Iron overload in endometriosis peritoneal fluid induces early embryo ferroptosis mediated by HMOX1

Abstract Endometriosis is one of the most common disorders that causes infertility in women. Iron is overloaded in endometriosis peritoneal fluid (PF), with harmful effects on early embryo development. However, the mechanism by which endometriosis peritoneal fluid affects embryonic development remai...

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Main Authors: Shishi Li, Yier Zhou, Qiongxiao Huang, Xiaohua Fu, Ling Zhang, Fang Gao, Zhen Jin, Limei Wu, Chongyi Shu, Xirong Zhang, Weihai Xu, Jing Shu
Format: Article
Language:English
Published: Nature Publishing Group 2021-11-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-021-00751-2
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author Shishi Li
Yier Zhou
Qiongxiao Huang
Xiaohua Fu
Ling Zhang
Fang Gao
Zhen Jin
Limei Wu
Chongyi Shu
Xirong Zhang
Weihai Xu
Jing Shu
author_facet Shishi Li
Yier Zhou
Qiongxiao Huang
Xiaohua Fu
Ling Zhang
Fang Gao
Zhen Jin
Limei Wu
Chongyi Shu
Xirong Zhang
Weihai Xu
Jing Shu
author_sort Shishi Li
collection DOAJ
description Abstract Endometriosis is one of the most common disorders that causes infertility in women. Iron is overloaded in endometriosis peritoneal fluid (PF), with harmful effects on early embryo development. However, the mechanism by which endometriosis peritoneal fluid affects embryonic development remains unclear. Hence, this study investigated the effect of iron overload on mouse embryos and elucidated the molecular mechanism. Iron overload in endometriosis PF disrupted blastocyst formation, decreased GPX4 expression and induced lipid peroxidation, suggesting that iron overload causes embryotoxicity and induces ferroptosis. Moreover, mitochondrial damage occurs in iron overload-treated embryos, presenting as decreased ATP levels, increased ROS levels and MMP hyperpolarization. The cytotoxicity of iron overload is attenuated by the ferroptosis inhibitor Fer-1. Furthermore, Smart-seq analysis revealed that HMOX1 is upregulated in embryo ferroptosis and that HMOX1 suppresses ferroptosis by maintaining mitochondrial function. This study provides new insight into the mechanism of endometriosis infertility and a potential target for future endometriosis infertility treatment efforts.
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spelling doaj.art-e08c5e22276946269adac69ff1266fa72022-12-22T04:05:18ZengNature Publishing GroupCell Death Discovery2058-77162021-11-017111210.1038/s41420-021-00751-2Iron overload in endometriosis peritoneal fluid induces early embryo ferroptosis mediated by HMOX1Shishi Li0Yier Zhou1Qiongxiao Huang2Xiaohua Fu3Ling Zhang4Fang Gao5Zhen Jin6Limei Wu7Chongyi Shu8Xirong Zhang9Weihai Xu10Jing Shu11Reproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeReproductive Medicine Center, Department of Reproductive Endocrinology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeAbstract Endometriosis is one of the most common disorders that causes infertility in women. Iron is overloaded in endometriosis peritoneal fluid (PF), with harmful effects on early embryo development. However, the mechanism by which endometriosis peritoneal fluid affects embryonic development remains unclear. Hence, this study investigated the effect of iron overload on mouse embryos and elucidated the molecular mechanism. Iron overload in endometriosis PF disrupted blastocyst formation, decreased GPX4 expression and induced lipid peroxidation, suggesting that iron overload causes embryotoxicity and induces ferroptosis. Moreover, mitochondrial damage occurs in iron overload-treated embryos, presenting as decreased ATP levels, increased ROS levels and MMP hyperpolarization. The cytotoxicity of iron overload is attenuated by the ferroptosis inhibitor Fer-1. Furthermore, Smart-seq analysis revealed that HMOX1 is upregulated in embryo ferroptosis and that HMOX1 suppresses ferroptosis by maintaining mitochondrial function. This study provides new insight into the mechanism of endometriosis infertility and a potential target for future endometriosis infertility treatment efforts.https://doi.org/10.1038/s41420-021-00751-2
spellingShingle Shishi Li
Yier Zhou
Qiongxiao Huang
Xiaohua Fu
Ling Zhang
Fang Gao
Zhen Jin
Limei Wu
Chongyi Shu
Xirong Zhang
Weihai Xu
Jing Shu
Iron overload in endometriosis peritoneal fluid induces early embryo ferroptosis mediated by HMOX1
Cell Death Discovery
title Iron overload in endometriosis peritoneal fluid induces early embryo ferroptosis mediated by HMOX1
title_full Iron overload in endometriosis peritoneal fluid induces early embryo ferroptosis mediated by HMOX1
title_fullStr Iron overload in endometriosis peritoneal fluid induces early embryo ferroptosis mediated by HMOX1
title_full_unstemmed Iron overload in endometriosis peritoneal fluid induces early embryo ferroptosis mediated by HMOX1
title_short Iron overload in endometriosis peritoneal fluid induces early embryo ferroptosis mediated by HMOX1
title_sort iron overload in endometriosis peritoneal fluid induces early embryo ferroptosis mediated by hmox1
url https://doi.org/10.1038/s41420-021-00751-2
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