Altered insulin signaling and autophagosomal turnover in connection with nitrative stress wasfound in the liver and ovarian tissues of our rat model of PCOS (Figure 6). Combined hyperandrogenismand vitamin D deficiency led to decreased autophagy in the liver and altered insulin signaling in theovaries. Vitamin D supplementation could prevent the increase in Akt phosphorylation in the ovariesthat may contribute to the beneficial effect of vitamin D treatment on ovarian function. However, it couldnot reverse the other adverse effects observed in the double challenged group. On the other hand,vitamin D deficiency itself led to disrupted ovarian maturation and autophagy malfunction in the liver.