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Patrizia Limonta
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Roberto Maggi
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Luciano Martini
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Flavio Piva
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Thermal lesions were placed in the subcommissural organ (SCO) of female rats with normal cycles and long-term ovariectomized rats. In normal female rats SCO lesions disrupted the oestrous cycle in more than half of the animals, the majority of which entered a state of prolonged dioestrus. In these animals, serum gonadotrophin levels were similar to those of rats with regular cycles on day 2 of dioestrus. In animals in which the oestrous cycle was maintained, a delayed LH surge occurred on the day of pro-oestrus and the pro-oestrous FSH surge was absent. The usual increase in FSH on the day of oestrus was present. Lesions in the SCO did not change the high gonadotrophin levels typical of ovariectomized animals.

These results suggested that the SCO may play a role in the control of the cyclic but not the tonic release of the gonadotrophins. In particular, it appears that the SCO might be involved in the regulation of the hypersecretion of FSH during the day of pro-oestrus.

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Elena Maneschi
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Linda Vignozzi
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Annamaria Morelli Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Medicine, Gastroenterology Unit, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Medicine, Hematology Unit, Intercept Pharmaceuticals, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy

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Tommaso Mello Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Medicine, Gastroenterology Unit, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Medicine, Hematology Unit, Intercept Pharmaceuticals, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy

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Sandra Filippi Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Medicine, Gastroenterology Unit, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Medicine, Hematology Unit, Intercept Pharmaceuticals, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy

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Ilaria Cellai
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Paolo Comeglio
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Erica Sarchielli Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Medicine, Gastroenterology Unit, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Medicine, Hematology Unit, Intercept Pharmaceuticals, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy

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Alessandra Calcagno Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Medicine, Gastroenterology Unit, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Medicine, Hematology Unit, Intercept Pharmaceuticals, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy

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Benedetta Mazzanti Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Medicine, Gastroenterology Unit, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Medicine, Hematology Unit, Intercept Pharmaceuticals, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy

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Roberto Vettor Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Medicine, Gastroenterology Unit, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Medicine, Hematology Unit, Intercept Pharmaceuticals, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy

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Gabriella Barbara Vannelli Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Medicine, Gastroenterology Unit, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Medicine, Hematology Unit, Intercept Pharmaceuticals, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy

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Luciano Adorini Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Medicine, Gastroenterology Unit, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Medicine, Hematology Unit, Intercept Pharmaceuticals, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Pieraccini 6, Florence, Italy

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Mario Maggi
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Insulin resistance is the putative key underlying mechanism linking adipose tissue (AT) dysfunction with liver inflammation and steatosis in metabolic syndrome (MetS). We have recently demonstrated that the selective farnesoid X receptor (FXR) agonist obeticholic acid (OCA) ameliorates insulin resistance and the metabolic profile with a marked reduction in the amount of visceral AT (VAT) in a high-fat diet (HFD)-induced rabbit model of MetS. These effects were mediated by the activation of FXR, since treatment with the selective TGR5 agonist INT-777 was not able to ameliorate the metabolic parameters evaluated. Herein, we report the effects of in vivo OCA dosing on the liver, the VAT, and the adipogenic capacity of VAT preadipocytes (rPADs) isolated from rabbits on a HFD compared with those on a control diet. VAT and liver were studied by immunohistochemistry, Western blot analysis, and RT-PCR. rPADs were exposed to a differentiating mixture to evaluate adipogenesis. Adipocyte size, hypoxia, and the expression of perilipin and cytosolic insulin-regulated glucose transporter GLUT4 (SLC2A4) were significantly increased in VAT isolated from the HFD rabbits, and normalized by OCA. The expression of steatosis and inflammation markers was increased in the liver of the HFD rabbits and normalized by OCA. rPADs isolated from the HFD rabbits were less sensitive to insulin, as demonstrated by the decreased insulin-induced glucose uptake, triglyceride synthesis, and adipogenic capacity, as well as by the impaired fusion of lipid droplets. OCA treatment preserved all the aforementioned metabolic functions. In conclusion, OCA dosing in a MetS rabbit model ameliorates liver and VAT functions. This could reflect the ability of OCA to restore insulin sensitivity in AT unable to finalize its storage function, counteracting MetS-induced metabolic alterations and pathological AT deposition.

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Elena Maneschi Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Annamaria Morelli Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Sandra Filippi Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Ilaria Cellai Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Paolo Comeglio Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Benedetta Mazzanti Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Tommaso Mello Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Alessandra Calcagno Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Erica Sarchielli Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Linda Vignozzi Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Farid Saad Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Roberto Vettor Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Gabriella B Vannelli Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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Mario Maggi Sexual Medicine and Andrology Unit, Department of Anatomy, Interdepartmental Laboratory of Functional and Cellular Pharmacology of Reproduction, Department of Hematology, Gastroenterology Unit, Department of Medical and Surgical Sciences, Scientific Affairs Men's Healthcare, Department of Clinical Physiopathology

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We recently demonstrated that testosterone dosing ameliorated the metabolic profile and reduced visceral adipose tissue (VAT) in a high-fat diet (HFD)-induced rabbit model of metabolic syndrome (MetS). We studied the effects of HFD and in vivo testosterone dosing on VAT function and the adipogenic capacity of rabbit preadipocytes isolated from VAT of regular diet (RD), HFD, and testosterone-treated HFD rabbits. VAT was studied by immunohistochemistry, western blot, and RT-PCR. Isolated rPADs were exposed to adipocyte differentiating mixture (DIM) to evaluate adipogenic potential. Adipocyte size was significantly increased in HFD VAT compared with RD, indicating adipocyte dysfunction, which was normalized by testosterone dosing. Accordingly, perilipin, an anti-lipolytic protein, was significantly increased in HFD VAT, when compared with other groups. HFD VAT was hypoxic, while testosterone dosing normalized VAT oxygenation. In VAT, androgen receptor expression was positively associated with mRNA expression of GLUT4 (SLC2A4) (insulin-regulated glucose transporter) and STAMP2 (STEAP4) (androgen-dependent gene required for insulin signaling). In testosterone-treated HFD VAT, STAMP2 mRNA was significantly increased when compared with the other groups. Moreover, GLUT4 membrane translocation was significantly reduced in HFD VAT, compared with RD, and increased by testosterone. In DIM-exposed preadipocytes from HFD, triglyceride accumulation, adipocyte-specific genes, insulin-stimulated triglyceride synthesis, glucose uptake, and GLUT4 membrane translocation were reduced compared with preadipocytes from RD and normalized by in vivo testosterone dosing. In conclusion, testosterone dosing in a MetS animal model positively affects VAT functions. This could reflect the ability of testosterone in restoring insulin sensitivity in VAT, thus counteracting metabolic alterations.

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