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Original Studies |
Reproductive Molecular Research Group, Department of Obstetrics and Gynecology, University of Cambridge, Rosie Hospital, Cambridge, United Kingdom CB2 2SW
Address all correspondence and requests for reprints to: Dr. Andrew Sharkey, Department of Obstetrics and Gynecology, University of Cambridge, Box 223, Rosie Maternity Hospital, Robinson Way, Cambridge, United Kingdom CB2 2SW. E-mail: ams{at}mole.bio.cam.ac.uk
Endometrial growth and repair after menstruation are associated with profound angiogenesis. Abnormalities in these processes result in excessive or unpredictable bleeding patterns and are common in many women. It is therefore important to understand which factors regulate normal endometrial angiogenesis. Vascular endothelial growth factor (VEGF) is an endothelial cell-specific mitogen that plays an important role in normal and pathological angiogenesis. In this study we show that expression of VEGF is regulated by hypoxia in human endometrium. Culture in vitro for 24 h under hypoxic conditions resulted in a 2- to 6-fold increase in VEGF secretion by both stromal and epithelial cells isolated from human endometrium. Quantitative RT-PCR was used to measure VEGF messenger ribonucleic acid (mRNA) levels in these cells. After hypoxia, VEGF mRNA levels increased 1.8-fold in stromal cells and 3.4-fold in glandular epithelial cells. The mRNA for each VEGF splice variant increased to an equal extent. The increase in VEGF secretion by stromal and epithelial cells in response to hypoxia was not altered by treatment at the same time with estradiol or progesterone. In situ hybridization of human endometrium during menstruation, when steroid levels are low but the tissue is subject to ischemia, showed strong hybridization to VEGF mRNA in both stromal and glandular cells. These results show that local factors, such as hypoxia, can regulate VEGF expression in the endometrium. This may play an important part in normal endometrial repair after menstruation. The secretion of VEGF by endometrial cells under hypoxic conditions may also be important in the pathogenesis of endometriosis, because it would be predicted to assist revascularization of desquamated endometrial explants when they attach at ectopic sites.
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E. D. Albrecht, J. S. Babischkin, Y. Lidor, L. D. Anderson, L. C. Udoff, and G. J. Pepe Effect of estrogen on angiogenesis in co-cultures of human endometrial cells and microvascular endothelial cells Hum. Reprod., October 1, 2003; 18(10): 2039 - 2047. [Abstract] [Full Text] [PDF] |
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A. L. Niklaus, G. W. Aberdeen, J. S. Babischkin, G. J. Pepe, and E. D. Albrecht Effect of Estrogen on Vascular Endothelial Growth/Permeability Factor Expression by Glandular Epithelial and Stromal Cells in the Baboon Endometrium Biol Reprod, June 1, 2003; 68(6): 1997 - 2004. [Abstract] [Full Text] [PDF] |
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J. M. Hastings, D. R. Licence, G. J. Burton, D. S. Charnock-Jones, and S. K. Smith Soluble Vascular Endothelial Growth Factor Receptor 1 Inhibits Edema and Epithelial Proliferation Induced by 17{beta}-Estradiol in the Mouse Uterus Endocrinology, January 1, 2003; 144(1): 326 - 334. [Abstract] [Full Text] [PDF] |
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M. von Wolff, S. Stieger, K. Lumpp, J. Bucking, T. Strowitzki, and C.J. Thaler Endometrial interleukin-6 in vitro is not regulated directly by female steroid hormones, but by pro-inflammatory cytokines and hypoxia Mol. Hum. Reprod., December 1, 2002; 8(12): 1096 - 1102. [Abstract] [Full Text] [PDF] |
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A. L. Niklaus, J. S. Babischkin, G. W. Aberdeen, G. J. Pepe, and E. D. Albrecht Expression of Vascular Endothelial Growth/Permeability Factor by Endometrial Glandular Epithelial and Stromal Cells in Baboons during the Menstrual Cycle and after Ovariectomy Endocrinology, October 1, 2002; 143(10): 4007 - 4017. [Abstract] [Full Text] [PDF] |
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C. J. Lockwood, G. Krikun, A. B. C. Koo, S. Kadner, and F. Schatz Differential Effects of Thrombin and Hypoxia on Endometrial Stromal and Glandular Epithelial Cell Vascular Endothelial Growth Factor Expression J. Clin. Endocrinol. Metab., September 1, 2002; 87(9): 4280 - 4286. [Abstract] [Full Text] [PDF] |
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G. Krikun, H. Critchley, F. Schatz, L. Wan, R. Caze, R. N. Baergen, and C. J. Lockwood Abnormal Uterine Bleeding during Progestin-Only Contraception May Result from Free Radical-Induced Alterations in Angiopoietin Expression Am. J. Pathol., September 1, 2002; 161(3): 979 - 986. [Abstract] [Full Text] [PDF] |
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N. R. Nayak and R. M. Brenner Vascular Proliferation and Vascular Endothelial Growth Factor Expression in the Rhesus Macaque Endometrium J. Clin. Endocrinol. Metab., April 1, 2002; 87(4): 1845 - 1855. [Abstract] [Full Text] [PDF] |
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K. S. Mark and T. P. Davis Cerebral microvascular changes in permeability and tight junctions induced by hypoxia-reoxygenation Am J Physiol Heart Circ Physiol, April 1, 2002; 282(4): H1485 - H1494. [Abstract] [Full Text] [PDF] |
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R. Kats, C. N. Metz, and A. Akoum Macrophage Migration Inhibitory Factor Is Markedly Expressed in Active and Early-Stage Endometriotic Lesions J. Clin. Endocrinol. Metab., February 1, 2002; 87(2): 883 - 889. [Abstract] [Full Text] [PDF] |
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J. Zhang and L.A. Salamonsen Expression of hypoxia-inducible factors in human endometrium and suppression of matrix metalloproteinases under hypoxic conditions do not support a major role for hypoxia in regulating tissue breakdown at menstruation Hum. Reprod., February 1, 2002; 17(2): 265 - 274. [Abstract] [Full Text] [PDF] |
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S. A. Milne, G. B. Perchick, S. C. Boddy, and H. N. Jabbour Expression, Localization, and Signaling of PGE2 and EP2/EP4 Receptors in Human Nonpregnant Endometrium across the Menstrual Cycle J. Clin. Endocrinol. Metab., September 1, 2001; 86(9): 4453 - 4459. [Abstract] [Full Text] [PDF] |
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M. D. Graubert, M. Asuncion Ortega, B. Kessel, J. F. Mortola, and M. L. Iruela-Arispe Vascular Repair After Menstruation Involves Regulation of Vascular Endothelial Growth Factor-Receptor Phosphorylation by sFLT-1 Am. J. Pathol., April 1, 2001; 158(4): 1399 - 1410. [Abstract] [Full Text] [PDF] |
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B. Moller, C. Rasmussen, B. Lindblom, and M. Olovsson Expression of the angiogenic growth factors VEGF, FGF-2, EGF and their receptors in normal human endometrium during the menstrual cycle Mol. Hum. Reprod., January 1, 2001; 7(1): 65 - 72. [Abstract] [Full Text] [PDF] |
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N. R. Nayak, H. O. D. Critchley, O. D. Slayden, A. Menrad, K. Chwalisz, D. T. Baird, and R. M. Brenner Progesterone Withdrawal Up-Regulates Vascular Endothelial Growth Factor Receptor Type 2 in the Superficial Zone Stroma of the Human and Macaque Endometrium: Potential Relevance to Menstruation J. Clin. Endocrinol. Metab., September 1, 2000; 85(9): 3442 - 3452. [Abstract] [Full Text] |
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L.L. Nikitenko, I.Z. MacKenzie, M.C.P. Rees, and R. Bicknell Adrenomedullin is an autocrine regulator of endothelial growth in human endometrium Mol. Hum. Reprod., September 1, 2000; 6(9): 811 - 819. [Abstract] [Full Text] [PDF] |
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