Enriched Environment Decelerates the Development of Endometriosis in Mouse

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Enriched environment housing reduced endometriosis lesion weight, fibrosis, and hyperalgesia in mice by decreasing ADRB2 and VEGF, increasing DRD2 and autophagy, and lowering leptin levels.

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The paper tested whether an enriched environment (expanded space with increased physical activity and social interaction) hinders the development of endometriosis in female Balb/C mice, using two experiments with standard housing versus enriched housing initiated before and continuing after induction (SE vs EE), plus additional groups where enriched environment was instituted only after induction (p-EE) or mimicked by uterine fragments from enriched donors (d-EE). EE reduced lesion weight by 40.8% versus standard housing, decreased lesional ADRB2 and VEGF staining and fibrosis, increased lesional LC3 and DRD2 staining, and lowered plasma leptin levels, while lesion reductions in p-EE and d-EE did not reach statistical significance; hotplate latency improved generalized hyperalgesia. A key limitation is that enriched environment effects were not statistically confirmed for the post-induction and donor-fragment control approaches. This paper is centrally about endometriosis — enriched environment attenuates lesion development through altered adrenergic signaling, enhanced autophagy, and reduced leptin.

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Abstract

We tested the hypothesis that enriched environment (EE), consisting of enlarged space, and increased physical activity and social interactions, hinders the development of endometriosis through attenuated adrenergic signaling, enhanced autophagy, and reduced leptin levels. Two mouse experiments were performed. In Experiment 1, 40 female Balb/C mice were randomly divided into four equal-sized groups, the SE (standard environment), EE, p-EE (EE instituted after endometriosis induction), and the d-EE (SE housing but received uterine fragments from EE donors) groups. Housing intervention was initiated 3 weeks before the induction of endometriosis and continued for 3 weeks after induction. In Experiment 2, 20 female mice were randomly divided into SE and EE groups, and the plasma leptin levels were measured. We measured lesion weight and hotplate latency and performed Masson trichrome staining as well as immunohistochemistry analysis of β2 adrenergic receptor (ADRB2), dopamine receptor D2 (DRD2), vascular endothelial growth factor (VEGF), and microtubule-associated protein light chain 3 (LC3). We found that EE reduced the lesion weight by 40.8% as compared with SE mice, but the reduction in p-EE and d-EE mice did not reach statistical significance. EE significantly reduced staining levels of ADRB2 and VEGF as well as the extent of lesional fibrosis but increased staining levels of LC3 and DRD2 in lesions as compared with the SE group. EE mice had reduced plasma leptin levels as compared with SE mice. Thus, EE decelerates the development of endometriosis and fibrogenesis and improved generalized hyperalgesia, possibly through increased DRD2 expression but decreased expression of ADRB2 and VEGF as well as enhanced autophagy and reduced leptin level.
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Abstract

We tested the hypothesis that enriched environment (EE), consisting of enlarged space, and increased physical activity and social interactions, hinders the development of endometriosis through attenuated adrenergic signaling, enhanced autophagy, and reduced leptin levels. Two mouse experiments were performed. In Experiment 1, 40 female Balb/C mice were randomly divided into four equal-sized groups, the SE (standard environment), EE, p-EE (EE instituted after endometriosis induction), and the d-EE (SE housing but received uterine fragments from EE donors) groups. Housing intervention was initiated 3 weeks before the induction of endometriosis and continued for 3 weeks after induction. In Experiment 2, 20 female mice were randomly divided into SE and EE groups, and the plasma leptin levels were measured. We measured lesion weight and hotplate latency and performed Masson trichrome staining as well as immunohistochemistry analysis of β2 adrenergic receptor (ADRB2), dopamine receptor D2 (DRD2), vascular endothelial growth factor (VEGF), and microtubule-associated protein light chain 3 (LC3). We found that EE reduced the lesion weight by 40.8% as compared with SE mice, but the reduction in p-EE and d-EE mice did not reach statistical significance. EE significantly reduced staining levels of ADRB2 and VEGF as well as the extent of lesional fibrosis but increased staining levels of LC3 and DRD2 in lesions as compared with the SE group. EE mice had reduced plasma leptin levels as compared with SE mice. Thus, EE decelerates the development of endometriosis and fibrogenesis and improved generalized hyperalgesia, possibly through increased DRD2 expression but decreased expression of ADRB2 and VEGF as well as enhanced autophagy and reduced leptin level. Similar content being viewed by others

References

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Eur J Neurosci. 2004;20:1341–7. Acknowledgments We would like to thank two anonymous reviewers for their constructive comments and suggestions on an earlier version of this manuscript. Funding This research was supported in part by grants 81530040 (SWG), 81771553 (SWG), and 81671436 (XSL) from the National Science Foundation of China and an Excellence in Centers of Clinical Medicine grant (2017ZZ01016) from the Science and Technology Commission of Shanghai Municipality. Author information Authors and Affiliations Corresponding authors Ethics declarations Conflict of Interest The authors declare that they have no conflict(s) of interest. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Electronic supplementary material ESM 1 (download DOCX ) (DOCX 5373 kb) Rights and permissions About this article Cite this article Yin, B., Jiang, H., Liu, X. et al. Enriched Environment Decelerates the Development of Endometriosis in Mouse. Reprod. Sci. 27, 1423–1435 (2020). https://doi.org/10.1007/s43032-019-00117-1 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s43032-019-00117-1

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endometriosis

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Endometriosis Endometriosis Environment Housing, Animal Physical Conditioning, Animal Social Interaction Animals Endometriosis Endometriosis Female Leptin Leptin Mice Mice, Inbred BALB C Physical Conditioning, Animal Physical Conditioning, Animal Vascular Endothelial Growth Factor A Vascular Endothelial Growth Factor A

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