Hypoxia induces expression of COX-2 through the homeodomain transcription factor CDX1 and orphan nuclear receptor SHP in human endometrial cells
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Hypoxia in endometrial cells induces COX-2 expression via the transcription factors CDX1 and SHP, which are themselves induced by hypoxia-inducible factor-1α.
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Abstract
Endometriosis, the presence of ectopic endometrial tissue outside the uterine cavity, is a common disease affecting women during their reproductive years. The aim of this study was to identify the molecular mechanism of transcriptional regulation of inflammatory cyclooxygenase-2 (COX-2) gene during endometriosis by hypoxia. Hypoxia induced COX-2 expression in endometrial cells together with the induction of the orphan nuclear receptor SHP and intestinal-specific transcription factor Caudal-related transcription factor 1 (CDX1). Hypoxia-inducible factor (HIF)-1α was responsible for SHP induction mediated by a hypoxia. In addition, we observed that ectopic expression of CDX1 enhanced COX-2 gene expression in hypoxia-dependent fashion. Additionally, we evaluated that induction of CDX1 by hypoxia was mediated by SHP. Expression of COX-2, CDX1, SHP and HIF-1α mRNA in hypoxia-treated human endometrial cells were significantly higher than normal control cells. These results suggest that the SHP and CDX1 expression increased by hypoxia play an active role in inducing inflammatory COX-2 expression in the pathogenesis of endometriosis.
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Cited by (8)
- Endometrial causes of recurrent pregnancy losses: endometriosis, adenomyosis, and chronic endometritis 2021
- Expression of MMIF, HIF-1α and VEGF in Serum and Endometrial Tissues of Patients with Endometriosis 2018
- Transforming Growth Factor-beta 1 Involved in the Pathogenesis of Endometriosis through Regulating Expression of Vascular Endothelial Growth Factor under Hypoxia 2017
- Medikamentozno zdravljenje endometrioze: pregled stanja in nove možnosti zdravljenja 2016
- RCT to evaluate the influence of adjuvant medical treatment of peritoneal endometriosis on the outcome of IVF 2016
- Hypoxia-inducible factor-1alpha: A promising therapeutic target in endometriosis 2016
- Pharmacological treatment of endometriosis: review of current and new options for treatment 2016
- Pathological functions of hypoxia in endometriosis 2015
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