Estrogen mediates inflammatory role of mast cells in endometriosis pathophysiology

Endometriosis is an estrogen dependent, chronic inflammatory disease characterized by the growth of endometrial lining outside of the uterus. Mast cells have emerged as key players in regulating not only allergic responses but also other mechanisms such as angiogenesis, fibrosis, and pain. The influ...

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Main Authors: Alison McCallion, Yasmin Nasirzadeh, Harshavardhan Lingegowda, Jessica E. Miller, Kasra Khalaj, SooHyun Ahn, Stephany P. Monsanto, Mallikarjun Bidarimath, Danielle J. Sisnett, Andrew W. Craig, Steven L. Young, Bruce A. Lessey, Madhuri Koti, Chandrakant Tayade
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.961599/full
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author Alison McCallion
Yasmin Nasirzadeh
Harshavardhan Lingegowda
Jessica E. Miller
Kasra Khalaj
SooHyun Ahn
Stephany P. Monsanto
Mallikarjun Bidarimath
Danielle J. Sisnett
Andrew W. Craig
Steven L. Young
Bruce A. Lessey
Madhuri Koti
Chandrakant Tayade
author_facet Alison McCallion
Yasmin Nasirzadeh
Harshavardhan Lingegowda
Jessica E. Miller
Kasra Khalaj
SooHyun Ahn
Stephany P. Monsanto
Mallikarjun Bidarimath
Danielle J. Sisnett
Andrew W. Craig
Steven L. Young
Bruce A. Lessey
Madhuri Koti
Chandrakant Tayade
author_sort Alison McCallion
collection DOAJ
description Endometriosis is an estrogen dependent, chronic inflammatory disease characterized by the growth of endometrial lining outside of the uterus. Mast cells have emerged as key players in regulating not only allergic responses but also other mechanisms such as angiogenesis, fibrosis, and pain. The influence of estrogen on mast cell function has also been recognized as a potential factor driving disease pathophysiology in number of allergic and chronic inflammatory conditions. However, precise information is lacking on the cross talk between endocrine and immune factors within the endometriotic lesions and whether that contributes to the involvement of mast cells with disease pathophysiology. In this study, we observed a significant increase in mast cell numbers within endometriotic lesions compared to matched eutopic endometrium from the same patients. Compared to eutopic endometrium, endometriotic lesions had significantly higher levels of stem cell factor (SCF), a potent growth factor critical for mast cell expansion, differentiation, and survival for tissue resident mast cells. Targeted mRNA Q-PCR array revealed that the endometriotic lesions harbour microenvironment (upregulation of CPA3, VCAM1, CCL2, CMA1, CCR1, and KITLG) that is conducive to mast cells recruitment and subsequent differentiation. To examine cross-talk of mast cells within the endometriotic lesion microenvironment, endometriotic epithelial cells (12Z) and endometrial stromal cells (hESC) incubated with mast cell-conditioned media showed significantly increased production of pro-inflammatory and chemokinetic cytokines. To further understand the impact of estrogen on mast cells in endometriosis, we induced endometriosis in C57BL/6 mice. Mature mast cells were significantly higher in peritoneal fluid of estrogen-treated mice compared to untreated mice within the sham operated groups. Mouse endometriotic lesion tissue revealed several genes (qRT-PCR) relevant in mast cell biology significantly upregulated in the estrogen treated, endometriosis-induced group compared to control endometrium. The endometriotic lesions from estrogen treated mice also had significantly higher density of Alcian blue stained mast cells compared to untreated lesions or control endometrium. Collectively, these findings suggest that endometriotic lesions provide a microenvironment necessary for recruitment and differentiation of mast cells. In turn, mast cells potentially release pro-inflammatory mediators that contribute to chronic pelvic pain and endometriosis disease progression.
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spelling doaj.art-c66825c49fe44b01b9956b2821788a312022-12-22T02:32:22ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-08-011310.3389/fimmu.2022.961599961599Estrogen mediates inflammatory role of mast cells in endometriosis pathophysiologyAlison McCallion0Yasmin Nasirzadeh1Harshavardhan Lingegowda2Jessica E. Miller3Kasra Khalaj4SooHyun Ahn5Stephany P. Monsanto6Mallikarjun Bidarimath7Danielle J. Sisnett8Andrew W. Craig9Steven L. Young10Bruce A. Lessey11Madhuri Koti12Chandrakant Tayade13Department of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, CanadaDepartment of Obstetrics and Gynecology, Wake Forest Baptist Health, Winston-Salem, NC, United StatesDepartment of Obstetrics and Gynecology, Wake Forest Baptist Health, Winston-Salem, NC, United StatesDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaDepartment of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, CanadaEndometriosis is an estrogen dependent, chronic inflammatory disease characterized by the growth of endometrial lining outside of the uterus. Mast cells have emerged as key players in regulating not only allergic responses but also other mechanisms such as angiogenesis, fibrosis, and pain. The influence of estrogen on mast cell function has also been recognized as a potential factor driving disease pathophysiology in number of allergic and chronic inflammatory conditions. However, precise information is lacking on the cross talk between endocrine and immune factors within the endometriotic lesions and whether that contributes to the involvement of mast cells with disease pathophysiology. In this study, we observed a significant increase in mast cell numbers within endometriotic lesions compared to matched eutopic endometrium from the same patients. Compared to eutopic endometrium, endometriotic lesions had significantly higher levels of stem cell factor (SCF), a potent growth factor critical for mast cell expansion, differentiation, and survival for tissue resident mast cells. Targeted mRNA Q-PCR array revealed that the endometriotic lesions harbour microenvironment (upregulation of CPA3, VCAM1, CCL2, CMA1, CCR1, and KITLG) that is conducive to mast cells recruitment and subsequent differentiation. To examine cross-talk of mast cells within the endometriotic lesion microenvironment, endometriotic epithelial cells (12Z) and endometrial stromal cells (hESC) incubated with mast cell-conditioned media showed significantly increased production of pro-inflammatory and chemokinetic cytokines. To further understand the impact of estrogen on mast cells in endometriosis, we induced endometriosis in C57BL/6 mice. Mature mast cells were significantly higher in peritoneal fluid of estrogen-treated mice compared to untreated mice within the sham operated groups. Mouse endometriotic lesion tissue revealed several genes (qRT-PCR) relevant in mast cell biology significantly upregulated in the estrogen treated, endometriosis-induced group compared to control endometrium. The endometriotic lesions from estrogen treated mice also had significantly higher density of Alcian blue stained mast cells compared to untreated lesions or control endometrium. Collectively, these findings suggest that endometriotic lesions provide a microenvironment necessary for recruitment and differentiation of mast cells. In turn, mast cells potentially release pro-inflammatory mediators that contribute to chronic pelvic pain and endometriosis disease progression.https://www.frontiersin.org/articles/10.3389/fimmu.2022.961599/fullendometriosisimmune microenvironmentmast cell recruitment and maturationstem cell factorimmune crosstalkestrogenic inflammation
spellingShingle Alison McCallion
Yasmin Nasirzadeh
Harshavardhan Lingegowda
Jessica E. Miller
Kasra Khalaj
SooHyun Ahn
Stephany P. Monsanto
Mallikarjun Bidarimath
Danielle J. Sisnett
Andrew W. Craig
Steven L. Young
Bruce A. Lessey
Madhuri Koti
Chandrakant Tayade
Estrogen mediates inflammatory role of mast cells in endometriosis pathophysiology
Frontiers in Immunology
endometriosis
immune microenvironment
mast cell recruitment and maturation
stem cell factor
immune crosstalk
estrogenic inflammation
title Estrogen mediates inflammatory role of mast cells in endometriosis pathophysiology
title_full Estrogen mediates inflammatory role of mast cells in endometriosis pathophysiology
title_fullStr Estrogen mediates inflammatory role of mast cells in endometriosis pathophysiology
title_full_unstemmed Estrogen mediates inflammatory role of mast cells in endometriosis pathophysiology
title_short Estrogen mediates inflammatory role of mast cells in endometriosis pathophysiology
title_sort estrogen mediates inflammatory role of mast cells in endometriosis pathophysiology
topic endometriosis
immune microenvironment
mast cell recruitment and maturation
stem cell factor
immune crosstalk
estrogenic inflammation
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.961599/full
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