Association of angiotensin II and receptors in peri-implantation endometrium with microvessel density and pregnancy outcomes of women with recurrent implantation failure after embryo transfer

PurposeInvestigate whether local angiotensin II (AngII) and its AngII type 1 and 2 receptors (AT1R, AT2R) in the endometrium are different and correlate with microvessel density in women with reproductive failure and pregnancy outcomes.MethodsEndometrium during the window of implantation from 40 wom...

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Main Authors: Ruofan Qi, Tao Zhang, Yingying Zhang, Jacqueline Pui Wah Chung, Wen-Jui Yang, Chi Chiu Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2023.1206326/full
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author Ruofan Qi
Tao Zhang
Yingying Zhang
Jacqueline Pui Wah Chung
Wen-Jui Yang
Wen-Jui Yang
Chi Chiu Wang
Chi Chiu Wang
Chi Chiu Wang
Chi Chiu Wang
author_facet Ruofan Qi
Tao Zhang
Yingying Zhang
Jacqueline Pui Wah Chung
Wen-Jui Yang
Wen-Jui Yang
Chi Chiu Wang
Chi Chiu Wang
Chi Chiu Wang
Chi Chiu Wang
author_sort Ruofan Qi
collection DOAJ
description PurposeInvestigate whether local angiotensin II (AngII) and its AngII type 1 and 2 receptors (AT1R, AT2R) in the endometrium are different and correlate with microvessel density in women with reproductive failure and pregnancy outcomes.MethodsEndometrium during the window of implantation from 40 women with recurrent miscarriage (RM) and 40 with recurrent implantation failure (RIF) were compared with 27 fertile women. Peri-implantation endometrium from 54 women prior to euploid embryo transfer were collected and compared in women with successful pregnancy and unsuccessful pregnancy.ResultsCompared with fertile women, expression of AT2R was significantly lower, while AT1R/AT2R expression ratio was significantly higher in the stroma of the RIF group. Endometrium arteriole MVD was significantly lower and negatively correlated with the AT1R/AT2R expression ratio in the stroma of the RIF group. No significant differences and correlations were found in the RM group. Compared with the pregnancy group, expression of AT1R and AT2R were significantly lower in all compartments, but only AT1R/AT2R ratio was significantly higher in the stroma of the non-pregnancy group. Similarly, endometrium arteriole MVD was also significantly lower and negatively correlated with the AT1R/AT2R ratio in the stroma of the non-pregnancy group.ConclusionLocal renin-angiotensin system is dysregulated in peri-implantation endometrium and associated with abnormal angiogenesis in RIF and poor implantation outcome after embryo transfer.
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spelling doaj.art-ac7398624b894fba9e9d07d72abae4fd2023-08-30T08:46:18ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-08-011410.3389/fendo.2023.12063261206326Association of angiotensin II and receptors in peri-implantation endometrium with microvessel density and pregnancy outcomes of women with recurrent implantation failure after embryo transferRuofan Qi0Tao Zhang1Yingying Zhang2Jacqueline Pui Wah Chung3Wen-Jui Yang4Wen-Jui Yang5Chi Chiu Wang6Chi Chiu Wang7Chi Chiu Wang8Chi Chiu Wang9Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Infertility and Reproductive Medicine, Taiwan IVF Group Center, Hsinchu, TaiwanDepartment of Fertility and Reproductive Medicine, Ton-Yen General Hospital, Hsinchu, TaiwanDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaReproduction and Development Laboratory, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaSchool of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaChinese University of Hong Kong -Sichuan University Joint Laboratory in Reproductive Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaPurposeInvestigate whether local angiotensin II (AngII) and its AngII type 1 and 2 receptors (AT1R, AT2R) in the endometrium are different and correlate with microvessel density in women with reproductive failure and pregnancy outcomes.MethodsEndometrium during the window of implantation from 40 women with recurrent miscarriage (RM) and 40 with recurrent implantation failure (RIF) were compared with 27 fertile women. Peri-implantation endometrium from 54 women prior to euploid embryo transfer were collected and compared in women with successful pregnancy and unsuccessful pregnancy.ResultsCompared with fertile women, expression of AT2R was significantly lower, while AT1R/AT2R expression ratio was significantly higher in the stroma of the RIF group. Endometrium arteriole MVD was significantly lower and negatively correlated with the AT1R/AT2R expression ratio in the stroma of the RIF group. No significant differences and correlations were found in the RM group. Compared with the pregnancy group, expression of AT1R and AT2R were significantly lower in all compartments, but only AT1R/AT2R ratio was significantly higher in the stroma of the non-pregnancy group. Similarly, endometrium arteriole MVD was also significantly lower and negatively correlated with the AT1R/AT2R ratio in the stroma of the non-pregnancy group.ConclusionLocal renin-angiotensin system is dysregulated in peri-implantation endometrium and associated with abnormal angiogenesis in RIF and poor implantation outcome after embryo transfer.https://www.frontiersin.org/articles/10.3389/fendo.2023.1206326/fullendometriumreceptivityrenin angiotensin systemangiogenesisimplantation
spellingShingle Ruofan Qi
Tao Zhang
Yingying Zhang
Jacqueline Pui Wah Chung
Wen-Jui Yang
Wen-Jui Yang
Chi Chiu Wang
Chi Chiu Wang
Chi Chiu Wang
Chi Chiu Wang
Association of angiotensin II and receptors in peri-implantation endometrium with microvessel density and pregnancy outcomes of women with recurrent implantation failure after embryo transfer
Frontiers in Endocrinology
endometrium
receptivity
renin angiotensin system
angiogenesis
implantation
title Association of angiotensin II and receptors in peri-implantation endometrium with microvessel density and pregnancy outcomes of women with recurrent implantation failure after embryo transfer
title_full Association of angiotensin II and receptors in peri-implantation endometrium with microvessel density and pregnancy outcomes of women with recurrent implantation failure after embryo transfer
title_fullStr Association of angiotensin II and receptors in peri-implantation endometrium with microvessel density and pregnancy outcomes of women with recurrent implantation failure after embryo transfer
title_full_unstemmed Association of angiotensin II and receptors in peri-implantation endometrium with microvessel density and pregnancy outcomes of women with recurrent implantation failure after embryo transfer
title_short Association of angiotensin II and receptors in peri-implantation endometrium with microvessel density and pregnancy outcomes of women with recurrent implantation failure after embryo transfer
title_sort association of angiotensin ii and receptors in peri implantation endometrium with microvessel density and pregnancy outcomes of women with recurrent implantation failure after embryo transfer
topic endometrium
receptivity
renin angiotensin system
angiogenesis
implantation
url https://www.frontiersin.org/articles/10.3389/fendo.2023.1206326/full
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