AT-I has been found to be the the major bioactive component from AMK, which is a medicinal plant that has been used as a pharmacological agent for the treatment of threatened miscarriages for a long time (Zhu et al., 2018). CL is an essential organ for maintain the early pregnancy, and luteal dysfunction could cause infertility and abortions (Mesen and Young, 2015). The CL is mainly composed of large luteum cells (LLC) and little amount of small luteum cells (SLC). LLC, which has the stronger steroidogenic capacity than that in SLC, mainly originates from ovarian granulosa cells (Hryciuk et al., 2019). As the major bioactive compent of AMK, the effect of AT-I on the ovarian granulosa cells might contribute to our understanding on how AMK treatment of threatened miscarriages. This study found that AT-I could promote proliferation and the secretion of E2 and P4 in FOGCs. And the transcriptome profile of differential gene expression in FOGCs treated with the AT-I was examined in this report.
Ovarian granulosa cells as the largest cell group within the follicles, they not only cooperate with theca interstitial cells to regulate the synthesis of female steroid hormones, and also can regulate both the growth and maturation of oocytes (Havelock et al., 2004). At present, there is only one method to culture primary FOGCs by slicing ovaries into many pieces (Chiara Perego et al., 2021), but the cell identification was not carried out and the fibroblasts, endothelial cells could not effectively removed. In this study, a new method by puncturing small folliclesto to cultivate primary FOGCs and confirmed with FSHR immunofluorescence identification, the FOGCs purity could reach 90% which could be used to perform relative experiment.
After ovulation, ovarian granulosa cells proliferation and transformed to LLC that can have the ability to secrete amount of P4 and maintain early pregnancy (Luigi Devoto, 2009 ) (Richards and Pangas, 2010); Amelkina et al. revealed that ovarian granulosa cells could be transformed to LLC that can have the ability to secrete steroids in domestic cat (Amelkina et al., 2015). In this study, the FOGCs viability was noticed to increase significantly in a dose and time-dependent within a certain range (Fig. 3A and 3B) and the secretion of E2 and P4 increased significantly (Fig. 4) after AT-I treatment in FOGCs. The increase of E2 and P4 might due to cell proliferation or enhanced single cell secretion or combined effect, which needs further investigation.
Recent evidence obtained with a luteal cell line has confirmed that E2 can positively regulate the transcriptional activity of the SR-BI gene to speed up the occurrence of the luteinization process (Stocco, 2007). In our study, after AT-I-stimulation, E2 concentration was observed to increase in 36 h, and after AT-I treatment 36 h, FOGCs can produce a substantial amount of P4 instead of E2 that they did before and the ratio of P4/E2 indicated that the P4 secretion was more obviously than E2 secretion in FOGCs after 36 h indicating that the AT-I might initiate luteinization process, which resulted in the enhanced P4 secretion in FOGCs .
In this study, a total of 137 DEGs were obtained after transcriptome sequencing on the FOGCs group treated with AT-I and these results were confirmed by RT-qPCR. According to the GO classification and KEGG pathway enrichment analysis, it was found that the DEGs were mainly enriched in several important pathways including those regulating cholesterol metabolism, ovarian steroidogenesis, biosynthesis of unsaturated fatty acids and ABC transporter.
The unsaturated fatty acids are able to reduce the harmful cholesterol and triglyceride in the blood by esterifying cholesterol and promote cholesterol metabolism effectively control the concentration of blood lipids, and increase the content of high-density lipoprotein (HDL) which is beneficial to the human body (Wiktorowska-Owczarek et al., 2015). The DEGs SCD, a central regulator controlling the biosynthesis of unsaturated fatty acids (AM et al., 2017) was up-regulated by AT-I which might contribute to the secretion of E2 and P4 through regulate the biosynthesis of unsaturated fatty acid.
The cholesterol metabolism is critical for the production of the various essential membrane components which is necessary for cell proliferation (Miranda-Jimenez and Murphy, 2007). In addition, as a precursor of steroid hormones, cholesterol is pivotal for ovarian follicular maturation (Shimano and Sato, 2017). Interestingly, in this study, it was found that the DEGs after AT-I treated mainly related to cholesterol metabolism. A constant supply of cholesterol is needed for the synthesis of steroid hormones in the CL and maternal cholesterol metabolism plays a role in fetal development (Woollett, 2008). Circulating plasma lipoproteins are the major source of cholesterol for steroid production in these different cells and cholesterol can be mainly obtained from circulating low-density lipoproteins (LDL) and small part from high-density lipoprotein (HDL) (Li et al., 2019; Miranda-Jimenez and Murphy, 2007). There are multiple systems involved in the cellular cholesterol delivery for steroidogenesis, mainly through the uptake of lipoprotein-derived cholesterol via LDLR mediated endocytic pathways (Craig et al., 2011). According to the RNA-seq analysis and RT-qPCR result, the expression of LDLR was induced by AT-I treatment in FOGCs, indicating the uptake of lipoprotein-derived cholesterol might be activated which could further stimulate the cholesterol biosynthesis.The identified DEGs SREBF1 that responsible for encoding sterol regulatory element-binding protein (SREBP) able to promote the transcription of various lipogenesis involved in the biosynthesis of fatty acids and cholesterols and involved in the regulation of sterol synthesis rates (Richards and Pangas, 2010; Wang et al., 2020; Woollett, 2008). It was reported that SREBP could up-regulated the LDLR expression promote the cholesterol uptake (Lindholm et al., 2009; Shimano and Sato, 2017) and regulate the luteinization process through enhance the sensitivity of Human Granulosa-Lutein Cells to LH (Li et al., 2019). After AT-I treatment, the SREBF1 expression was up-regulated than that in control group, suggesting the SREBF1 signaling pathway might be activated. The activation of SREBF1 signaling pathway by AT-I treatment might contribute to the FOGCs synthesis of steroid hormones.To further confirm the effect of AT-I on cholesterol metabolism, the biochemical test was used to detect the content of cholesterol in the cell supernatant. After AT-I treatment 36 h, the contents of total cholesterol and LDL cholesterol both declined, whereas the synthesis of steroid hormones increased, suggested that AT-I indeed significantly affect cholesterol metabolism and promote the secretion of E2 and P4 in FOGCs. Li et al showed that AT-I dose dependently inhibited Ox-LDL induced VSMCs proliferation to treat atherosclerosis (Li et al., 2017), which might be the result of increased LDLR expression.
The ovaries are responsible for producing sex steroid hormones during reproductive life, which is important for both reproductive and somatic health (Richards and Pangas, 2010). After AT-I treatment, the secretion of E2 and P4 increased significantly in FOGCs. The CYP1A1 was down-regulated and thereby can reduce the degradation of E2 to modulate ovarian steroidogenesis (Deok-Soo Son 1999). The identified DEGs LDLR is also a key gene in ovarian steroidogenesis by promote the cholesterol biosynthesis. The DEGs StAR can introduce cholesterol into mitochondria, which is essential for steroid production. Cholesterol is the major raw material for ovarian steroid hormone synthesis. According to this study, the expression of LDLR,StAR and SREBF1 increased were induced by AT-I treatment in FOGCs, and the increased gene might further stimulate the cholesterol biosynthesis which leading ovarian steroidogenesis happened.
The ABCA-1 and ABCG-1 expression increased after AT-I treatment might improve the reverse cholesterol transport, and further speed up the metabolic process of cholesterol in FOGCs since ABC transport system can drive intracellular superfluous cholesterol from arterial wall macrophages to the liver, thus allowing its excretion into the bile and feces as to speed up the metabolic process of cholesterol (Iborra, 2011).
AT-I can promote the biosynthesis of unsaturated fatty acids to enhance the HDL content in plasma, and dramatically enhance the ability to transport LDL into cells by increased LDLR expression; The intake cholesterol can be used as raw material for ovarian steroidogenesis incloud E2 and P4. At the same time, AT-I can dynamically promote the reverse transport of cholesterol by up-regulating ABCA1 and ABCG-1 gene expression to speed up the metabolic process of cholesterol. Taken together, after AT-I treatment, the differential genes identified were mainly concentrate on cellular cholesterol uptake and efflux. Thus, it was hypothesized that AT-I might affect the secretion of E2 and P4 by promoting the cholesterol metabolism in the granulosa cells.