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Submitted on November 15, 2007
Accepted on February 6, 2008
School of Paediatrics and Reproductive Health, Discipline of Obstetrics & Gynaecology, The University of Adelaide, Australia
* To whom correspondence should be addressed. E-mail: rebecca.robker{at}adelaide.edu.au.
Obesity and its physiological consequences are increasingly prevalent among women of reproductive age and are associated with infertility. To investigate, female mice were fed a high fat diet until the onset of insulin resistance followed by assessments of ovarian gene expression, ovulation, fertilization and oocyte developmental competence. We report defects to ovarian function associated with diet-induced obesity (DIO) that result in poor oocyte quality, subsequently reduced blastocyst survival rates, and abnormal embryonic cellular differentiation. To identify critical cellular mediators of ovarian responses to obesity-induced insulin resistance, DIO females were treated for 4 days prior to mating with an insulin-sensitizing pharmaceutical: glucose and lipid-lowering AMP Kinase activator, AICAR, 30mg/kg/day; sodium salicylate, I
K inhibitor that reverses insulin resistance, 50mg/kg/day; or PPARG agonist rosiglitazone, 10mg/kg/day. AICAR or sodium salicylate treatment did not have significant effects on the reproductive parameters examined. However, embryonic development to the blastocyst stage was significantly improved when DIO mice were treated with rosiglitazone, effectively repairing development rates. Rosiglitazone also normalized DIO-associated abnormal blastomere allocation to the inner cell mass. Such improvements to oocyte quality were coupled with weight loss, improved glucose metabolism and changes in ovarian mRNA expression of PPRE-regulated genes, Cd36, Scarb1 and Fabp4 cholesterol transporters. These studies demonstrate that peri-conception treatment with select insulin-sensitizing pharmaceuticals can directly influence ovarian functions, and ultimately exert positive effects on oocyte developmental competence. Improved blastocyst quality in obese females treated with rosiglitazone prior to mating indicates that PPARG is a key target for metabolic regulation of ovarian function and oocyte quality.
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