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Notch-1 Signaling Activation and Progesterone Receptor Expression in Ectopic Lesions of Women With Endometriosis.


ABSTRACT: Context:Progesterone (P) resistance is a hallmark of endometriosis, but the underlying mechanism(s) for loss of P sensitivity leading to lesion establishment remains poorly understood. Objective:To evaluate the association between Notch-1 signaling activation and P resistance in the progression of endometriosis. Design:Case control study; archived formalin-fixed, paraffin-embedded tissues. Setting:University hospitals (United States, Taiwan). Patients:Women with endometriosis; human endometrial stromal cell line (HESC). Intervention:Eutopic endometria (EU) and ectopic lesions (ECs) were collected from surgically diagnosed patients. Archived tissue sections of EU and ECs were identified. HESCs were treated with N-[N-(3,5-difluorophenacetyl)-l-alanyl]-S-phenylglycine t-butyl ester (DAPT) and valproic acid (VPA) to, respectively, suppress and induce Notch-1 activation. Outcome Measures:Tissues were analyzed for Notch Intra-Cellular Domain 1 (NICD1) and progesterone receptor (PGR) protein expression by immunohistochemistry and for transcript levels of NICD1 target genes HES1, PGR, and PGR-B by quantitative reverse transcription polymerase chain reaction. DAPT- or VPA-treated HESCs with and without P cotreatment were evaluated for cell numbers and for PGR, HES1, and PGR target gene DKK1 transcript levels. Results:Nuclear-localized stromal NICD1 protein levels were inversely associated with those of total PGR in EU and ECs. Stromal ECs displayed higher HES1 and lower total PGR and PGR-B transcript levels than EU. In HESCs, DAPT reduction of NICD1 decreased cell numbers and increased PGR transcript and nuclear PGR protein levels and, with P cotreatment, maintained P sensitivity. Conversely, VPA induction of NICD1 decreased PGR transcript levels and, with P cotreatment, abrogated P-induced DKK1 and maintained HES1 transcript levels. Conclusions:Aberrant Notch-1 activation is associated with decreased PGR that contributes to P resistance in endometriosis.

SUBMITTER: Brown DM 

PROVIDER: S-EPMC6106104 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Notch-1 Signaling Activation and Progesterone Receptor Expression in Ectopic Lesions of Women With Endometriosis.

Brown Dustin M DM   Lee Hsiu-Chi HC   Liu Shi S   Quick Charles M CM   Fernandes Lorenzo M LM   Simmen Frank A FA   Tsai Shaw-Jenq SJ   Simmen Rosalia C M RCM  

Journal of the Endocrine Society 20180525 7


<h4>Context</h4>Progesterone (P) resistance is a hallmark of endometriosis, but the underlying mechanism(s) for loss of P sensitivity leading to lesion establishment remains poorly understood.<h4>Objective</h4>To evaluate the association between Notch-1 signaling activation and P resistance in the progression of endometriosis.<h4>Design</h4>Case control study; archived formalin-fixed, paraffin-embedded tissues.<h4>Setting</h4>University hospitals (United States, Taiwan).<h4>Patients</h4>Women wi  ...[more]

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