用户名: 密码: 验证码:
基于HOXA10调控网络探讨骨髓间充质干细胞移植治疗大鼠薄型子宫内膜
详细信息    查看全文 | 推荐本文 |
摘要
背景:薄型子宫内膜疾病是现阶段临床治疗中的一个难题,研究发现骨髓间充质干细胞移植技术具有其独特的疗效和优势,但是关于作用机制方面的研究尚较少开展。目的:基于以HOXA10为中心的调控网络,探讨骨髓间充质干细胞移植对薄型子宫内膜大鼠的作用机制。方法:将21只SPF级成年雌性SD大鼠(购于广州中医药大学动物实验中心)随机分成3组:对照组、模型组、骨髓间充质干细胞组,每组7只;后2组采用体积分数为95%乙醇充盈宫腔制备薄型子宫内膜模型,对照组用生理盐水充盈宫腔;抽出乙醇和生理盐水后,骨髓间充质干细胞组大鼠宫腔内注入第3代骨髓间充质干细胞悬液1m L(细胞浓度为1×10~10L~(-1)),对照组和模型组大鼠宫腔内注入等体积生理盐水。观察2个动情周期后取出子宫,采用苏木精-伊红染色定量分析内膜厚度,免疫组化法检测内膜波形蛋白、角蛋白、血管内皮生长因子、白血病抑制因子及整合素αvβ3的表达,q RT-PCR法检测HOXA10、miR-196b基因表达。结果与结论:(1)模型组和骨髓间充质干细胞组大鼠子宫内膜薄于对照组(P <0.05),骨髓间充质干细胞组大鼠子宫内膜厚于模型组(P <0.05);(2)模型组和骨髓间充质干细胞组子宫内膜中波形蛋白、角蛋白、血管内皮生长因子、白血病抑制因子及整合素αvβ3蛋白平均吸光度值低于对照组(P <0.05),骨髓间充质干细胞组以上5种蛋白平均吸光度值高于模型组(P<0.05);(3)模型组和骨髓间充质干细胞组大鼠子宫组织HOXA10基因相对转录水平低于对照组(P <0.05),mi R-196b基因相对转录水平高于对照组(P <0.05);骨髓间充质干细胞组HOXA10基因相对转录水平高于模型组(P<0.05),mi R-196b基因相对转录水平低于模型组(P<0.05);(4)mi R-196b与HOXA10基因表达呈现负相关(P <0.05),HOXA10与各蛋白表达呈现不同程度正相关(P <0.05),miR-196b基因与各蛋白表达呈现不同程度负相关(P <0.05);(5)结果提示,骨髓间充质干细胞移植可一定程度上改善薄型子宫大鼠内膜厚度及相关蛋白水平,可能原因为mi R-196b负性调节HOXA10基因,HOXA10基因进一步促进血管内皮生长因子、白血病抑制因子及整合素αvβ3蛋白的表达有关。
        BACKGROUND: Thin endometrial diseases are a challenge in clinical treatment at present. Scholars have found that bone marrow mesenchymal stem cells(BMSCs) transplantation has its unique curative effect and advantages, but few studies have been conducted on pathway or gene control. OBJECTIVE: To observe the effect of BMSCs transplantation in rats with thin endometrium based on the HOXA10 regulatory network. METHODS: Twenty-one adult female Sprague-Dawley rats of SPF grade(provided by the Animal Experimental Center, Guangzhou University of Chinese Medicine in China) were randomly divided into three groups(n=7/group): control group, model group, and BMSCs group. In the latter two groups, a thin endometrium model was prepared in each rat by filling the uterine cavity with 95% ethanol. In the control group, normal saline was injected to fill the uterine cavity of rats. After extraction of ethanol or normal saline, the rats in the BMSCs group were injected intrauterinely with 1 mL of BMSCs suspension(1×10~10 cells/L), and those in the control and model groups were given the same volume of normal saline. After two estrous cycles, the uterus of each rat was removed. Hematoxylin-eosin staining was used to measure the thickness of the endometrium. Immunohistochemistry was used to detect the expression of vimentin, keratin, vascular endothelial growth factor, leukemia inhibitory factor and integrin αvβ3. qRT-PCR was used to detect the relative transcription of HOXA10 and miR-196 b. RESULTS AND CONCLUSION:(1) Compared with the control group, the endometrial thickness of the rats were significantly thinner in the model and BMSCs groups(P < 0.05), while the endometrial thickness in the BMSCs group was thicker than that in the model group(P < 0.05).(2) The mean absorbance values of endometrial vimentin, keratin, vascular endothelial growth factor, leukemia inhibitory factor and integrin αvβ3 were highest in the control group, higher in the BMSCs group and lowest in the model group, and there were significant differences between groups(P < 0.05).(3) The relative transcript level of HOXA10 gene in the model and BMSCs group was significantly lower than that in the control group, while the relative transcript level of HOXA10 gene in the BMSCs group was significantly higher than that in the model group(P < 0.05). The relative transcript level of miR-196 b in the model and BMSCs groups was significantly higher than that in the control group(P < 0.05), while the relative transcript level of miR-196 b in the BMSCs group was lower than that in the model group(P < 0.05).(4) HOXA10 was negatively correlated with miR-196 b gene, HOXA10 was positively correlated with the protein expression to different extents, and miR-196 b gene was negatively correlated with the protein expression to different extents. These findings suggest that BMSCs transplantation can improve the endometrial thickness and relevant protein levels of thin endometrium rats to some extent, which may be attributed to the negative regulation of HOXA10 gene by miR-196 b, and HOXA10 gene further promotes the expression of vascular endothelial growth factor, leukemia inhibitory factor and integrin αvβ3 proteins.
引文
[1]Mahajan N,Sharma S.The endometrium in assisted reproductive technology:How thin is thin.J Hum Reprod Sci.2016;9(1):3-8.
    [2]黎雪茹,王中海.薄型子宫内膜的研究进展[J].中华妇幼临床医学杂志,2015,11(1):109-112.
    [3]Kasius A,Smit JG,Torrance HL,et al.Endometrial thickness and pregnancy rates after IVF:a systematic review and meta-analysis.Hum Reprod Update.2014;20(4):530-541.
    [4]尹晓丹,何军琴,王景尚,等.补肾活血方对肾虚血瘀薄型子宫内膜大鼠子宫内膜容受性的影响研究[J].中国全科医学,2018,21(6):683-685.
    [5]Grow DR,Iromloo K.Oral contraceptives maintain a very thin endometrium before operative hysteroscopy.Fertil Steril.2006;85(1):204-207.
    [6]Kumbak B,Erden HF,Tosun S,et al.Outcome of assisted reproduction treatment in patients with endometrial thickness less than 7 mm.Reprod Biomed Online.2009;18(1):79-84.
    [7]魏丽坤,张雷,王蔼明,等.子宫内膜微创术对薄型子宫内膜容受性的影响[J].山东医药,2015,55(25):66-68.
    [8]郭欢欢,孙蓬明,林元.薄型子宫内膜的临床处理进展[J].国际妇产科学杂志,2015,42(4):417-420.
    [9]Gilman AR,Dewar KM,Rhone SA,et al.Intrauterine Adhesions Following Miscarriage:Look and Learn.J Obstet Gynaecol Can.2016;38(5):453-457.
    [10]Chen L,Zhang H,Wang Q,et al.Reproductive Outcomes in Patients With Intrauterine Adhesions Following Hysteroscopic Adhesiolysis:Experience From the Largest Women's Hospital in China.J Minim Invasive Gynecol.2017;24(2):299-304.
    [11]Lebovitz O,Orvieto R.Treating patients with"thin"endometriuman ongoing challenge.Gynecol Endocrinol.2014;30(6):409-414.
    [12]覃桂荣,熊艳敏,李柳铭,等.宫腔镜子宫内膜微创术对子宫内膜容受性影响的研究[J].实用妇产科杂志,2014,30(2):128-131.
    [13]刘子霞,赵华,王兴玲,等.种植窗口期人子宫内膜组织中ER、PR及HOXA-11的表达[J].郑州大学学报(医学版),2014,9(2):215-218.
    [14]赵诗艺,刘英,杨晓葵,等.薄型子宫内膜冻融胚胎移植周期中应用雌二醇/雌二醇地屈孕酮的疗效观察[J].实用妇产科杂志,2015,31(4):270-273.
    [15]程龙凤,王蔼明,赵勇.粒细胞集落刺激因子与子宫内膜修复的研究进展[J].生殖医学杂志,2015,24(4):334-337.
    [16]张蔚苓,常淑华.补肾活血周期治疗联合西药对宫腔粘连术后子宫内膜影响的临床研究[J].中华中医药学刊,2016,34(5):1169-1172.
    [17]Fetih AN,Habib DM,Abdelaal II,et al.Adding sildenafil vaginal gel to clomiphene citrate in infertile women with prior clomiphene citrate failure due to thin endometrium:a prospective self-controlled clinical trial.Facts Views Vis Obgyn.2017;9(1):21-27.
    [18]Du H,Taylor HS.Contribution of bone marrow-derived stem cells to endometrium and endometriosis.Stem Cells.2007;25(8):2082-2086.
    [19]朱淑霞,宋治远,梁光萍,等.鼠龄与骨髓间充质干细胞生物特性的关系研究[J].中国全科医学,2005,8(6):465-467.
    [20]夏良君,胡玉姣,姚兵,等.电针及骨髓间充质干细胞移植对大鼠薄型子宫内膜的影响[J].医学研究生学报,2018,31(2):129-136.
    [21]Lim JY,Yoon SO,Seol SY,et al.Overexpression of miR-196b and HOXA10 characterize a poor-prognosis gastric cancer subtype.World J Gastroenterol.2013;19(41):7078-7088.
    [22]许春艳,宋阳,李坤寅,等.薄型子宫内膜模型的动物选择及其造模方法改进[J].中国实验动物学报,2016,24(2):217-220.
    [23]罗卓野,杨爱敏,崔娜,等.辅助生殖中薄型子宫内膜治疗的研究进展[J].中华生殖与避孕杂志,2018,38(1):49-56.
    [24]Cicinelli E,Matteo M,Tinelli R,et al.Prevalence of chronic endometritis in repeated unexplained implantation failure and the IVF success rate after antibiotic therapy.Hum Reprod.2015;30(2):323-330.
    [25]Du H,Naqvi H,Taylor HS.Ischemia/reperfusion injury promotes and granulocyte-colony stimulating factor inhibits migration of bone marrow-derived stem cells to endometrium.Stem Cells Dev.2012;21(18):3324-3331.
    [26]Jing Z,Qiong Z,Yonggang W,et al.Rat bone marrow mesenchymal stem cells improve regeneration of thin endometrium in rat.Fertil Steril.2014;101(2):587-594.
    [27]马黔红.辅助生殖技术的新进展[J].中国计划生育和妇产科,2017,9(1):73-76.
    [28]Kunicki M,?ukaszuk K,Woclawek-Potocka I,et al.Evaluation of granulocyte colony-stimulating factor effects on treatment-resistant thin endometrium in women undergoing in vitro fertilization.Biomed Res Int.2014;2014:913235.
    [29]Senturk LM,Erel CT.Thin endometrium in assisted reproductive technology.Curr Opin Obstet Gynecol.2008;20(3):221-228.
    [30]Nagori CB,Panchal SY,Patel H.Endometrial regeneration using autologous adult stem cells followed by conception by in vitro fertilization in a patient of severe Asherman's syndrome.J Hum Reprod Sci.2011;4(1):43-48.
    [31]Zhao G,Cao Y,Zhu X,et al.Transplantation of collagen scaffold with autologous bone marrow mononuclear cells promotes functional endometrium reconstruction via downregulatingΔNp63expression in Asherman's syndrome.Sci China Life Sci.2017;60(4):404-416.
    [32]赵小萱,陈璐,姜月蓬,等.薄型子宫内膜的中西医研究进展[J].湖南中医药大学学报,2017,37(12):1425-1430.
    [33]曹蕾,罗颂平,欧汝强.补肾健脾法对复发性流产患者子宫内膜容受性的干预作用[J].广州中医药大学学报,2010,27(6):562-565.
    [34]Su X,Liao L,Shuai Y,et al.MiR-26a functions oppositely in osteogenic differentiation of BMSCs and ADSCs depending on distinct activation and roles of Wnt and BMP signaling pathway.Cell Death Dis.2015;6:e1851.
    [35]Candini O,Spano C,Murgia A,et al.Mesenchymal progenitors aging highlights a miR-196 switch targeting HOXB7 as master regulator of proliferation and osteogenesis.Stem Cells.2015;33(3):939-950.
    [36]Szczepańska M,Wirstlein P,Luczak M,et al.Expression of HOXA-10 and HOXA-11 in the endometria of women with idiopathic infertility.Folia Histochem Cytobiol.2011;49(1):111-118.
    [37]Smith CC,Taylor HS.Xenoestrogen exposure imprints expression of genes(Hoxa10)required for normal uterine development.FASEB J.2007;21(1):239-246.
    [38]Popovic R,Riesbeck LE,Velu CS,et al.Regulation of mir-196b by MLL and its overexpression by MLL fusions contributes to immortalization.Blood.2009;113(14):3314-3322.
    [39]余晓芬.滋肾育胎丸对肾虚-薄型子宫内膜机制的研究[D].广州:广州中医药大学,2017.
    [40]刘梅梅,丁慧,尹晓静,等.多囊卵巢综合征患者血清血管内皮生长因子、内皮抑素水平及对卵巢间质血流的影响研究[J].中国全科医学,2017,20(4):448-453.
    [41]张雪洛,陈艳花,夏红,等.人子宫内膜容受性研究进展[J].临床医药实践,2016,25(3):210-213.
    [42]Tapia A,Salamonsen LA,Manuelpillai U,et al.Leukemia inhibitory factor promotes human first trimester extravillous trophoblast adhesion to extracellular matrix and secretion of tissue inhibitor of metalloproteinases-1 and-2.Hum Reprod.2008;23(8):1724-1732.
    [43]马彩辉,张清学,李予,等.子宫内膜HOXA10及白血病抑制因子m RNA表达水平与体外受精-胚胎移植妊娠结局的关系[J].临床医学,2012,32(4):1-4.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700