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Molecular Human Reproduction, Vol. 7, No. 8, 755-763, August 2001
© 2001 European Society of Human Reproduction and Embryology


Implantation and pregnancy

Nitric oxide induces extensive apoptosis in endometrial epithelial cells in the presence of progesterone: involvement of mitogen-activated protein kinase pathways

Hsin-Yang Li1,3, Sheng-Ping Chang3, Chiou-Chung Yuan3, Hsiang-Tai Chao3, Heung-Tat Ng3 and Yen-Jen Sung2,4

1 Institute of Clinical Medicine, School of Medicine and 2 Institute of Anatomy and Cell Biology, School of Life Science, National Yang-Ming University, Taipei, Taiwan, ROC and 3 Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan, ROC

Abstract

During trophoblast invasion, luminal and glandular endometrial epithelial cells (EEC) have been found to undergo apoptosis through undetermined mechanisms. We postulate that nitric oxide (NO) and progesterone may mediate apoptosis in EEC because they are produced by trophoblasts at concentrations that can cause apoptosis in non-uterine cells. Using a cultured EEC line, RL95-2, we found that sodium nitroprusside (SNP) or S-nitroso-N-acetylpenicillamine (SNAP), two commonly used NO-releasing agents, caused the death of EEC in a dose-dependent manner and progesterone markedly enhanced NO-induced cytotoxicity. Cells treated with NO/progesterone showed a significant increase in the percentage of condensed nuclei, as detected by DAPI staining, and in caspase-3 activity, indicating that these cells underwent apoptosis. Immunoblot analysis revealed that SNP/NO could activate extracellular signal-regulated kinase (ERK) and, to a lesser extent, p38 mitogen-activated protein kinase (MAPK). While pretreatment with PD98059 (an ERK inhibitor) did not prevent cell death, the addition of SB203580 (a p38 MAPK inhibitor) effectively rescued the cells from NO/progesterone treatment. Moreover, SNP/NO-induced p38 MAPK activation was significantly up-regulated by progesterone. Our results demonstrate that NO and progesterone may synergistically activate p38 MAPK to induce apoptosis in EEC, a process that may facilitate implantation.

apoptosis/endometrium/MAP kinase/nitric oxide/progesterone

Notes

4 To whom correspondence should be addressed at: Institute of Anatomy and Cell Biology, National Yang-Ming University, 155 Section 2, Li-Nong Street, Taipei, Taiwan 112. E-mail: yjsung{at}ym.edu.tw


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