Register      Login
Reproduction, Fertility and Development Reproduction, Fertility and Development Society
Vertebrate reproductive science and technology
RESEARCH ARTICLE

Intracytoplasmic oxidative stress reverses epigenetic modifications in polycystic ovary syndrome

Fatemeh Eini A , Marefat Ghaffari Novin B E , Khojasteh Joharchi C , Ahmad Hosseini B , Hamid Nazarian A , Abbas Piryaei A and Arash Bidadkosh D
+ Author Affiliations
- Author Affiliations

A Department of Biology and Anatomical Sciences, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran 1985717443, Iran.

B Cellular and Molecular Biology Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran 1985717443, Iran.

C Department of Pharmacology and Neuroscience Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, PO Box 19615-1179, Tehran, Iran.

D Department of Nephrology, Royal Alexandra, Hospital for Children, PO Box 11428-2709, Sydney, NSW, Australia.

E Corresponding author. Email: mghaffarin@sbmu.ac.ir

Reproduction, Fertility and Development 29(12) 2313-2323 https://doi.org/10.1071/RD16428
Submitted: 28 October 2016  Accepted: 9 March 2017   Published: 26 April 2017

Abstract

In polycystic ovary syndrome (PCOS), substantial genetic and environmental alterations, along with hyperandrogenism, affect the quality of oocytes and decrease ovulation rates. To determine the mechanisms underlying these alterations caused specifically by an increase in plasma androgens, the present study was performed in experimentally-induced PCOS mice. As the study model, female B6D2F1 mice were treated with dehydroepiandrosterone (DHEA, 6 mg per 100 g bodyweight). After 20 days, oocytes at the germinal vesicle and metaphase II stages were retrieved from isolated ovaries and subsequent analyses of oocyte quality were performed for each mouse. DHEA treatment resulted in excessive abnormal morphology and decreased polar body extrusion rates in oocytes, and was associated with an increase in oxidative stress. Analysis of fluorescence intensity revealed a significant reduction of DNA methylation and dimethylation of histone H3 at lysine 9 (H3K9) in DHEA-treated oocytes, which was associated with increased acetylation of H4K12. Similarly, mRNA expression of DNA methyltransferase-1 and histone deacetylase-1 was significantly decreased in DHEA-treated mice. There was a significant correlation between excessive reactive oxygen species (ROS) production and increased histone acetylation, which is a novel finding and may provide new insights into the mechanism causing PCOS. The results of the present study indicate that epigenetic modifications of oocytes possibly affect the quality of maturation and ovulation rates in PCOS, and that the likely mechanism may be augmentation of intracytoplasmic ROS.

Additional keywords: acetylation, dehydroepiandrosterone, methylation.


References

Aragno, M., Brignardello, E., Tamagno, E., Gatto, V., Danni, O., and Boccuzzi, G. (1997). Dehydroepiandrosterone administration prevents the oxidative damage induced by acute hyperglycemia in rats. J. Endocrinol. 155, 233–240.
Dehydroepiandrosterone administration prevents the oxidative damage induced by acute hyperglycemia in rats.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK2sXntFylu7Y%3D&md5=29dd97d1f84c60687772bdfba168ba4aCAS |

Aragno, M., Mastrocola, R., Brignardello, E., Catalano, M., Robino, G., Manti, R., Parola, M., Danni, O., and Boccuzzi, G. (2002). Dehydroepiandrosterone modulates nuclear factor-κB activation in hippocampus of diabetic rats. Endocrinology 143, 3250–3258.
Dehydroepiandrosterone modulates nuclear factor-κB activation in hippocampus of diabetic rats.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD38XmsVSgt7s%3D&md5=12dffd01a700c6a238d188627b5cfee5CAS |

Azziz, R. (2016). Introduction: determinants of polycystic ovary syndrome. Fertil. Steril. 106, 4–5.
Introduction: determinants of polycystic ovary syndrome.Crossref | GoogleScholarGoogle Scholar |

Bui, H.-T., Van Thuan, N., Kishigami, S., Wakayama, S., Hikichi, T., Ohta, H., Mizutani, E., Yamaoka, E., Wakayama, T., and Miyano, T. (2007). Regulation of chromatin and chromosome morphology by histone H3 modifications in pig oocytes. Reproduction 133, 371–382.
Regulation of chromatin and chromosome morphology by histone H3 modifications in pig oocytes.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2sXjvVOjtrs%3D&md5=d7c4cff8b3787325d5e3bca98185b25eCAS |

Caldwell, A. S. L., Middleton, L. J., Jimenez, M., Desai, R., McMahon, A. C., Allan, C. M., Handelsman, D. J., and Walters, K. A. (2014). Characterization of reproductive, metabolic, and endocrine features of polycystic ovary syndrome in female hyperandrogenic mouse models. Endocrinology 155, 3146–3159.
Characterization of reproductive, metabolic, and endocrine features of polycystic ovary syndrome in female hyperandrogenic mouse models.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC2cXhs1egsrbF&md5=0aaee9eb6fdd076fa3fbdc39c0ef3bf2CAS |

Christensen, B. C., Houseman, E. A., Marsit, C. J., Zheng, S., Wrensch, M. R., Wiemels, J. L., Nelson, H. H., Karagas, M. R., Padbury, J. F., and Bueno, R. (2009). Aging and environmental exposures alter tissue-specific DNA methylation dependent upon CpG island context. PLoS Genet. 5, e1000602.
Aging and environmental exposures alter tissue-specific DNA methylation dependent upon CpG island context.Crossref | GoogleScholarGoogle Scholar |

Cui, M.-S., Wang, X.-L., Tang, D.-W., Zhang, J., Liu, Y., and Zeng, S.-M. (2011). Acetylation of H4K12 in porcine oocytes during in vitro aging: potential role of ooplasmic reactive oxygen species. Theriogenology 75, 638–646.
Acetylation of H4K12 in porcine oocytes during in vitro aging: potential role of ooplasmic reactive oxygen species.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3MXhslKqtrg%3D&md5=88025ae68df47174b25b0499d3d9fe19CAS |

Da Li, J. J., Zhou, Y.-M., and Wang, X.-X. (2015). Epigenetic regulation of traf2-and Nck-interacting kinase (TNIK) in polycystic ovary syndrome. Am. J. Transl. Res. 7, 1152–1160.

de Waal, E., and McCarrey, J. (2010). Effects of exogenous endocrine stimulation on epigenetic programming of the female germline genome. Anim. Reprod. 7, 154–164.

Diaz, F. J., O’Brien, M. J., Wigglesworth, K., and Eppig, J. J. (2006). The preantral granulosa cell to cumulus cell transition in the mouse ovary: development of competence to undergo expansion. Dev. Biol. 299, 91–104.
The preantral granulosa cell to cumulus cell transition in the mouse ovary: development of competence to undergo expansion.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD28XhtVygsb%2FE&md5=0312e5515b2089d4facb0d6ca0d7645dCAS |

Fassnacht, M., Schlenz, N., Schneider, S. B., Wudy, S. A., Allolio, B., and Arlt, W. (2003). Beyond adrenal and ovarian androgen generation: increased peripheral 5α-reductase activity in women with polycystic ovary syndrome. J. Clin. Endocrinol. Metab. 88, 2760–2766.
Beyond adrenal and ovarian androgen generation: increased peripheral 5α-reductase activity in women with polycystic ovary syndrome.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD3sXkslCrsL0%3D&md5=4780b3d48bf0405b93b326c8d3db708bCAS |

Franciosi, F., Lodde, V., Goudet, G., Duchamp, G., Deleuze, S., Douet, C., Tessaro, I., and Luciano, A. M. (2012). Changes in histone H4 acetylation during in vivo versus in vitro maturation of equine oocytes. Mol. Hum. Reprod. 18, 243–252.
Changes in histone H4 acetylation during in vivo versus in vitro maturation of equine oocytes.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC38Xms1ynsrc%3D&md5=6d2f09c98d5fdce15c2117ab1eec5ef7CAS |

Ghosh, S., Yates, A. J., Frühwald, M. C., Miecznikowski, J. C., Plass, C., and Smiraglia, D. (2010). Tissue specific DNA methylation of CpG islands in normal human adult somatic tissues distinguishes neural from non-neural tissues. Epigenetics 5, 527–538.
Tissue specific DNA methylation of CpG islands in normal human adult somatic tissues distinguishes neural from non-neural tissues.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3cXht1Clt7jI&md5=251b8d4980e8df5eb02e9151c3b2b3eeCAS |

González, F., Rote, N. S., Minium, J., and Kirwan, J. P. (2006). Reactive oxygen species-induced oxidative stress in the development of insulin resistance and hyperandrogenism in polycystic ovary syndrome. J. Clin. Endocrinol. Metab. 91, 336–340.
Reactive oxygen species-induced oxidative stress in the development of insulin resistance and hyperandrogenism in polycystic ovary syndrome.Crossref | GoogleScholarGoogle Scholar |

Gu, L., Wang, Q., and Sun, Q.-Y. (2010). Histone modifications during mammalian oocyte maturation: dynamics, regulation and functions. Cell Cycle 9, 1942–1950.
Histone modifications during mammalian oocyte maturation: dynamics, regulation and functions.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3cXht12kur7M&md5=402882c90c145978227e26292e64b86cCAS |

Gupta, S., Malhotra, N., Sharma, D., Chandra, A., and Ashok, A. (2009). Oxidative stress and its role in female infertility and assisted reproduction: clinical implications. Int. J. Fertil. Steril. 2, 147–164.

Hayes, J. D., Flanagan, J. U., and Jowsey, I. R. (2005). Glutathione transferases. Annu. Rev. Pharmacol. Toxicol. 45, 51–88.
Glutathione transferases.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2MXisVWjtrk%3D&md5=9b2dddea48ab42721c5b3e7f8f81e6f7CAS |

Howell, C. Y., Bestor, T. H., Ding, F., Latham, K. E., Mertineit, C., Trasler, J. M., and Chaillet, J. R. (2001). Genomic imprinting disrupted by a maternal effect mutation in the Dnmt1 gene. Cell 104, 829–838.
Genomic imprinting disrupted by a maternal effect mutation in the Dnmt1 gene.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD3MXisVyisrc%3D&md5=9075e08e2881d160583a5f063042f4b7CAS |

Huang, Y., Yu, Y., Gao, J., Li, R., Zhang, C., Zhao, H., Zhao, Y., and Qiao, J. (2015). Impaired oocyte quality induced by dehydroepiandrosterone is partially rescued by metformin treatment. PLoS One 10, e0122370.
Impaired oocyte quality induced by dehydroepiandrosterone is partially rescued by metformin treatment.Crossref | GoogleScholarGoogle Scholar |

Jonard, S., and Dewailly, D. (2004). The follicular excess in polycystic ovaries, due to intra‐ovarian hyperandrogenism, may be the main culprit for the follicular arrest. Hum. Reprod. Update 10, 107–117.
The follicular excess in polycystic ovaries, due to intra‐ovarian hyperandrogenism, may be the main culprit for the follicular arrest.Crossref | GoogleScholarGoogle Scholar |

Jones, M. R., and Goodarzi, M. O. (2016). Genetic determinants of polycystic ovary syndrome: progress and future directions. Fertil. Steril. 106, 25–32.
Genetic determinants of polycystic ovary syndrome: progress and future directions.Crossref | GoogleScholarGoogle Scholar |

Jones, P. A., and Takai, D. (2001). The role of DNA methylation in mammalian epigenetics. Science 293, 1068–1070.
The role of DNA methylation in mammalian epigenetics.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD3MXmtVWlsbY%3D&md5=0d770da5dd86b22f7929cc3fd3b9eb34CAS |

Liu, H., Kim, J.-M., and Aoki, F. (2004). Regulation of histone H3 lysine 9 methylation in oocytes and early pre-implantation embryos. Development 131, 2269–2280.
Regulation of histone H3 lysine 9 methylation in oocytes and early pre-implantation embryos.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2cXltlGrtrs%3D&md5=756ec95fe4b704afde95bcc0b386cc69CAS |

Lizneva, D., Suturina, L., Walker, W., Brakta, S., Gavrilova-Jordan, L., and Azziz, R. (2016). Criteria, prevalence, and phenotypes of polycystic ovary syndrome. Fertil. Steril. 106, 6–15.
Criteria, prevalence, and phenotypes of polycystic ovary syndrome.Crossref | GoogleScholarGoogle Scholar |

Ma, P., Pan, H., Montgomery, R. L., Olson, E. N., and Schultz, R. M. (2012). Compensatory functions of histone deacetylase 1 (HDAC1) and HDAC2 regulate transcription and apoptosis during mouse oocyte development. Proc. Natl Acad. Sci. USA 109, E481–E489.
Compensatory functions of histone deacetylase 1 (HDAC1) and HDAC2 regulate transcription and apoptosis during mouse oocyte development.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC38XjsFyrtbw%3D&md5=012a1f2e05b276f6ce169b4e863697b0CAS |

Maurya, V. K., Sangappa, C., Kumar, V., Mahfooz, S., Singh, A., Rajender, S., and Jha, R. K. (2014). Expression and activity of Rac1 is negatively affected in the dehydroepiandrosterone induced polycystic ovary of mouse. J. Ovarian Res. 7, 32.
Expression and activity of Rac1 is negatively affected in the dehydroepiandrosterone induced polycystic ovary of mouse.Crossref | GoogleScholarGoogle Scholar |

McGraw, S., Robert, C., Massicotte, L., and Sirard, M.-A. (2003). Quantification of histone acetyltransferase and histone deacetylase transcripts during early bovine embryo development. Biol. Reprod. 68, 383–389.
Quantification of histone acetyltransferase and histone deacetylase transcripts during early bovine embryo development.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD3sXntVCjsg%3D%3D&md5=9ee8716d4ef86dfe856feade2fd3d08cCAS |

Okutsu, Y., Itoh, M. T., Takahashi, N., and Ishizuka, B. (2010). Exogenous androstenedione induces formation of follicular cysts and premature luteinization of granulosa cells in the ovary. Fertil. Steril. 93, 927–935.
Exogenous androstenedione induces formation of follicular cysts and premature luteinization of granulosa cells in the ovary.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3cXjsFemsrY%3D&md5=1cc28cc36ab9023d5a7af424170af0edCAS |

Qiao, J., and Feng, H. L. (2011). Extra- and intra-ovarian factors in polycystic ovary syndrome: impact on oocyte maturation and embryo developmental competence. Hum. Reprod. Update 17, 17–33.
Extra- and intra-ovarian factors in polycystic ovary syndrome: impact on oocyte maturation and embryo developmental competence.Crossref | GoogleScholarGoogle Scholar |

Qu, F., Wang, F.-F., Yin, R., Ding, G.-L., El-prince, M., Gao, Q., Shi, B.-W., Pan, H.-H., Huang, Y.-T., and Jin, M. (2012). A molecular mechanism underlying ovarian dysfunction of polycystic ovary syndrome: hyperandrogenism induces epigenetic alterations in the granulosa cells. J. Mol. Med. 90, 911–923.
A molecular mechanism underlying ovarian dysfunction of polycystic ovary syndrome: hyperandrogenism induces epigenetic alterations in the granulosa cells.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC38XhtVCmtrnN&md5=7f21fc65d37dce6ea23458831be45a6fCAS |

Rosenfield, R. L., and Ehrmann, D. A. (2016). The pathogenesis of polycystic ovary syndrome (PCOS): the hypothesis of PCOS as functional ovarian hyperandrogenism revisited. Endocr. Rev. 37, 467–520.
The pathogenesis of polycystic ovary syndrome (PCOS): the hypothesis of PCOS as functional ovarian hyperandrogenism revisited.Crossref | GoogleScholarGoogle Scholar |

Sahu, B., Ozturk, O., Ranierri, M., and Serhal, P. (2008). Comparison of oocyte quality and intracytoplasmic sperm injection outcome in women with isolated polycystic ovaries or polycystic ovarian syndrome. Arch. Gynecol. Obstet. 277, 239–244.
Comparison of oocyte quality and intracytoplasmic sperm injection outcome in women with isolated polycystic ovaries or polycystic ovarian syndrome.Crossref | GoogleScholarGoogle Scholar |

Savic-Radojevic, A., Antic, I. B., Coric, V., Bjekic-Macut, J., Radic, T., Zarkovic, M., Djukic, T., Pljesa-Ercegovac, M., Panidis, D., and Katsikis, I. (2015). Effect of hyperglycemia and hyperinsulinemia on glutathione peroxidase activity in non-obese women with polycystic ovary syndrome. Hormones 14, 101–108.

Schefe, J. H., Lehmann, K. E., Buschmann, I. R., Unger, T., and Funke-Kaiser, H. (2006). Quantitative real-time RT-PCR data analysis: current concepts and the novel ‘gene expression’s CT difference’ formula. J. Mol. Med. 84, 901–910.
Quantitative real-time RT-PCR data analysis: current concepts and the novel ‘gene expression’s CT difference’ formula.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD28XhtFegsbnE&md5=45a8255c00d2941fb9a6f5863b28287bCAS |

Stojanov, T., and O’Neill, C. (2001). In vitro fertilization causes epigenetic modifications to the onset of gene expression from the zygotic genome in mice. Biol. Reprod. 64, 696–705.
In vitro fertilization causes epigenetic modifications to the onset of gene expression from the zygotic genome in mice.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD3MXnsVOnsw%3D%3D&md5=3bc6e4183bfcf3757cefa34282a79e2dCAS |

Strauss, J. F. (2003). Some new thoughts on the pathophysiology and genetics of polycystic ovary syndrome. Ann. N. Y. Acad. Sci. 997, 42–48.
Some new thoughts on the pathophysiology and genetics of polycystic ovary syndrome.Crossref | GoogleScholarGoogle Scholar |

Suresh, S., and Vijayakumar, T. (2015). Correlations of insulin resistance and serum testosterone levels with LH : FSH ratio and oxidative stress in women with functional ovarian hyperandrogenism. Indian J. Clin. Biochem. 30, 345–350.
Correlations of insulin resistance and serum testosterone levels with LH : FSH ratio and oxidative stress in women with functional ovarian hyperandrogenism.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC2cXptVCrtrs%3D&md5=02e895163636af2885021a1211d6a4ddCAS |

Tachibana, M., Nozaki, M., Takeda, N., and Shinkai, Y. (2007). Functional dynamics of H3K9 methylation during meiotic prophase progression. EMBO J. 26, 3346–3359.
Functional dynamics of H3K9 methylation during meiotic prophase progression.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2sXotFais7s%3D&md5=8c4909faa6eb1ffda7fb36fa3ffc6fd4CAS |

Tarumi, W., Tsukamoto, S., Okutsu, Y., Takahashi, N., Horiuchi, T., Itoh, M. T., and Ishizuka, B. (2012). Androstenedione induces abnormalities in morphology and function of developing oocytes, which impairs oocyte meiotic competence. Fertil. Steril. 97, 469–476.
Androstenedione induces abnormalities in morphology and function of developing oocytes, which impairs oocyte meiotic competence.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC38XhsVeqsrw%3D&md5=105369bedd9e0a0c6b4742516b274222CAS |

Ubaldi, F., and Rienzi, L. (2008). Morphological selection of gametes. Placenta 29, 115–120.
Morphological selection of gametes.Crossref | GoogleScholarGoogle Scholar |

Uysal, F., Akkoyunlu, G., and Ozturk, S. (2015). Dynamic expression of DNA methyltransferases (DNMTs) in oocytes and early embryos. Biochimie 116, 103–113.
Dynamic expression of DNA methyltransferases (DNMTs) in oocytes and early embryos.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC2MXhtFaiu77P&md5=9639962f38d2642d30f5eb279c36b400CAS |

Vanselow, J., and Furbass, R. (2010). Epigenetic control of folliculogenesis and luteinization. Anim. Reprod. 7, 134–139.

Wang, F., Tian, X., Zhang, L., He, C., Ji, P., Li, Y., Tan, D., and Liu, G. (2014). Beneficial effect of resveratrol on bovine oocyte maturation and subsequent embryonic development after in vitro fertilization. Fertil. Steril. 101, 577–586.e1.
Beneficial effect of resveratrol on bovine oocyte maturation and subsequent embryonic development after in vitro fertilization.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3sXitVWjtbjN&md5=010898780e853ad8859975bf390a3b51CAS |

Wickenheisser, J. K., Quinn, P. G., Nelson, V. L., Legro, R. S., Strauss, J. F., and McAllister, J. M. (2000). Differential activity of the cytochrome P450 17α-hydroxylase and steroidogenic acute regulatory protein gene promoters in normal and polycystic ovary syndrome theca cells 1. J. Clin. Endocrinol. Metab. 85, 2304–2311.
| 1:CAS:528:DC%2BD3cXlsVCjs7w%3D&md5=0b32bb17779a73aea980dbf6b56c0730CAS |

Xu, N., Azziz, R., and Goodarzi, M. O. (2010). Epigenetics in polycystic ovary syndrome: a pilot study of global DNA methylation. Fertil. Steril. 94, 781–783.e1.
Epigenetics in polycystic ovary syndrome: a pilot study of global DNA methylation.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3cXpvFantrY%3D&md5=b5d8f3d4387fc5d87f7cfba6782dc375CAS |

Yaba, A., and Demir, N. (2012). The mechanism of mTOR (mammalian target of rapamycin) in a mouse model of polycystic ovary syndrome (PCOS). J. Ovarian Res. 5, 38.
The mechanism of mTOR (mammalian target of rapamycin) in a mouse model of polycystic ovary syndrome (PCOS).Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3sXitlSmsb0%3D&md5=e2fbf4f05fe9d88a02c29b45b484175eCAS |

Yilmaz, M., Bukan, N., Ayvaz, G., Karakoç, A., Törüner, F., Çakir, N., and Arslan, M. (2005). The effects of rosiglitazone and metformin on oxidative stress and homocysteine levels in lean patients with polycystic ovary syndrome. Hum. Reprod. 20, 3333–3340.
The effects of rosiglitazone and metformin on oxidative stress and homocysteine levels in lean patients with polycystic ovary syndrome.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2MXht1GltrrF&md5=4aa05b4aff5c7cdc2d245d363189d190CAS |

Yu, Y.-Y., Sun, C.-X., Liu, Y.-K., Li, Y., Wang, L., and Zhang, W. (2015). Genome-wide screen of ovary-specific DNA methylation in polycystic ovary syndrome. Fertil. Steril. 104, 145–153.e6.
Genome-wide screen of ovary-specific DNA methylation in polycystic ovary syndrome.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC2MXnvFWju7Y%3D&md5=0bcc28e9dce1708a368d76397dadb3f9CAS |

Zhu, J.-Q., Zhu, L., Liang, X.-W., Xing, F.-Q., Schatten, H., and Sun, Q.-Y. (2010). Demethylation of LHR in dehydroepiandrosterone-induced mouse model of polycystic ovary syndrome. Mol. Hum. Reprod. 16, 260–266.
Demethylation of LHR in dehydroepiandrosterone-induced mouse model of polycystic ovary syndrome.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3cXjt1OitLY%3D&md5=8dae5e3728a2180550cffd9ebc768d65CAS |

Zimmermann, M. (1983). Ethical guidelines for investigations of experimental pain in conscious animals. Pain 16, 109–110.
Ethical guidelines for investigations of experimental pain in conscious animals.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaL3s3nt1GqsQ%3D%3D&md5=862c2c890ac02068bb8323ce3123b5e7CAS |