Paracrine action of vascular endothelial growth factor in the human endometrium: production and target sites, and hormonal regulation

In: Angiogenesis · 1998 · vol. 2(2) , pp. 167–182 · doi:10.1023/a:1009292506879 · PMID:14517472 · W1537729141
article OA: closed CC0 ⤵ 10 in-corpus citations
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AI-generated summary by claude@2026-06+body, 2026-06-07

VEGF is localized in the human endometrium, is upregulated by estradiol and progesterone in stromal cells, and controls angiogenesis and hyperpermeability necessary for implantation.

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AI-generated deep summary by claude@2026-06, 2026-06-07

This study examined VEGF protein localization across the menstrual cycle in human endometrium and assessed hormonal regulation of VEGF mRNA in isolated human endometrial stromal cells using immunohistochemistry and steroid treatments. VEGF was localized not only in glandular epithelium and stroma but also on capillaries and spiral arterioles, with the strongest endothelial immunoreactivity in late proliferative and secretory phases; staining of endothelial-bound VEGF decreased after heparinase, and receptor expression (flt-1 and flk/KDR) aligned with vascular target sites, including mid-secretory capillary strands before lumen formation. In stromal cells, estradiol and estradiol plus progesterone increased VEGF mRNA dose-dependently, with an estrogen response detectable by 3 hours and persisting with continuous estradiol, producing VEGF splice variants VEGF121, VEGF165, and VEGF189; cycloheximide did not block estradiol effects, while the pure anti-estrogen ICI 182,780 did, supporting estrogen receptor–mediated transcription without new protein synthesis. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via keyword match in the upstream search index.

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