A novel role of the Sp/KLF transcription factor KLF11 in arresting progression of endometriosis.

Endometriosis affects approximately 10% of young, reproductive-aged women. Disease associated pelvic pain; infertility and sexual dysfunction have a significant adverse clinical, social and financial impact. As precise disease etiology has remained elusive, current therapeutic strategies are empiric...

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Main Authors: Gaurang S Daftary, Ye Zheng, Zaid M Tabbaa, John K Schoolmeester, Ravi P Gada, Adrienne L Grzenda, Angela J Mathison, Gary L Keeney, Gwen A Lomberk, Raul Urrutia
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3610699?pdf=render
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author Gaurang S Daftary
Ye Zheng
Zaid M Tabbaa
John K Schoolmeester
Ravi P Gada
Adrienne L Grzenda
Angela J Mathison
Gary L Keeney
Gwen A Lomberk
Raul Urrutia
author_facet Gaurang S Daftary
Ye Zheng
Zaid M Tabbaa
John K Schoolmeester
Ravi P Gada
Adrienne L Grzenda
Angela J Mathison
Gary L Keeney
Gwen A Lomberk
Raul Urrutia
author_sort Gaurang S Daftary
collection DOAJ
description Endometriosis affects approximately 10% of young, reproductive-aged women. Disease associated pelvic pain; infertility and sexual dysfunction have a significant adverse clinical, social and financial impact. As precise disease etiology has remained elusive, current therapeutic strategies are empiric, unfocused and often unsatisfactory. Lack of a suitable genetic model has impaired further translational research in the field. In this study, we evaluated the role of the Sp/KLF transcription factor KLF11/Klf11 in the pathogenesis of endometriosis. KLF11, a human disease-associated gene is etiologically implicated in diabetes, uterine fibroids and cancer. We found that KLF11 expression was diminished in human endometriosis implants and further investigated its pathogenic role in Klf11-/- knockout mice with surgically induced endometriotic lesions. Lesions in Klf11-/- animals were large and associated with prolific fibrotic adhesions resembling advanced human disease in contrast to wildtype controls. To determine phenotype-specificity, endometriosis was also generated in Klf9-/- animals. Unlike in Klf11-/- mice, lesions in Klf9-/- animals were neither large, nor associated with a significant fibrotic response. KLF11 also bound to specific elements located in the promoter regions of key fibrosis-related genes from the Collagen, MMP and TGF-β families in endometrial stromal cells. KLF11 binding resulted in transcriptional repression of these genes. In summary, we identify a novel pathogenic role for KLF11 in preventing de novo disease-associated fibrosis in endometriosis. Our model validates in vivo the phenotypic consequences of dysregulated Klf11 signaling. Additionally, it provides a robust means not only for further detailed mechanistic investigation but also the ability to test any emergent translational ramifications thereof, so as to expand the scope and capability for treatment of endometriosis.
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spelling doaj.art-261b9a88149b4c5abe8abb11269443612022-12-21T20:19:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0183e6016510.1371/journal.pone.0060165A novel role of the Sp/KLF transcription factor KLF11 in arresting progression of endometriosis.Gaurang S DaftaryYe ZhengZaid M TabbaaJohn K SchoolmeesterRavi P GadaAdrienne L GrzendaAngela J MathisonGary L KeeneyGwen A LomberkRaul UrrutiaEndometriosis affects approximately 10% of young, reproductive-aged women. Disease associated pelvic pain; infertility and sexual dysfunction have a significant adverse clinical, social and financial impact. As precise disease etiology has remained elusive, current therapeutic strategies are empiric, unfocused and often unsatisfactory. Lack of a suitable genetic model has impaired further translational research in the field. In this study, we evaluated the role of the Sp/KLF transcription factor KLF11/Klf11 in the pathogenesis of endometriosis. KLF11, a human disease-associated gene is etiologically implicated in diabetes, uterine fibroids and cancer. We found that KLF11 expression was diminished in human endometriosis implants and further investigated its pathogenic role in Klf11-/- knockout mice with surgically induced endometriotic lesions. Lesions in Klf11-/- animals were large and associated with prolific fibrotic adhesions resembling advanced human disease in contrast to wildtype controls. To determine phenotype-specificity, endometriosis was also generated in Klf9-/- animals. Unlike in Klf11-/- mice, lesions in Klf9-/- animals were neither large, nor associated with a significant fibrotic response. KLF11 also bound to specific elements located in the promoter regions of key fibrosis-related genes from the Collagen, MMP and TGF-β families in endometrial stromal cells. KLF11 binding resulted in transcriptional repression of these genes. In summary, we identify a novel pathogenic role for KLF11 in preventing de novo disease-associated fibrosis in endometriosis. Our model validates in vivo the phenotypic consequences of dysregulated Klf11 signaling. Additionally, it provides a robust means not only for further detailed mechanistic investigation but also the ability to test any emergent translational ramifications thereof, so as to expand the scope and capability for treatment of endometriosis.http://europepmc.org/articles/PMC3610699?pdf=render
spellingShingle Gaurang S Daftary
Ye Zheng
Zaid M Tabbaa
John K Schoolmeester
Ravi P Gada
Adrienne L Grzenda
Angela J Mathison
Gary L Keeney
Gwen A Lomberk
Raul Urrutia
A novel role of the Sp/KLF transcription factor KLF11 in arresting progression of endometriosis.
PLoS ONE
title A novel role of the Sp/KLF transcription factor KLF11 in arresting progression of endometriosis.
title_full A novel role of the Sp/KLF transcription factor KLF11 in arresting progression of endometriosis.
title_fullStr A novel role of the Sp/KLF transcription factor KLF11 in arresting progression of endometriosis.
title_full_unstemmed A novel role of the Sp/KLF transcription factor KLF11 in arresting progression of endometriosis.
title_short A novel role of the Sp/KLF transcription factor KLF11 in arresting progression of endometriosis.
title_sort novel role of the sp klf transcription factor klf11 in arresting progression of endometriosis
url http://europepmc.org/articles/PMC3610699?pdf=render
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