Stigmasterol alleviates central precocious puberty by targeting the IGF-1/PI3K/Akt/mTOR signaling pathway and modulating the Kisspeptin/GnRH axis.
BACKGROUND Central precocious puberty (CPP) results from premature activation of the hypothalamic-pituitary-gonadal axis, causing early sexual development and related health risks. Stigmasterol (ST), a natural phytosterol with diverse pharmacological activities, has not been fully evaluated for CPP. METHODS This study integrated network pharmacology, molecular docking, and molecular dynamics simulations to identify ST targets in CPP. Experimental validation used an N-Methyl aspartic acid-induced CPP rat model and high-glucose high-fat-stimulated GT1-7 hypothalamic neurons. Techniques included histology, ELISA, qPCR, western blot, and flow cytometry. RESULTS In silico analyses demonstrated favorable binding of ST to core proteins within the IGF-1/PI3K/Akt/mTOR signaling pathway. In vivo, ST treatment significantly delayed vaginal opening, reduced serum levels of estradiol and testosterone, and ameliorated pathological abnormalities in uterine and ovarian tissues. At the molecular level, ST suppressed the hypothalamic overactivation of the IGF-1/PI3K/Akt/mTOR pathway and attenuated neuronal damage and apoptosis. In vitro, ST inhibited HGHF-induced proliferation, inflammatory cytokine release, and apoptosis in GT1-7 cells, while concurrently modulating the expression of key puberty-related genes and proteins, including those within the Kisspeptin/GnRH axis. Conversely, pharmacological reactivation of PI3K signaling with the agonist 740YP attenuated selected protective effects the protective effects of ST, supporting the functional involvement the PI3K/Akt/mTOR pathway in mediating these benefits. CONCLUSIONS Stigmasterol exhibits significant therapeutic effects against CPP by concurrently targeting the IGF-1/PI3K/Akt/mTOR and Kisspeptin/GnRH signaling pathways. These findings provide robust preclinical evidence supporting ST as a promising multi-targeted natural candidate for CPP management.