CXCL12 Promotes Stem Cell Recruitment and Uterine Repair after Injury in Asherman’s Syndrome

Asherman’s syndrome is an acquired condition of uterine fibrosis and adhesions in response to injury that adversely affects fertility and pregnancy. We have previously demonstrated that bone marrow-derived mesenchymal stem cells (BMDSCs) contribute to uterine repair after injury and that stem cells...

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Main Authors: Gulcin Sahin Ersoy, Masoumeh Majidi Zolbin, Emine Cosar, Irene Moridi, Ramanaiah Mamillapalli, Hugh S. Taylor
Format: Article
Language:English
Published: Elsevier 2017-03-01
Series:Molecular Therapy: Methods & Clinical Development
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050117300050
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author Gulcin Sahin Ersoy
Masoumeh Majidi Zolbin
Emine Cosar
Irene Moridi
Ramanaiah Mamillapalli
Hugh S. Taylor
author_facet Gulcin Sahin Ersoy
Masoumeh Majidi Zolbin
Emine Cosar
Irene Moridi
Ramanaiah Mamillapalli
Hugh S. Taylor
author_sort Gulcin Sahin Ersoy
collection DOAJ
description Asherman’s syndrome is an acquired condition of uterine fibrosis and adhesions in response to injury that adversely affects fertility and pregnancy. We have previously demonstrated that bone marrow-derived mesenchymal stem cells (BMDSCs) contribute to uterine repair after injury and that stem cells supplementation improves fertility. Here, we demonstrate that CXCL12 is the chemokine that mediates stem cell engraftment and functional improvement using a murine model of Asherman’s syndrome. After uterine injury, we demonstrate that CXCL12 augmentation increased BMDSC engraftment and that the CXCL12 receptor (CXCR4) antagonist, ADM3100, blocked stem cell recruitment. CXCL12 reduced, whereas ADM3100 increased fibrosis. CXCL12 treatment led to improved fertility and litter size, whereas ADM3100 treatment reduced fertility and litter size. ADM3100 prevented optimal spontaneous uterine repair mediated by endogenous CXCL12 production, reducing pregnancies after injury in the absence of supplemental CXCL12 administration; however, ADM3100 treatment could be partially rescued by CXCL12 augmentation. CXCL12 or other CXCR4 receptor agonists may be useful in the treatment of infertility or adverse pregnancy outcomes in Asherman’s syndrome and other related uterine disorders.
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spelling doaj.art-2ed5f278880744bd82f5d56cb3bf74622022-12-22T03:33:13ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012017-03-014C16917710.1016/j.omtm.2017.01.001CXCL12 Promotes Stem Cell Recruitment and Uterine Repair after Injury in Asherman’s SyndromeGulcin Sahin Ersoy0Masoumeh Majidi Zolbin1Emine Cosar2Irene Moridi3Ramanaiah Mamillapalli4Hugh S. Taylor5Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT 06520, USADepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT 06520, USADepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT 06520, USADepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT 06520, USADepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT 06520, USADepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT 06520, USAAsherman’s syndrome is an acquired condition of uterine fibrosis and adhesions in response to injury that adversely affects fertility and pregnancy. We have previously demonstrated that bone marrow-derived mesenchymal stem cells (BMDSCs) contribute to uterine repair after injury and that stem cells supplementation improves fertility. Here, we demonstrate that CXCL12 is the chemokine that mediates stem cell engraftment and functional improvement using a murine model of Asherman’s syndrome. After uterine injury, we demonstrate that CXCL12 augmentation increased BMDSC engraftment and that the CXCL12 receptor (CXCR4) antagonist, ADM3100, blocked stem cell recruitment. CXCL12 reduced, whereas ADM3100 increased fibrosis. CXCL12 treatment led to improved fertility and litter size, whereas ADM3100 treatment reduced fertility and litter size. ADM3100 prevented optimal spontaneous uterine repair mediated by endogenous CXCL12 production, reducing pregnancies after injury in the absence of supplemental CXCL12 administration; however, ADM3100 treatment could be partially rescued by CXCL12 augmentation. CXCL12 or other CXCR4 receptor agonists may be useful in the treatment of infertility or adverse pregnancy outcomes in Asherman’s syndrome and other related uterine disorders.http://www.sciencedirect.com/science/article/pii/S2329050117300050stem cellsAsherman’s syndromeuterusfertilityCXCL12AMD3100CXCR4intrauterine adhesionscell therapy
spellingShingle Gulcin Sahin Ersoy
Masoumeh Majidi Zolbin
Emine Cosar
Irene Moridi
Ramanaiah Mamillapalli
Hugh S. Taylor
CXCL12 Promotes Stem Cell Recruitment and Uterine Repair after Injury in Asherman’s Syndrome
Molecular Therapy: Methods & Clinical Development
stem cells
Asherman’s syndrome
uterus
fertility
CXCL12
AMD3100
CXCR4
intrauterine adhesions
cell therapy
title CXCL12 Promotes Stem Cell Recruitment and Uterine Repair after Injury in Asherman’s Syndrome
title_full CXCL12 Promotes Stem Cell Recruitment and Uterine Repair after Injury in Asherman’s Syndrome
title_fullStr CXCL12 Promotes Stem Cell Recruitment and Uterine Repair after Injury in Asherman’s Syndrome
title_full_unstemmed CXCL12 Promotes Stem Cell Recruitment and Uterine Repair after Injury in Asherman’s Syndrome
title_short CXCL12 Promotes Stem Cell Recruitment and Uterine Repair after Injury in Asherman’s Syndrome
title_sort cxcl12 promotes stem cell recruitment and uterine repair after injury in asherman s syndrome
topic stem cells
Asherman’s syndrome
uterus
fertility
CXCL12
AMD3100
CXCR4
intrauterine adhesions
cell therapy
url http://www.sciencedirect.com/science/article/pii/S2329050117300050
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