Effects of Simvastatin on Retinoic Acid System in Primary Human Endometrial Stromal Cells and in a Chimeric Model of Human Endometriosis
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Simvastatin enhances retinoic acid's growth inhibition of human endometrial stromal cells and endometriotic implants by increasing STRA6 and CRABP2 expression.
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Abstract
CONTEXT: Retinoic acid (RA) may promote survival or apoptosis of cells, depending on the levels of binding proteins: apoptosis-inducing cellular RA binding protein 2 (CRABP2), and cell survival-promoting fatty acid binding protein 5 (FABP5). Increased cellular uptake of retinol and altered actions of RA related to reduced expression of CRABP2 may contribute to the development of endometriosis. Recently statins have been shown to inhibit growth of human endometrial stromal (HES) cells and to reduce the number and size of endometriotic implants in experimental models of this disorder. OBJECTIVE: The objective of the study was to determine whether effects of simvastatin on HES cells and experimental endometriotic implants are related to the modulation of the RA system. METHODS: Effects of simvastatin and RA on proliferation and apoptosis of HES cells were evaluated. Expression of stimulated by RA 6 (STRA6), CRABP2, and FABP5 was determined by real-time PCR and Western blotting. Effects of simvastatin were also evaluated in a nude mouse model of human endometriosis. RESULTS: Simvastatin potentiated an inhibitory effect of RA on growth of HES cells. In HES cells, simvastatin induced expression of STRA6 and CRABP2 but not FABP5. Similarly, simvastatin treatment of nude mice bearing human endometrial xenografts led to an increased expression of CRABP2 and STRA6 proteins in ectopic lesions. CONCLUSIONS: Simvastatin interacts with the RA system, inducing the expression of the key protein regulating the uptake of retinol (STRA6) and the expression of apoptosis-promoting CRABP2. These effects may contribute to cooperative apoptosis-inducing effects of simvastatin and RA and support the examination of these compounds in the treatment of endometriosis.
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Cited by (19)
- Statins: Is it New Weaponry against Endometriosis? 2025
- The latest advances in the pharmacological management of endometriosis 2022
- The Effect of Laparoscopic Radical Surgery for Endometriosis on Serum Levels of Lipid Profile and Vitamin D 2022
- Endometriosis diagnosis and medical treatment: Present and future 2021
- Nutrition and Lifestyle Factors 2020
- Animal models for research on endometriosis 2020
- Analysis of Exosomal lncRNA, miRNA and mRNA Expression Profiles and ceRNA Network Construction in Endometriosis 2020
- Physiological and pathological implications of retinoid action in the endometrium 2018
- Serum MicroRNA Biomarkers Regulated by Simvastatin in a Primate Model of Endometriosis 2018
- Lipophilic statins inhibit growth and reduce invasiveness of human endometrial stromal cells 2018
- Retinoid Metabolism in Endometriosis 2017
- Fenretinide:A Potential Treatment for Endometriosis 2016
- Retinoic acid has the potential to suppress endometriosis development 2015
- Pathogenesis of Endometriosis: Roles of Retinoids and Inflammatory Pathways 2015
- Statins as Targeted “Magical Pills” for the Conservative Treatment of Endometriosis: May Potential Adverse Effects on Female Fertility Represent the “Dark Side of the Same Coin”? A Systematic Review of Literature 2015
- Endometriosis in Experimental Models 2014
- The dynamics of nuclear receptors and nuclear receptor coregulators in the pathogenesis of endometriosis 2014
- A red fluorescent nude mouse model of human endometriosis: advantages of a non-invasive imaging method 2014
- Increased expression of fibroblast growth factor receptor 1 in endometriosis and its correlation with endometriosis-related dysmenorrhea and recurrence 2014
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