Abstract

BackgroundThe human endometrium is an important site for contact between the host and pathogens ascending the reproductive tract, and thus plays an important role in female reproductive tract immunity. Previous work in our laboratory has suggested that Toll-like receptors (TLRs) are involved in endometrial epithelial recognition of pathogens and that ligation of endometrial TLRs results in the production of cytokines and chemokines important for both immune and reproductive functions of the endometrium. We have also demonstrated cyclic regulation of TLR3 mRNA and protein expression in human endometrium, suggesting that steroid hormones might play a role in the expression and function of TLR3. In this study, the effects of 17beta-estradiol (E2) and progesterone (P) on TLR3 expression and function in endometrial cell lines were investigated.MethodsEndometrial epithelial cell lines were cultured and examined for the presence of TLR3 and hormone receptors by endpoint RT-PCR. For hormonal studies, cells were pre-treated with ethanol vehicle, 10^(-8) M E2, and/or 10^(-7) M P. For antagonist assays, cells were treated with the ER antagonist, ICI 182, 780, or the PR antagonist, RU486, for two hours prior to treatment with hormones. Following hormone or hormone/antagonist pre-treatment, cells were stimulated with vehicle, the synthetic TLR3 ligand, polyinosinic-polycytidylic acid (Poly I:C), a negative dsDNA control, or a positive control. Cytokine and chemokine production post-stimulation was measured by ELISA. The effects of E2 and P on TLR3 mRNA and protein expression were measured using Real Time RT-PCR and FACS analysis, respectively.ResultsStimulation of TLR3-expressing cells with the synthetic TLR3 ligand, Poly I:C, resulted in the production of cytokines and chemokines important for endometrial function and regulation. Suppression of Poly I:C-induced cytokine and chemokine production by cells treated with 10^(-8) M E2, but not cells treated with 10^(-7) M P, was observed in endometrial epithelial cell lines expressing TLR3 and estrogen receptor alpha (ERalpha). The effects of E2 were not observed on cells which did not express ERalpha or in cells pre-treated with the ER antagonist, ICI 182, 780. Treatment with E2 did not affect TLR3 mRNA or protein expression. However, treatment with E2 did suppress cytokine and chemokine production resulting from TLR3 stimulation with Poly I:C, suggesting that E2 modulates TLR3 function.ConclusionThe data presented in this study are the first indication that E2 can markedly alter the innate immune response to dsRNA, providing a previously unreported process by which E2 can alter immune responses.

Highlights

  • The human endometrium is an important site for contact between the host and pathogens ascending the reproductive tract, and plays an important role in female reproductive tract immunity

  • Endometrial epithelial cell lines express TLR3 and steroid hormone receptors To examine the presence of TLR3, ERα, ERβ, PRA, and PRB in endometrial cell lines, mRNA was subjected to Reverse Transcriptase Polymerase Chain Reaction (RT-Polymerase chain reaction (PCR))

  • The human breast adenocarcinoma cell line, MCF7, was used as a positive control for expression of mRNA coding for estrogen receptor (ER) and progesterone receptor (PR) [30,31,32]

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Summary

Introduction

The human endometrium is an important site for contact between the host and pathogens ascending the reproductive tract, and plays an important role in female reproductive tract immunity. The surface and glandular epithelium of the endometrium is an important site of contact between the host and several pathogens ascending the reproductive tract, including gonorrhea, chlamydia, human immunodeficiency virus (HIV), cytomegalovirus (CMV), and herpes simplex virus (HSV), as well as allogeneic sperm and the semi-allogeneic embryo. Cytokines play an essential role in regulating normal endometrial functions including embryo implantation, epithelial proliferation and shedding, and regulation of steroid hormone production[1,2,3,4]. Interleukin-6 (IL6) and Interleukin-8 (IL-8) have been shown to be elevated in the peritoneal fluid of women with endometriosis, but the reason for this abnormal cytokine expression has not been determined [7,8,9,10]

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