The Journal of Practical Medicine ›› 2025, Vol. 41 ›› Issue (16): 2498-2506.doi: 10.3969/j.issn.1006-5725.2025.16.009

• Basic Research • Previous Articles    

Androgen‑mediated DGAT2 upregulation promotes ferroptosis in granulosa cells in polycystic ovary syndrome

Yuancheng LI1,2,Li. LI2()   

  1. Graduate School of Guangzhou Medical University,Guangzhou 511436,Guangdong,China;Women and Children's Health Research Institute of Guangdong Provincial Maternal and Child Health Hospital,Guangzhou 511400,Guangdong,China
  • Received:2025-04-19 Online:2025-08-25 Published:2025-08-28
  • Contact: Li. LI E-mail:lili?1406@163.com;lili-1406@163.com

Abstract:

Objective To investigate the role of androgen-induced DGAT2-mediated ferroptosis in granulosa cell dysfunction in patients with polycystic ovary syndrome (PCOS). Methods The human granulosa cell line KGN was exposed to various concentrations of testosterone (1, 10, and 100 μmol/L). The effects on DGAT2 expression, markers of ferroptosis (GPX4, ROS, MDA), indicators of lipid metabolism (TG, PUFAs), lipid droplet accumulation, and cell viability were evaluated. Additionally, DGAT2 knockdown using siRNA in combination with Erastin treatment was performed to further elucidate the role of DGAT2 in ferroptosis regulation. Results Testosterone significantly upregulated DGAT2 expression (P < 0.01), increased intracellular TG and PUFA levels (P < 0.001), promoted lipid droplet accumulation, elevated ROS and MDA levels (P < 0.05, P < 0.001), suppressed GPX4 expression (P < 0.001), and reduced cell viability (P < 0.001). DGAT2 knockdown reversed these effects, thereby alleviating ferroptosis and markedly enhancing cell viability (P < 0.001). Conclusions DGAT2 may be involved in the process of androgen-mediated granulosa cell ferroptosis in patients with PCOS.

Key words: polycystic ovary syndrome, DGAT2, ferroptosis, granulosa cells, androgen

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