Abstract

BackgroundMicroRNAs (MiR) may promote fibroid development via altered expression of genes involved in cell proliferation and ECM formation, and evidence supports aberrant expression of MicroRNA (MiR) 21a-5p in fibroids. The purpose of this study was to investigate the functional significance of MiR 21a-5p overexpression in the pathobiology of leiomyomata (fibroids).MethodsA basic science experimental design using immortalized fibroid and myometrial cell lines derived from patient-matched specimens was used. Stable overexpression of MiR-21a-5p in an immortalized fibroid and patient matched myometrial cell line was achieved through lentiviral vector infection. Main outcome measures were MiR-21-5p overexpression, target gene and protein expression, collagen (COL1A1) production, cell proliferation, cell migration, and cell cycle stages of fibroid and myometrial immortalized cell lines.ResultsMiR-21a-5p was overexpressed to similar levels in fibroid and myometrial cell lines after lentiviral infection. Increased expression of miR-21 resulted in increased gene and protein expression of TGF-β3 in both fibroid and myometrial cells. Changes in expression of the ECM genes Fibronectin, Collagen 1A1, CTGF, Versican and DPT were seen in both fibroid and myometrial cells. Changes were also seen in Matrix Metalloproteinase (MMP) related genes including MMP 2, MMP 9, MMP 11 and Serpine 1 in both fibroid and myometrial cells. MiR-21 upregulation resulted in increased proliferation and migration in fibroid cells compared to myometrial cells.ConclusionsMiR-21a-5p overexpression results in changes in the expression of ECM mediators in both fibroid and myometrial cells, and increased cell proliferation in fibroid cells. These finding suggest a potential functional role of MiR-21a-5p in the development of uterine fibroids and warrant further investigation.

Highlights

  • MicroRNAs (MiR) may promote fibroid development via altered expression of genes involved in cell proliferation and Endocrinology (2018) 16:46 matrix (ECM) formation, and evidence supports aberrant expression of MicroRNA (MiR) 21a-5p in fibroids

  • An increase was observed in TGF-β3 gene expression in miR-21upregulated fibroid cells relative to their negative control (NTC) (p = 0.04)

  • In summary, this study has shown that that upregulation of miR-21 resulted in increased gene and protein expression of TGF-β3, altered gene expression of several mediators of the ECM in both fibroid and myometrial cells, and phenotypic changes including increased proliferation and migration in fibroid cells

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Summary

Introduction

MicroRNAs (MiR) may promote fibroid development via altered expression of genes involved in cell proliferation and ECM formation, and evidence supports aberrant expression of MicroRNA (MiR) 21a-5p in fibroids. Leiomyoma, represent a major public health problem for women of reproductive age. These benign smooth muscle tumors of the myometrium have a cumulative incidence of nearly 70% in white women and over 80% in black women [1]. It has been suggested that miRs may promote fibroid development via altered expression of genes responsible for proliferation, apoptosis, angiogenesis, and ECM formation [7]

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