EMX2 Gene Expression in the Female Reproductive Tract and Aberrant Expression in the Endometrium of Patients with Endometriosis

Gaurang S Daftary, Hugh S Taylor
The Journal of clinical endocrinology and metabolism · 2004 · vol. 89(5) , pp. 2390–2396 · doi:10.1210/jc.2003-031389 · PMID:15126568 · W2034483221
article OA: bronze CC0 ⤵ 24 in-corpus citations
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EMX2 mRNA levels in endometrium normally decline in the periimplantation phase, a process repressed by HOXA10, but this decline is absent in women with endometriosis due to altered HOXA10 expression.

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Abstract

EMX2 is a transcription factor necessary for reproductive tract development. Sex steroids regulate endometrial HOXA10 expression, which in turn negatively regulates EMX2. In this study, we characterize menstrual cycle-dependent expression of EMX2 in endometrium from women with and without endometriosis. In the absence of endometriosis, EMX2 mRNA levels declined 50% in periimplantation endometrium compared with levels in the proliferative phase. To determine whether the decrease in endometrial EMX2 expression was regulated by endogenous endometrial HOXA10, primary endometrial stromal cells were transfected with an EMX2-reporter construct containing a HOXA10 binding site. Acting via this site, we observed HOXA10-mediated repression of reporter expression. In the endometrium of patients with endometriosis, unlike normal endometrium, EMX2 levels were not decreased in the periimplantation period. We have previously shown that up-regulation of HOXA10 in periimplantation endometrium fails to occur in women with endometriosis. To determine whether elevated endometrial EMX2 levels were due to failure of HOXA10-mediated transcriptional repression, secondary to low HOXA10 levels in endometriosis, we transfected stromal cells with HOXA10 antisense and an EMX2-reporter construct. Reporter expression was increased, indicating reversal of HOXA10-mediated transcriptional repression. Endometrial EMX2 expression is aberrant in women with endometriosis and is mediated by altered HOXA10 expression.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Endometrium Genitalia, Female Homeodomain Proteins Adult Binding Sites Cells, Cultured DNA-Binding Proteins DNA-Binding Proteins DNA-Binding Proteins Empty Spiracles Homeobox Proteins Endometriosis Endometrium Female Gene Expression Genitalia, Female Homeobox A10 Proteins Homeodomain Proteins Homeodomain Proteins Humans

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References (69)

Cited by (24)

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