Endometrial Integrins

In: The Endocrinologist · 1995 · vol. 5(3) , pp. 214–221 · doi:10.1097/00019616-199505000-00008 · W4230722976
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This paper examines endometrial integrins, noting that aberrant expression of the αvβ3 integrin occurs in women with endometriosis and other inflammatory states, potentially serving as a marker for assessing endometrial receptivity and infertility.

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This review examines the role of endometrial integrins, specifically alpha4beta1 and alphavbeta3, as cell adhesion molecules that undergo temporal changes during the menstrual cycle to facilitate embryonic implantation. The author highlights that aberrant expression of these integrins, particularly alphavbeta3, is associated with infertility in women experiencing hormonal inadequacy or inflammatory conditions such as endometriosis, endometritis, and hydrosalpinges. Because current methods for assessing endometrial receptivity are lacking, the paper proposes that studying these molecular markers could provide a rational approach to diagnosing defects in infertile patients. Relevance to endometriosis: listed as one condition associated with aberrant integrin expression, though the paper's main focus is on endometrial receptivity and implantation mechanisms.

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Abstract

The assessment of endometrial function has lagged far behind other clinical examples in the field of endocrinology. Nevertheless, the importance of the endometrium to the establishment normal pregnancy and the associated biochemical complexities in this tissue makes its study of paramount importance. Integrins are a relatively new family of cell adhesion molecules that appear to undergo fascinating temporal and spatial changes in the endometrium throughout the menstrual cycle and into pregnancy suggesting a direct involvement in the process of embryonic implantation. Two integrins, α4β1 and αvβ3, are coex-pressed on endometrial epithelial cells only during the putative window of implantation, and the aberrant expression of the latter appears to predict infertility. Aberrant expression of the avβ3 integrin is found in women with hormonal inadequacy (luteal phase deficiency) and in women with certain inflammatory states (endometriosis, endometritis, and hydrosalpinges). With no currently accepted methods for the assessment of endometrial receptivity, integrins offer a rational means to investigate such defects in the infertile woman. Further, lessons learned from infertile women may lead the way toward improved diagnosis in “unexplained infertility” and safer and more efficacious means of contraception in the future
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Endometrial Integrins - Bruce A. Lessey The assessment of endometrial function has lagged far behind other clinical examples in the field of endocrinology. Nevertheless, the importance of the endometrium to the establishment normal pregnancy and the associated biochemical complexities in this tissue makes its study of paramount importance. Integrins are a relatively new family of cell adhesion molecules that appear to undergo fascinating temporal and spatial changes in the endometrium throughout the menstrual cycle and into pregnancy suggesting a direct involvement in the process of embryonic implantation. Two integrins, α4β1 and αvβ3, are coex-pressed on endometrial epithelial cells only during the putative window of implantation, and the aberrant expression of the latter appears to predict infertility. Aberrant expression of the avβ3 integrin is found in women with hormonal inadequacy (luteal phase deficiency) and in women with certain inflammatory states (endometriosis, endometritis, and hydrosalpinges). With no currently accepted methods for the assessment of endometrial receptivity, integrins offer a rational means to investigate such defects in the infertile woman. Further, lessons learned from infertile women may lead the way toward improved diagnosis in “unexplained infertility” and safer and more efficacious means of contraception in the future

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endometriosisinfertility

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