PMID- 28285568 OWN - NLM STAT- MEDLINE DCOM- 20180329 LR - 20180409 IS - 1933-7205 (Electronic) IS - 1933-7191 (Linking) VI - 24 IP - 7 DP - 2017 Jul TI - Cigarette Smoking Affects Uterine Receptivity Markers. PG - 989-995 LID - 10.1177/1933719117697129 [doi] AB - OBJECTIVE: Smoking negatively affects fertility and the rate of other endometrial diseases. To determine the effect of smoking on endometrial physiology, we evaluated 2 endometrial regulatory cytokines and receptivity markers, C-X-C motif chemokine ligand 12 (CXCL12) and fibroblast growth factor 2 (FGF2), both in vitro and in vivo. STUDY DESIGN: The human endometrial stromal cell line (HESC) and primary human endometrial stromal cells were treated with cigarette smoking extract (CSE) or with vehicle control. Twenty female mice were randomly assigned to either cigarette smoke (CS) exposure for 8 weeks or to a nonsmoke (NS) group that received room air. Immunohistochemical analysis of CXCL12 and FGF2 expression was performed in mouse uterine tissue. Human endometrial samples were obtained from both nonsmokers and smokers. Real-time reverse transcription-polymerase chain reaction was performed for all cell cultures and human samples. RESULTS: Compared to controls, CXCL12 and FGF2 mRNA expression were significantly decreased in CSE-exposed HESC and primary cells. In mice, immunohistochemical analysis showed that both CXCL12 and FGF2 protein expression was lower in the CS group compared to controls. Similarly, both CXCL12 and FGF2 expression were decreased in women who smoke compared to nonsmokers. CONCLUSION: Decreased endometrial CXCL12 and FGF2 expression contribute to the impaired endometrial receptivity in women who smoke. Smoking is also associated with decreased rates of endometrial cancer and endometriosis; increased CXCL12 and FGF2 are implicated in both conditions. The changes in the expression of cytokines described here may explain the impact of smoking on all of these diseases. Tobacco has direct effects on normal endometrium that impacts endometrial health and disease. FAU - Sahin Ersoy, Gulcin AU - Sahin Ersoy G AD - 1 Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA. FAU - Zhou, Yuping AU - Zhou Y AD - 1 Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA. FAU - Inan, Hamdi AU - Inan H AD - 2 Department of Obstetrics and Gynecology, Tepecik Education and Research Hospital, Izmir, Turkey. FAU - Taner, Cuneyt E AU - Taner CE AD - 2 Department of Obstetrics and Gynecology, Tepecik Education and Research Hospital, Izmir, Turkey. FAU - Cosar, Emine AU - Cosar E AD - 1 Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA. FAU - Taylor, Hugh S AU - Taylor HS AD - 1 Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA. LA - eng PT - Journal Article DEP - 20170313 PL - United States TA - Reprod Sci JT - Reproductive sciences (Thousand Oaks, Calif.) JID - 101291249 RN - 0 (Chemokine CXCL12) RN - 0 (Smoke) RN - 103107-01-3 (Fibroblast Growth Factor 2) SB - IM MH - Adult MH - Animals MH - Cell Line MH - Chemokine CXCL12/*metabolism MH - Cigarette Smoking/*metabolism MH - Endometrium/cytology/*metabolism MH - Female MH - Fibroblast Growth Factor 2/*metabolism MH - Humans MH - Mice MH - *Smoke MH - Stromal Cells/cytology/*metabolism MH - Young Adult OTO - NOTNLM OT - CXCL12 OT - FGF2 OT - endometrial receptivity OT - smoking EDAT- 2017/03/14 06:00 MHDA- 2018/03/30 06:00 CRDT- 2017/03/14 06:00 PHST- 2017/03/14 06:00 [pubmed] PHST- 2018/03/30 06:00 [medline] PHST- 2017/03/14 06:00 [entrez] AID - 10.1177/1933719117697129 [doi] PST - ppublish SO - Reprod Sci. 2017 Jul;24(7):989-995. doi: 10.1177/1933719117697129. Epub 2017 Mar 13.