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Importance of GPER1, HO-1, HO-2 expression in the endometrium in patients with chronic endometritis

https://doi.org/10.51523/2708-6011.2021-18-3-21

Abstract

Objective. To evaluate the expression of G protein-coupled estrogen receptor (GPER1), heme oxygenase-1 (HO-1), and heme oxygenase-2 (HO-2) in patients with chronic endometritis and to determine the importance of these markers in the diagnosis of the disease.

Materials and methods. The results of GPER1, HO-1, and HO-2 expression were analyzed in patients with a confrmed diagnosis of chronic endometritis and in patients of the comparison group.

Results. The expression of GPER1 ≤ 79 % (sensitivity — 100.00 %; specifcity — 95.83 %; +PV — 94.00 %; -PV — 100 %), the expression of HO-1 positive cells > 5 % (sensitivity — 100.00 %; specifcity -100%; +PV — 100 %; -PV — 100 %) are signifcant for the development of chronic endometritis. The endometrial glands in the patients with chronic endometritis express the markers of inflammation HO-1 and HO-2 signifcantly more often than in the comparison group (p < 0.001).

Conclusion. The presented data indicate defects of the enzymes of iron metabolism and non-canonical pathways of estrogen reception in chronic endometritis. The determination of GPER1, HO-1, HO-2 expression in the endometrium in patients with chronic endometritis is a reliable criterion and may be used in the diagnosis of the disease.

About the Authors

Yu. A. Lyzikova
Gomel State Medical University
Belarus

Yuliya A. Lyzikova, PhD (Med), Associate Professor, Associate Professor at the Department of Obstetrics and Gynecology with the course of the Faculty of Professional Development and Retraining 

Gomel



D. A. Zinovkin
Gomel State Medical University
Belarus

Dmitry А. Zinovkin, Assistant Lecturer at the Department of Pathologic Anatomy

Gomel



E. V. Voropaev
Gomel State Medical University
Belarus

Evgenii V. Voropaev, PhD (Med), Associate Professor, Vice-rector in charge of scientifc work 

Gomel



References

1. Robertson SA, Moldenhaue LM. Immunological determinants of implantation success. The International Journal of Developmental Biology. 2014;58:205-217. DOI: https://doi.org/10.1387/ijdb.140096sr

2. Kasius JC, Broekmans FGM, Sie-Go DM, Bourgain C, Eijkemans M G C, Fauser BC et al. The reliability of the histological diagnosis of endometritis in asymptomatic IVF cases: a multicenter observe study. Human Reproduction. 2012;27:153-158. DOI: https://doi.org/10.1093/humrep/der341

3. Kitaya K, Matsubayashi H, Yamaguchi K, Nishiyama R, Takaya Y, Ishikawa T et al. Chronic endometritis: potential cause of infertility and obstetric and neonatal com plications. American Journal of Reproductive Immunology. 2016;75:13-22. DOI: https://doi.org/10.1111/aji.12438

4. Murdock TA, Veras EFT, Kurman RJ, Mazur MT. Diagnosis of Endometrial Biopsies and Curettings. A Practical Approach Third Edition. [Electronic resource]. Springer Nature Switzerland; 2019:173-198. [date of access 2021 May 15]. Available from: https://www.springer.com/de/book/9783319986074

5. Benner M, Ferwerda G, Joosten I, Renate J, Van der Molen R. How uterine microbiota might be responsible for a receptive, fertile endometrium. Human Reproduction Update. 2018;24(4):393-415. DOI: https://doi.org/10.1093/humupd/dmy012

6. Perlman B, Goldsmith L, Qing W, Heller D. S. Are Eosinophils a Specifc Marker of Chronic Endometritis? Journal of Gynecologic Surgery. 2016;32(6):345-347. DOI: https://doi.org/10.1089/gyn.2016.0074

7. Nairz M, Theurl I, Swirski FK, Weiss G. “Pumping iron”—how macrophages handle iron at the systemic, microenvironmental, and cellular levels. Europenian Journal of Physiology. 2017;469:397-418. DOI: https://doi.org/10.1007/s00424-017-1944-8

8. Pelekanou V, Villarroel-Espindola F, Schalper KA, Pusztai L, Rimm DL. CD68, CD163, and matrix metalloproteinase 9 (MMP-9) co-localization in breast tumor microenvironment predicts survival differently in ER-positive and -negative cancer. Breast Cancer Research and Treatment. 2018;20(1):154. DOI: https://doi.org/10.1186/s13058-018-1076-x

9. Trenti A, Tedesco S, Boscaro C, Trevisi L, Bolego C, Cignarella. A. Estrogen, Angiogenesis, Immunity and Cell Metabolism: Solving the Puzzle. International Journal of Molecular Sciences. 2018;19(3):859. DOI: https://doi.org/10.3390/ijms19030859

10. Szade A, Szade K, Mahdi M, Józkowicz A. The role of heme oxygenase-1 in hematopoietic system and its microenvironment. Cellular and Molecular Life Sciences. 2020;78(10):4639-4651. DOI: https://doi.org/10.1007/s00018-021-03803-z

11. Basmaeil YS, Algudiri D, Alenzi R, Subayyil A, Alaiya A, Khatlani T. HMOX1 is partly responsible for phenotypic and functional abnormalities in mesenchymal stem cells/stromal cells from placenta of preeclampsia (PE) patients. Stem Cell Research & Therapy. 2020;11:30-44. DOI: https://doi.org/10.1186/s13287-020-1557-6

12. Zhou X, Wang S, Wang Z, Feng X, Liu P, Lv XB et al. Estrogen regulates Hippo signaling via GPER in breast cancer. The Journal of Clinical Investigation. 2015;25(5):2123-2135. DOI: https://doi.org/10.1172/JCI79573

13. Plaza-Parrochia F, Romero C, Valladares L, Vega M. Endometrium and steroids. Steroids. 2017;126:85-91. DOI: https://doi.org/10.1016/j.steroids.2017.08.007

14. Skrzypczakab M, Schülera S, Lattricha C, Ignatova A, Ortmanna O, Treeck O. G protein-coupled estrogen receptor (GPER) expression in endometrial adenocarcinoma and effect of agonist G-1 on growth of endometrial adenocarcinoma cell lines. Steroids. 2013;78(11):1087-1097. DOI: https://doi.org/10.1016/j.steroids.2013.07.007

15. Chimento A, Casaburi I, Bartucci M, Patrizii M, Dattilo R, Avena P, Andò S, Pezzi V, Sirianni R. Selective GPER activation decreases proliferation and activates apoptosis in tumor Leydig cells. Cell Death Dis. 2013 Aug 1;4(8):e747. DOI: https://doi.org/10.1038/cddis.2013.275

16. Lyzikova YuA, Zinovkin DA. The clinical description of infertile female patients and immunohistochemical evaluation of FoxP3 andCD56 expression in the endometrium. [Electronic resource]. Health and Ecology Issues. 2019;(1):35-40. [date of access 2021 June 05]. Available from: https://journal.gsmu.by/jour/article/view/93 (in Russ.).


Review

For citations:


Lyzikova Yu.A., Zinovkin D.A., Voropaev E.V. Importance of GPER1, HO-1, HO-2 expression in the endometrium in patients with chronic endometritis. Health and Ecology Issues. 2021;18(3):168-174. (In Russ.) https://doi.org/10.51523/2708-6011.2021-18-3-21

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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)