Mice Uterine Stem Cells are Affected by Neonatal Endocrine Disruption & Initiate Uteropathies in Adult Life Independent of Circulatory Ovarian Hormones
Neonatal endocrine disruption in mice directly alters uterine stem cells, leading to uteropathies in adulthood independent of circulating ovarian hormones, evidenced by hyperplasia and genomic instability.
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This study examined whether developmental endocrine disruption alters uterine stem/progenitor cells to drive adult uteropathies. Mouse pups were exposed to estradiol or vehicle during postnatal days 3–7, then underwent bilateral ovariectomy at day 30 and received sequential estradiol/progesterone to induce a receptive uterus in controls; despite similar later hormonal exposure, endocrine disruption produced a non-receptive uterus with endometrial and myometrial hyperplasia, elevated stem cell marker expression (Oct-4A/Oct-4, Sox2, Nanog), poorly formed glands, and “defective” epithelial progenitors disseminated into the myometrium and blood vessels. The paper reports progesterone resistance and estradiol dominance via downregulation of Erα/Pr and upregulation of Erβ transcripts, alongside dysregulation of DNA mismatch repair/repair-axis transcripts and increased Ki67, which it interprets as genomic instability. A key caveat is that the mechanistic conclusions derive from marker and lesion analyses rather than direct functional lineage evidence. This paper is centrally about endometriosis — it links defective uterine epithelial progenitors arising from neonatal endocrine disruption to epithelial invasion/mobilization patterns consistent with initiation of endometriosis (and also adenomyosis) in adult life.
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