Remodeling of uterine innervation
This review discusses hypotheses on sympathetic uterine innervation remodeling during the estrous cycle and gestation, noting reduced nerve density with high estrogen and changes in neurotrophins.
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This minireview discusses hypotheses for how sympathetic uterine innervation remodels across the rodent estrous cycle and during gestation in humans and rodents, focusing on how hormone levels modulate nerve structure. The authors report that nerve density decreases when estrogen is high in the estrous cycle, with estrogen receptor alpha implicated as a major mediator, and that neurotrophin expression (notably nerve growth factor) varies with steroid levels, influencing nerve fiber survival and growth. A key limitation is that despite extensive work, further studies are needed to clarify mechanisms controlling nerve growth across diverse physiological contexts. Relevance to endometriosis: the review references uterine innervation changes after hysterectomy in chronic pelvic pain with and without endometriosis, though its main focus is general remodeling of uterine sympathetic innervation.
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Cited by (12)
- Three‐dimensional visualization of uterine nerve fiber distribution using fluorescence micro‐optical sectioning tomography (fMOST): A pilot study 2024
- Advanced Insights into Human Uterine Innervation: Implications for Endometriosis and Pelvic Pain 2024
- Unveil the pain of endometriosis: from the perspective of the nervous system 2022
- Potential role of estrogen in maintaining the imbalanced sympathetic and sensory innervation in endometriosis 2016
- The Importance of Pelvic Nerve Fibers in Endometriosis 2015
- Cyclic Changes of Nerve Fibers in Human Endometrium 2014
- Analyse von Nervenfasern und Nervenwachstumsfaktoren in der Adenomyose 2013
- Eutopic endometrium from women with endometriosis does not exhibit neurotrophic properties 2012
- Neuroimmunomodulatory Alterations in Non-Lesional Peritoneum Close to Peritoneal Endometriosis 2012
- Sprouted Innervation into Uterine Transplants Contributes to the Development of Hyperalgesia in a Rat Model of Endometriosis 2012
- Neurotrophin Expression Is Not Affected in Uteri of Women with Adenomyosis 2012
- Adaptive Plasticity of Vaginal Innervation in Term Pregnant Rats 2011
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