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Molecular Human Reproduction, Vol. 7, No. 3, 293-300, March 2001
© 2001 European Society of Human Reproduction and Embryology


Implantation and pregnancy

Different regulation of oestrogen receptors {alpha} and ß in the human cervix at term pregnancy

Hong Wang1, Ylva Stjernholm2, Gunvor Ekman2, Håkan Eriksson1 and Lena Sahlin1,3

1 Division for Reproductive Endocrinology and 2 Division for Obstetrics and Gynecology, Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden

Abstract

During pregnancy, a cervical connective tissue remodelling takes place, clinically recognized as softening, effacement and dilatation. The role of oestrogens and their receptors (ER) in this process is not clear. ER{alpha} is a ligand-activated transcription factor involved in many physiological processes. The identification of a second oestrogen receptor, ERß, has led to a re-evaluation of oestrogen signalling and physiology. The aim of this study was to monitor the expression of the two ERs in the cervix from women at term pregnancy (TP) and after parturition (PP) compared with that of non-pregnant (NP). A solution hybridization assay showed that the level of ER{alpha} mRNA was significantly decreased in the PP group, when compared with the NP and TP groups. In contrast the ERß mRNA level was increased in the TP group compared with the NP and PP groups. These results were supported by reverse transcription–polymerase chain reaction (RT–PCR). Similar results were observed for the protein with immunohistochemistry. Intense ERß immunostaining was observed in neutrophils and the endothelial cells of blood vessels. In conclusion, this study supports a concept according to which oestrogen might be involved in the final remodelling of the cervix via the modulating effects of the two ERs. Furthermore, oestrogen may mediate some effects on cervical ripening via ERß present in the invading neutrophils. Further studies are needed to elucidate this finding.

cervix/oestrogen/oestrogen receptors/parturition/pregnancy

Notes

3 To whom correspondence should be addressed at: Division for Reproductive Endocrinology, Karolinska Hospital, L5:01, S-171 76 Stockholm, Sweden. E-mail: Lena.Sahlin{at}kbh.ki.se


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