Liang Shuang, Shi Lu-Ying, Duan Jing-Ya, Liu Huan-Huan, Wang Ting-Ting, Li Can-Yu
Department of Gynecology, The Third Affiliated Hospital of Zhengzhou University China.
Department of Obstetrics and Gynecology, Xinxiang Central Hospital China.
Am J Transl Res. 2021 Apr 15;13(4):2858-2866. eCollection 2021.
This study aimed to explore the effect of COX-2 selective inhibitor (celecoxib) on adenomyosis and its mechanism.
By establishing a mouse model of adenomyosis and using celecoxib to treat adenomyosis, newly born female mice were randomly divided into a control group, adenomyosis model group, and celecoxib group. Hematoxylin-eosin (H&E) staining was used to observe the depth of endometrial infiltration of mouse adenomyosis. RT-PCR (reverse transcription PCR) and western blot were used to detect the expression of Cyclooxygenase-2 (COX-2), Vascular growth factor (VEGF), Nerve growth factor (NGF), and Corticotropin-releasing hormone (CRH) mRNA and protein in mice before and after celecoxib treatment.
After treatment with celecoxib, the depth of endometrial infiltration of mouse adenomyosis was reduced. COX-2 and VEGF decreased significantly after celecoxib inhibited expression of COX-2 (P<0.001), but there was no significant difference in the expression of NGF or CRH (P>0.05).
This study indicated that COX-2 may be an important factor related to the pathogenesis of adenomyosis, and it may become an important molecular target for the treatment of adenomyosis.
本研究旨在探讨环氧化酶-2(COX-2)选择性抑制剂(塞来昔布)对子宫腺肌病的影响及其机制。
通过建立子宫腺肌病小鼠模型并用塞来昔布治疗子宫腺肌病,将新生雌性小鼠随机分为对照组、子宫腺肌病模型组和塞来昔布组。采用苏木精-伊红(H&E)染色观察小鼠子宫腺肌病子宫内膜浸润深度。运用逆转录聚合酶链反应(RT-PCR)和蛋白质免疫印迹法检测塞来昔布治疗前后小鼠环氧化酶-2(COX-2)、血管生长因子(VEGF)、神经生长因子(NGF)和促肾上腺皮质激素释放激素(CRH)mRNA及蛋白的表达。
塞来昔布治疗后,小鼠子宫腺肌病的子宫内膜浸润深度降低。塞来昔布抑制COX-2表达后,COX-2和VEGF显著降低(P<0.001),但NGF或CRH的表达无显著差异(P>0.05)。
本研究表明,COX-2可能是与子宫腺肌病发病机制相关的重要因素,可能成为子宫腺肌病治疗的重要分子靶点。