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Experimental Studies |
Department of Obstetrics and Gynecology, Division of Human Reproduction and Infertility, University of North Carolina, Chapel Hill, North Carolina 27599-7570
Address all correspondence and requests for reprints to: Dr. Bruce A. Lessey, Department of Obstetrics and Gynecology, CB #7570, Old Clinic Building, University of North Carolina, Chapel Hill, North Carolina 27599-7570.
The factors regulating human endometrial receptivity remain poorly
understood. The
vß3
integrin cell adhesion molecule appears to be regulated in the human
endometrium, appearing on postovulatory days 56, corresponding to the
time of initial embryo attachment. This integrin has been extensively
studied as a potential marker of endometrial receptivity and is
aberrantly expressed in the endometrial epithelium of some infertile
women. Ishikawa cells are a well differentiated endometrial
adenocarcinoma cell line that maintain functional estrogen and
progesterone receptors and are a useful model to study steroid-mediated
events in human endometrial epithelium. This cell line expresses most
of the normal endometrial epithelial integrins, including the
vß3 vitronectin
receptor. The regulation of this integrin was studied with fluorescence
immunocytochemistry, flow cytometry, and Northern blot analysis.
Estrogen with or without progesterone treatment down-regulates
vß3 in this cell line.
Several growth factors, including epidermal growth factor and the
closely related transforming growth factor-
significantly increase
the expression of this integrin. We conclude that endometrial
differentiation is influenced by both steroid hormones and growth
factors. The
vß3
integrin appears to be an excellent marker to study the molecular
events leading to the establishment of uterine receptivity and
successful implantation.
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