PMID- 33983443 OWN - NLM STAT- MEDLINE DCOM- 20220121 LR - 20220121 IS - 1460-2407 (Electronic) IS - 1360-9947 (Linking) VI - 27 IP - 6 DP - 2021 May 29 TI - Endometrial epithelial-mesenchymal transition (EMT) by menstruation-related inflammatory factors during hypoxia. LID - gaab036 [pii] LID - 10.1093/molehr/gaab036 [doi] AB - Endometriosis is characterised by inflammation and fibrotic changes. Our previous study using a mouse model showed that proinflammatory factors present in peritoneal haemorrhage exacerbated inflammation in endometriosis-like grafts, at least in part through the activation of prostaglandin (PG) E2 receptor and protease-activated receptor (PAR). In addition, hypoxia is a well-known inducer of fibrosis that may be associated with epithelial-mesenchymal transition (EMT). However, the complex molecular interactions between hypoxia and proinflammatory menstruation-related factors, PGE2 and thrombin, a PAR1 agonist, on EMT in endometriosis have not been fully characterised. To explore the effects of hypoxia and proinflammatory factors on EMT-like changes in endometrial cells, we determined the effects of PGE2 and thrombin (P/T) on EMT marker expression and cell migration in three dimensional cultured human endometrial epithelial cells (EECs) and endometrial stromal cells (ESCs). Treatment of EECs with P/T under hypoxia stimulated cell migration, increased the expression of mesenchymal N-cadherin, vimentin and C-X-C chemokine receptor type 4 (CXCR4), and reduced the expression of epithelial E-cadherin. Furthermore, treatment with C-X-C motif chemokine ligand 12 (CXCL12), a ligand for CXCR4, increased EMT marker expression and cell migration. In ESCs, P/T or oestrogen treatment under hypoxic conditions increased the expression and secretion of CXCL12. Taken together, our data show that hypoxic and proinflammatory stimuli induce EMT, cell migration and inflammation in EECs, which was increased by CXCL12 derived from ESCs. These data imply that inflammatory mediators in retrograde menstrual fluid contribute to ectopic endometrial EMT and migration in the presence of peritoneal hypoxia. CI - (c) The Author(s) 2021. Published by Oxford University Press on behalf of European Society of Human Reproduction and Embryology. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Kusama, K AU - Kusama K AUID- ORCID: 0000-0002-9120-0475 AD - Department of Endocrine Pharmacology, Tokyo University of Pharmacy and Life Sciences, Tokyo 192-0392, Japan. FAU - Fukushima, Y AU - Fukushima Y AD - Department of Endocrine Pharmacology, Tokyo University of Pharmacy and Life Sciences, Tokyo 192-0392, Japan. FAU - Yoshida, K AU - Yoshida K AD - Department of Endocrine Pharmacology, Tokyo University of Pharmacy and Life Sciences, Tokyo 192-0392, Japan. FAU - Sakakibara, H AU - Sakakibara H AD - Department of Endocrine Pharmacology, Tokyo University of Pharmacy and Life Sciences, Tokyo 192-0392, Japan. FAU - Tsubata, N AU - Tsubata N AD - Department of Endocrine Pharmacology, Tokyo University of Pharmacy and Life Sciences, Tokyo 192-0392, Japan. FAU - Yoshie, M AU - Yoshie M AD - Department of Endocrine Pharmacology, Tokyo University of Pharmacy and Life Sciences, Tokyo 192-0392, Japan. FAU - Kojima, J AU - Kojima J AD - Department of Obstetrics and Gynecology, Tokyo Medical University, Tokyo 160-0023, Japan. FAU - Nishi, H AU - Nishi H AD - Department of Obstetrics and Gynecology, Tokyo Medical University, Tokyo 160-0023, Japan. FAU - Tamura, K AU - Tamura K AUID- ORCID: 0000-0003-3351-895X AD - Department of Endocrine Pharmacology, Tokyo University of Pharmacy and Life Sciences, Tokyo 192-0392, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Mol Hum Reprod JT - Molecular human reproduction JID - 9513710 RN - 0 (Biomarkers) RN - 0 (CXCL12 protein, human) RN - 0 (Chemokine CXCL12) RN - 0 (Inflammation Mediators) RN - 4TI98Z838E (Estradiol) RN - EC 3.4.21.5 (Thrombin) RN - K7Q1JQR04M (Dinoprostone) SB - IM MH - Adult MH - Biomarkers MH - Cell Culture Techniques, Three Dimensional MH - *Cell Hypoxia MH - Cell Movement/drug effects MH - Cells, Cultured MH - Chemokine CXCL12/metabolism/pharmacology MH - Dinoprostone/pharmacology MH - Endometriosis/*etiology/pathology MH - Endometrium/metabolism/*pathology MH - Epithelial Cells/drug effects MH - *Epithelial-Mesenchymal Transition MH - Estradiol/pharmacology MH - Female MH - Gene Expression MH - Humans MH - Inflammation MH - Inflammation Mediators/metabolism MH - Menstruation/*physiology MH - Menstruation Disturbances/metabolism/*pathology MH - Spheroids, Cellular MH - Stromal Cells/drug effects MH - Thrombin/pharmacology OTO - NOTNLM OT - CXCL12 OT - CXCR4 OT - endometrial cell OT - endometriosis OT - epithelial-mesenchymal transition OT - hypoxia EDAT- 2021/05/14 06:00 MHDA- 2022/01/22 06:00 CRDT- 2021/05/13 12:35 PHST- 2021/02/06 00:00 [received] PHST- 2021/04/27 00:00 [revised] PHST- 2021/05/14 06:00 [pubmed] PHST- 2022/01/22 06:00 [medline] PHST- 2021/05/13 12:35 [entrez] AID - 6275231 [pii] AID - 10.1093/molehr/gaab036 [doi] PST - ppublish SO - Mol Hum Reprod. 2021 May 29;27(6):gaab036. doi: 10.1093/molehr/gaab036.