New Clues Link Cholesterol To Fertility

Normal hamster ovary cells with green staining to show the distribution of cholesterol

Whether made by the body or ingested through diet, cholesterol plays a vital role in cells. And it’s a building block of steroids and hormones, including those that trigger puberty and support pregnancy. A new study implicates a surprising regulator of cholesterol in cells’ ability to make these hormones, especially in tissues associated with fertility, such as the ovaries.

The researchers who conducted the study, at Washington University School of Medicine, say the findings have potential implications for investigating causes of infertility and understanding possible drivers of the trend toward earlier onset puberty, particularly in girls.

“Disruptions in the pathway we identified may have real implications for fertility,” says senior author Daniel Ory, MD. “Too much of a key molecule we identified would likely impair proper steroid hormone production and lead to infertility. Conversely, too little of it could lead to premature sexual maturation.”

Studying mice, the researchers found that the key molecule - a small strand of RNA - appeared in high levels in the ovaries and testes. Ory and colleagues, including collaborator Jean Schaffer, MD, showed that levels of this RNA in healthy mice are high at birth and gradually decrease. At about eight weeks, when the mice reach sexual maturity, levels are very low, which dials up the production of steroid hormones.

“The ovaries need to make steroids to support pregnancy when the mice reach sexual maturation,” Ory said. “So we think this small RNA is at least one of the regulators of the processes that govern when a mouse becomes fertile.”

In hamster ovary cells deficient in this RNA, the investigators found that cholesterol was directed into the cell’s mitochondria. Mitochondria are well known for making the fuel required for cellular activities, but also are responsible for manufacturing steroids, using cholesterol as a raw material.

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When cells have less of this RNA, cholesterol is channeled into the mitochondria, where it is used to build steroids. Conversely, when cells have too much of this RNA, cholesterol doesn’t make it to the mitochondria, which, then, can’t manufacture steroids.

The researchers also showed they could interfere with this RNA in otherwise normal mice that had not yet reached sexual maturity. This disruption allowed cholesterol to be channeled into the mitochondria and triggered steroid production in the ovaries.

“We have not yet investigated whether these mice could breed earlier,” Ory says. “But we certainly increased levels of pregnenolone and progesterone, steroids necessary to support pregnancy.”

The RNA implicated in the study is surprising, according to Ory, because it is classified as a small nucleolar RNA, or snoRNA, which has important roles in helping cells manufacture proteins. But they are not widely known for having other functions, such as encouraging the production of steroids.

“That this snoRNA has a role in how the body meets the metabolic demands of reproduction at a key time in the organism’s life is not something we would have ever imagined,” Ory says. “This is one of several hundred snoRNAs. Clearly, some of them have functions beyond the traditional understanding of snoRNAs, and perhaps they should be studied more systematically.”