Developmental Programming: Prenatal Testosterone Excess and Insulin Signaling Disruptions in Female Sheep1
Open accessAbstract
Women with polycystic ovary syndrome often manifest insulin resistance. Using a sheep model of polycystic ovary syndrome-like phenotype, we explored the contribution of androgen and insulin in programming and maintaining disruptions in insulin signaling in metabolic tissues. Phosphorylation of AKT, ERK, GSK3beta, mTOR, and p70S6K was examined in the liver, muscle, and adipose tissue of control and prenatal testosterone (T)-, prenatal T plus androgen antagonist (flutamide)-, and prenatal T plus insulin sensitizer (rosiglitazone)-treated fetuses as well as 2-yr-old females. Insulin-stimulated phospho (p)-AKT was evaluated in control and prenatal T-, prenatal T plus postnatal flutamide-, and prenatal T plus postnatal rosiglitazone-treated females at 3 yr of age. GLUT4 expression was evaluated in the muscle at all time points. Prenatal T treatment increased mTOR, p-p70S6K, and p-GSK3beta levels in the fetal liver with both androgen antagonist and insulin sensitizer preventing the mTOR increase. Both interventions had partial effect in preventing the increase in p-GSK3beta. In the fetal muscle, prenatal T excess decreased p-GSK3beta and GLUT4. The decrease in muscle p-GSK3beta was partially prevented by insulin sensitizer cotreatment. Both interventions partially prevented the decrease in GLUT4. Prenatal T treatment had no effect on basal expression of any of the markers in 2-yr-old females. At 3 yr of age, prenatal T treatment prevented the insulin-stimulated increase in p-AKT in liver and muscle, but not in adipose tissue, and neither postnatal intervention restored p-AKT response to insulin stimulation. Our findings provide evidence that prenatal T excess changes insulin sensitivity in a tissue- and development-specific manner and that both androgens and insulin may be involved in the programming of these metabolic disruptions.
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In experimental animals, excess androgen exposure in utero or in early neonatal life programmes the female offspring to have changes in adipose tissue biology.
“As shown in Table 7, work in experimental animals has shown that excess androgen exposure in utero or in early neonatal life programmes the female offspring to have changes in adipose tissue biology [132–135].”
From Developmental programming of offspring adipose tissue biology and obesity risk (2021) · cites this paper as [135]
Results (Study 1; page unavailable) report altered mTOR markers in fetal adipose tissue after prenatal testosterone exposure, supporting a change in adipose biology. But the Discussion reports no change in adipose insulin sensitivity in fetal or three-year-old female sheep. This paper also does not study early neonatal androgen exposure, so it does not establish the claim across both exposure periods. (LLM, conf=0.84)
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“The liver plays a key role in maintaining glucose levels in the blood [35, 36].”
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Cited by
Sorted by citations
Developmental programming of offspring adipose tissue biology and obesity risk
Rodgers, A., & Sferruzzi-Perri, A. N. (2021) · International Journal of Obesity · doi:10.1038/s41366-021-00790-w · Cited by 57 · see citing works
Puttabyatappa, M., Andriessen, V., Mesquitta, M., Zeng, L., Pennathur, S., & Padmanabhan, V. (2017) · Endocrinology · doi:10.1210/en.2017-00460 · Cited by 42 · see citing works
Self-citationPrenatal Testosterone Exposure Disrupts Insulin Secretion and Promotes Insulin Resistance
Carrasco, A., Recabarren, M. P., Rojas-García, P. P., Gutiérrez, M., Morales, K., Sir-Petermann, T., & Recabarren, S. E. (2020) · Scientific Reports · doi:10.1038/s41598-019-57197-x · Cited by 10 · see citing works
- Authors
- Lu, C., Cardoso, R. C., Puttabyatappa, M., & Padmanabhan, V.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Padmanabhan, Vasantha
- Venue
- Biology of Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-05-01
- Volume
- 94
- Issue
- 5
- Pages
- 113-113
- ISSN
- 0006-3363 (ISSN-L)
- 1529-7268
- PMC
- PMC4939741
- OpenAlex
- W2315591776
- Cited by
- 40
- References
- 5
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 10 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 2 · 2015: 1
- FWCI
- 4.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- cc-by-nc
- Locations
- Biology of Reproduction (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- BioOne Complete (BioOne) (submittedVersion)
- Funders
- University of Michigan
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK020572)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P01HD044232)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Keywords
- developmental programming, insulin signaling, polycystic ovary syndrome, insulin resistance, androgen antagonists, flutamide, insulin sensitizers, rosiglitazone, mTOR, GSK3β, p70S6K, Akt, ERK, GLUT4, liver, skeletal muscle, adipose tissue, ewes, metabolic tissues
- MeSH terms
- Animals, Animals, Newborn, Disease Models, Animal, Female, Insulin, Polycystic Ovary Syndrome, Pregnancy, Prenatal Exposure Delayed Effects, Sheep, Testosterone, Signal Transduction, Embryonic Development, Oncogene Protein v-akt
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