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PMID: 26817618 Published · epublish English Journal Article Research Support, Non-U.S. Gov't

Intracrine Androgens Enhance Decidualization and Modulate Expression of Human Endometrial Receptivity Genes.

Scientific reports ·Vol. 6 ·2016-01-28 ·Pages 19970

Gibson DA, Simitsidellis I, Cousins FL, Critchley HO, Saunders PT

Abstract

The endometrium is a complex, steroid-dependent tissue that undergoes dynamic cyclical remodelling. Transformation of stromal fibroblasts (ESC) into specialised secretory cells (decidualization) is fundamental to the establishment of a receptive endometrial microenvironment which can support and maintain pregnancy. Androgen receptors (AR) are present in ESC; in other tissues local metabolism of ovarian and adrenal-derived androgens regulate AR-dependent gene expression. We hypothesised that altered expression/activity of androgen biosynthetic enzymes would regulate tissue availability of bioactive androgens and the process of decidualization. Primary human ESC were treated in vitro for 1-8 days with progesterone and cAMP (decidualized) in the presence or absence of the AR antagonist flutamide. Time and treatment-dependent changes in genes essential for a) intra-tissue biosynthesis of androgens (5α-reductase/SRD5A1, aldo-keto reductase family 1 member C3/AKR1C3), b) establishment of endometrial decidualization (IGFBP1, prolactin) and c) endometrial receptivity (SPP1, MAOA, EDNRB) were measured. Decidualization of ESC resulted in significant time-dependent changes in expression of AKR1C3 and SRD5A1 and secretion of T/DHT. Addition of flutamide significantly reduced secretion of IGFBP1 and prolactin and altered the expression of endometrial receptivity markers. Intracrine biosynthesis of endometrial androgens during decidualization may play a key role in endometrial receptivity and offer a novel target for fertility treatment.

MeSH Terms
3-Oxo-5-alpha-Steroid 4-Dehydrogenase/genetics Androgens/metabolism Decidua/metabolism Endometrium/metabolism Female Flutamide/pharmacology Gene Expression Regulation/drug effects Humans Membrane Proteins/genetics Pregnancy Testosterone/biosynthesis,metabolism
Chemicals
Androgens Membrane Proteins Testosterone Flutamide 3-Oxo-5-alpha-Steroid 4-Dehydrogenase SRD5A1 protein, human
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Gibson Douglas A
Medical Research Council Centre for Inflammation Research, The University of Edinburgh, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, EH16 4TJ. UK.
Simitsidellis Ioannis
Medical Research Council Centre for Inflammation Research, The University of Edinburgh, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, EH16 4TJ. UK.
Cousins Fiona L
Medical Research Council Centre for Inflammation Research, The University of Edinburgh, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, EH16 4TJ. UK.
Critchley Hilary O D
Medical Research Council Centre for Reproductive Health, The University of Edinburgh, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, EH16 4TJ. UK.
Saunders Philippa T K
Medical Research Council Centre for Inflammation Research, The University of Edinburgh, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh, EH16 4TJ. UK.
References (37)
37 references, click to expand
  1. Decidualization of human endometrial stromal cells in vitro: effects of progestin and relaxin on the ultrastructure and production of decidual secretory proteins.
    Hum Reprod. 1994 Feb;9(2):259-66 PMID: 7517949
  2. Estrogen-dependent regulation of human uterine natural killer cells promotes vascular remodelling via secretion of CCL2.
    Hum Reprod. 2015 Jun;30(6):1290-301 PMID: 25820695
  3. Twenty-four-hour mean plasma testosterone concentration declines with age in normal premenopausal women.
    J Clin Endocrinol Metab. 1995 Apr;80(4):1429-30 PMID: 7714119
  4. Time of implantation of the conceptus and loss of pregnancy.
    N Engl J Med. 1999 Jun 10;340(23):1796-9 PMID: 10362823
  5. Androgen receptor agonist activity of the synthetic progestin, medroxyprogesterone acetate, in human breast cancer cells.
    Mol Cell Endocrinol. 1999 Aug 20;154(1-2):11-20 PMID: 10509795
  6. Androgen levels in adult females: changes with age, menopause, and oophorectomy.
    J Clin Endocrinol Metab. 2005 Jul;90(7):3847-53 PMID: 15827095
  7. Deficient expression of monoamine oxidase A in the endometrium is associated with implantation failure in women participating as recipients in oocyte donation.
    Mol Hum Reprod. 2006 Dec;12(12):749-54 PMID: 17020906
  8. Female mice haploinsufficient for an inactivated androgen receptor (AR) exhibit age-dependent defects that resemble the AR null phenotype of dysfunctional late follicle development, ovulation, and fertility.
    Endocrinology. 2007 Aug;148(8):3674-84 PMID: 17463055
  9. Differences in the endometrial transcript profile during the receptive period between women who were refractory to implantation and those who achieved pregnancy.
    Hum Reprod. 2008 Feb;23(2):340-51 PMID: 18077318
  10. Uterine receptivity to human embryonic implantation: histology, biomarkers, and transcriptomics.
    Semin Cell Dev Biol. 2008 Apr;19(2):204-11 PMID: 18035563
  11. The androgen and progesterone receptors regulate distinct gene networks and cellular functions in decidualizing endometrium.
    Endocrinology. 2008 Sep;149(9):4462-74 PMID: 18511503
  12. Effects of androgen on embryo implantation in the mouse delayed-implantation model.
    Fertil Steril. 2008 Oct;90(4 Suppl):1376-83 PMID: 18053999
  13. Subfertile female androgen receptor knockout mice exhibit defects in neuroendocrine signaling, intraovarian function, and uterine development but not uterine function.
    Endocrinology. 2009 Jul;150(7):3274-82 PMID: 19359383
  14. A Role for the orphan nuclear receptor estrogen-related receptor alpha in endometrial stromal cell decidualization and expression of genes implicated in energy metabolism.
    J Clin Endocrinol Metab. 2010 Oct;95(10):E224-8 PMID: 20668045
  15. Endometrial stromal fibroblasts from women with polycystic ovary syndrome have impaired progesterone-mediated decidualization, aberrant cytokine profiles and promote enhanced immune cell migration in vitro.
    Hum Reprod. 2015 May;30(5):1203-15 PMID: 25750105
  16. Intra-tissue steroid profiling indicates differential progesterone and testosterone metabolism in the endometrium and endometriosis lesions.
    J Clin Endocrinol Metab. 2014 Nov;99(11):E2188-97 PMID: 25137424
  17. A meta-analysis of dehydroepiandrosterone supplementation among women with diminished ovarian reserve undergoing in vitro fertilization or intracytoplasmic sperm injection.
    Int J Gynaecol Obstet. 2015 Dec;131(3):240-5 PMID: 26421833
  18. Androgens (dehydroepiandrosterone or testosterone) for women undergoing assisted reproduction.
    Cochrane Database Syst Rev. 2015;11:CD009749 PMID: 26608695
  19. Cyclic decidualization of the human endometrium in reproductive health and failure.
    Endocr Rev. 2014 Dec;35(6):851-905 PMID: 25141152
  20. Endometrial osteopontin, a ligand of beta3-integrin, is maximally expressed around the time of the "implantation window".
    Fertil Steril. 2001 Oct;76(4):775-81 PMID: 11591413
  21. Osteopontin is up-regulated in human decidual stromal cells.
    Fertil Steril. 2004 Mar;81 Suppl 1:741-8 PMID: 15019804
  22. Ovarian and adrenal contribution to peripheral androgens during the menstrual cycle.
    J Clin Endocrinol Metab. 1974 Aug;39(2):340-6 PMID: 4278727
  23. Reduction of testosterone to 5 alpha-dihydrotestosterone by human and rat uterine tissues.
    J Clin Endocrinol Metab. 1978 May;46(5):766-9 PMID: 262766
  24. Decidualization and insulin-like growth factor (IGF) binding protein: implications for its role in stromal cell differentiation and the decidual cell in haemochorial placentation.
    Hum Reprod. 1989 Feb;4(2):125-30 PMID: 2465306
  25. Implantation delay and anti-deciduogenic activity in the rat by the anti-androgen, hydroxyflutamide.
    Biol Reprod. 1990 Jan;42(1):120-5 PMID: 2310812
  26. Endothelin-1 gene expression and protein biosynthesis in human endometrium: potential modulator of endometrial blood flow.
    J Clin Endocrinol Metab. 1992 Jan;74(1):14-9 PMID: 1727813
  27. Androgens induce prolactin production by human endometrial stromal cells in vitro.
    J Clin Endocrinol Metab. 1994 Jan;78(1):165-8 PMID: 8288699
  28. Reexamination of testosterone, dihydrotestosterone, estradiol and estrone levels across the menstrual cycle and in postmenopausal women measured by liquid chromatography-tandem mass spectrometry.
    Steroids. 2011 Jan;76(1-2):177-82 PMID: 21070796
  29. In silico analysis identifies a novel role for androgens in the regulation of human endometrial apoptosis.
    J Clin Endocrinol Metab. 2011 Nov;96(11):E1746-55 PMID: 21865353
  30. Androgen signaling in decidualizing human endometrial stromal cells enhances resistance to oxidative stress.
    Fertil Steril. 2012 Jan;97(1):185-91 PMID: 22078782
  31. Endometrial and endometriotic concentrations of estrone and estradiol are determined by local metabolism rather than circulating levels.
    J Clin Endocrinol Metab. 2012 Nov;97(11):4228-35 PMID: 22969138
  32. Impact of ovulation and implantation timing on first-trimester crown-rump length and gestational age.
    Ultrasound Obstet Gynecol. 2012 Dec;40(6):630-5 PMID: 22858888
  33. The endometrial receptivity array for diagnosis and personalized embryo transfer as a treatment for patients with repeated implantation failure.
    Fertil Steril. 2013 Sep;100(3):818-24 PMID: 23756099
  34. Length of human pregnancy and contributors to its natural variation.
    Hum Reprod. 2013 Oct;28(10):2848-55 PMID: 23922246
  35. Endometrial Intracrinology--generation of an estrogen-dominated microenvironment in the secretory phase of women.
    J Clin Endocrinol Metab. 2013 Nov;98(11):E1802-6 PMID: 24014622
  36. Androgens modulate the morphological characteristics of human endometrial stromal cells decidualized in vitro.
    Reprod Sci. 2014 Mar;21(3):372-80 PMID: 23885104
  37. Mechanism of human endometrial stromal cells decidualization.
    Ann N Y Acad Sci. 1994 Sep 30;734:19-25 PMID: 7978916
Article Info
Journal
Scientific reports
Abbr.
Sci Rep
ISSN
2045-2322
Published
2016-01-28
Epub
2016-00-28
Pages
19970
Language
English
Region
England
NLM ID
101563288
PMCID
PMC4730211
Subset
IM
Grants
Medical Research Council · MR/N022556/1 · United Kingdom
Medical Research Council · MR/N024524/1 · United Kingdom
Medical Research Council · G1100356/1 · United Kingdom
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