Dingkun Pill modulate ovarian function in chemotherapy-induced premature ovarian insufficiency mice by regulating PTEN/PI3K/AKT/FOXO3a signaling pathway

Dingkun Pill (DKP) is a traditional Chinese medicine that has been shown to have beneficial effects on reproductive function. However, the specific mechanism underlying its effect on POI is not well understood. To investigate the effect of different doses of Dingkun Pill on ovarian function in cyclo...

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Veröffentlicht in:Journal of ethnopharmacology 2023-10, Vol.315, p.116703-116703, Article 116703
Hauptverfasser: Su, Chan, Zhang, Ruihong, Zhang, Xiujuan, Lv, Mengxiao, Liu, Xiang, Ao, Kai, Hao, Jing, Mu, Yu-lan
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container_title Journal of ethnopharmacology
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Zhang, Ruihong
Zhang, Xiujuan
Lv, Mengxiao
Liu, Xiang
Ao, Kai
Hao, Jing
Mu, Yu-lan
description Dingkun Pill (DKP) is a traditional Chinese medicine that has been shown to have beneficial effects on reproductive function. However, the specific mechanism underlying its effect on POI is not well understood. To investigate the effect of different doses of Dingkun Pill on ovarian function in cyclophosphamide (CTX)-induced premature ovarian insufficiency (POI) mice and to explore its molecular mechanism through PTEN/PI3K/AKT/FOXO3a signaling pathway. This study will provide valuable insights into the potential clinical application of Dingkun Pill for the treatment of POI. Fifty female ICR mice were randomly divided into normal control (NC) group, model control (MC) group, and Dingkun Pill low, medium, high dose (DKP-L, M, H) groups. Mice were injected with CTX to construct the POI model. Mice in the DKP-L, M, and H groups were given 0.9 g/kg, 1.8 g/kg, and 3.6 g/kg of Dingkun Pill suspension for 21 days, respectively. Mice in the NC and MC groups were given the same amount of normal saline by gavage. Changes in body weight, estrous cycle and gonadal index were observed in each group of mice. Serum levels of FSH, LH, E2 and AMH were detected by ELISA. Hematoxylin-eosin (HE) staining observed the changes of ovarian pathological morphology and follicle counts at all levels. qRT-PCR was used to measure the levels of the PTEN and FOXO3a genes in ovarian tissue. The expression of PTEN/PI3K/AKT/FOXO3a signaling pathway related proteins were detected by Western-blot and immunohistochemistry (IHC). In POI mice, Dingkun Pill increased body weight, promoted the recovery of estrous cycle, increased ovarian index, and improved pathological morphology of the ovaries. The FSH level decreased in the medium dose group (P 
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However, the specific mechanism underlying its effect on POI is not well understood. To investigate the effect of different doses of Dingkun Pill on ovarian function in cyclophosphamide (CTX)-induced premature ovarian insufficiency (POI) mice and to explore its molecular mechanism through PTEN/PI3K/AKT/FOXO3a signaling pathway. This study will provide valuable insights into the potential clinical application of Dingkun Pill for the treatment of POI. Fifty female ICR mice were randomly divided into normal control (NC) group, model control (MC) group, and Dingkun Pill low, medium, high dose (DKP-L, M, H) groups. Mice were injected with CTX to construct the POI model. Mice in the DKP-L, M, and H groups were given 0.9 g/kg, 1.8 g/kg, and 3.6 g/kg of Dingkun Pill suspension for 21 days, respectively. Mice in the NC and MC groups were given the same amount of normal saline by gavage. Changes in body weight, estrous cycle and gonadal index were observed in each group of mice. Serum levels of FSH, LH, E2 and AMH were detected by ELISA. Hematoxylin-eosin (HE) staining observed the changes of ovarian pathological morphology and follicle counts at all levels. qRT-PCR was used to measure the levels of the PTEN and FOXO3a genes in ovarian tissue. The expression of PTEN/PI3K/AKT/FOXO3a signaling pathway related proteins were detected by Western-blot and immunohistochemistry (IHC). In POI mice, Dingkun Pill increased body weight, promoted the recovery of estrous cycle, increased ovarian index, and improved pathological morphology of the ovaries. The FSH level decreased in the medium dose group (P &lt; 0.05), the LH level reduced significantly in the medium and high dose groups (P &lt; 0.01), and the E2 level in the high dose group increased (P &lt; 0.05). There was no significant difference in AMH levels across all dose groups. The number of growing follicles improved at all levels in the low and medium dose groups, but declined significantly in the high dose group. However, the number of corpus luteum increased significantly in the high dose group (P &lt; 0.001), and the atretic follicles in the three dose groups decreased. Results from qRT-PCR, Western-blot and IHC showed that the moderate dose of Dingkun Pill suppressed the levels of the p-PI3K and p-AKT proteins by upregulating the expression of PTEN in the ovarian tissues of POI mice, thereby inhibiting the expression of the key protein p-FOXO3a. However, the inhibitory effect of the higher dose may be less than that of the lower and intermediate dose groups. The Dingkun Pill modulated hormonal levels, promoted follicle growth and induced ovulation in mice with CTX-induced POI, with better results in the low and moderate dose groups. Its mechanism may be related to the regulation of the PTEN/PI3K/AKT/FOXO3a signaling pathway. [Display omitted] •Effect of Dingkun Pill on the estrous cycle of POI mice.•Effect of Dingkun Pill on serum sex hormone levels in POI mice.•Effect of Dingkun Pill on ovarian morphology and follicle count in POI mice.•Effect of Dingkun Pill on PTEN and FOXO3a gene expression levels in ovary tissue of POI mice.•Effect of Dingkun Pill on the expression of PTEN/PI3K/AKT/FOXO3a pathway using western-blot and immunohistochemical method.</description><identifier>ISSN: 0378-8741</identifier><identifier>EISSN: 1872-7573</identifier><identifier>DOI: 10.1016/j.jep.2023.116703</identifier><identifier>PMID: 37257704</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>blood serum ; body weight ; corpus luteum ; Cyclophosphamide ; Dingkun pill ; estrous cycle ; females ; FOXO3a ; immunohistochemistry ; Oriental traditional medicine ; ovulation ; Premature ovarian insufficiency ; PTEN</subject><ispartof>Journal of ethnopharmacology, 2023-10, Vol.315, p.116703-116703, Article 116703</ispartof><rights>2023 The Authors</rights><rights>Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c429t-f3aad2cdd149db2caa9e4fd7551eb88d86ea99402f5bc78aa48550c1f66c8e5d3</citedby><cites>FETCH-LOGICAL-c429t-f3aad2cdd149db2caa9e4fd7551eb88d86ea99402f5bc78aa48550c1f66c8e5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0378874123005718$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37257704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Su, Chan</creatorcontrib><creatorcontrib>Zhang, Ruihong</creatorcontrib><creatorcontrib>Zhang, Xiujuan</creatorcontrib><creatorcontrib>Lv, Mengxiao</creatorcontrib><creatorcontrib>Liu, Xiang</creatorcontrib><creatorcontrib>Ao, Kai</creatorcontrib><creatorcontrib>Hao, Jing</creatorcontrib><creatorcontrib>Mu, Yu-lan</creatorcontrib><title>Dingkun Pill modulate ovarian function in chemotherapy-induced premature ovarian insufficiency mice by regulating PTEN/PI3K/AKT/FOXO3a signaling pathway</title><title>Journal of ethnopharmacology</title><addtitle>J Ethnopharmacol</addtitle><description>Dingkun Pill (DKP) is a traditional Chinese medicine that has been shown to have beneficial effects on reproductive function. However, the specific mechanism underlying its effect on POI is not well understood. To investigate the effect of different doses of Dingkun Pill on ovarian function in cyclophosphamide (CTX)-induced premature ovarian insufficiency (POI) mice and to explore its molecular mechanism through PTEN/PI3K/AKT/FOXO3a signaling pathway. This study will provide valuable insights into the potential clinical application of Dingkun Pill for the treatment of POI. Fifty female ICR mice were randomly divided into normal control (NC) group, model control (MC) group, and Dingkun Pill low, medium, high dose (DKP-L, M, H) groups. Mice were injected with CTX to construct the POI model. Mice in the DKP-L, M, and H groups were given 0.9 g/kg, 1.8 g/kg, and 3.6 g/kg of Dingkun Pill suspension for 21 days, respectively. Mice in the NC and MC groups were given the same amount of normal saline by gavage. Changes in body weight, estrous cycle and gonadal index were observed in each group of mice. Serum levels of FSH, LH, E2 and AMH were detected by ELISA. Hematoxylin-eosin (HE) staining observed the changes of ovarian pathological morphology and follicle counts at all levels. qRT-PCR was used to measure the levels of the PTEN and FOXO3a genes in ovarian tissue. The expression of PTEN/PI3K/AKT/FOXO3a signaling pathway related proteins were detected by Western-blot and immunohistochemistry (IHC). In POI mice, Dingkun Pill increased body weight, promoted the recovery of estrous cycle, increased ovarian index, and improved pathological morphology of the ovaries. The FSH level decreased in the medium dose group (P &lt; 0.05), the LH level reduced significantly in the medium and high dose groups (P &lt; 0.01), and the E2 level in the high dose group increased (P &lt; 0.05). There was no significant difference in AMH levels across all dose groups. The number of growing follicles improved at all levels in the low and medium dose groups, but declined significantly in the high dose group. However, the number of corpus luteum increased significantly in the high dose group (P &lt; 0.001), and the atretic follicles in the three dose groups decreased. Results from qRT-PCR, Western-blot and IHC showed that the moderate dose of Dingkun Pill suppressed the levels of the p-PI3K and p-AKT proteins by upregulating the expression of PTEN in the ovarian tissues of POI mice, thereby inhibiting the expression of the key protein p-FOXO3a. However, the inhibitory effect of the higher dose may be less than that of the lower and intermediate dose groups. The Dingkun Pill modulated hormonal levels, promoted follicle growth and induced ovulation in mice with CTX-induced POI, with better results in the low and moderate dose groups. Its mechanism may be related to the regulation of the PTEN/PI3K/AKT/FOXO3a signaling pathway. [Display omitted] •Effect of Dingkun Pill on the estrous cycle of POI mice.•Effect of Dingkun Pill on serum sex hormone levels in POI mice.•Effect of Dingkun Pill on ovarian morphology and follicle count in POI mice.•Effect of Dingkun Pill on PTEN and FOXO3a gene expression levels in ovary tissue of POI mice.•Effect of Dingkun Pill on the expression of PTEN/PI3K/AKT/FOXO3a pathway using western-blot and immunohistochemical method.</description><subject>blood serum</subject><subject>body weight</subject><subject>corpus luteum</subject><subject>Cyclophosphamide</subject><subject>Dingkun pill</subject><subject>estrous cycle</subject><subject>females</subject><subject>FOXO3a</subject><subject>immunohistochemistry</subject><subject>Oriental traditional medicine</subject><subject>ovulation</subject><subject>Premature ovarian insufficiency</subject><subject>PTEN</subject><issn>0378-8741</issn><issn>1872-7573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqNkcuO0zAUhi0EYsrAA7BBXrJJ61tiR6xGc4HRjGgXRWJnOfZJ65I4wU4G5U14XNLpADvE6izO9_9HOh9CbylZUkKL1WF5gH7JCONLSgtJ-DO0oEqyTOaSP0cLwqXKlBT0DL1K6UAIkVSQl-iMS5ZLScQC_bzyYfdtDHjjmwa3nRsbMwDuHkz0JuB6DHbwXcA-YLuHthv2EE0_ZT640YLDfYTWDGP8G_EhjXXtrYdgJ9x6C7iacITdsXk-hjfb68-rzS2_W13cbVc3669rbnDyu2Ca47o3w_6HmV6jF7VpErx5mufoy8319vJTdr_-eHt5cZ9Zwcohq7kxjlnnqChdxawxJYjayTynUCnlVAGmLAVhdV5ZqYwRKs-JpXVRWAW54-fo_am3j933EdKgW58sNI0J0I1JM8UFkyUtxH-gbMYYeUTpCbWxSylCrfvoWxMnTYk-utMHPbvTR3f65G7OvHuqH6sW3J_Eb1kz8OEEwPyPBw9Rp8cvg_MR7KBd5_9R_wu2KKxe</recordid><startdate>20231028</startdate><enddate>20231028</enddate><creator>Su, Chan</creator><creator>Zhang, Ruihong</creator><creator>Zhang, Xiujuan</creator><creator>Lv, Mengxiao</creator><creator>Liu, Xiang</creator><creator>Ao, Kai</creator><creator>Hao, Jing</creator><creator>Mu, Yu-lan</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope></search><sort><creationdate>20231028</creationdate><title>Dingkun Pill modulate ovarian function in chemotherapy-induced premature ovarian insufficiency mice by regulating PTEN/PI3K/AKT/FOXO3a signaling pathway</title><author>Su, Chan ; Zhang, Ruihong ; Zhang, Xiujuan ; Lv, Mengxiao ; Liu, Xiang ; Ao, Kai ; Hao, Jing ; Mu, Yu-lan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-f3aad2cdd149db2caa9e4fd7551eb88d86ea99402f5bc78aa48550c1f66c8e5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>blood serum</topic><topic>body weight</topic><topic>corpus luteum</topic><topic>Cyclophosphamide</topic><topic>Dingkun pill</topic><topic>estrous cycle</topic><topic>females</topic><topic>FOXO3a</topic><topic>immunohistochemistry</topic><topic>Oriental traditional medicine</topic><topic>ovulation</topic><topic>Premature ovarian insufficiency</topic><topic>PTEN</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Su, Chan</creatorcontrib><creatorcontrib>Zhang, Ruihong</creatorcontrib><creatorcontrib>Zhang, Xiujuan</creatorcontrib><creatorcontrib>Lv, Mengxiao</creatorcontrib><creatorcontrib>Liu, Xiang</creatorcontrib><creatorcontrib>Ao, Kai</creatorcontrib><creatorcontrib>Hao, Jing</creatorcontrib><creatorcontrib>Mu, Yu-lan</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>Journal of ethnopharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Su, Chan</au><au>Zhang, Ruihong</au><au>Zhang, Xiujuan</au><au>Lv, Mengxiao</au><au>Liu, Xiang</au><au>Ao, Kai</au><au>Hao, Jing</au><au>Mu, Yu-lan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dingkun Pill modulate ovarian function in chemotherapy-induced premature ovarian insufficiency mice by regulating PTEN/PI3K/AKT/FOXO3a signaling pathway</atitle><jtitle>Journal of ethnopharmacology</jtitle><addtitle>J Ethnopharmacol</addtitle><date>2023-10-28</date><risdate>2023</risdate><volume>315</volume><spage>116703</spage><epage>116703</epage><pages>116703-116703</pages><artnum>116703</artnum><issn>0378-8741</issn><eissn>1872-7573</eissn><abstract>Dingkun Pill (DKP) is a traditional Chinese medicine that has been shown to have beneficial effects on reproductive function. However, the specific mechanism underlying its effect on POI is not well understood. To investigate the effect of different doses of Dingkun Pill on ovarian function in cyclophosphamide (CTX)-induced premature ovarian insufficiency (POI) mice and to explore its molecular mechanism through PTEN/PI3K/AKT/FOXO3a signaling pathway. This study will provide valuable insights into the potential clinical application of Dingkun Pill for the treatment of POI. Fifty female ICR mice were randomly divided into normal control (NC) group, model control (MC) group, and Dingkun Pill low, medium, high dose (DKP-L, M, H) groups. Mice were injected with CTX to construct the POI model. Mice in the DKP-L, M, and H groups were given 0.9 g/kg, 1.8 g/kg, and 3.6 g/kg of Dingkun Pill suspension for 21 days, respectively. Mice in the NC and MC groups were given the same amount of normal saline by gavage. Changes in body weight, estrous cycle and gonadal index were observed in each group of mice. Serum levels of FSH, LH, E2 and AMH were detected by ELISA. Hematoxylin-eosin (HE) staining observed the changes of ovarian pathological morphology and follicle counts at all levels. qRT-PCR was used to measure the levels of the PTEN and FOXO3a genes in ovarian tissue. The expression of PTEN/PI3K/AKT/FOXO3a signaling pathway related proteins were detected by Western-blot and immunohistochemistry (IHC). In POI mice, Dingkun Pill increased body weight, promoted the recovery of estrous cycle, increased ovarian index, and improved pathological morphology of the ovaries. The FSH level decreased in the medium dose group (P &lt; 0.05), the LH level reduced significantly in the medium and high dose groups (P &lt; 0.01), and the E2 level in the high dose group increased (P &lt; 0.05). There was no significant difference in AMH levels across all dose groups. The number of growing follicles improved at all levels in the low and medium dose groups, but declined significantly in the high dose group. However, the number of corpus luteum increased significantly in the high dose group (P &lt; 0.001), and the atretic follicles in the three dose groups decreased. Results from qRT-PCR, Western-blot and IHC showed that the moderate dose of Dingkun Pill suppressed the levels of the p-PI3K and p-AKT proteins by upregulating the expression of PTEN in the ovarian tissues of POI mice, thereby inhibiting the expression of the key protein p-FOXO3a. However, the inhibitory effect of the higher dose may be less than that of the lower and intermediate dose groups. The Dingkun Pill modulated hormonal levels, promoted follicle growth and induced ovulation in mice with CTX-induced POI, with better results in the low and moderate dose groups. Its mechanism may be related to the regulation of the PTEN/PI3K/AKT/FOXO3a signaling pathway. [Display omitted] •Effect of Dingkun Pill on the estrous cycle of POI mice.•Effect of Dingkun Pill on serum sex hormone levels in POI mice.•Effect of Dingkun Pill on ovarian morphology and follicle count in POI mice.•Effect of Dingkun Pill on PTEN and FOXO3a gene expression levels in ovary tissue of POI mice.•Effect of Dingkun Pill on the expression of PTEN/PI3K/AKT/FOXO3a pathway using western-blot and immunohistochemical method.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>37257704</pmid><doi>10.1016/j.jep.2023.116703</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects blood serum
body weight
corpus luteum
Cyclophosphamide
Dingkun pill
estrous cycle
females
FOXO3a
immunohistochemistry
Oriental traditional medicine
ovulation
Premature ovarian insufficiency
PTEN
title Dingkun Pill modulate ovarian function in chemotherapy-induced premature ovarian insufficiency mice by regulating PTEN/PI3K/AKT/FOXO3a signaling pathway
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