ABSTRACT
Background & objectives: Insulin resistance (IR) is a major confounding factor in polycystic ovarian syndrome (PCOS) irrespective of obesity. Its exact mechanism remains elusive till now. C/T polymorphism in the -34 promoter region of the CYP17 gene is inconsistently attributed to elucidate the mechanism of IR and its link to hyperandrogenemia in obese PCOS patients. In the present study we aimed to evaluate any association of this polymorphism with IR in non-obese women with PCOS. Methods: Polymorphism study was performed by restriction fragment length polymorphism (RFLP) analysis of the Msp A1 digest of the PCR product of the target gene in 75 PCOS cases against 73 age and BMI matched control women. Serum testosterone, BMI and HOMA-IR (homeostatic model of assessment-insulin resistance) were analyzed by standard techniques. A realistic cut-off value for the HOMA-IR was obtained through receiver operating characteristic (ROC) curve for exploring any possible link between IR and T/C polymorphism in the case group. Results: Significant increases in serum testosterone and HOMA-IR values were observed among the case group (P<0.001) without any significant elevation in BMI and FBG compared to controls. Cut-off value for IR in the PCOS patients was 1.40 against a maximum sensitivity of 0.83 and a minimum false positivity of 0.13. The analysis revealed an inconclusive link between the C/T polymorphic distribution and insulin resistant case subjects. Interpretation & conclusions: The results showed that CYP17A1 gene was not conclusively linked to either IR or its associated increased androgen secretion in non-obese women with PCOS. We propose that an increased sensitivity of insulin on the ovarian cells may be the predominant reason for the clinical effects and symptoms of androgen excess observed in non-obese PCOS patients in our region.
ABSTRACT
Cross-talking between heat shock proteins (HSPs) and cold inducible proteins (CIPs) subsequent to combinational mild heat (35°C) and cold (8°C) stress was investigated in vivo for four cultivars of Solanum tuberosum L. viz. Kufri Pukhraj (PO), Kufri Jyoti (GS), Kufri Ashoka (KF) and Kufri Chandramukhi (CM) in the order of their decreasing thermotolerance, to understand how this economic crop adapts to extreme temperature fluctuation. We showed a time-course differential genotypic expression pattern for HSPs at 35°C for 10h and CIPs at 8°C for 12h time-lapse. Remarkably, we noted the disappearance of a housekeeping protein (HKP) of about 19.8KD at 2h, 35°C in GS absent in CM, KF and PO; but strongly expressed as CIPs at 8°C for all the cultivars. Furthermore, heat-stress led to an outstanding transient induction of HSP95.9, HSP83.6, HSP78.7, HSP70.7, HSP66.0, HSP54.1, HSP48.6, HSP43, sHSP38.3, sHSP35.3, sHSP29, sHSP22.5, sHSP17.8 and sHSP9.5 in GS at 6h, while HKP58.7, HKP55.5 and HKP43.7 were stably overexpressed in CM, KF and PO. Temperature switching from 35°C to 8°C upregulated HKP43.4, HKP54.6, CIP14.1 and HKP19.9 for all the cultivars. The recovery process 24h subsequent to this archetype switching was governed by overexpression of small(s)HSPs of about 25.4KD-14.1KD, HKP58.7 and HKP43.5 for all cultivars. Results suggest crosstalk protection for this paradigm-shift in temperature is chiefly conferred by isoforms of constitutively expressed HKPs, CIP19.9 and CIP14.1 in S. tuberosum L. Explicitly, this differential proteome change within 22h signify HKPs may not participate in thermotolerance as HSPs, but participate in cold acclimation as CIPs, recovery as sHSPs and even switch-off during heat-stress in some cultivars as depicted in GS.