Induction of Hyperandrogenism and Insulin Resistance Differentially Modulates Ferroptosis in Uterine and Placental Tissues of Pregnant Rats

    Yuehui Zhang, Min Hu, Wenyan Jia, Guoqi Liu, Jiao Zhang, Bing Wang, Juan Li, Peng Cui, Xin Li, Susanne Lager, Amanda N. Sferruzzi‐Perri, Yanhua Han, Songjiang Liu, Xiaoke Wu, Mats Brännström, Ruijin Shao, Håkan Billig
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    TLDR HAIR may cause fetal loss by triggering different cell death processes in the uterus and placenta.
    The study investigated the effects of hyperandrogenism and insulin resistance (HAIR) on ferroptosis in the uterine and placental tissues of pregnant rats, simulating conditions similar to polycystic ovary syndrome (PCOS) in humans. It found that HAIR led to increased fetal loss, with the uterus showing decreased levels of Gpx4 and glutathione (GSH), increased oxidative stress markers, and changes in ferroptosis-associated gene expression, indicating activation of ferroptosis. In contrast, the placenta showed only partial changes in ferroptosis markers. The study concluded that HAIR-induced ferroptosis in the uterus and placenta might contribute to fetal loss, with different molecular mechanisms involved in each tissue, and suggested that other cell death pathways, such as necroptosis and apoptosis, might also play roles in this process.
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