Adipokine-enriched brown adipocytes for treating polycystic ovary syndromes

摘要 多囊卵巢综合征（PCOS）影响6-18%的育龄女性，是最常见的 内分泌疾病。多囊卵巢综合征引起妇科、皮肤病和代谢性共病， 并且还造成2型糖尿病（T2 D）、心血管疾病（CVD）和糖尿病并发症的长期风险。 精神问题包括严重的抑郁症。PCOS与复杂的激素失调有关， 高雄激素血症、高胰岛素血症和促性腺激素失调。多囊卵巢综合征通常与 代谢紊乱，50-70%的PCOS患者表现出胰岛素抵抗，10%患有T2 D，这意味着 它们之间潜在的因果联系。目前的护理标准包括生活方式的改变和多种 一系列旨在缓解症状的药物。药物治疗通常有中等的成功率， 对T2 D、CVD和精神问题的长期风险影响有限。我们建议使用代谢活跃的 棕色脂肪细胞，其具有高分泌的内分泌因子，包括但不限于脂联素，以治疗 PCOS。其作用机制可能与褐腐菌的代谢活动和内分泌活动有关 脂肪细胞，其先前在代谢程序中被广泛研究，并且现在指示临床益处 PCOS的治疗也是如此。目前的第一阶段SBIR项目旨在测试基于我们银行的假设 目前含有来自供体的150+细胞群，并评价所选细胞的临床相关疗效。 在已建立的小鼠模型中。

Abstract Polycystic ovary syndromes (PCOS) affect 6-18% of reproductive age female, representing the most common endocrine disease in this population. PCOS causes gynecological, dermatologic and metabolic comorbidities, and also imposes long-term risks of diabetes mellitus type 2 (T2D), cardiovascular diseases (CVD) and psychiatric problems including severe depression. PCOS is related to complex hormonal dysregulations such as hyperandrogenism, hyperinsulinemia and gonadotropin dysregulation. And PCOS is commonly associated with metabolic disorders, with 50-70% of PCOS patients showing insulin resistance and 10% with T2D, implying a potential causative interlinks between them. Current standard of care includes life style changes and multiple lines of medications with aims to relieve symptoms. Medications usually have moderate success rates, and have limited effects on long-term risks of T2D, CVD and psychiatric problems. We propose to use metabolically active brown adipocytes, which have high secretion of endocrine factors including but not limited to adiponectin, to treat PCOS. The working mechanisms may involve the both metabolic activities and endocrine secretions of brown adipocytes, which are previously extensively studied in metabolic programs and now indicative of clinical benefit for PCOS treatment as well. The present Phase I SBIR project aims to test the hypothesis based on our bank currently containing 150+ cell populations from donor, and evaluate clinically relevant efficacy of the selected cells in an established mouse model.