, Romero-Ruiz A, Castellano JM, Dieguez C, et al.2014 Obesity-induced hypogonadism in the male: premature reproductive neuroendocrine senescence and contribution of Kiss1-mediated mechanisms. Endocrinology 155 10671079. (https://doi.org/10.1210/en.2013-1584)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Santos-Marcos JA, Rangel-Zuniga OA, Jimenez-Lucena R, Quintana-Navarro GM, Garcia-Carpintero S, Malagon MM, Landa BB, Tena-Sempere M, Perez-Martinez P, Lopez-Miranda J, et al.2018 Influence of gender and menopausal status on gut microbiota. Maturitas 116 4353. (https://doi.org/10.1016/j.maturitas.2018.07.008)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Segata N, Izard J, Waldron L, Gevers D, Miropolsky L, Garrett WS & Huttenhower C 2011 Metagenomic biomarker discovery and explanation. Genome Biology 12 R60. (https://doi.org/10.1186/gb-2011-12-6-r60)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Serino M 2016 MicroRNAs: decoders of dysbiosis into metabolic diseases? Journal of Diabetes and Metabolism 7 698. (https://doi.org/10.4172/2155-6156.1000698)

  • Shen J, Obin MS & Zhao L 2013 The gut microbiota, obesity and insulin resistance. Molecular Aspects of Medicine 34 3958. (https://doi.org/10.1016/j.mam.2012.11.001)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Smyth GK 2005 Limma: linear models for microarray data. In Bioinformatics and Computational Biology Solutions Using R and Bioconductor. Statistics for Biology and Health. Eds Gentleman R, Huber W, Irizarry RA & Dudoit S. New York, NY, USA: Springer.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Tarini J & Wolever TM 2010 The fermentable fibre inulin increases postprandial serum short-chain fatty acids and reduces free-fatty acids and ghrelin in healthy subjects. Applied Physiology, Nutrition, and Metabolism 35 916. (https://doi.org/10.1139/H09-119)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Tesfaye D, Gebremedhn S, Salilew-Wondim D, Hailay T, Hoelker M, Grosse-Brinkhaus C & Schellander K 2018 MicroRNAs: tiny molecules with a significant role in mammalian follicular and oocyte development. Reproduction 155 R121R135. (https://doi.org/10.1530/REP-17-0428)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Tremaroli V & Backhed F 2012 Functional interactions between the gut microbiota and host metabolism. Nature 489 242249. (https://doi.org/10.1038/nature11552)

  • Tu J, Cheung AH, Chan CL & Chan WY 2019 The role of microRNAs in ovarian granulosa cells in health and disease. Frontiers in Endocrinology 10 174. (https://doi.org/10.3389/fendo.2019.00174)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Turnbaugh PJ, Ley RE, Mahowald MA, Magrini V, Mardis ER & Gordon JI 2006 An obesity-associated gut microbiome with increased capacity for energy harvest. Nature 444 10271031. (https://doi.org/10.1038/nature05414)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Velasco I, Leon S, Barroso A, Ruiz-Pino F, Heras V, Torres E, Leon M, Ruohonen ST, Garcia-Galiano D, Romero-Ruiz A, et al.2019 Gonadal hormone-dependent vs. -independent effects of kisspeptin signaling in the control of body weight and metabolic homeostasis. Metabolism: Clinical and Experimental 98 8494. (https://doi.org/10.1016/j.metabol.2019.06.007)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Vlachos IS, Zagganas K, Paraskevopoulou MD, Georgakilas G, Karagkouni D, Vergoulis T, Dalamagas T & Hatzigeorgiou AG 2015 Diana-miRPath v3.0: deciphering microRNA function with experimental support. Nucleic Acids Research 43 W460W466. (https://doi.org/10.1093/nar/gkv403)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Walters KA, Allan CM & Handelsman DJ 2012 Rodent models for human polycystic ovary syndrome. Biology of Reproduction 86 149, 1149, 12. (https://doi.org/10.1095/biolreprod.111.097808)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Witchel SF & Tena-Sempere M 2013 The Kiss1 system and polycystic ovary syndrome: lessons from physiology and putative pathophysiologic implications. Fertility and Sterility 100 1222. (https://doi.org/10.1016/j.fertnstert.2013.05.024)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Witchel SF, Oberfield SE & Peña AS 2019, Polycystic ovary syndrome: pathophysiology, presentation, and treatment with emphasis on adolescent girls. Journal of the Endocrine Society 3 15451573. (https://doi.org/10.1210/js.2019-00078)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Xu Y, Nedungadi TP, Zhu L, Sobhani N, Irani BG, Davis KE, Zhang X, Zou F, Gent LM, Hahner LD, et al.2019 Distinct hypothalamic neurons mediate estrogenic effects on energy homeostasis and reproduction. Cell Metabolism 29 1232. (https://doi.org/10.1016/j.cmet.2019.04.006)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yan H, Yang W, Zhou F, Li X, Pan Q, Shen Z, Han G, Newell-Fugate A, Tian Y, Majeti R, et al.2019 Estrogen improves insulin sensitivity and suppresses gluconeogenesis via the transcription factor FoxO1. Diabetes 68 291304. (https://doi.org/10.2337/db18-0638)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yang YH, Dudoit S, Luu P & Speed TP 2001 Normalization for cDNA microarraydata. In SPIE Proceedings Vol. 4266: Microarrays: Optical Technologies and Informatics, pp. 141152. Eds Bittner YCML, Dorsel AN & Dougherty ER. San Jose, CA, USA: SPIE. (https://doi.org/10.1117/12.427982)

    • PubMed
    • Search Google Scholar
    • Export Citation