Factors involved in the inflammatory events of cervical ripening in humans

<p>Abstract</p> <p>Background</p> <p>Cervical ripening is an inflammatory reaction. The glucocorticoid receptor (GR) mediates glucocorticoid anti-inflammatory reactions, whereas nuclear factor (NF)kappaB is a key pro-inflammatory transcription factor. Prostaglandins as...

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Main Authors: Wang Hong, Akerberg Sonja, Masironi Britt, Mansson Christopher, Stygar Denis, Stjernholm-Vladic Ylva, Ekman-Ordeberg Gunvor, Sahlin Lena
Format: Article
Language:English
Published: BMC 2004-10-01
Series:Reproductive Biology and Endocrinology
Online Access:http://www.rbej.com/content/2/1/74
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author Wang Hong
Akerberg Sonja
Masironi Britt
Mansson Christopher
Stygar Denis
Stjernholm-Vladic Ylva
Ekman-Ordeberg Gunvor
Sahlin Lena
author_facet Wang Hong
Akerberg Sonja
Masironi Britt
Mansson Christopher
Stygar Denis
Stjernholm-Vladic Ylva
Ekman-Ordeberg Gunvor
Sahlin Lena
author_sort Wang Hong
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Cervical ripening is an inflammatory reaction. The glucocorticoid receptor (GR) mediates glucocorticoid anti-inflammatory reactions, whereas nuclear factor (NF)kappaB is a key pro-inflammatory transcription factor. Prostaglandins as well as platelet activating factor (PAF) are inflammatory mediators. Inducible nitric oxide synthase (iNOS) regulates the level of nitric oxide (NO) in response to various inflammatory stimuli. We hypothesize that a changed biological response to glucocorticoids could be a mechanism regulating the inflammatory events resulting in cervical ripening.</p> <p>Methods</p> <p>We monitored GR and NFkappaB, prostaglandin synthases cyclooxygenase (COX)-1 and -2, iNOS, as well as the PAF-receptor (PAF-R) in the uterine cervix from term pregnant women (with unripe cervices) before the onset of labor (TP), immediately after parturition (PP), as compared to non-pregnant (NP), using immunohistochemistry and RT-PCR.</p> <p>Results</p> <p>The GR protein was detected by immunohistochemistry in the nuclei of stroma and squamous epithelium (SQ). Stromal GR staining was increased in TP as compared to the NP group and decreased again after parturition. GR staining in SQ was decreased after parturition as compared to term. NFkappaB was present in SQ and glandular epithelium (GE), stroma and vascular endothelium. Increased nuclear NFkappaB staining was observed postpartum as compared to term pregnancy in stroma and GE. Stromal immunostaining for COX-1 as well as COX-2 was increased in the TP and PP groups as compared to the NP, and GE displayed an intensely increased COX-2 immunostaining at term and postpartum. Stromal PAF-R immunostaining was highest at term, while it was greatly increased in GE postpartum.</p> <p>No difference in the immunostaining for iNOS was found between the groups. RT-PCR showed a predominance of GRalpha to GRbeta mRNA in cervical tissue. The COX-2 mRNA level was increased in the PP group as compared to the TP group.</p> <p>Conclusions</p> <p>There is a decrease in GR levels in human cervix at parturition. Concomitantly there is an increase of factors such as NFkappaB, PAF-R, COX-1 and COX-2, suggesting that they may participate in the sequence of events leading to the final cervical ripening.</p>
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spelling doaj.art-49d2eb7775e048eb8dab053d697306ca2022-12-22T02:19:37ZengBMCReproductive Biology and Endocrinology1477-78272004-10-01217410.1186/1477-7827-2-74Factors involved in the inflammatory events of cervical ripening in humansWang HongAkerberg SonjaMasironi BrittMansson ChristopherStygar DenisStjernholm-Vladic YlvaEkman-Ordeberg GunvorSahlin Lena<p>Abstract</p> <p>Background</p> <p>Cervical ripening is an inflammatory reaction. The glucocorticoid receptor (GR) mediates glucocorticoid anti-inflammatory reactions, whereas nuclear factor (NF)kappaB is a key pro-inflammatory transcription factor. Prostaglandins as well as platelet activating factor (PAF) are inflammatory mediators. Inducible nitric oxide synthase (iNOS) regulates the level of nitric oxide (NO) in response to various inflammatory stimuli. We hypothesize that a changed biological response to glucocorticoids could be a mechanism regulating the inflammatory events resulting in cervical ripening.</p> <p>Methods</p> <p>We monitored GR and NFkappaB, prostaglandin synthases cyclooxygenase (COX)-1 and -2, iNOS, as well as the PAF-receptor (PAF-R) in the uterine cervix from term pregnant women (with unripe cervices) before the onset of labor (TP), immediately after parturition (PP), as compared to non-pregnant (NP), using immunohistochemistry and RT-PCR.</p> <p>Results</p> <p>The GR protein was detected by immunohistochemistry in the nuclei of stroma and squamous epithelium (SQ). Stromal GR staining was increased in TP as compared to the NP group and decreased again after parturition. GR staining in SQ was decreased after parturition as compared to term. NFkappaB was present in SQ and glandular epithelium (GE), stroma and vascular endothelium. Increased nuclear NFkappaB staining was observed postpartum as compared to term pregnancy in stroma and GE. Stromal immunostaining for COX-1 as well as COX-2 was increased in the TP and PP groups as compared to the NP, and GE displayed an intensely increased COX-2 immunostaining at term and postpartum. Stromal PAF-R immunostaining was highest at term, while it was greatly increased in GE postpartum.</p> <p>No difference in the immunostaining for iNOS was found between the groups. RT-PCR showed a predominance of GRalpha to GRbeta mRNA in cervical tissue. The COX-2 mRNA level was increased in the PP group as compared to the TP group.</p> <p>Conclusions</p> <p>There is a decrease in GR levels in human cervix at parturition. Concomitantly there is an increase of factors such as NFkappaB, PAF-R, COX-1 and COX-2, suggesting that they may participate in the sequence of events leading to the final cervical ripening.</p>http://www.rbej.com/content/2/1/74
spellingShingle Wang Hong
Akerberg Sonja
Masironi Britt
Mansson Christopher
Stygar Denis
Stjernholm-Vladic Ylva
Ekman-Ordeberg Gunvor
Sahlin Lena
Factors involved in the inflammatory events of cervical ripening in humans
Reproductive Biology and Endocrinology
title Factors involved in the inflammatory events of cervical ripening in humans
title_full Factors involved in the inflammatory events of cervical ripening in humans
title_fullStr Factors involved in the inflammatory events of cervical ripening in humans
title_full_unstemmed Factors involved in the inflammatory events of cervical ripening in humans
title_short Factors involved in the inflammatory events of cervical ripening in humans
title_sort factors involved in the inflammatory events of cervical ripening in humans
url http://www.rbej.com/content/2/1/74
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