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Insulin signaling pathways and ovarian steroidogenesis regulators

Molecular classification
Enzyme (e.g., PI3K, Akt, mTOR, steroidogenic enzymes), Receptor (e.g., insulin receptor, gonadotropin receptors), Signal transduction protein (e.g., insulin receptor substrate/IRS)
01

Overview

Insulin signaling pathways are a network of molecular interactions that transmit insulin’s effects in target tissues, including the ovary, primarily via the insulin receptor, IRS proteins, and the PI3K/Akt/mTOR and MAPK cascades[1][2][3][4]. These pathways promote glucose uptake, cell proliferation, differentiation, and regulate apoptosis in ovarian cells. They also interact with gonadotropin (FSH, LH) signaling to influence ovarian steroidogenesis, modulating the activity and expression of key steroidogenic enzymes. Dysregulation of insulin signaling in the ovary contributes to disorders such as polycystic ovary syndrome and infertility, and can be modulated by drugs like metformin and thiazolidinediones that improve insulin sensitivity and ovarian function[2][3].

Other names
Insulin signaling in ovaryOvarian insulin signalingOvarian steroidogenesis pathwaysOvarian steroidogenic regulators
02

Mechanism of action

Insulin-sensitizing (e.g., metformin improves insulin signaling and glucose uptake in ovarian cells) Modulation of PI3K/Akt/mTOR pathway Regulation of steroidogenic enzyme expression and function[2][3][1]

03

Biological functions

Signal transductionCell proliferationCell differentiationGlucose metabolismSteroidogenesisApoptosis
04

Disease associations

Polycystic ovary syndrome (PCOS)InfertilityCystic ovarian disease (in animals)Metabolic syndromes
05

Safety considerations

Risk of hypoglycemia with insulin-sensitizing therapiesPossible metabolic disturbances affecting reproductive functionOff-target effects of systemic metabolic drugs on ovarian function
06

Interacting drugs

Metformin (dimethyldiguanide, DMBG)

1 more in the full profile.

07

Biomarkers

Insulin receptor levelsIRS proteinsPI3K/Akt/mTOR activityGLUT4 transporter expressionCirculating insulin and androgen levels (in PCOS)Steroid hormone levels (estradiol, progesterone)

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