氯胺酮经铁死亡通路改善CORT诱导抑郁小鼠的卵巢功能与卵母细胞质量
Ketamine improves ovarian function and oocyte quality in CORT-induced depression mouse model by ferroptosis pathway
摘要
研究以皮质酮(CORT)诱导的抑郁小鼠模型,评估临床抗抑郁药氯胺酮对抑郁相关卵巢功能障碍与卵母细胞损伤的作用。结果显示,氯胺酮显著改善抑郁样行为,并部分逆转卵巢功能与卵母细胞质量异常;代谢组学与单细胞转录组分析提示,这一效应可能与铁死亡调控有关。研究进一步验证:卵母细胞ROS、Fe2+、GSH与脂质过氧化水平得到纠正,卵巢线粒体异常减少,卵巢组织铁死亡相关蛋白GPX4、FTH1、FTL受到调控。结论认为,氯胺酮可能通过调节铁死亡信号缓解抑郁相关生殖损害,为精神障碍与女性生殖健康的关联提供新线索。
原文摘要
Depression is a common psychiatric disorder, with a higher prevalence in women than in men, and has been increasingly associated with disturbances in female reproductive health. In particular, depressive conditions may impair ovarian function and compromise oocyte quality, thereby contributing to reproductive disorders. Ketamine is a clinically effective antidepressant. However, its potential role in improving depression-induced female reproductive disorders remains unclear. In the present study, a corticosterone (CORT)-induced mouse model of depression was used to evaluate whether ketamine could ameliorate ovarian dysfunction and oocyte impairment. Ketamine treatment significantly improved depressive-like behaviors and partially reversed abnormalities in ovarian function and oocyte quality. Metabolomics and single-cell transcriptomics analyses suggested that ketamine may enhance oocyte quality in depressive mice through the regulation of ferroptosis. Our findings confirmed that ketamine ameliorated alterations in ROS, Fe2+, glutathione (GSH), and lipid peroxidation levels in oocytes, reduced ovarian mitochondrial abnormalities, and regulated the ferroptosis-related proteins GPX4, FTH1, and FTL in ovarian tissues. In conclusion, ketamine alleviates depression-associated ovarian dysfunction and oocyte impairment, potentially through modulation of ferroptotic signaling, offering new insights linking mental disorders to female reproductive health.
推荐理由:这是“精神疾病—铁死亡—卵母细胞质量”这一跨领域机制链的首次较系统探索,整合了代谢组与单细胞转录组,并做了蛋白水平验证,对关注应激与抑郁对ART结局影响的研究者有启示;但目前仅有小鼠模型证据,氯胺酮的临床转化尚需谨慎看待。
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