Paracrine action of vascular endothelial growth factor in the human endometrium: production and target sites, and hormonal regulation
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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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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Cited by (10)
- Altered Gene Expression Encoding Cytochines, Grow Factors and Cell Cycle Regulators in the Endometrium of Women with Chronic Endometritis 2021
- Circulating Vascular Endothelial Growth Factor and Soluble fms-Like Tyrosine Kinase-1 as Biomarkers for Endometrial Remodeling Across the Menstrual Cycle 2020
- Alteration in Endometrial Remodeling: A Cause for Implantation Failure in Endometriosis? 2012
- Promotion of Angiogenesis by Human Endometrial Lymphocytes 2008
- Reduced levels of VEGF-A and MMP-2 and MMP-9 activity and increased TNF-α in menstrual endometrium and effluent in women with menorrhagia 2006
- Expression and regulation of vascular endothelial growth factor ligands and receptors during menstruation and post-menstrual repair of human endometrium 2006
- Vascular endothelial growth factor expression in the endometrium during the menstrual cycle, implantation window and early pregnancy 2005
- A dynamic shift of VEGF isoforms with a transient and selective progesterone-induced expression of VEGF<sub>189</sub>regulates angiogenesis and vascular permeability in human uterus 2002
- Progesterone Withdrawal Up-Regulates Vascular Endothelial Growth Factor Receptor Type 2 in the Superficial Zone Stroma of the Human and Macaque Endometrium: Potential Relevance to Menstruation* 2000
- Endometrial Bleeding and Hormone Replacement Therapy 1999
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