Hormone and growth factor signaling in endometrial renewal: Role of stem/progenitor cells
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This paper investigates the roles of hormone and growth factor signaling pathways in endometrial renewal, focusing on the contribution of stem and progenitor cells.
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Abstract
The human endometrium is a dynamic remodeling tissue undergoing more than 400 cycles of regeneration, differentiation and shedding during a woman's reproductive years. The co-ordinated and sequential actions of estrogen and progesterone direct these major remodeling events preparing a receptive endometrium for blastocyst implantation on a monthly basis. Adult stem/progenitor cells are likely responsible for endometrial regeneration. Functional approaches have been used to identify candidate endometrial stem/progenitor cells, as there are no specific stem cell markers. Rare populations of human endometrial epithelial and stromal colony-forming cells/units (CFU) and side population (SP) cells have been identified. Several growth factors are required for CFU activity: epidermal growth factor (EGF), transforming growth factor alpha (TGFalpha) and platelet-derived growth factor BB (PDGF-BB) for both epithelial and stromal CFU, and basic fibroblast growth factor (bFGF) for stromal, but not epithelial CFU. A sub-population of human endometrial stromal cells with mesenchymal stem cell properties of CFU activity and multilineage (fat, muscle, cartilage and bone) differentiation have been isolated by their co-expression of CD146 and PDGF-receptor beta. Candidate epithelial and stromal stem/progenitor cells have been identified in mouse endometrium as rare label retaining cells (LRCs) in the luminal epithelium and as perivascular cells at the endometrial-myometrial junction, respectively. While epithelial and most stromal LRC do not express estrogen receptor alpha (Esr1), they rapidly proliferate on estrogen stimulation, most likely mediated by neighbouring Esr1-expressing niche cells. It is likely that these newly identified endometrial stem/progenitor cells may play key roles in the development of gynecological diseases associated with abnormal endometrial proliferation such as endometriosis and endometrial cancer.
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Cited by (39)
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- Endometrial stem/progenitor cells: Properties, origins, and functions 2022
- Recent Developments in Biomaterial-Based Hydrogel as the Delivery System for Repairing Endometrial Injury 2022
- Platelet-derived growth factor BB is reduced in endometrial endothelial cells of women with abnormal uterine bleeding–endometrial disorder 2022
- Progesterone Resistance and Adult Stem Cells’ Genomic and Epigenetic Changes in the Puzzle of Endometriosis 2019
- Identification of cells without colony-forming ability in Eutopic endometrial progenitor cells in infertile women with endometriosis in comparison with healthy fertile women in Indian perspective 2019
- Abnormally located SSEA1+/SOX9+ endometrial epithelial cells with a basalis-like phenotype in the eutopic functionalis layer may play a role in the pathogenesis of endometriosis 2018
- The role of mesenchymal–epithelial transition in endometrial function 2018
- Inside the Endometrial Cell Signaling Subway: Mind the Gap(s) 2018
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- Development of organoids from mouse and human endometrium showing endometrial epithelium physiology and long-term expandability 2017
- Molecular and Cellular Pathogenesis of Endometriosis 2017
- Laparoscopic Surgery in the Treatment of Endometriosis 2017
- Uterine Stem Cells and Their Future Therapeutic Potential in Regenerative Medicine 2017
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