Follicular fluid progesterone downregulated HPGD and COX2 in granulosa cells via suppressing NF-ĸB in endometriosis†

Jing-Yi Li, Jingyi Li, Jian-Peng Chen, Jianpeng Chen, Yuli Qian, Yu-Li Qian, Junyan Ma, Jun-Yan Ma, Fei-Da Ni, Yi-Feng Lin, Yifeng Lin, Run-Ju Zhang, Runju Zhang, Yue Ying, Yanye Zhang, Yan-Ye Zhang, Siwen Wang, Si-Wen Wang, Yun Huang, Juan Liu, Mixue Tu, Mi-Xue Tu, Yan-Yun Ying, Yanyun Ying, Yi-Qing Wu, Yiqing Wu, Xuechen Wu, Xue-Chen Wu, Wu Bingbing, Bing-Bing Wu, Bo Zhu, Dan Zhang
Biology of reproduction · 2023 · vol. 108(5) , pp. 791–801 · doi:10.1093/biolre/ioad014 · PMID:36721997 · W4318755732
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Elevated follicular fluid progesterone in endometriosis patients suppresses NF-κB signaling in granulosa cells, downregulating HPGD and COX2 expression and potentially causing ovulatory dysfunction.

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Abstract

Increasing evidences showed that ovulatory dysfunction, possibly caused by luteinized unruptured follicular follicle syndrome (LUFS), is one of the reasons for endometriosis-related infertility. The present study was conducted to explore the potential effect of elevated progesterone in follicular fluid (FF) on ovulation in endometriosis. A prospective study including 50 ovarian endometriosis patients and 50 control patients with matched pairs design was conducted with alterations in FF and peritoneal fluid (PF) components identified by metabolomics analyses and differentially expressed genes in granulosa cells (GCs) identified by transcriptome analysis. Patients with endometriosis exhibited a significantly higher progesterone level in serum, FF, and PF. Granulosa cells from endometriosis patients revealed decreased expression of HPGD, COX-2, and suppressed NF-ĸB signaling. Similarly, progesterone treatment in vitro downregulated HPGD and COX2 expression and suppressed NF-ĸB signaling in granulosa tumor-like cell line KGN (Bena Culture Collection, China) and primarily cultured GCs, as manifested by decreased expressions of IL1R1, IRAK3, reduced pIĸBα/IĸBα ratio, and nucleus translocation of p65. On the contrary, TNF-α treatment increased expression of IL1R1, IRAK3, pIĸBα, p65, and HPGD in GCs. One potential p65 binding site was identified in the promoter region of HPGD by chromatin immunoprecipitation. In conclusion, we found that intrafollicular progesterone might downregulate HPGD and COX-2 in GCs via suppressing the NF-ĸB signaling pathway, shedding light on the mechanism underlying the endometriosis-related ovulatory dysfunction.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

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