Dapagliflozin partially restores reproductive function in MC4R KO obese female mice

in Journal of Endocrinology
Authors:
Ling Cui School of Biomedical Science, University of Queensland, St Lucia, Brisbane, Queensland, Australia
Department of Reproduction and Infertility, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China

Search for other papers by Ling Cui in
Current site
Google Scholar
PubMed
Close
,
Chunlu Tan School of Biomedical Science, University of Queensland, St Lucia, Brisbane, Queensland, Australia

Search for other papers by Chunlu Tan in
Current site
Google Scholar
PubMed
Close
,
Lili Huang School of Biomedical Science, University of Queensland, St Lucia, Brisbane, Queensland, Australia

Search for other papers by Lili Huang in
Current site
Google Scholar
PubMed
Close
,
Weihao Wang School of Biomedical Science, University of Queensland, St Lucia, Brisbane, Queensland, Australia

Search for other papers by Weihao Wang in
Current site
Google Scholar
PubMed
Close
,
Zhengxiang Huang School of Biomedical Science, University of Queensland, St Lucia, Brisbane, Queensland, Australia

Search for other papers by Zhengxiang Huang in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-1194-2701
,
Fang Geng School of Biomedical Science, University of Queensland, St Lucia, Brisbane, Queensland, Australia

Search for other papers by Fang Geng in
Current site
Google Scholar
PubMed
Close
,
Mengjun Wu Department of Reproduction and Infertility, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China

Search for other papers by Mengjun Wu in
Current site
Google Scholar
PubMed
Close
,
Xiaolin Chen Endocrinology Department, Renmin Hospital of Wuhan University, Wuchang District, Wuhan, Hubei Province, China

Search for other papers by Xiaolin Chen in
Current site
Google Scholar
PubMed
Close
,
Michael Cowley Department of Physiology, Monash University, Clayton, Victoria, Australia

Search for other papers by Michael Cowley in
Current site
Google Scholar
PubMed
Close
,
Ferdinand Roelfsema Endocrinology and Metabolism, Leiden University, Leiden, Netherlands

Search for other papers by Ferdinand Roelfsema in
Current site
Google Scholar
PubMed
Close
, and
Chen Chen School of Biomedical Science, University of Queensland, St Lucia, Brisbane, Queensland, Australia

Search for other papers by Chen Chen in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0003-2104-534X

Correspondence should be addressed to C Chen: chen.chen@uq.edu.au
Restricted access
Rent on DeepDyve

Sign up for journal news

Obese women often have certain degree of reproductive dysfunction with infertility. Although the clinical impact of obesity on female infertility has been extensively studied, the effective and targeted treatment is still lacking. Melanocortin-4-receptor knock-out (MC4R KO) mouse is an over-eating obese model with hyperphagia, hyperinsulinemia, reduced growth hormone (GH), and insulin resistance. Dapagliflozin improved the metabolic and hormonal parameters in MC4R KO mice. MC4R KO female mice were treated with dapagliflozin for 14 weeks from 14-week age. Age-matched WT littermates and non-treated MC4R KO mice were used as control groups. Food intake was measured daily. Body weight was measured twice a week. Estrous cycles, GH, and luteinizing hormone (LH) profiles were measured. Selected tissues were collected at the end of experiments for gene expression profiles and hematoxylin–eosin staining. Regularity and mode of hormonal profiles were restored by the dapagliflozin treatment. Estrous cycle was partially normalized, number of CL was significantly increased, and the expression of Kiss1 and Gnrh1 in the hypothalamus and LH in the pituitary was markedly increased by the dapagliflozin treatment. It is conclsuded that dapagliflozin may recover LH and GH profiles partially through modification of relevant gene expression in the hypothalamus and pituitary, and result in an improved ovulation rate in obese mouse model. Dapagliflozin may therefore improve fertility in obese patients.

 

  • Collapse
  • Expand
  • Abir R, Garor R, Felz C, Nitke S, Krissi H & Fisch B 2008 Growth hormone and its receptor in human ovaries from fetuses and adults. Fertility and Sterility 90 (Supplement) 13331339. (https://doi.org/10.1016/j.fertnstert.2007.08.011)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Akinci B 2019 Dapagliflozin and cardiovascular outcomes in type 2 diabetes. New England Journal of Medicine 380 1881. (https://doi.org/10.1056/NEJMc1902837)

  • Bachelot A, Monget P, Imbert-Bollore P, Coshigano K, Kopchick JJ, Kelly PA & Binart N 2002 Growth hormone is required for ovarian follicular growth. Endocrinology 143 41044112. (https://doi.org/10.1210/en.2002-220087)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Branavan U, Muneeswaran K, Wijesundera WSS, Senanayake A, Chandrasekharan NV & Wijeyaratne CN 2019 Association of Kiss1 and GPR54 gene polymorphisms with polycystic ovary syndrome among Sri Lankan women. BioMed Research International 2019 6235680. (https://doi.org/10.1155/2019/6235680)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Broughton DE & Moley KH 2017 Obesity and female infertility: potential mediators of obesity’s impact. Fertility and Sterility 107 840847. (https://doi.org/10.1016/j.fertnstert.2017.01.017)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Chen X, Huang L, Tan HY, Li H, Wan Y, Cowley M, Veldhuis JD & Chen C 2017 Deficient melanocortin-4 receptor causes abnormal reproductive neuroendocrine profile in female mice. Reproduction 153 267276. (https://doi.org/10.1530/REP-16-0341)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Childs GV 2000 Growth hormone cells as co-gonadotropes: partners in the regulation of the reproductive system. Trends in Endocrinology and Metabolism 11 168175. (https://doi.org/10.1016/s1043-2760(0000252-6)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Corp ES, Woods SC, Porte Jr D, Dorsa DM, Figlewicz DP & Baskin DG 1986 Localization of 125I-insulin binding sites in the rat hypothalamus by quantitative autoradiography. Neuroscience Letters 70 1722. (https://doi.org/10.1016/0304-3940(8690430-1)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Danilovich NA, Bartke A & Winters TA 2000 Ovarian follicle apoptosis in bovine growth hormone transgenic mice. Biology of Reproduction 62 103107. (https://doi.org/10.1095/biolreprod62.1.103)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • De Bond JA & Smith JT 2014 Kisspeptin and energy balance in reproduction. Reproduction 147 R53R63. (https://doi.org/10.1530/REP-13-0509)

  • Dhillon S 2019 Dapagliflozin: a review in type 2 diabetes. Drugs 79 11351146. (https://doi.org/10.1007/s40265-019-01148-3)

  • Fortin J, Kumar V, Zhou X, Wang Y, Auwerx J, Schoonjans K, Boehm U, Boerboom D & Bernard DJ 2013 NR5A2 regulates Lhb and Fshb transcription in gonadotrope-like cells in vitro, but is dispensable for gonadotropin synthesis and fertility in vivo. PLoS ONE 8 e59058. (https://doi.org/10.1371/journal.pone.0059058)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Goodman NF, Cobin RH, Futterweit W, Glueck JS, Legro RS & Carmina E American Association of Clinical Endocrinologists (AACE), American College of Endocrinology (ACE) & Androgen Excess and PCOS Society 2015 American Association of Clinical Endocrinologists, American College of Endocrinology, and Androgen Excess and Pcos Society Disease State Clinical Review: guide to the best practices in the evaluation and treatment of polycystic ovary syndrome – part 2. Endocrine Practice 21 14151426. (https://doi.org/10.4158/EP15748.DSCPT2)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gottsch ML, Cunningham MJ, Smith JT, Popa SM, Acohido BV, Crowley WF, Seminara S, Clifton DK & Steiner RA 2004 A role for kisspeptins in the regulation of gonadotropin secretion in the mouse. Endocrinology 145 40734077. (https://doi.org/10.1210/en.2004-0431)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Harter CJL, Kavanagh GS & Smith JT 2018 The role of kisspeptin neurons in reproduction and metabolism. Journal of Endocrinology 238 R173R183. (https://doi.org/10.1530/JOE-18-0108)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Huang Z, Huang L, Wang C, Zhu S, Qi X, Chen Y, Zhang Y, Cowley MA, Veldhuis JD & Chen C 2020 Dapagliflozin restores insulin and growth hormone secretion in obese mice. Journal of Endocrinology 245 112. (https://doi.org/10.1530/JOE-19-0385)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ipsa E, Cruzat VF, Kagize JN, Yovich JL & Keane KN 2019 Growth hormone and insulin-like growth factor action in reproductive tissues. Frontiers in Endocrinology 10 777. (https://doi.org/10.3389/fendo.2019.00777)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Javed Z, Papageorgiou M, Deshmukh H, Rigby AS, Qamar U, Abbas J, Khan AY, Kilpatrick ES, Atkin SL & Sathyapalan T 2019 Effects of empagliflozin on metabolic parameters in polycystic ovary syndrome: a randomized controlled study. Clinical Endocrinology 90 805813. (https://doi.org/10.1111/cen.13968)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Javed Z, Papageorgiou M, Madden LA, Rigby AS, Kilpatrick ES, Atkin SL & Sathyapalan T 2020 The effects of empagliflozin vs metformin on endothelial microparticles in overweight/obese women with polycystic ovary syndrome. Endocrine Connections 9 563569. (https://doi.org/10.1530/EC-20-0173)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kumbak B, Oral E & Bukulmez O 2012 Female obesity and assisted reproductive technologies. Seminars in Reproductive Medicine 30 507516. (https://doi.org/10.1055/s-0032-1328879)

  • Lebovitz HE 2006 Insulin resistance – a common link between type 2 diabetes and cardiovascular disease. Diabetes, Obesity and Metabolism 8 237249. (https://doi.org/10.1111/j.1463-1326.2005.00521.x)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Martins FS, Saraiva MV, Magalhaes-Padilha DM, Almeida AP, Celestino JJ, Padilha RT, Cunha RM, Silva JR, Campello CC & Figueiredo JR 2014 Presence of growth hormone receptor (GH-R) mRNA and protein in goat ovarian follicles and improvement of in vitro preantral follicle survival and development with GH. Theriogenology 82 2735. (https://doi.org/10.1016/j.theriogenology.2014.02.019)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Matsuda F, Ohkura S, Magata F, Munetomo A, Chen J, Sato M, Inoue N, Uenoyama Y & Tsukamura H 2019 Role of kisspeptin neurons as a GnRH surge generator: comparative aspects in rodents and non-rodent mammals. Journal of Obstetrics and Gynaecology Research 45 23182329. (https://doi.org/10.1111/jog.14124)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Meczekalski B, Katulski K, Podfigurna-Stopa A, Czyzyk A & Genazzani AD 2016 Spontaneous endogenous pulsatile release of kisspeptin is temporally coupled with luteinizing hormone in healthy women. Fertility and Sterility 105 1345 .e21350.e2. (https://doi.org/10.1016/j.fertnstert.2016.01.029)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mendoza C, Cremades N, Ruiz-Requena E, Martinez F, Ortega E, Bernabeu S & Tesarik J 1999 Relationship between fertilization results after intracytoplasmic sperm injection, and intrafollicular steroid, pituitary hormone and cytokine concentrations. Human Reproduction 14 628635. (https://doi.org/10.1093/humrep/14.3.628)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Metwally M, Li TC & Ledger WL 2007 The impact of obesity on female reproductive function. Obesity Reviews 8 515523. (https://doi.org/10.1111/j.1467-789X.2007.00406.x)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Murphy KG 2005 Kisspeptins: regulators of metastasis and the hypothalamic-pituitary-gonadal axis. Journal of Neuroendocrinology 17 519525. (https://doi.org/10.1111/j.1365-2826.2005.01328.x)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Myers M, Britt KL, Wreford NG, Ebling FJ & Kerr JB 2004 Methods for quantifying follicular numbers within the mouse ovary. Reproduction 127 569580. (https://doi.org/10.1530/rep.1.00095)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Politis I, Block E & Turner JD 1990 Effect of somatotropin on the plasminogen and plasmin system in the mammary gland: proposed mechanism of action for somatotropin on the mammary gland. Journal of Dairy Science 73 14941499. (https://doi.org/10.3168/jds.S0022-0302(9078816-9)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Quennell JH, Howell CS, Roa J, Augustine RA, Grattan DR & Anderson GM 2011 Leptin deficiency and diet-induced obesity reduce hypothalamic kisspeptin expression in mice. Endocrinology 152 15411550. (https://doi.org/10.1210/en.2010-1100)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Richards JS & Pangas SA 2010 The ovary: basic biology and clinical implications. Journal of Clinical Investigation 120 963972. (https://doi.org/10.1172/JCI41350)

  • Sandrock M, Schulz A, Merkwitz C, Schoneberg T, Spanel-Borowski K & Ricken A 2009 Reduction in corpora lutea number in obese melanocortin-4-receptor-deficient mice. Reproductive Biology and Endocrinology 7 24. (https://doi.org/10.1186/1477-7827-7-24)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Scheen AJ & Paquot N 2014 Metabolic effects of SGLT-2 inhibitors beyond increased glucosuria: a review of the clinical evidence. Diabetes and Metabolism 40 (Supplement 1) S4S11. (https://doi.org/10.1016/S1262-3636(1472689-8)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sekulovski N, Whorton AE, Shi M, Hayashi K & MacLean 2nd JA 2020 Periovulatory insulin signaling is essential for ovulation, granulosa cell differentiation, and female fertility. FASEB Journal 34 23762391. (https://doi.org/10.1096/fj.201901791R)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Serafim MK, Duarte AB, Silva GM, Souza CE, Magalhaes-Padilha DM, Moura AA, Silva LD, Campello CC & Figueiredo JR 2015 Impact of growth hormone (GH) and follicle stimulating hormone (FSH) on in vitro canine preantral follicle development and estradiol production. Growth Hormone and IGF Research 25 8589. (https://doi.org/10.1016/j.ghir.2014.12.009)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Silvestris E, Lovero D & Palmirotta R 2019 Nutrition and female fertility: an interdependent correlation. Frontiers in Endocrinology 10 346. (https://doi.org/10.3389/fendo.2019.00346)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Skorupskaite K, George JT & Anderson RA 2014 The kisspeptin-GnRH pathway in human reproductive health and disease. Human Reproduction Update 20 485500. (https://doi.org/10.1093/humupd/dmu009)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Snider AP & Wood JR 2019 Obesity induces ovarian inflammation and reduces oocyte quality. Reproduction 158 R79R90. (https://doi.org/10.1530/REP-18-0583)

  • Steyn FJ, Huang L, Ngo ST, Leong JW, Tan HY, Xie TY, Parlow AF, Veldhuis JD, Waters MJ & Chen C 2011 Development of a method for the determination of pulsatile growth hormone secretion in mice. Endocrinology 152 31653171. (https://doi.org/10.1210/en.2011-0253)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Steyn FJ, Wan Y, Clarkson J, Veldhuis JD, Herbison AE & Chen C 2013 Development of a methodology for and assessment of pulsatile luteinizing hormone secretion in juvenile and adult male mice. Endocrinology 154 49394945. (https://doi.org/10.1210/en.2013-1502)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Tan HY, Steyn FJ, Huang L, Cowley M, Veldhuis JD & Chen C 2016 Hyperphagia in male melanocortin 4 receptor deficient mice promotes growth independently of growth hormone. Journal of Physiology 594 73097326. (https://doi.org/10.1113/JP272770)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Vaisse C, Clement K, Durand E, Hercberg S, Guy-Grand B & Froguel P 2000 Melanocortin-4 receptor mutations are a frequent and heterogeneous cause of morbid obesity. Journal of Clinical Investigation 106 253262. (https://doi.org/10.1172/JCI9238)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wiviott SD, Raz I, Bonaca MP, Mosenzon O, Kato ET, Cahn A, Silverman MG, Zelniker TA, Kuder JF & Murphy SA et al.2019 Dapagliflozin and cardiovascular outcomes in type 2 diabetes. New England Journal of Medicine 380 347357. (https://doi.org/10.1056/NEJMoa1812389)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wu M, Dumalska I, Morozova E, van den Pol A & Alreja M 2009 Melanin-concentrating hormone directly inhibits GnRH neurons and blocks kisspeptin activation, linking energy balance to reproduction. PNAS 106 1721717222. (https://doi.org/10.1073/pnas.0908200106)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yaribeygi H, Sathyapalan T, Maleki M, Jamialahmadi T & Sahebkar A 2020 Molecular mechanisms by which SGLT2 inhibitors can induce insulin sensitivity in diabetic milieu: a mechanistic review. Life Sciences 240 117090. (https://doi.org/10.1016/j.lfs.2019.117090)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zinman B, Wanner C, Lachin JM, Fitchett D, Bluhmki E, Hantel S, Mattheus M, Devins T, Johansen OE & Woerle HJ et al.2015 Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. New England Journal of Medicine 373 21172128. (https://doi.org/10.1056/NEJMoa1504720)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation