The vascular architecture of the rat uterus as influenced by estrogen and progesterone

XVI.—Vascular Architecture of the Rat Uterus

The form and structure of the uterus of the albino laboratory rat are described. Cyclical vascular changes are noted, and attention is drawn to the presence of spiral arteries in the endometrium. A common lower cervical canal is described.

The origin of pre-eclampsia: from decidual "hyperoxia" to late hypoxia

Normal gestation implants on a relatively hypoxic deciduas so that trophoblast deeply invades endometrium and angiogenesis seeks for oxygen supply. If implantation occurs before those hypoxic conditions occur, trophoblast invasion is defective, due to the relatively high oxygen tension in the decidual environment, laying the foundations for subsequent pre-eclampsia.

A role for hepatocyte growth factor during early postimplantation growth of the placental lineage in mice

Hepatocyte growth factor (HGF) is implicated in placental development; hgfr and hgf null mutant embryos develop placental insufficiency and lethality at 11.5 days (E11.5) after fertilization. The function of HGF in placentation at implantation (E4.5) has not been studied. Using reverse transcription-polymerase chain reaction, we detected HGF receptor (HGFR) mRNA in preimplantation embryos and in cultured blastocyst outgrowths. HGFR protein was detected in trophoblast cells in blastocyst outgrowths. HGF mRNA was not detected at these stages but was detected in the uterus at E5.5. Using in situ hybridization, we detected HGF mRNA in the mesometrial uterus, near the embryo, from E6.5 through E8.5. At E8.5, HGFR mRNA was detected in the chorionic placenta, and HGF mRNA was detected in the allantois. The expression for HGF and HGFR suggested a maternal-to-embryonic communication before the development of the allantois. To test this, blastocyst outgrowths were cultured with HGF. HGF stimulated the outgrowth of trophoblasts in a time-dependent manner and stimulated the expression of proliferating cell nuclear antigen, but it did not scatter trophoblasts. HGF stimulated an increase in the trophoblast cell number, but caused a decrease in the total number of terminally differentiated trophoblasts expressing placental lactogen-1 protein. These data suggest that HGF stimulates the cell division, but not the differentiation, of trophoblast cells during implantation.

Oestrogens and wound healing

During the past few decades several studies have documented the deleterious impact of the menopause on bone mass and cardiovascular disease, and the reduction of risk in this area by HRT. However, the possible effects of the postmenopausal deficiency in ovarian hormones on skin and its repair post-injury, are less well documented. This review provides a survey of the literature that is available regarding the involvement and influence of oestrogens on the various phases of cutaneous repair - inflammation, proliferation and remodelling. Research carried out on the effects of oestrogens, both in terms of deficiency and replacement, on the process of wound healing in various animal models is described and discussed, together with the very limited work undertaken in humans. This area of research is of paramount clinical importance both in terms of financial cost and human suffering, since many chronic wounds such as venous ulcers, pressure sores and burns afflict the elderly population, of whom postmenopausal women comprise the majority. Clinically our aim should be to restore the integrity and function of wounded tissue as rapidly as possible after injury and it is generally believed that a better understanding of the effects of oestrogens on wound healing could lead to improved care of cutaneous wounds, and the treatment of not only the wound but of the postmenopausal woman as a whole.

Production of an endothelial cell migratory signal in rat endometrium during early pregnancy

Rat endometrial explants were cultured in a three-dimensional collagen/endothelial cell matrix to measure angiogenic activity, as represented by migration of vascular endothelial cells towards the explants. Minimal endothelial cell migratory activity was observed with endometrial explants taken during the four-day oestrous cycle and days 3 and 4 of pregnancy. In contrast, a surge of endothelial cell migration occurred in response to endometrial explants taken from day-5-pregnant rats. Activity was found in explants taken approximately 5 h prior to implantation, but returned to minimal levels by day 6 of pregnancy. Endothelial cell migration remained minimal in response to both implantation and intersite tissue explants taken from days 6 and 7 of pregnancy. Endometrium from ovariectomised rats produced no endothelial cell migratory activity as measured by this technique. However, near preimplantation levels of endothelial cell migratory activity could be induced in ovariectomised rat endometrium by administering progesterone for 72 hours. Oestrogen given in conjunction with progesterone had no additional effect. These results demonstrate the presence of an endometrial signal that controls endothelial cell migration, and demonstrate this activity can be induced by progesterone without the addition of oestrogen.

Chorioallantoic placenta formation in the rat: II. Angiogenesis and maternal blood circulation in the mesometrial region of the implantation chamber prior to placenta formation

Rat gestation sites were examined on days 7 through 9 of pregnancy by light microscopy and transmission and scanning electron microscopy to determine the extent of vascular modifications in the vicinity of the mesometrial part of the implantation chamber (mesometrial chamber). At a later time, the mesometrial chamber is, in conjunction with the uterine lumen, the site of chorioallantoic placenta formation. On day 7, in the vicinity of the mesometrial chamber, vessels derived from a subepithelial capillary plexus and venules draining the plexus were dilating. By early day 8, this network of thin-walled dilated vessels (sinusoids) was further enlarged and consisted primarily of hypertrophied endothelial cells with indistinct basal laminas. Sinusoids were frequently close to the mesometrial chamber's luminal surface which was devoid of epithelial cells but was lined by decidual cell processes and extracellular matrix. By late day 8, cytoplasmic projections of endothelial cells extended between healthy-appearing decidual cells and out onto the mesometrial chamber's luminal surface, and endothelial cells were sometimes found on the luminal surface indicating that endothelial cells were migrating. The presence of maternal blood cells in the mesometrial chamber lumen suggested that there was continuity between the chamber and blood-vessel lumens. On day 9, the mesometrial chamber was completely lined with hypertrophied endothelial cells, and sinusoid lumens were clearly continuous with the lumen of the mesometrial chamber. Mesometrial sinusoids and possibly the mesometrial chamber lumen were continuous with vessels in vicinity of the uterine lumen that were fed by mesometrial arterial vessels. Clearing of the mesometrial chamber lumen during perfusion fixation via the maternal vasculature indicated the patency of this luminal space and its confluence with mesometrial arterial vessels and sinusoids. The conceptus occupied an antimesometrial position in the implantation chamber on days 7 through 9, and it was not in direct contact with uterine tissues in the vicinity of the mesometrial chamber. These observations suggest that angiogenesis, not trophoblast invasion or decidual cell death, plays a major role in the opening of maternal vessels into the mesometrial chamber lumen before the formation of the chorioallantoic placenta.

Doppler ultrasound studies of the uterine arteries in spontaneous and IVF stimulated ovarian cycles

The changes of uterine artery blood flow in women were studied throughout normal and in vitro fertilization (IVF) stimulated cycles. The obtained data showed that uterine blood flow variations are correlated to spontaneous or induced hormonal changes. Furthermore, Doppler investigation may be very important in predicting the pregnant state at a very early stage in patients enrolled in an IVF program.

Doppler time velocity waveform studies of the uterine artery and uterus

This study describes a reliable and reproducible method of obtaining Doppler frequency shift waveforms from the uterine artery based on observations in 26 non-pregnant women. The waveforms were detected easily but direct display of the vessel was inconsistent. The values of the pulsatility index calculated from the waveforms had a mean of 3.25 (SD 0.83). The standard error of the mean was 0.16 and based on this, the 95% reference range was 1.21 to 5.29. The stage of the menstrual cycle did not affect the pulsatility index nor was there any significant difference between subjects who were nulliparous and those who had had previous pregnancies. These results show that Doppler ultrasound can be applied to the non-pregnant uterus and the data presented may be used as a baseline for the study of uterine pathology.

Morphology of the endometrial microvasculature during early placentation in the rat

The morphology of the uterine microvasculature during early placentation was investigated by light microscopy, scanning electron microscopy of microvascular corrosion casts and transmission electron microscopy in rats 26 and 50 h after initiation of implantation. Increased vascular permeability at implantation sites was observed as a positive blue-dye test, spacing of vessels, and as localized extravasations of resin from postcapillary venules in the center of the endometrium. The subepithelial capillary plexus in the primary decidual zone adjacent to the blastocyst was shut down 50 h after initiation of implantation, most probably due to swelling of the metabolically activated endothelium and volume expansion of the decidual cells. This phenomenon coincided with the mesometrial orientation of the inner cell mass of the blastocyst; it may be a uterine mechanism to direct the ectoplacental cone toward the patent vessels in the mesometrial portion of the uterus. The remaining vessels at implantation sites were generally fewer, larger in diameter, more irregular in caliber, and more uniformly oriented along the implantation axis than their counterparts at inter-implantation sites. No vascular sprouts were observed during the interval studied.

The influence of the estrous cycle on the volume density and appearance of collagen containing vacuoles in fibroblasts of the rat uterus

The influence of the estrous cycle on the number of intracellular collagen-containing vacuoles (CCVs) has been studied in the uterus of the virgin Wistar rat. CCVs seem to be involved in two processes. Translucent CCVs dark CCVs and dark residual bodies appear to be involved in collagen uptake and degradation, whilst the so-called filamentous bodies (FBs), which are large structures filled with amorphous filaments may be concerned with collagen synthesis. The volume density of these FBs is influenced by the estrous cycle and peak values are accompanied by the highest values of extracellular collagen.

Ultrastructure of decidualization in the pseudopregnant rat

The ultrastructure of the endometrial stroma in rats bearing deciduomata was examined in detail on day 9 (day of vaginal cornification = day 0) of pseudopregnancy, together with the development of deciduomata from day 4 to day 8. Five major regions were recognizable on day 9. 1) In the basal zone, which contributes to endometrial regeneration following decidualization, stromal cells remained fibrocyte-like and were separated by wide bands of collagen fibrils. Capillaries were fenestrated and large. 2) The capsule surrounding the antimesometrial (region of the) deciduoma was composed of flattened cells, showing mitosis, which appeared to provide a source of appositional growth of the deciduoma. 3) The large, tightly packed, polyploid cells of the antimesometrial deciduoma showed morphological evidence of protein synthesis activity, an absence of smooth endoplasmic reticulum, and surface specializations suggestive of adhesion (adherens junctions), communication (gap junctions), and maintenance of an extensive surface area (lamellar processes). These cells came into very close apposition with capillary endothelial cells, which were seldom fenestrated, lacked any continuous basal lamina, and showed evidence of high metabolic activity. 4) The loosely packed mesometrial deciduoma contained a structurally supportive, "fixed" population of spiny cells and a "free" population of granulated cells and their putative precursors, together with a meshwork of large, sinusoidal capillaries whose endothelium was generally supported by a basal lamina. 5) The peripheral parts of the glycogenic area, which was structurally similar to the mesometrial deciduoma, contained many grossly enlarged intercellular spaces of undetermined function. The stromal cells at day 4, which give rise to all non-vascular elements except the granulated cells mentioned above, were structurally simple and fibrocyte-like. Only two distinct regions, subepithelial and deep, were recognizable. Capillaries at day 4 generally possessed a continuous endothelium, with a complete basal lamina and many pericytes. Between days 5 and 8, the stromal cells showed divergent forms of differentiation according to their position in the endometrium. Ultrastructural differentiation of the vasculature also showed divergence according to position, leading to the various types of capillaries seen at day 9. Regional variation, and high levels of structural organization, characterize the "programmed" decidual response in the pseudopregnant rat.

Uterine blood flow, oxygen consumption, and maternal plasma estradiol and progestins following fetal death

Fetuses of 42 near-term sheep were killed while they were in utero. Uterine blood flow, oxygen consumption, A-V O2, and maternal arterial plasma concentrations of estradiol and progestins were observed for the next 4 hours. There was an immediate (88 per cent) fall in oxygen consumption; blood flow decreased by 50 per cent within 30 minutes. Hormone concentrations changed, but only after 2 hours. Circulatory changes appeared to be related to local changes within the uterus, particularly to decomposition of the chorioallantoic membrane. This relationship was best seen in the experiments in which one of a set of twins was killed. The experiments are in accord with the theory that the rate of uterine blood is not directly related to acute changes in respiratory gases nor to plasma concentrations of certain hormones.

16alpha-hydroxy-progesterone as a sex hormone antagonist: effect on venous diameters in the female mouse

Pellets of progesterone plus 1% 16alpha-hydroxy-progesterone (16alpha-OH), testosterone plus 1% 16alpha-OH, and estradiol-17beta plus 1% 16alpha-OH were implanted in the right uterine fat mass in ovariectomized (O) and ovariectomized-hysterectomized (OH) mice. Three weeks later they were killed and the diameters of the ovarian, uterine, and femoral veins and the inferior vena cava were measured and averaged. The averages were compared with averages for O and OH mice bearing pellets of glass and of progesterone, testosterone, and estradiol-17beta without 16alpha-OH. It is concluded that in castrate mice the size of ovarian and uterine veins is influenced not by the presence or absence of the uterus but by sex steroids, that progesterone usually causes decreases while testosterone and estradiol-17beta cause increases in vein diameter, and that both the presence of the uterus and the administration of 1% 16alpha-OH are associated with partial inhibition of increases in vein size induced by steroids. Uterine hypertrophy and urinary bladder distention resulting from the administration of testosterone and estradiol-17beta were not prevented by the addition of 1% 16alpha-OH.