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Semaglutide alleviates ovarian ferroptosis in polycystic ovary syndrome and is associated with reduced GPX4 promoter hypermethylation - PubMed

14 hours ago
  • #PCOS
  • #Semaglutide
  • #Ferroptosis
  • Semaglutide alleviates ovarian ferroptosis in polycystic ovary syndrome (PCOS).
  • The study links semaglutide's effects to reduced GPX4 promoter hypermethylation.
  • PCOS is associated with ovarian granulosa cell dysfunction and ferroptosis, a regulated cell death driven by lipid peroxidation.
  • GLP-1 receptor agonists (GLP-1 RAs) like semaglutide improve metabolic features of PCOS and show direct effects on ovarian ferroptosis.
  • Animal models (rats and mice) treated with exenatide or semaglutide showed alleviation of PCOS phenotypes and reversal of ferroptosis markers.
  • Semaglutide restored GPX4 expression and reduced GPX4 promoter hypermethylation, with efficacy comparable to 5-azacytidine.
  • In vitro studies confirmed semaglutide's ability to correct DHT-induced GPX4 hypermethylation and ferroptosis in granulosa cells.
  • The findings suggest semaglutide offers direct ovarian protection via epigenetic modulation beyond metabolic benefits.