Lin Ta-Chin, Wang Kai-Hung, Chuang Kuo-Hsiang, Kao An-Pei, Kuo Tsung-Cheng
Department of Obstetrics and Gynecology, Kuo General Hospital, Tainan, Taiwan; Center for Reproductive Medicine, Kuo General Hospital, Tainan, Taiwan.
Department of Obstetrics and Gynecology, Kuo General Hospital, Tainan, Taiwan; Center for Reproductive Medicine, Kuo General Hospital, Tainan, Taiwan; Department of Laboratory Medicine, Kuo General Hospital, Tainan, Taiwan.
Taiwan J Obstet Gynecol. 2024 Mar;63(2):178-185. doi: 10.1016/j.tjog.2024.01.012.
Endometriosis is an estrogen-dependent chronic inflammatory disease in women of reproductive age. A review of the literature revealed that cytokines and inflammatory factors are associated with endometriosis-associated infertility. Interleukin 33 (IL-33) is a strong inducer of other pro-inflammatory cytokines. Vascular cell adhesion molecule-1 (VCAM-1) plays a central role in recruiting inflammatory cells, whose expression facilitates leukocyte adhesion and is rapidly induced by pro-inflammatory cytokines. Many studies have indicated that VCAM-1 expression is high in endometriosis; however, whether the expression of VCAM-1 is related to IL-33 is unclear.
Human ovarian endometriotic stromal cells (hOVEN-SCs) were treated with IL-33 to enable investigation of cell characterization, gene and protein expression, and signal pathways. Proliferation potential was measured using an MTT assay. Gene expression was analyzed using reverse transcription-polymerase chain reaction. Protein expression assay was performed using western blot analysis.
This study investigated the effects of IL-33 on VCAM-1 and COX-2 expression in hOVEN-SCs. First, the results revealed that the IL-33/ST2/mitogen-activated protein kinase (MAPK) signaling pathway could increase the expression of VCAM-1 and COX-2 in hOVEN-SCs. Second, we discovered that COX-2 expression was essential for IL-33-induced VCAM-1 expression because the effects could be negated through NS398, a selective COX-2 inhibitor. Finally, treatment of IL-33-treated hOVEN-SCs with celecoxib significantly and dose-responsively decreased VCAM-1 expression.
Taken together, these results indicate that IL-33 can upregulate VCAM-1 expression in hOVEN-SCs through the IL-33/ST2/MAPK/COX-2 signaling pathway and thereby contribute to endometriosis.
子宫内膜异位症是一种发生于育龄女性的雌激素依赖性慢性炎症性疾病。文献综述显示,细胞因子和炎症因子与子宫内膜异位症相关性不孕有关。白细胞介素33(IL-33)是其他促炎细胞因子的强效诱导剂。血管细胞黏附分子1(VCAM-1)在募集炎症细胞中起核心作用,其表达促进白细胞黏附,并由促炎细胞因子迅速诱导。许多研究表明,VCAM-1在子宫内膜异位症中表达较高;然而,VCAM-1的表达是否与IL-33相关尚不清楚。
用IL-33处理人卵巢子宫内膜异位症基质细胞(hOVEN-SCs),以研究细胞特性、基因和蛋白质表达以及信号通路。使用MTT法测量增殖潜能。使用逆转录-聚合酶链反应分析基因表达。使用蛋白质印迹分析进行蛋白质表达检测。
本研究调查了IL-??33对hOVEN-SCs中VCAM-1和COX-2表达的影响。首先,结果显示IL-33/ST2/丝裂原活化蛋白激酶(MAPK)信号通路可增加hOVEN-SCs中VCAM-1和COX-2的表达。其次,我们发现COX-2表达对于IL-33诱导的VCAM-1表达至关重要,因为其作用可通过选择性COX-2抑制剂NS398消除。最后,用塞来昔布处理经IL-33处理的hOVEN-SCs可显著且剂量依赖性地降低VCAM-1表达。
综上所述,这些结果表明IL-33可通过IL-33/ST2/MAPK/COX-2信号通路上调hOVEN-SCs中VCAM-1的表达,从而导致子宫内膜异位症。