Saint-Louis: Whether made by the body or ingested through diet, cholesterol plays a
 vital role in cells. Cholesterol also is 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
 in St. Louis, said the findings have potential implications for 
investigating causes of infertility and understanding possible drivers 
of the trend toward earlier onset puberty, particularly in girls. 
The study appears in the June issue of the journal Cell Metabolism.
“Disruptions in the pathway we identified may have real implications 
for fertility,” said senior author Daniel S. Ory, MD, the Alan A. and 
Edith L. Wolff Distinguished Professor of Medicine. “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, parts of the body that manufacture steroid hormones like 
progesterone and testosterone. RNA is chemically similar to DNA but 
serves different functions.
In the new study, Ory and his colleagues, including collaborator Jean
 E. Schaffer, MD, the Virginia Minnich Distinguished Professor of 
Medicine, showed that levels of this small 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 energy factories called 
mitochondria. Mitochondria are well known for making the fuel required 
for cellular activities. But mitochondria also are responsible for 
manufacturing steroids, starting with cholesterol as a raw material.
When cells have less of this RNA, cholesterol is channeled into the 
mitochondria, where it is used as raw material to build steroids. 
Conversely, when cells have too much of this RNA, cholesterol doesn’t 
make it to the mitochondria, and without the raw material, mitochondria 
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 
allowed cholesterol to be channeled into the mitochondria and triggered 
steroid production in the mouse ovaries.
“We have not yet investigated whether these mice could breed 
earlier,” Ory said. “But we certainly increased levels of pregnenolone 
and progesterone, which are steroids necessary to support pregnancy.”
Ory said future work will investigate more details of how this RNA 
interacts with proteins to increase or decrease cholesterol trafficking 
into mitochondria and subsequent steroid production. 
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 dreamed up,” Ory said. “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.”  
The study also invites new ways 
to look at influences on fertility and puberty such as chemicals in the 
environment that mimic hormones. 
“There are environmental cues that might be involved,” Ory said. “We 
need to work with our colleagues in fertility research as we think about
 future directions for this work.”
