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Leimert KB, Xu W, Princ MM, Chemtob S, Olson DM. Inflammatory Amplification: A Central Tenet of Uterine Transition for Labor. Front Cell Infect Microbiol 2021; 11:660983. [PMID: 34490133 PMCID: PMC8417473 DOI: 10.3389/fcimb.2021.660983] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Accepted: 06/30/2021] [Indexed: 11/23/2022] Open
Abstract
In preparation for delivery, the uterus transitions from actively maintaining quiescence during pregnancy to an active parturient state. This transition occurs as a result of the accumulation of pro-inflammatory signals which are amplified by positive feedback interactions involving paracrine and autocrine signaling at the level of each intrauterine cell and tissue. The amplification events occur in parallel until they reach a certain threshold, ‘tipping the scale’ and contributing to processes of uterine activation and functional progesterone withdrawal. The described signaling interactions all occur upstream from the presentation of clinical labor symptoms. In this review, we will: 1) describe the different physiological processes involved in uterine transition for each intrauterine tissue; 2) compare and contrast the current models of labor initiation; 3) introduce innovative models for measuring paracrine inflammatory interactions; and 4) discuss the therapeutic value in identifying and targeting key players in this crucial event for preterm birth.
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Affiliation(s)
- Kelycia B Leimert
- Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB, Canada
| | - Wendy Xu
- Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB, Canada
| | - Magdalena M Princ
- Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB, Canada
| | - Sylvain Chemtob
- Department of Pediatrics, Ophthalmology and Pharmacology, CHU Sainte-Justine Research Center, Montreal, QC, Canada
| | - David M Olson
- Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB, Canada
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Tao L, Zhang H, Wang H, Li L, Huang L, Su F, Yuan X, Luo M, Ge L. Characteristics of lipid droplets and the expression of proteins involved in lipolysis in the murine cervix during mid-pregnancy. Reprod Fertil Dev 2021; 32:967-975. [PMID: 32693909 DOI: 10.1071/rd19425] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 05/30/2020] [Indexed: 12/16/2022] Open
Abstract
Lipid droplets (LDs) are reservoirs of arachidonoyl lipids for prostaglandin (PG) E2 synthesis, and progesterone can stimulate PGE2 synthesis; however, the relationship between progesterone and LD metabolism in the murine cervix remains unclear. In the present study we examined LD distribution and changes in the expression of proteins involved in lipolysis and autophagy in the murine cervix during pregnancy, and compared the findings with those in dioestrous mice. During mid-pregnancy, LDs were predominantly distributed in the cervical epithelium. Electron microscopy revealed the transfer of numerous LDs from the basal to apical region in the luminal epithelium, marked catabolism of LDs, an elevated number of LDs and autophagosomes and a higher LD:mitochondrion size ratio in murine cervical epithelial cells (P<0.05). In addition, immunohistochemical and western blotting analyses showed significantly higher cAMP-dependent protein kinase, adipose triglyceride lipase and hormone-sensitive lipase expression, and a higher light chain 3 (LC3) II:LC3I ratio in the stroma and smooth muscles and, particularly, in murine cervical epithelial cells, during mid-pregnancy than late dioestrus. In conclusion, these results suggest that the enhanced lipolysis of LDs and autophagy in murine cervical tissues were closely related to pregnancy and were possibly controlled by progesterone because LD catabolism may be necessary for energy provision and PGE2 synthesis to maintain a closed pregnant cervix.
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Affiliation(s)
- Longlong Tao
- College of Animal Science and Technology, Shandong Agricultural University, N0.61, Daizong Street, Taian, Shandong Province, 271018, P.R. China
| | - Hongyan Zhang
- College of Animal Science and Technology, Shandong Agricultural University, N0.61, Daizong Street, Taian, Shandong Province, 271018, P.R. China
| | - Hongmei Wang
- College of Animal Science and Technology, Shandong Agricultural University, N0.61, Daizong Street, Taian, Shandong Province, 271018, P.R. China
| | - Liuhui Li
- College of Animal Science and Technology, Shandong Agricultural University, N0.61, Daizong Street, Taian, Shandong Province, 271018, P.R. China
| | - Libo Huang
- College of Animal Science and Technology, Shandong Agricultural University, N0.61, Daizong Street, Taian, Shandong Province, 271018, P.R. China
| | - Feng Su
- College of Animal Science and Technology, Shandong Agricultural University, N0.61, Daizong Street, Taian, Shandong Province, 271018, P.R. China
| | - Xuejun Yuan
- College of Life Science, Shandong Agricultural University, N0.61, Daizong Street, Taian, Shandong Province, 271018, P.R. China
| | - Mingjiu Luo
- College of Animal Science and Technology, Shandong Agricultural University, N0.61, Daizong Street, Taian, Shandong Province, 271018, P.R. China; and Corresponding author. ;
| | - Lijiang Ge
- College of Animal Science and Technology, Shandong Agricultural University, N0.61, Daizong Street, Taian, Shandong Province, 271018, P.R. China; and Corresponding author. ;
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White Adipocytes of the Uterine Cervix Tend to Appear in Women of Older Age, Postmenopause Status, and Higher Body Mass Index. Int J Gynecol Pathol 2021; 39:379-383. [PMID: 32515922 DOI: 10.1097/pgp.0000000000000618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The human uterine cervix consists mainly of epithelium and stroma, including smooth muscle cells and fibrovascular tissues. Fat cells in the uterine cervix have been rarely reported, and the only previous research article has shown that intracervical adipocytes are unrelated to clinical factors. The aim of this study was to investigate the frequency of fat cells in the uterine cervix, as well as to evaluate the relationship between intracervical adipocytes and clinicopathologic factors. We retrospectively selected 405 cases in Japanese women who received cervical conization at our hospital between 2003 and 2017. Cervical conization was not performed during pregnancy or within 1 yr after childbirth. The prepared histologic specimens for pathologic diagnosis were available in all cases. Age, menopause status, body mass index, gravidity, and parity were selected clinical factors, which were obtained in 214 patients. The mean patient age was 42 yr (range, 22-80 yr). Intracervical white adipocytes were observed in 13% of patients (53/405), with no brown adipocytes detected. The existence of intracervical adipocytes was significantly correlated to older age (P<0.0001), postmenopause status (P<0.0001), and higher body mass index (P=0.0018). Intracervical adipocytes might undergo adipocytic metaplasia from cervical stromal cells in accordance with aging, postmenopause status, or weight gain. Our result also suggest that cervical malignancy involving fat cells does not necessarily imply parametrial invasion.
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Wang Y, Yao Y, Zhang C, Guo Y, Zhang H, Han Y, Yuan Z, Weng Q. Seasonal expressions of COX-1, COX-2 and EP4 in the uteri of the wild Daurian ground squirrels (Spermophilus dauricus). Prostaglandins Other Lipid Mediat 2019; 143:106343. [PMID: 31195125 DOI: 10.1016/j.prostaglandins.2019.106343] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Revised: 05/08/2019] [Accepted: 06/07/2019] [Indexed: 12/22/2022]
Abstract
Prostaglandins (PGs) play a pivotal role in uterine reproductive process including maternal recognition of pregnancy, cell proliferation, and myometrium contractions in mammals. In this study, we investigated the immunolocalizations and expression levels of Prostaglandin E2 synthases cyclo-oxygenase (COX)-1 and COX-2, as well as one of PGE2 receptor subtypes 4 (EP4) in the uteri of the wild Daurian ground squirrels (Spermophilus dauricus) during the breeding and non-breeding seasons. Histologically, the thickness of endometrium: myometrium ratio in the uteri of the breeding season was higher than that of the non-breeding season. The immunostainings of COX-1, COX-2 and EP4 were observed in stromal cells, glandular cells and myometrium cells in the breeding and non-breeding seasons. The protein and mRNA expression levels of COX-1, COX-2 and EP4 were higher in the uteri of the breeding season than those of in the non-breeding season. The mean mRNA levels of COX-1, COX-2 and EP4 were positively correlated with uterine weights. In addition, the PGE2 concentration of uterine tissues as well as plasma PGE2, 17β-estradiol, progesterone, LH and FSH levels were also significantly higher in the breeding season compared to those of the non-breeding season. These results suggested that PGE2 might play an important autocrine or paracrine role in the regulation of seasonal changes in the uterine functions of the wild Daurian ground squirrels during the breeding and non-breeding seasons.
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Affiliation(s)
- Yu Wang
- College of Biological Science and Technology, Beijing Forestry University, Beijing 100083, China
| | - Yuchen Yao
- College of Biological Science and Technology, Beijing Forestry University, Beijing 100083, China
| | - Chunjiao Zhang
- College of Biological Science and Technology, Beijing Forestry University, Beijing 100083, China
| | - Yuanyuan Guo
- College of Biological Science and Technology, Beijing Forestry University, Beijing 100083, China
| | - Haolin Zhang
- College of Biological Science and Technology, Beijing Forestry University, Beijing 100083, China
| | - Yingying Han
- College of Biological Science and Technology, Beijing Forestry University, Beijing 100083, China
| | - Zhengrong Yuan
- College of Biological Science and Technology, Beijing Forestry University, Beijing 100083, China
| | - Qiang Weng
- College of Biological Science and Technology, Beijing Forestry University, Beijing 100083, China.
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Fernandes CB, Loux SC, Scoggin KE, Squires EL, Troedsson MH, Esteller-Vico A, Ball BA. Sex-steroid receptors, prostaglandin E2 receptors, and cyclooxygenase in the equine cervix during estrus, diestrus and pregnancy: Gene expression and cellular localization. Anim Reprod Sci 2017; 187:141-151. [DOI: 10.1016/j.anireprosci.2017.10.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Revised: 10/24/2017] [Accepted: 10/27/2017] [Indexed: 12/11/2022]
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Yang L, Yao X, Li S, Chen K, Wang Y, Chen L, Zhang L. Expression of genes associated with luteolysis in peripheral blood mononuclear cells during early pregnancy in cattle. Mol Reprod Dev 2016; 83:509-15. [PMID: 27061007 DOI: 10.1002/mrd.22647] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2015] [Accepted: 03/28/2016] [Indexed: 11/06/2022]
Abstract
The conceptus-derived signals that initiate maternal recognition of pregnancy act primarily on the endometrium to inhibit the development of luteolysis, thus modifying the expression of genes in the corpus luteum. The involvement of peripheral blood mononuclear cells (PBMCs) in the formation of this anti-luteolytic mechanism during early pregnancy is uncertain. In this study, PBMCs from non-pregnant and early-pregnant cows were sampled to explore the expression of genes associated with luteolysis, including AKR1B1 (aldo-keto reductase family 1, member B1; a bovine prostaglandin F synthase), PTGFR (PGF2α receptor), OXT (oxytocin), PTGES (PGE synthase), PTGER1 (PGE2 receptor 1), and PGR (progesterone receptor). OXT and PTGFR transcript abundance was low in PBMCs at Day 18 in pregnant individuals. PGR and PTGER1 mRNA abundance was significantly higher at Day 30 in pregnant individuals. AKR1B1 and PTGES transcript abundance was significantly higher at Day 18 in PBMCs from non-pregnant individuals, yet AKR1B1 and PTGES protein abundance was elevated at Day 30 in pregnant individuals-although AKR1B1 dimer may be significantly higher at Day 18 in non-pregnant PBMCs. In conclusion, changes in bovine PBMC gene expression are associated with luteolysis during early pregnancy, which implicate the influence of circulating blood components in controlling luteolysis. Mol. Reprod. Dev. 83: 509-515, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Ling Yang
- Department of Animal Science, College of Agriculture, Hebei University of Engineering, Handan, China
| | - Xiaolei Yao
- Department of Animal Science, College of Agriculture, Hebei University of Engineering, Handan, China
| | - Shujing Li
- Hebei Province Engineering Technology Research Center of Dairy Cattle Breeding, Shijiazhuang, China
| | - Kai Chen
- Department of Animal Science, College of Agriculture, Hebei University of Engineering, Handan, China
| | - Yongxiang Wang
- Department of Animal Science, College of Agriculture, Hebei University of Engineering, Handan, China
| | - Long Chen
- Hebei Province Engineering Technology Research Center of Dairy Cattle Breeding, Shijiazhuang, China
| | - Leying Zhang
- Department of Animal Science, College of Agriculture, Hebei University of Engineering, Handan, China
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Burris HH, Baccarelli AA, Motta V, Byun HM, Just AC, Mercado-Garcia A, Schwartz J, Svensson K, Téllez-Rojo MM, Wright RO. Association between length of gestation and cervical DNA methylation of PTGER2 and LINE 1-HS. Epigenetics 2014; 9:1083-91. [PMID: 24827772 DOI: 10.4161/epi.29170] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Worldwide, more than 1 in 10 infants is born prior to 37 weeks gestation. Preterm birth can lead to increased mortality risk and poor life-long health and neurodevelopmental outcomes. Whether environmental risk factors affect preterm birth through epigenetic phenomena is largely unstudied. We sought to determine whether preterm risk factors, such as smoke exposure and education, were associated with cervical DNA methylation in the prostaglandin E receptor 2 gene (PTGER2) and a repetitive element, long interspersed nuclear element-1 Homo sapiens-specific (LINE 1-HS). Second, we aimed to determine whether mid-pregnancy DNA methylation of these regions in cervical samples could predict the length of gestation. We obtained a cervical swab between 16-19 weeks gestation from 80 women participating in a Mexico City birth cohort, used pyrosequencing to analyze DNA methylation of PTGER2 and LINE 1-HS, and examined associations with maternal covariates. We used accelerated failure time models to analyze associations of DNA methylation with the length of gestation. DNA methylation of both sequences was associated with Pap smear inflammation. LINE 1-HS methylation was associated with smoke exposure, BMI and parity. In adjusted models, gestations were 3.3 days longer (95%CI 0.6, 6.0) for each interquartile range of PTGER2 DNA methylation. Higher LINE 1-HS methylation was associated with shorter gestations (-3.3 days, 95%CI -6.5, -0.2). In conclusion, cervical DNA methylation was associated with risk factors for preterm birth and the length of gestation.
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Affiliation(s)
- Heather H Burris
- Department of Neonatology; Beth Israel Deaconess Medical Center and Division of Newborn Medicine; Boston Children's Hospital and Harvard Medical School; Boston, MA USA
| | - Andrea A Baccarelli
- Laboratory of Environmental Epigenetics; Exposure Epidemiology and Risk Program; Harvard School of Public Health; Boston, MA USA; Department of Environmental Health; Harvard School of Public Health; Boston, MA USA
| | - Valeria Motta
- Laboratory of Environmental Epigenetics; Exposure Epidemiology and Risk Program; Harvard School of Public Health; Boston, MA USA; Department of Clinical Sciences and Community Health; University of Milan, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico; Milan, Italy
| | - Hyang-Min Byun
- Laboratory of Environmental Epigenetics; Exposure Epidemiology and Risk Program; Harvard School of Public Health; Boston, MA USA; Department of Environmental Health; Harvard School of Public Health; Boston, MA USA
| | - Allan C Just
- Department of Environmental Health; Harvard School of Public Health; Boston, MA USA
| | - Adriana Mercado-Garcia
- Center for Evaluation Research and Surveys; National Institute of Public Health; Cuernavaca, Mexico
| | - Joel Schwartz
- Department of Environmental Health; Harvard School of Public Health; Boston, MA USA
| | - Katherine Svensson
- Department of Pediatrics and Preventative Medicine; Icahn School of Medicine at Mount Sinai; New York, NY USA
| | - Martha M Téllez-Rojo
- Center for Evaluation Research and Surveys; National Institute of Public Health; Cuernavaca, Mexico
| | - Robert O Wright
- Department of Pediatrics and Preventative Medicine; Icahn School of Medicine at Mount Sinai; New York, NY USA
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Diverse roles of prostaglandins in blastocyst implantation. ScientificWorldJournal 2014; 2014:968141. [PMID: 24616654 PMCID: PMC3925584 DOI: 10.1155/2014/968141] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2013] [Accepted: 12/18/2013] [Indexed: 01/14/2023] Open
Abstract
Prostaglandins (PGs), derivatives of arachidonic acid, play an indispensable role in embryo implantation. PGs have been reported to participate in the increase in vascular permeability, stromal decidualization, blastocyst growth and development, leukocyte recruitment, embryo transport, trophoblast invasion, and extracellular matrix remodeling during implantation. Deranged PGs syntheses and actions will result in implantation failure. This review summarizes up-to-date literatures on the role of PGs in blastocyst implantation which could provide a broad perspective to guide further research in this field.
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Yokoyama U, Iwatsubo K, Umemura M, Fujita T, Ishikawa Y. The Prostanoid EP4 Receptor and Its Signaling Pathway. Pharmacol Rev 2013; 65:1010-52. [DOI: 10.1124/pr.112.007195] [Citation(s) in RCA: 183] [Impact Index Per Article: 16.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
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