Suppression of COUP-TFII by proinflammatory cytokines contributes to the pathogenesis of endometriosis
Lab / animal
OA: bronze
CC0
⤵ 27 in-corpus citations
AI-generated summary
Proinflammatory cytokines suppress COUP-TFII expression in endometriotic stromal cells, increasing COX-2 and contributing to endometriosis pathogenesis.
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Abstract
CONTEXT: Endometriosis is one of the most common gynecological diseases in women with a prevalence rate of approximately 10%. Chronic pelvic inflammation has been observed in patients with endometriosis and is associated with disease severity. However, how pelvic inflammation promotes endometriosis progression remains unknown.
OBJECTIVE: The objective of the study was to investigate the regulatory network of proinflammatory cytokines in endometriosis progression.
DESIGN, SETTINGS, AND PATIENTS: Immunostaining of human endometrial (n = 21) and endometriotic (n = 36) sections, quantitative RT-PCR, Western blotting, chromatin immunoprecipitation, and luciferase reporter assays in primary culture human endometrial stromal cells were performed. Autologous transplantation of uterine endometrium from control chicken ovalbumin upstream promoter-transcription factor II [(COUP-TFII) flox/flox] and uterus-specific COUP-TFII knockout mice was performed.
RESULTS: Expression of COUP-TFII was significantly reduced in endometriotic stroma. Reduction of COUP-TFII in endometriotic stromal cells was mediated by proinflammatory cytokines including IL-1β, TNF-α, and TGF-β1 via a common effector, microRNA-302a. Treatment with these proinflammatory cytokines increased the expression of microRNA-302a, which targets the 3'untranslated region of COUP-TFII to cause its down-regulation. Intriguingly, down-regulation of COUP-TFII in endometrial stromal cells resulted in de-repression of cyclooxygenase-2 (COX-2). Further investigation demonstrated that COUP-TFII directly binds to COX-2 promoter to inhibit its transcription. Forced expression of COUP-TFII inhibited IL-1β-induced COX-2 up-regulation, whereas the knockdown of COUP-TFII augmented this effect.
CONCLUSION: Because overexpression of COX-2 has been demonstrated to be a master regulator in endometriosis progression, our data demonstrate the critical function of proinflammatory cytokines and the COUP-TFII regulatory gene network in the progression of endometriosis.
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Cited by (28)
- Exploring the link between serum uric acid and endometriosis: a cross-sectional analysis utilizing NHANES data from 1999-2006 2025
- Endometriosis and Endometriosis-Associated Tumors 2025
- Endometriosis: A new perspective on epigenetics and oxidative stress 2025
- Endometriosis and Endometriosis-Associated Tumors 2024
- Progesterone Resistance in Endometriosis: Current Evidence and Putative Mechanisms 2023
- The landscape of non-coding RNAs in the immunopathogenesis of Endometriosis 2023
- The NR2F2-HAND2 signaling axis regulates progesterone actions in the uterus at early pregnancy 2023
- MicroRNAs in Endometriosis: Insights into Inflammation and Progesterone Resistance 2023
- Progesterone Actions and Resistance in Gynecological Disorders 2022
- Could endometriosis increase the severity of COVID-19 infection symptoms? 2022
- Evaluating the effect of conditioned medium from endometrial stem cells on endometriosis-derived endometrial stem cells 2022
- Promising therapeutic targets of endometriosis obtained from microRNA studies 2021
- Endometriosis, infertility and MicroRNA's: A review 2021
- Endometriosis and Endometriosis-Associated Tumors 2019
- Progesterone and Estrogen Signaling in the Endometrium: What Goes Wrong in Endometriosis? 2019
- Endometriosis and nuclear receptors 2019
- Cyclooxygenase-2 in Endometriosis 2019
- Hypoxia: The force of endometriosis 2019
- Pro-inflammatory Cytokines (IL6, IL8 and TNF-a) in the Evaluation of Ovarian Endometriosis Cyst 2019
- Notch-1 Signaling Activation and Progesterone Receptor Expression in Ectopic Lesions of Women With Endometriosis 2018
- Oestrogen, progesterone and stem cells: the discordant trio in endometriosis? 2018
- Abnormal Pathways in Endometriosis in Relation to Progesterone Resistance: A Review 2017
- Targeting hypoxia-mediated YAP1 nuclear translocation ameliorates pathogenesis of endometriosis without compromising maternal fertility 2017
- Epigenetic regulation of the pathological process in endometriosis 2017
- Recent insights on the genetics and epigenetics of endometriosis 2016
- Endometriosis and possible inflammation markers 2015
- Pain related genes in endometriosis: A meta-analysis 2015
- Enhanced miR-210 expression promotes the pathogenesis of endometriosis through activation of signal transducer and activator of transcription 3 2014
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- europepmc
- last seen: 2026-10-23T06:08:06.940705+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:13:06.373426+00:00
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