1. Clustering of PCOS-like traits in naturally hyperandrogenic female rhesus monkeys
- Author
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Jon E. Levine, Daniel A. Dumesic, Kim Wallen, Edwards Ak, David H. Abbott, S.E. Appt, Lewis Kc, Mark E. Wilson, and Rayome Bh
- Subjects
Anti-Mullerian Hormone ,medicine.medical_specialty ,Hydrocortisone ,media_common.quotation_subject ,Population ,Cortodoxone ,030209 endocrinology & metabolism ,Anovulation ,03 medical and health sciences ,Endometrium ,0302 clinical medicine ,Insulin resistance ,Internal medicine ,Follicular phase ,medicine ,Hydroxyprogesterones ,Animals ,education ,Testosterone ,Menstrual cycle ,media_common ,education.field_of_study ,030219 obstetrics & reproductive medicine ,Estradiol ,business.industry ,Rehabilitation ,Hyperandrogenism ,Androstenedione ,Obstetrics and Gynecology ,Original Articles ,medicine.disease ,Polycystic ovary ,Macaca mulatta ,Endocrinology ,Fertility ,Phenotype ,Reproductive Medicine ,Female ,business ,Corticosterone ,Polycystic Ovary Syndrome - Abstract
Study question Do naturally occurring, hyperandrogenic (≥1 SD of population mean testosterone, T) female rhesus monkeys exhibit traits typical of women with polycystic ovary syndrome (PCOS)? Summary answer Hyperandrogenic female monkeys exhibited significantly increased serum levels of androstenedione (A4), 17-hydroxyprogesterone (17-OHP), estradiol (E2), LH, antimullerian hormone (AMH), cortisol, 11-deoxycortisol and corticosterone, as well as increased uterine endometrial thickness and evidence of reduced fertility, all traits associated with PCOS. What is known already Progress in treating women with PCOS is limited by incomplete knowledge of its pathogenesis and the absence of naturally occurring PCOS in animal models. A female macaque monkey, however, with naturally occurring hyperandrogenism, anovulation and polyfollicular ovaries, accompanied by insulin resistance, increased adiposity and endometrial hyperplasia, suggests naturally occurring origins for PCOS in nonhuman primates. Study design, size, duration As part of a larger study, circulating serum concentrations of selected pituitary, ovarian and adrenal hormones, together with fasted insulin and glucose levels, were determined in a single, morning blood sample obtained from 120 apparently healthy, ovary-intact, adult female rhesus monkeys (Macaca mulatta) while not pregnant or nursing. The monkeys were then sedated for somatometric and ultrasonographic measurements. Participants/materials, setting, methods Female monkeys were of prime reproductive age (7.2 ± 0.1 years, mean ± SEM) and represented a typical spectrum of adult body weight (7.4 ± 0.2 kg; maximum 12.5, minimum 4.6 kg). Females were defined as having normal (n = 99) or high T levels (n = 21; ≥1 SD above the overall mean, 0.31 ng/ml). Electronic health records provided menstrual and fecundity histories. Steroid hormones were determined by tandem LC-MS-MS; AMH was measured by enzymeimmunoassay; LH, FSH and insulin were determined by radioimmunoassay; and glucose was read by glucose meter. Most analyses were limited to 80 females (60 normal T, 20 high T) in the follicular phase of a menstrual cycle or anovulatory period (serum progesterone
- Published
- 2016