Wu Xixi, He Li, Lin Yonghong, Zheng Yunfeng, Jiang Peng, Tian Chenfan, Mao Ran, Yang Bo, Shi Yuanling, Ge Huisheng, Hu Jianguo, Yuan Rui
Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Obstetrics and Gynecology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Sci Rep. 2025 Jul 2;15(1):23299. doi: 10.1038/s41598-025-06162-y.
Intrauterine adhesion (IUA) was characterized by endometrial fibrosis, leading primarily to hypomenorrhea, infertility and recurrent miscarriage. Epithelial-mesenchymal transition (EMT) is now recognized as a key factor in the development of endometrial fibrosis. X-box binding protein 1 (XBP1), as a crucial transcription factor, has emerged as a potential target for anti-fibrosis treatment in the liver due to its role in various tissue fibrosis. However, the function and molecular mechanisms of XBP1 in the endometrium of patients with IUA are not well understood. In this study, we identified abnormal expression of XBP1, epithelial-mesenchymal transition (EMT) markers, and the cGAS-STING pathway in endometrial tissues from patients with IUA and in IUA-like mouse models. XBP1 was found to promote EMT in endometrial epithelial cells by activating the cGAS-STING pathway and cytoplasmic release of mitochondrial DNA. The addition of mitochondrial membrane inhibition VBIT-4 reversed TGF-β1-induced EMT in vitro. Inhibition of XBP1 reduced endometrial fibrosis and the cGAS-STING pathway activity in the IUA-like mouse models, while activation of XBP1 caused the opposite outcome. These findings indicate XBP1 may serve as a potential therapeutic target for IUA.
宫腔粘连(IUA)的特征是子宫内膜纤维化,主要导致月经过少、不孕和复发性流产。上皮-间质转化(EMT)现已被认为是子宫内膜纤维化发展的关键因素。X盒结合蛋白1(XBP1)作为一种关键的转录因子,因其在各种组织纤维化中的作用,已成为肝脏抗纤维化治疗的潜在靶点。然而,XBP1在IUA患者子宫内膜中的功能和分子机制尚不清楚。在本研究中,我们在IUA患者的子宫内膜组织和IUA样小鼠模型中鉴定出XBP1、上皮-间质转化(EMT)标志物和cGAS-STING通路的异常表达。发现XBP1通过激活cGAS-STING通路和线粒体DNA的细胞质释放来促进子宫内膜上皮细胞的EMT。添加线粒体膜抑制剂VBIT-4可在体外逆转TGF-β1诱导的EMT。抑制XBP1可减少IUA样小鼠模型中的子宫内膜纤维化和cGAS-STING通路活性,而激活XBP1则产生相反的结果。这些发现表明XBP1可能是IUA的潜在治疗靶点。
Am J Physiol Gastrointest Liver Physiol. 2018-2-15
Nucleic Acids Res. 2025-1-6