한빛사논문
Jung-Yoon Yoo1,2,9, Tae Hoon Kim1,9, Jung-Ho Shin3, Ryan M. Marquardt1,4, Ulrich Müller5, Asgerally T. Fazleabas1, Steven L. Young6, Bruce A. Lessey7, Ho-Geun Yoon8,* & Jae-Wook Jeong1,*
1Department of Obstetrics,Gynecology & Reproductive Biology, Michigan State University, College of Human Medicine, Grand Rapids, MI, USA. 2Department of Biomedical Laboratory Science, Yonsei University Mirae Campus, Wonju, South Korea. 3Division of Reproductive Endocrinology, Department of Obstetrics & Gynecology, Guro Hospital, Korea University Medical Center, Seoul, South Korea. 4Cell and Molecular Biology Program, Michigan State University, East Lansing, MI, USA. 5The Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, USA. 6Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA. 7Department of Obstetrics and Gynecology, Wake Forest Baptist Health, Winston-Salem, NC, USA. 8Department of Biochemistry and Molecular Biology, Severance Medical Research Institute, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul, South Korea. 9These authors contributed equally: Jung-Yoon Yoo, Tae Hoon Kim.
*Corresponding author.
Abstract
Female subfertility is highly associated with endometriosis. Endometrial progesterone resistance is suggested as a crucial element in the development of endometrial diseases. We report that MIG-6 is downregulated in the endometrium of infertile women with endometriosis and in a non-human primate model of endometriosis. We find ERBB2 overexpression in the endometrium of uterine-specific Mig-6 knockout mice (Pgrcre/+Mig-6f/f; Mig-6d/d). To investigate the effect of ERBB2 targeting on endometrial progesterone resistance, fertility, and endometriosis, we introduce Erbb2 ablation in Mig-6d/d mice (Mig-6d/dErbb2d/d mice). The additional knockout of Erbb2 rescues all phenotypes seen in Mig-6d/d mice. Transcriptomic analysis shows that genes differentially expressed in Mig-6d/d mice revert to their normal expression in Mig-6d/dErbb2d/d mice. Together, our results demonstrate that ERBB2 overexpression in endometrium with MIG-6 deficiency causes endometrial progesterone resistance and a nonreceptive endometrium in endometriosis-related infertility, and ERBB2 targeting reverses these effects.
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