PMID- 35248053 OWN - NLM STAT- MEDLINE DCOM- 20220322 LR - 20220722 IS - 1477-7827 (Electronic) IS - 1477-7827 (Linking) VI - 20 IP - 1 DP - 2022 Mar 5 TI - Activation of AKT/mammalian target of rapamycin signaling in the peripheral blood of women with premature ovarian insufficiency and its correlation with FMR1 expression. PG - 44 LID - 10.1186/s12958-022-00919-0 [doi] LID - 44 AB - BACKGROUND: The protein kinase B (AKT)/mammalian target of rapamycin (mTOR) signaling pathway regulates early follicular activation and follicular pool maintenance in female germline cells. Fragile X mental retardation 1 (FMR1) regulates folliculogenesis and it is variably expressed in patients with Premature Ovary Insufficiency. FMR1 expression is supposed to be linked to AKT/mTOR signaling in an ovarian response dependent manner as demonstrated in recent in vitro and in vivo studies in the female germline in vitro and in vivo. METHODS: We evaluated changes in the expression of AKT/mTOR signaling pathway genes by real time PCR in the peripheral blood of 74 patients with Premature Ovarian Insufficiency and 56 fertile controls and correlated their expression with FMR1 expression. RESULTS: Expression of the genes AKT1, TSC2, mTOR, and S6K was significantly more abundant in patients with POI than in the controls. For AKT1, TSC2 and mTOR, gene expression was not affected by FMR1-CGG repeat number in the 5 -untranslated region. FMR1 and S6K expression levels, however, were significantly upregulated in patients with POI and an FMR1 premutation. Independent of a premutation, expression of mTOR, S6K, and TSC2 was significantly correlated with that of FMR1 in all patients. Furthermore, when grouped according to ovarian reserve, this effect remained significant only for mTOR and S6K, with higher significance note in patients with Premature Ovarian Insufficiency than in the controls. CONCLUSIONS: In Premature ovarian insufficiency patients, activation of AKT/mTOR signaling pathway is remarkable and putatively pathognomonic. Additionally, it seems to be triggered by an FMR1/mTOR/S6K linkage mechanism, most relevant in premutation carriers. CI - (c) 2022. The Author(s). FAU - Rehnitz, Julia AU - Rehnitz J AUID- ORCID: 0000-0003-4409-4697 AD - University Women's Hospital Heidelberg, Department of Gynecological Endocrinology and Fertility Disorders, Heidelberg, Germany. Julia.Rehnitz@med.uni-heidelberg.de. FAU - Messmer, Birgitta AU - Messmer B AD - University Women's Hospital Heidelberg, Department of Gynecological Endocrinology and Fertility Disorders, Heidelberg, Germany. FAU - Bender, Ulrike AU - Bender U AD - University Women's Hospital Heidelberg, Department of Gynecological Endocrinology and Fertility Disorders, Heidelberg, Germany. FAU - Nguyen, Xuan Phuoc AU - Nguyen XP AD - University Women's Hospital Heidelberg, Department of Gynecological Endocrinology and Fertility Disorders, Heidelberg, Germany. FAU - Germeyer, Ariane AU - Germeyer A AD - University Women's Hospital Heidelberg, Department of Gynecological Endocrinology and Fertility Disorders, Heidelberg, Germany. FAU - Hinderhofer, Katrin AU - Hinderhofer K AD - Institute of Human Genetics, University Heidelberg, Laboratory of Molecular Genetics, Heidelberg, Germany. FAU - Strowitzki, Thomas AU - Strowitzki T AD - University Women's Hospital Heidelberg, Department of Gynecological Endocrinology and Fertility Disorders, Heidelberg, Germany. FAU - Capp, Edison AU - Capp E AD - University Women's Hospital Heidelberg, Department of Gynecological Endocrinology and Fertility Disorders, Heidelberg, Germany. AD - Department of Obstetrics and Gynecology, Medicine School, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil. LA - eng GR - RE 3647-1-2 to JR/Deutsche Forschungsgemeinschaft/ GR - scholarship/Conselho Nacional de Desenvolvimento Cientifico e Tecnologico/ PT - Journal Article PT - Observational Study DEP - 20220305 PL - England TA - Reprod Biol Endocrinol JT - Reproductive biology and endocrinology : RB&E JID - 101153627 RN - 0 (FMR1 protein, human) RN - 139135-51-6 (Fragile X Mental Retardation Protein) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (AKT1 protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adult MH - Case-Control Studies MH - Female MH - Fragile X Mental Retardation Protein/*genetics/metabolism MH - Gene Expression Regulation MH - Humans MH - Ovarian Reserve/genetics MH - *Primary Ovarian Insufficiency/blood/genetics MH - *Proto-Oncogene Proteins c-akt/blood/genetics MH - Signal Transduction/physiology MH - *TOR Serine-Threonine Kinases/blood/genetics MH - Up-Regulation/physiology PMC - PMC8898473 OTO - NOTNLM OT - AKT OT - Fragile X mental retardation 1 gene OT - Mammalian target of rapamycin OT - Premature ovarian insufficiency OT - S6 kinase OT - Tuberous sclerosis complex 2 COIS- The authors declare no conflicts of interest. EDAT- 2022/03/07 06:00 MHDA- 2022/03/23 06:00 PMCR- 2022/03/05 CRDT- 2022/03/06 20:24 PHST- 2021/11/14 00:00 [received] PHST- 2022/02/27 00:00 [accepted] PHST- 2022/03/06 20:24 [entrez] PHST- 2022/03/07 06:00 [pubmed] PHST- 2022/03/23 06:00 [medline] PHST- 2022/03/05 00:00 [pmc-release] AID - 10.1186/s12958-022-00919-0 [pii] AID - 919 [pii] AID - 10.1186/s12958-022-00919-0 [doi] PST - epublish SO - Reprod Biol Endocrinol. 2022 Mar 5;20(1):44. doi: 10.1186/s12958-022-00919-0.