MIF promotes insulin resistance in ovarian granulosa cells by inducing autophagy
	    		
	    			
	    			
		        		
			        		
		        		
			        
		        		
			        		
		        		
			        
		        		
			        		
		        		
			        
		   		
		   		
		   			
		   		
	    	
    	 
    	10.19405/j.cnki.issn1000-1492.2022.10.017
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Xiaoyun Gong
			        		
			        		
			        		
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			        		Rui Han
			        		
			        		
			        		
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			        		Yunian Zhang
			        		
			        		
			        		
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			        		Xiaolin La
			        		
			        		
			        		
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			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Reproductive Medicine  Center ,  The First Affiliated Hospital ofXinjiang Medical  University ,  Urumqi    830054;State Key Laboratory ofPathogenesis , Prevention and Treatment ofHigh Incidence Diseases in Central Asia , Xinjiang Medical  University , Urumqi    830054
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		polycystic ovary syndrome;
			        		
			        		
			        		
				        		macrophage migration inhibitor;
			        		
			        		
			        		
				        		insulin resistance;
			        		
			        		
			        		
				        		granulosa cells
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Acta Universitatis Medicinalis Anhui
	            		
	            		 2022;57(10):1602-1607
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective     :To investigate the expression of macrophage migration inhibitory factor (MIF)  and  its effect
on autophagy and insulin resistance of ovarian granulosa cells in polycystic  ovary syndrome  ( PCOS) .  
				        	
				        
				        	Methods:Follicular fluid and ovarian granulosa cells were collected from 40 PCOS patients  ( n = 40)  and  non  PCOS patients (control group,  n = 20) .  PCOS included patients with IR  (PCOS with IR,  n = 20)  and patients without IR  (PCOS without IR,  n = 20) .  The expression of MIF in follicular fluid was detected by ELISA .   The ratio of autophagy vacuoles to microtubule⁃associated protein light chain  Ⅱ( LC3 Ⅱ) /microtubule⁃associated  protein light chain   Ⅰ( LC3 Ⅰ)in granulosa cells was observed by transmission electron microscopy and Western blot .  Human ovarian granule cell line KNG was cultured in vitro and CCK⁃8 was used to detect the effects of different concentrations of MIF on granule cell  activity .   KNG  cells  were  divided  into  four  groups:   normal  culture  group   ( NC  group),   MIF  group, chloroquine group  (CQ group)  and MIF + CQ group .   The effects of MIF on the expression of autophagy related proteins LC3,  autophagy related genes 7(Atg7),  ubiquitin binding protein(p62),  and insulin signaling pathway related proteins insulin receptor substrate⁃1(ISR⁃1),  glucose transporter 4(GLUT4),  protein kinase  B(Akt)  phosphorylation were observed by Western blot,  and the effect of MIF on glucose uptake ability of granulosa cells was detected by glucose uptake test . 
				        	
				        
				        	Results    :Compared  with  the  control group or PCOS without IR group,  MIF  expression in follicular fluid and autophagy level of granulosa cells in PCOS with IR group increased  (P < 0. 05  or P < 0. 01); In vitro experiments  showed  that  MIF  could  significantly  inhibit  the  cellular  activity  of  KNG  in  granulocytes  in  a concentration⁃dependent manner,  in  which  100  ng/ml  MIF  was   selected  for  subsequent  relevant  experiments; Compared with NC group,  LC3Ⅱ/LC3I  ratio and Atg7  protein in MIF group and MIF + CQ group increased  (P < 0. 05), while p62 protein, IRS⁃1 protein, Akt phosphorylation level, GLUT4 protein expression level and glucose uptake ability decreased ( P < 0. 05 ), while the above autophagy markers in MIF + CQ group were significantly higher than those in MIF group (P < 0. 05), and the protein related to insulin signal transduction and glucose uptake increased (P < 0. 05) .
				        	
				        
				        	Conclusion  :MIF may promote IR development in PCOS patients by up⁃regulating the autophagy level of granulosa cells, while inhibiting the autophagy of granulosa cells can improve MIF⁃induced IR.
				        	
				        
				    
			     
	        
	        
	        	- Full text:2024081121115038653MIF通过诱导自噬促进卵巢颗粒细胞的胰岛素抵抗_巩晓芸.pdf