Increased Oxidative and Nitrative Stress and Decreased Sex Steroid Relaxation in a
Vitamin D-Deficient Hyperandrogenic Rodent Model—And a Validation of the Polycystic
Ovary Syndrome Model
Background/Objectives: Both hyperandrogenism (HA) and vitamin D deficiency (VDD) can
separately lead to impaired vascular reactivity and ovulatory dysfunction in fertile
females. The aim was to examine the early interactions of these states in a rat model
of PCOS. Methods: Four-week-old adolescent female rats were divided into four groups:
vitamin D (VD)-supplemented (n = 12); VD-supplemented and testosterone-treated (n
= 12); VDD- (n = 11) and VDD-and-testosterone-treated (n = 11). Animals underwent
transdermal testosterone treatment for 8 weeks. Target VD levels were achieved with
oral VD supplementation and a VD-free diet. Estrous cycles were followed by vaginal
smear, and quantitative histomorphometric measurements of the ovaries were also taken.
In the 8th week, testosterone- and estrogen-induced relaxation of coronary arterioles
was examined with pressure angiography. Estrogen receptor (ER) density and oxidative
and nitrative stress parameters (Poly-(ADP-Ribose)-Polymerase and 3-nitrotyrosine)
in the vessel wall were investigated with immunohistochemistry. Results: VDD caused
impaired estrous cycles, and testosterone caused anovulatory cycles (the cycles were
stopped at the diestrous phase). VDD combined with testosterone treatment resulted
in reduced testosterone and estrogen vasorelaxation, lower ER density, and higher
oxidative and nitrative stress in the vessel wall. Conclusions: PCOS with vitamin
D deficiency may be associated with increased oxidative–nitrative stress in coronary
arterioles. This oxidative and nitrative stress, potentially caused by hyperandrogenism
and/or vitamin D deficiency, could impair estrogen-induced relaxation of the coronary
arterioles, possibly by decreasing NO bioavailability and disrupting the estrogen-induced
relaxation pathway.