Niacin Inhibits Apoptosis and Rescues Premature Ovarian Failure

Cell Physiol Biochem. 2018;50(6):2060-2070. doi: 10.1159/000495051. Epub 2018 Nov 9.

Abstract

Background/aims: Over 99% of mouse and human ovarian follicles will undergo specialized cell death including atresia and apoptosis. Reduction of apoptosis may help reduce infertility and maintain the reproductive ability in women.

Methods: 3-day B6D2F1 mice were used to culture small follicle and ovary tissue with niacin and 18-day mice were intraperitoneal injected with niacin to determine its effect on follicle development. Then establish 8-weeks POF animal model with cytoxan (CTX) or radiation. Treatment group was given 0.1 mL of 100 mM niacin by an intraperitoneal injection twice before ovulation. The ovaries were collected and the follicles were counted and categorized, and ovarian histologic sections were stained for TUNEL. Ovarian function was then evaluated by monitoring ovulation. Microarray analyses, Western blot, immunofluorescence and real-time quantitative PCR were used to assess the mechanism of ovarian injury and repair.

Results: We found that niacin promotes follicle growth in the immature oocyte and it increased the levels of a germ-line cell marker DDX4, and a cell proliferation marker PCNA in the ovary. Addition of niacin to the cell culture reduced oocyte apoptosis in vitro. Administration of niacin to treat premature ovarian failure (POF) in mouse models showed inhibition of follicular apoptosis under harmful conditions, such as radiation and chemotherapy damage, by markedly reducing cumulus cell apoptosis. Additionally, the number of developing follicles increased after administration of niacin.

Conclusion: Niacin may have an important function in treating POF by reducing apoptosis in clinical applications.

Keywords: Apoptosis; Follicle growth; Niacin; Premature ovarian failure.

MeSH terms

  • Animals
  • Apoptosis / drug effects*
  • Cell Cycle Checkpoints / drug effects
  • Cyclophosphamide / toxicity
  • DEAD-box RNA Helicases / metabolism
  • Disease Models, Animal
  • Female
  • Gene Expression / drug effects
  • Granulosa Cells / cytology
  • Granulosa Cells / drug effects
  • Granulosa Cells / metabolism
  • Isocitrate Dehydrogenase / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Niacin / pharmacology*
  • Niacin / therapeutic use
  • Ovarian Follicle / cytology
  • Ovarian Follicle / drug effects
  • Ovarian Follicle / growth & development
  • Ovary / drug effects
  • Ovary / pathology
  • Ovary / radiation effects
  • Oxidative Stress / drug effects
  • Oxidative Stress / genetics
  • Primary Ovarian Insufficiency / chemically induced
  • Primary Ovarian Insufficiency / drug therapy
  • Primary Ovarian Insufficiency / pathology*
  • Proliferating Cell Nuclear Antigen / metabolism
  • Radiation, Ionizing
  • TRPP Cation Channels / metabolism

Substances

  • Proliferating Cell Nuclear Antigen
  • TRPP Cation Channels
  • polycystic kidney disease 2 protein
  • Niacin
  • Cyclophosphamide
  • Isocitrate Dehydrogenase
  • Idh1 protein, mouse
  • Ddx4 protein, mouse
  • DEAD-box RNA Helicases