Overexpression of ErbB-1 (EGFR) Protein in Eutopic Endometrium of Infertile Women with Severe Ovarian Endometriosis during the ‘Implantation Window’ of Menstrual Cycle

The strong association between endometriosis and infertility is of high clinical significance. High proliferative bias in eutopic endometrium during the secretory phase is a hallmark of endometriosis, which may result in high occurrence of implantation failure and resultant infertility in endometrio...

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Những tác giả chính: Jeevitha Poorasamy, Deepali Garg, Juhi Bharti, Aruna Nambirajan, Asmita Patil, Jayasree Sengupta, Debabrata Ghosh
Định dạng: Bài viết
Ngôn ngữ:English
Được phát hành: MDPI AG 2022-10-01
Loạt:Reproductive Medicine
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Truy cập trực tuyến:https://www.mdpi.com/2673-3897/3/4/22
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author Jeevitha Poorasamy
Deepali Garg
Juhi Bharti
Aruna Nambirajan
Asmita Patil
Jayasree Sengupta
Debabrata Ghosh
author_facet Jeevitha Poorasamy
Deepali Garg
Juhi Bharti
Aruna Nambirajan
Asmita Patil
Jayasree Sengupta
Debabrata Ghosh
author_sort Jeevitha Poorasamy
collection DOAJ
description The strong association between endometriosis and infertility is of high clinical significance. High proliferative bias in eutopic endometrium during the secretory phase is a hallmark of endometriosis, which may result in high occurrence of implantation failure and resultant infertility in endometriosis. The ErbB family of proteins regulates the proliferation capacity in the endometrium, potentially causing endometrial hostility to the implantation process in endometriosis. However, our knowledge regarding the involvement of the ErbB family in human endometrium during the window of implantation (WOI) in endometriosis-associated infertility is scant. In the present study, the cellular profiles of immunopositive ErbBs-1 to -4 in the endometrium of endometriosis-free, infertile women (Group 1; <i>n</i> = 11) and in eutopic endometrium of infertile women diagnosed with stage IV ovarian endometriosis (Group 2; <i>n</i> = 13) during the mid-secretory phase were compared using standardized guidelines. Computer-aided standardized combinative analysis of immunoprecipitation in different compartments revealed an overexpression of ErbB-1 in the epithelial, stromal and vascular compartments, along with marginally higher ErbB-3 expression (<i>p</i> < 0.06) in the vascular compartment and ErbB-4 expression (<i>p</i> < 0.05) in the glandular epithelium and stroma in the endometrium during the WOI in women with primary infertility associated with stage IV ovarian endometriosis compared with disease-free endometrium of control infertile women. It appears that changes in ErbBs in the eutopic endometrium during WOI induce anomalous proliferative, inflammatory and angiogenic activities in it, which can antagonize endometrial preparation for embryo implantation in endometriosis. This knowledge appears usable in strategizing methods for the treatment of endometriosis-associated infertility, as well as preempting the oncogenic potential of endometriosis.
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spelling doaj.art-2fecc091f33e4c68b30a66f687eb6c7c2023-11-24T17:49:28ZengMDPI AGReproductive Medicine2673-38972022-10-013428029610.3390/reprodmed3040022Overexpression of ErbB-1 (EGFR) Protein in Eutopic Endometrium of Infertile Women with Severe Ovarian Endometriosis during the ‘Implantation Window’ of Menstrual CycleJeevitha Poorasamy0Deepali Garg1Juhi Bharti2Aruna Nambirajan3Asmita Patil4Jayasree Sengupta5Debabrata Ghosh6Department of Physiology, All India Institute of Medical Sciences, New Delhi 110029, IndiaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi 110029, IndiaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi 110029, IndiaDepartment of Pathology, All India Institute of Medical Sciences, New Delhi 110029, IndiaDepartment of Physiology, All India Institute of Medical Sciences, New Delhi 110029, IndiaDepartment of Physiology, All India Institute of Medical Sciences, New Delhi 110029, IndiaDepartment of Physiology, All India Institute of Medical Sciences, New Delhi 110029, IndiaThe strong association between endometriosis and infertility is of high clinical significance. High proliferative bias in eutopic endometrium during the secretory phase is a hallmark of endometriosis, which may result in high occurrence of implantation failure and resultant infertility in endometriosis. The ErbB family of proteins regulates the proliferation capacity in the endometrium, potentially causing endometrial hostility to the implantation process in endometriosis. However, our knowledge regarding the involvement of the ErbB family in human endometrium during the window of implantation (WOI) in endometriosis-associated infertility is scant. In the present study, the cellular profiles of immunopositive ErbBs-1 to -4 in the endometrium of endometriosis-free, infertile women (Group 1; <i>n</i> = 11) and in eutopic endometrium of infertile women diagnosed with stage IV ovarian endometriosis (Group 2; <i>n</i> = 13) during the mid-secretory phase were compared using standardized guidelines. Computer-aided standardized combinative analysis of immunoprecipitation in different compartments revealed an overexpression of ErbB-1 in the epithelial, stromal and vascular compartments, along with marginally higher ErbB-3 expression (<i>p</i> < 0.06) in the vascular compartment and ErbB-4 expression (<i>p</i> < 0.05) in the glandular epithelium and stroma in the endometrium during the WOI in women with primary infertility associated with stage IV ovarian endometriosis compared with disease-free endometrium of control infertile women. It appears that changes in ErbBs in the eutopic endometrium during WOI induce anomalous proliferative, inflammatory and angiogenic activities in it, which can antagonize endometrial preparation for embryo implantation in endometriosis. This knowledge appears usable in strategizing methods for the treatment of endometriosis-associated infertility, as well as preempting the oncogenic potential of endometriosis.https://www.mdpi.com/2673-3897/3/4/22endometriosisendometriumErbB receptorsimmunoprecipitationimplantation stageinfertility
spellingShingle Jeevitha Poorasamy
Deepali Garg
Juhi Bharti
Aruna Nambirajan
Asmita Patil
Jayasree Sengupta
Debabrata Ghosh
Overexpression of ErbB-1 (EGFR) Protein in Eutopic Endometrium of Infertile Women with Severe Ovarian Endometriosis during the ‘Implantation Window’ of Menstrual Cycle
Reproductive Medicine
endometriosis
endometrium
ErbB receptors
immunoprecipitation
implantation stage
infertility
title Overexpression of ErbB-1 (EGFR) Protein in Eutopic Endometrium of Infertile Women with Severe Ovarian Endometriosis during the ‘Implantation Window’ of Menstrual Cycle
title_full Overexpression of ErbB-1 (EGFR) Protein in Eutopic Endometrium of Infertile Women with Severe Ovarian Endometriosis during the ‘Implantation Window’ of Menstrual Cycle
title_fullStr Overexpression of ErbB-1 (EGFR) Protein in Eutopic Endometrium of Infertile Women with Severe Ovarian Endometriosis during the ‘Implantation Window’ of Menstrual Cycle
title_full_unstemmed Overexpression of ErbB-1 (EGFR) Protein in Eutopic Endometrium of Infertile Women with Severe Ovarian Endometriosis during the ‘Implantation Window’ of Menstrual Cycle
title_short Overexpression of ErbB-1 (EGFR) Protein in Eutopic Endometrium of Infertile Women with Severe Ovarian Endometriosis during the ‘Implantation Window’ of Menstrual Cycle
title_sort overexpression of erbb 1 egfr protein in eutopic endometrium of infertile women with severe ovarian endometriosis during the implantation window of menstrual cycle
topic endometriosis
endometrium
ErbB receptors
immunoprecipitation
implantation stage
infertility
url https://www.mdpi.com/2673-3897/3/4/22
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