Smooth muscle alpha actin and myosin heavy chain expression in the vascular smooth muscle cells surrounding human endometrial arterioles
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This study found reduced alphaSMA and myosin heavy chain expression in the vascular smooth muscle cells of endometrial arterioles from women with menorrhagia compared to controls.
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Abstract
Endometrial spiral arterioles are believed to play a major role in controlling menstruation. These arterioles coil and grow through the secretory stages of the cycle, unlike the 'straight' endometrial arterioles that remain uncoiled. We postulate that alterations in the growth and development of spiral arterioles, in particular the vascular smooth muscle cells (VSMC), may contribute to menorrhagia. We examined smooth muscle alpha actin (alphaSMA) and myosin heavy chains (MHC), two VSMC differentiation markers, in the endometrial arterioles of 64 women, comparing them in controls, menorrhagic tissues and across the menstrual cycle. alphaSMA and MHC expression were determined immunohistochemically then evaluated using computer-aided image analysis. alphaSMA expression in the straight arterioles of menorrhagic women was reduced in the early secretory stage of the cycle and significantly decreased at the mid-secretory stage of the cycle (0.67 +/- 0.03 versus 0.55 +/- 0.04, P </= 0.05). No other significant differences were observed in alphaSMA and MHC expression in straight arterioles. MHC expression was significantly reduced in the spiral arterioles of menorrhagic tissues at the early secretory stage (0.57 +/- 0.01 versus 0.38 +/- 0.04, P </= 0.05). Our results demonstrate differences in the VSMC of menorrhagic women compared with controls, with delayed MHC expression in the spiral arterioles and reduced alphaSMA expression in straight arterioles during the mid-secretory stage of the cycle.
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Cited by (21)
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- From menarche to menopause, heavy menstrual bleeding is the underrated compass in reproductive health 2022
- Platelet-derived growth factor BB is reduced in endometrial endothelial cells of women with abnormal uterine bleeding–endometrial disorder 2022
- Uterine bleeding: how understanding endometrial physiology underpins menstrual health 2022
- The Menstrual Endometrium: From Physiology to Future Treatments 2022
- Increased Angiogenesis and Lymphangiogenesis in Adenomyosis Visualized by Multiplex Immunohistochemistry 2022
- Transforming Growth Factor (TGF) β and Endometrial Vascular Maturation 2021
- Obesity is associated with heavy menstruation that may be due to delayed endometrial repair 2021
- Physiology of the Endometrium and Regulation of Menstruation 2020
- Menstruation: science and society 2020
- Angiogenetic and hereditary factors in endometrial disease 2019
- Role of angiogenesis in adenomyosis-associated abnormal uterine bleeding and subfertility: a systematic review 2019
- Endometrial vascular development in heavy menstrual bleeding: altered spatio-temporal expression of endothelial cell markers and extracellular matrix components 2017
- Menstrual physiology: implications for endometrial pathology and beyond 2015
- Altered vascular smooth muscle cell differentiation in the endometrial vasculature in menorrhagia 2014
- Steroid regulation of menstrual bleeding and endometrial repair 2012
- Progesterone: a pivotal hormone at menstruation 2011
- Endometrial Angiogenesis, Vascular Maturation, and Lymphangiogenesis 2008
- Endocrine Regulation of Menstruation 2005
- Endocrine Regulation of Menstruation 2005
- Regulation of angiogenesis in the endometrium 2001
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