Hypoxia is not required for human endometrial breakdown or repair in a xenograft model of menstruation
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This study found that hypoxia is not required for menstrual-like breakdown or repair in human endometrial xenografts, as measured by oxygen levels, HIF1-α, and pimonidazole adducts.
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Abstract
Menstrual endometrial breakdown induced by estradiol and progesterone withdrawal is regularly attributed to vasospasm of spiral arteries causing ischemia and hypoxia. We investigated whether hypoxia actually occurred in an in vivo model of menstruation. Three complementary approaches were used to look for signs of hypoxia in fragments of human functionalis xenografted to ovariectomized immunodeficient mice bearing pellets-releasing estradiol and progesterone, and then deprived of ovarian steroids. Hormone withdrawal 21 d after grafting induced menstrual breakdown and MMP expression within 4 d. Local partial oxygen pressure (pO2) was measured by electron paramagnetic resonance using implanted lithium phtalocyanine crystals. In mice with hormone maintenance until sacrifice, pO2 was low one week after grafting (14.8±3.4 mmHg) but increased twofold from the second week when tissue was largely revascularized. After 3 wk, pO2 was not modified by hormone withdrawal but was slightly increased on hormone reimpregnation 4 d after removal (34.7±6.1 mmHg) by comparison with hormone maintenance (27.1±8.6 mmHg). These results were confirmed using fluorescence quenching-based OxyLite measurements. In a further search for signs of hypoxia, we did not find significant HIF1-α immunostaining, nor pimonidazole adducts after hormone withdrawal. We conclude that hypoxia is not needed to trigger menstrual-like tissue breakdown or repair in human endometrial xenograft.
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Cited by (13)
- Peritoneal hypoxia as a gatekeeper between physiologic retrograde menstruation and pathologic persistence in endometriosis 2026
- Limiting Premenstrual Endometrial Hypoxia Inducible Factor 2 Alpha May Fine-Tune Endometrial Function at Menstruation 2024
- Mechanisms of Scarless Repair at Time of Menstruation: Insights From Mouse Models 2022
- The Menstrual Endometrium: From Physiology to Future Treatments 2022
- Markers of human endometrial hypoxia can be detected in vivo and ex vivo during physiological menstruation 2021
- WITHDRAWN: Endometriosis related sex steroid hormones, hypothalamic pituitary gonadal axis hormones and related animal modeling: A comprehensive review of published articles and endometriosis induction methods from 2010 to 2021 with scoring based approach 2021
- Hypoxia: involved but not essential for endometrial breakdown in mouse menstural-like model 2020
- Physiology of the Endometrium and Regulation of Menstruation 2020
- Mouse model of menstruation: An indispensable tool to investigate the mechanisms of menstruation and gynaecological diseases (Review) 2020
- Hypoxia and hypoxia inducible factor-1α are required for normal endometrial repair during menstruation 2018
- The role of decidual cells in uterine hemostasis, menstruation, inflammation, adverse pregnancy outcomes and abnormal uterine bleeding 2016
- Are matrix metalloproteinases and their inhibitors reliable diagnosis biomarkers and attractive therapeutic targets in endometriosis? 2016
- Menstrual physiology: implications for endometrial pathology and beyond 2015
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- last seen: 2026-06-10T17:14:06.276822+00:00
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- last seen: 2026-10-17T06:24:38.187582+00:00
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