Kivonat:
OBJECTIVE: To investigate the vascular dysfunction caused by insulin resistance in polycystic ovary syndrome (PCOS) and the effectiveness of vitamin D in an animal model. DESIGN: Controlled experimental animal study. SETTING: Animal laboratory at a university research institute. ANIMAL(S): Thirty female Wistar rats. INTERVENTION(S): Rats were divided into groups at age 21-28 weeks. Twenty of them were subjected to dihydrotestosterone (DHT) treatment (83 mug/d); ten of them also received parallel vitamin D treatment (120 ng/100 g/wk). Oral glucose tolerance tests with insulin level measurements were performed. Gracilis arterioles were tested for their contractility as well as their nitric oxide (NO)-dependent and insulin-induced dilation using pressure arteriography. MAIN OUTCOME MEASURE(S): Several physiologic parameters, glucose metabolism, and pressure arteriography. RESULT(S): DHT treatment increased the passive diameter of resistance arterioles, lowered norepinephrine-induced contraction (30.1 +/- 4.7% vs. 8.7 +/- 3.6%) and reduced acetylcholine-induced (122.0 +/- 2.9% vs. 48.0 +/- 1.4%) and insulin-induced (at 30 mU/mL: 21.7 +/- 5.3 vs. 9.8 +/- 5.6%) dilation. Vitamin D treatment restored insulin relaxation and norepinephrine-induced contractility; in contrast, it failed to alter NO-dependent relaxation. CONCLUSION(S): In DHT-treated rats, in addition to metabolically proven insulin resistance, decreased insulin-induced vasorelaxation was observed and was improved by vitamin D treatment without affecting NO-dependent relaxation. The reduction in insulin-induced dilation of arterioles is an important as yet undescribed pathway of vascular damage in PCOS and might explain the clinical effectiveness of vitamin D treatment.
