Abstract

BackgroundEndometriosis is a common, benign, and estrogen-dependent disease characterized by pelvic pain and infertility. To date, the pathogenesis of endometriosis remains unclear. Recent studies have demonstrated that noncoding RNAs, including microRNAs and long noncoding RNAs, play important roles in the development of endometriosis.MethodsExpression profiling of miRNAs in endometrial tissue was characterized using microarrays. The most differentially expressed miRNAs were confirmed using quantitative reverse transcriptase-polymerase chain reaction analysis in additional ectopic endometrial (n = 27) and normal endometrial (n = 12) tissues. For in-vitro functional studies, 5-ethynyl-2′-deoxyuridine incorporation assay, Transwell assay, and dual-luciferase reporter assay were used to measure the proliferation, migration, and luciferase activity of miR-200c and the predicted targets of miR-200c in primary endometrial stromal cells (HESCs) derived from human endometrial biopsies, respectively. For in-vivo therapeutic interventions, polymeric nanoparticles of polyethylenimine–polyethylene glycol–arginine–glycine–aspartic acid were used for delivery of miR-200c mimic and inhibitor to determine the therapeutic effect of miR-200c in a rat model of endometriosis.ResultsExogenous overexpression of miR-200c inhibited the proliferation and migration of HESCs, which were mainly regulated by metastasis-associated lung adenocarcinoma transcript 1 (MALAT1). In contrast, inhibition of miR-200c promoted the proliferation and migration of HESCs, while the simultaneous silencing of MALAT1 expression exerted the opposite effects. We demonstrated that expression of MALAT1 in ectopic endometrial specimens was negatively correlated with that of miR-200c and that MALAT1 knockdown increased the level of miR-200c in HESCs. Moreover, the transfection of endometrial stromal cells with the miR-200c mimic or MALAT1 siRNAs decreased the protein levels of mesenchymal markers ZEB1, ZEB2, and N-cadherin and increased the protein levels of the epithelial marker E-cadherin. Furthermore, using a rat endometriosis model, we showed that local delivery of the miR-200c mimic significantly inhibited the growth of ectopic endometriotic lesions.ConclusionsThe MALAT1/miR-200c sponge may be a potential therapeutic target for endometriosis.

Highlights

  • Endometriosis is a common, benign, and estrogen-dependent disease characterized by pelvic pain and infertility

  • Restoration of miR-200c expression in endometrial stromal cells suppresses cellular migration and proliferation To better understand the biological function of miR200c in endometriosis, primary endometrial stromal cells (HESCs) derived from human endometrial biopsies were transfected with the miR-200c mimic or inhibitor to overexpress or suppress miR-200c expression, respectively

  • Many Long noncoding RNA (lncRNA) have been reported to function as competing endogenous RNAs that can competitively bind to common miRNAs [19]

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Summary

Introduction

Endometriosis is a common, benign, and estrogen-dependent disease characterized by pelvic pain and infertility. Recent studies have demonstrated that noncoding RNAs, including microRNAs and long noncoding RNAs, play important roles in the development of endometriosis. Endometriosis is characterized by the presence and growth of endometrial glands and stroma outside the uterine cavity. The disease affects 6–10% of reproductive-age women. Endometriosis has multiple manifestations, such as dysmenorrhea, pelvic pain, pelvic mass, infertility, and cancerous lesions, and it can severely affect the quality of life of patients. The pathogenesis of endometriosis is still unclear. It is urgent to explore the mechanism of endometriosis and find a noninvasive biomarker for the diagnosis and treatment of this disease

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