首页|孕酮免疫调节结合因子1在子宫内膜容受性中的作用

孕酮免疫调节结合因子1在子宫内膜容受性中的作用

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目的 探讨孕酮免疫调节结合因子1(PIBF1)对子宫内膜容受性的作用.方法 30只2月龄SD大鼠采用随机数字表法分为假手术组、模型组和PIBF1组,每组10只.模型组和PIBF1组大鼠建立胚胎种植窗期胚胎着床障碍模型.假手术组大鼠建立正常胚胎种植窗期胚胎着床模型.PIBF1组建模前30d经尾静脉注射过表达PIBF1的腺相关病毒,假手术组和模型组注射等体积腺相关病毒.观察3组大鼠种植窗期的情况;采用酶联免疫吸附实验检测3组大鼠激素雌二醇(E2)和孕酮(P)水平;分析3组大鼠着床胚泡的数量;苏木精-伊红(HE)染色分析3组大鼠子宫内膜的病理学变化;免疫组织化学法分析子宫内膜微血管的数量;采用蛋白质免疫应激分析3组大鼠子宫内膜组织PIBF1和p-STAT3的表达水平.组间计量数据比较采用单因素方差分析.结果 PIBF1组大鼠血清雌二醇水平[(35.33±3.42)pg/ml]明显高于模型组大鼠[(19.55±2.84)pg/ml],差异有统计学意义(t=11.230,P<0.05).PIBF1组大鼠血清孕酮水平[(0.58±0.06)pg/ml]明显高于模型组大鼠[(0.38±0.06)pg/ml],差异有统计学意义(t=7.329,P<0.05).PIBF1组大鼠胚泡着床数目[(9.70±1.49)个]明显高于模型组大鼠[(5.30±1.49)个],差异有统计学意义(t=6.584,P<0.05).模型组子宫内膜排列紊乱,子宫空腔扩张,炎性细胞浸润严重;PIBF1组大鼠子宫内膜血管相对丰富,炎性细胞浸润明显减少.PIBF1组大鼠子宫内膜微血管数量[(11.20±1.69)条]明显高于模型组大鼠[(6.60±1.17)条],差异有统计学意义(t=7.097,P<0.05).PIBF1组大鼠子宫内膜组织PIBF1蛋白表达水平(1.46±0.16)明显高于模型组大鼠(0.45±0.07),差异有统计学意义(t=18.600,P<0.05).PIBF1组大鼠子宫内膜组织p-STAT3蛋白表达水平(0.76±0.08)明显高于模型组大鼠(0.30±0.04),差异有统计学意义(t=15.880,P<0.05).结论 过表达上调PIBF1可显著改善大鼠种植窗期子宫内膜容受性,主要通过激活STAT3信号通路来实现.
The role of progesterone immunomodulatory binding factor 1 in endometrial receptivity
Objective To investigate the effect of progesterone immunomodulatory binding factor 1(PIBF1)on endometrial receptivity.Methods A total of 30 SD rats(aged 2 months)were randomly di-vided into sham surgery group,model group,and PIBF1 group by a random number table method.There were 10 rats in each group.The embryo implantation dysfunction models were established rats in the model group and PIBF1 group during the implantation window period.The embryo implantation models in the sham surgery group were establish during the implantation window period.At 30th day before the establish-ment of the models in the PIBF1 group,the adeno-associated viruses overexpressing PIBF1 were injected through the tail vein,and the sham surgery group and model group were injected with the same volume of adeno-associated viruses.The conditions of rats in three groups were observed during the implantation win-dow period.The levels of estradiol(E2)and progesterone(P)in three groups were analyzed by enzyme linked immunosorbent assay.The number of implanted fetal vesicles in three groups was analyzed.The pathological changes in the endometrium of three groups were detected by hematoxylin and eosin(HE)stai-ning.The number of microvessels in the endometrium was analyzed by immunohistochemical analysis.The expression levels of PIBF1 and p-STAT3 in the endometrium of three groups were analyzed by Western blot-ting.The comparison of inter group econometric data was conducted using one-way analysis of variance.Results The serum estradiol levels in the PIBF1 group[(35.33±3.42)pg/ml]were significantly higher than those in the model group[(19.55±2.84)pg/ml,t=11.230,P<0.05].The serum progesterone levels in the PIBF1 group[(0.58±0.06)pg/ml]were significantly higher than those in the model group[(0.38±0.06)pg/ml,t=7.329,P<0.05].The number of embryo implantations in the PIBF1 group(9.70±1.49)was significantly greater than that in the model group[(5.30±1.49),t=6.584,P<0.05].The model group had a disordered arrangement of endometrium,dilation of uterine cavity,and se-vere infiltration of inflammatory cells.The PIBF1 group had relatively abundant endometrial blood vessels and significantly reduced inflammatory cell infiltration.The number of microvessels in the endometrium of rats in the PIBF1 group(11.20±1.69)was significantly greater than that in the model group(6.60± 1.17,t=7.097,P<0.05).The expression level of PIBF1 protein in the endometrium of rats in the PIBF1 group(1.46±0.16)was significantly higher than that of rats in the model group(0.45±0.07,t=18.600,P<0.05).The expression level of p-STAT3 protein in the endometrium of rats in the PIBF1 group(0.76±0.08)was significantly higher than that of rats in the model group(0.30±0.04)(t=15.880,P<0.05).Conclusion Overexpression of PIBF1 significantly improved the receptivity of the endometrium during the implantation window period,mainly through the activation of the STAT3 signaling pathway.

Progesterone immunomodulatory binding factor 1Endometrial receptivityEstro-genMicrovascular

王玥、康晶晶、邵彩英

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郑州大学第一附属医院生殖医学中心,郑州 450052

郑州大学第一附属医院泌尿外科,郑州 450052

孕酮免疫调节结合因子1 子宫内膜容受性 雌激素 微血管

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(3)
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