Estrogen-Induced CCN1 Is Critical for Establishment of Endometriosis-Like Lesions in Mice

Yuechao Zhao, Zhao Y, Li Q, Quanxi Li, Katzenellenbogen BS, Benita S. Katzenellenbogen, Lester F. Lau, Robert N. Taylor, Taylor RN, Indrani C. Bagchi, Bagchi IC, Bagchi MK, Milan K. Bagchi
Molecular Endocrinology · 2014 · vol. 28(12) , pp. 1934–1947 · doi:10.1210/me.2014-1080 · PMID:25321413 · PMC4250364 · W2088284748
article OA: bronze CC0 ⤵ 11 in-corpus citations
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Estrogen stimulates the growth of endometriosis-like lesions in mice by increasing expression of CCN1, which promotes cell proliferation and neovascularization.

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Abstract

Endometriosis is a prevalent gynecological disorder in which endometrial tissue proliferates in extrauterine sites, such as the peritoneal cavity, eventually giving rise to painful, invasive lesions. Dysregulated estradiol (E) signaling has been implicated in this condition. However, the molecular mechanisms that operate downstream of E in the ectopic endometrial tissue are unknown. To investigate these mechanisms, we used a mouse model of endometriosis. Endometrial tissue from donor mice was surgically transplanted on the peritoneal surface of immunocompetent syngeneic recipient mice, leading to the establishment of cystic endometriosis-like lesions. Our studies revealed that treatment with E led to an approximately 3-fold increase in the lesion size within a week of transplantation. E also caused a concomitant stimulation in the expression of connective tissue growth factor/Cyr61/Nov (CCN1), a secreted cysteine-rich matricellular protein, in the lesions. Interestingly, CCN1 is highly expressed in human ectopic endometriotic lesions. To address its role in endometriosis, endometrial tissue from Ccn1-null donor mice was transplanted in wild-type recipient mice. The resulting ectopic lesions were reduced up to 75% in size compared with wild-type lesions due to diminished cell proliferation and cyst formation. Notably, loss of CCN1 also disrupted the development of vascular networks in the ectopic lesions and reduced the expression of several angiogenic factors, such as vascular endothelial growth factor-A and vascular endothelial growth factor-C. These results suggest that CCN1, acting downstream of E, critically controls cell proliferation and neovascularization, which support the growth and survival of endometriotic tissue at ectopic sites. Blockade of CCN1 signaling during the early stages of lesion establishment may provide a therapeutic avenue to control endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Cysteine-Rich Protein 61 Endometriosis Endometriosis Estrogens Animals Cysteine-Rich Protein 61 Cysteine-Rich Protein 61 Disease Models, Animal Endometriosis Estrogens Female Immunohistochemistry Mice Real-Time Polymerase Chain Reaction

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