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Title: Effects of rankl inhibitor on hormonal parameters in letrozole induced rat model of polycystic ovary syndrome.
Authors: Rabia Rauf, Uzma Erum, Surriyya Sarwat, Muhammad Rashid, Rahat Bano, Fatima Naseem Khan
Journal: The Professional Medical Journal (TPMJ)
Publisher: Independent Medical College, Faisalabad- Pakistan
Country: Pakistan
Year: 2024
Volume: 31
Issue: 2
Language: English
DOI: 10.29309/TPMJ/2024.31.02.7697
Keywords: LetrozolePolycystic Ovarian SyndromeRANKL InhibitorFSHLH Testosterone
Objective: To study the effect of RANKL inhibitor on serum FSH, LH and testosterone level in Letrozole induced rat model of PCOS. Study Design: Experimental Animal study. Setting: Thirty adult female Wistar Albino rats of 6-8 weeks of age with a weight range of 120–150 gm were recruited from the animal house of Baqai Medical University. Period: February 2022 till August 2022. Material & Methods: The rats were randomly divided into A, B, and C groups and each contained 10 rats. Group A was considered ass control while Group B served as Letrozole induced PCOS group and Group C served as RANKL inhibitor group. Letrozole dissolved in 0.1% CMC and was given at a dose of 1 mg/kg orally for 21 days to induce PCOS. RANKL inhibitor (Denosumab) was given 0.25 mg/kg body weight subcutaneously for 4 weeks after the induction of PCOS i.e from 21 days to 50th days. At the end of the experiment, blood was taken from intra cardiac puncture and analyzed through ELISA. Results: Mean serum level of LH and testosterone level were significantly higher (P<0.001) in Letrozole-treated PCOs group which was significantly decreased (P<0.001) in Denosumab treated animals but significantly higher (P<0.05) than control group. Whereas, mean serum FSH level was significantly (P<0.01) lower in the Letrozole-treated group which was significantly increased in Denosumab treated animals but significantly lower (P<0.05) than the control group. Conclusion: RANKL inhibitor could prevent the hormonal imbalance in letrozole treated PCOs in albino rats.
To study the effect of RANKL inhibitor on serum FSH, LH, and testosterone levels in a letrozole-induced rat model of PCOS.
Experimental animal study involving thirty adult female Wistar Albino rats (6-8 weeks old, 120-150 gm). Rats were divided into three groups: Control (Group A), Letrozole-induced PCOS (Group B), and RANKL inhibitor (Denosumab) treated (Group C). PCOS was induced in Groups B and C by oral administration of letrozole (1 mg/kg) for 21 days. Group C received Denosumab (0.25 mg/kg subcutaneously) for 4 weeks after PCOS induction. Blood samples were collected via cardiac puncture at the end of the experiment and analyzed using ELISA for serum LH, FSH, and testosterone levels. Statistical analysis was performed using SPSS 21.0 with one-way ANOVA and Tukey's post hoc test.
graph TD
A["Recruit 30 Adult Female Wistar Albino Rats"] --> B["Divide into 3 Groups: Control, PCOS, RANKL Inhibitor"];
B --> C["Induce PCOS with Letrozole"1 mg/kg/day for 21 days" in Groups B & C"];
C --> D["Administer Denosumab"0.25 mg/kg SC for 4 weeks" to Group C"];
D --> E["Collect Blood Samples via Cardiac Puncture"];
E --> F["Analyze Serum LH, FSH, Testosterone via ELISA"];
F --> G["Statistical Analysis: SPSS 21.0, ANOVA, Tukey's Test"];
G --> H["Interpret Results and Draw Conclusions"];
The study suggests that RANKL inhibitors, specifically Denosumab, may help ameliorate hormonal imbalances and associated weight gain in a letrozole-induced rat model of PCOS. The observed decrease in LH and testosterone, and increase in FSH with Denosumab treatment, indicate a potential therapeutic role in restoring hormonal equilibrium. The reduction in body and ovarian weight gain with Denosumab treatment also suggests a beneficial effect.
- Letrozole-induced PCOS group showed significantly higher LH and testosterone levels and significantly lower FSH levels compared to the control group.
- Denosumab treatment significantly decreased LH and testosterone levels compared to the PCOS group, but these remained higher than the control group.
- Denosumab treatment significantly increased FSH levels compared to the PCOS group, but these remained lower than the control group.
- Letrozole-induced PCOS group exhibited increased body weight gain and ovarian weight compared to the control group.
- Denosumab treatment reduced body weight gain and ovarian weight compared to the PCOS group.
RANKL inhibitors can potentially prevent hormonal imbalance and ameliorate body and ovarian weight gain in letrozole-treated PCOS rat models.
- PCOS prevalence: The text states that approximately 5 to 15% of women are affected by PCOS globally.
- Letrozole dose: Letrozole was administered at a dose of 1 mg/kg orally for 21 days to induce PCOS.
- Denosumab dose and duration: Denosumab was given at 0.25 mg/kg body weight subcutaneously for 4 weeks.
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