Characteristics of production and reception of sex hormones in patients with chronic endometritis


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To determine the level of sex hormones and evaluate endometrial receptivity in patients with chronic endometritis. Materials and methods. There was an assessment of sex hormone levels, the expression of estrogen (ER) and progesterone (PR) receptors, and the membrane component of the progesterone receptor (PGRMC1) in patients with chronic endometriosis and in the patients of the control group. Results. Patients with immunohistochemical signs of endometritis had significantly higher levels of progesterone in the blood (p=0.006). The analysis of the expression of sex hormone receptors in the endometrium revealed a decrease in the expression of PR and PGRMC1, which indicates an impairment of hormone reception at the molecular level (p<0.001) Conclusion. Patients with chronic endometritis can be administered progestogen therapy only in case of progesterone deficiency.

Full Text

Restricted Access

About the authors

Yuliya A. Lyzikova

Gomel State Medical University

Email: lyzikovayulia@yandex.by
MD, PhD, Associate Professor

References

  1. Омапаршаева М.И., Дикке Г.Б., Абусуева З.А., Хашаева Т.Х.-М. Восстановление рецептивности эндометрия у женщин после несостоявшегося выкидыша. Акушерство и гинекология. 2019; 1: 109-16. https://dx.doi. org/10.18656/aig.2019.1.109-116.
  2. Кебурия Д.К., Смольникова В.Ю., Припутневич Т.В., Муравьева В.В. Микробиота полости матки и ее влияние на репродуктивные исходы Акушерство и гинекология. 2019; 2: 22-7. [Keburiya D.K., Smol'nikova V.Yu., Priputnevich T.V., Murav'eva V.V. Microbiota of the uterine cavity and its influence on reproductive outcomes. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2019; 2: 22-7. (in Russian)]. https://dx.doi.org/10.18656/ aig.2019.2.22-27.
  3. Доброхотова Ю.Э., Ганковская Л.В., Боровкова Е.И., Зайдиева З.С., Скальная В.С. Модулирование локальной экспрессии факторов врожденного иммунитета у пациенток с хроническим эндометритом и бесплодием. Акушерство и гинекология. 2019; 5: 125-32. [Dobrohotova Yu.E., Gankovskaya L.V., Borovkova E.I., Zajdieva Z.S., Skal'naya V.S. Modeling of local expression of innate immune factors in patients with chronic endometritis and infertility. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2019; 5: 125-32. (in Russian)]. https://dx.doi.org/10.18656/aig.2019.5.125.132.
  4. Доронина О.К., Дейлидко Э.Н. Применение аутоплазмы, обогащенной растворимыми факторами тромбоцитов, при проведении программ экстракорпорального оплодотворения пациенток с бесплодием и хроническим эндометритом. Акушерство и гинекология. 2019; 7: 72-6. [Doronina O.K., Dejlidko E.N. The use of autoplasma, enriched with platelet-derived soluble factors, when carrying out the programs of in vitro fertilization (IFV) in patients with infertility and chronic endometritis. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2019; 7: 72-6. (in Russian)]. https://dx.doi.org/10.18656/ aig.2019.7.72-76.
  5. Эфендиева З.Н., Аполихина И.А., Калинина Е.А. «Тонкий» эндометрий в аспекте репродуктивных неудач: современная проблема или гипердиагностика? Акушерство и гинекология; 2019: 9: 32-9. [Efendieva Z.N., Apolihina I.A., Kalinina E.A. Thin endometrium in the aspect of reproductive failures: a modern problem or overdiagnosis? Akusherstvo i ginekologiya/ Obstetrics and Gynecology. 2019: 9: 32-9. (in Russian)]. https://dx.doi. org/10.18656/aig.2019.9.32-39.
  6. Cicinelli E., Matteo A., Tinelli R., Lepera A., Alfonso R., Indraccolo U. et al. Prevalence of chronic endometritis in repeated unexplained implantation failure and the IVF success rate after antibiotic therapy. Hum. Reprod. 2015; 30(2): 323-30. https://dx.doi.org/10.1093/humrep/deu292.
  7. Ищенко А.И., Унанян А.Л., Коган Е.А., Демура Т.А., Коссович Ю.М. Клиникоанамнестические, иммунологические, эхографические и гистероскопические особенности хронического эндометрита, ассоциированного с нарушением репродуктивной функции. Вестник Российской академии медицинских наук. 2018; 73(1): 5-15. [Ishchenko A.I., Unanyan A.L., Kogan E.A., Demura T.A., Kossovich Yu.M. Clinical-anamnestic, immunological, echographic and hysteroscopic features of chronic endometritis associated with reproductive dysfunction. Bulletin of the RAMS. 2018; 73(1): 5-15. (in Russian)]. https://dx.doi.org/10.15690/vramn927.
  8. Johnston-MacAnanny E.B., Hartnett J., Engmann L.L., Nulsen J.C., Sanders M.M., Benadiva C.A. Chronic endometritis is a frequent finding in women with recurrent implantation failure after in vitro fertilization. Fertil. Steril. 2010; 93(2): 437-41. https://dx.doi.org/10.1016/j.fertnstert.2008.12.131.
  9. Kasius J.C., Broekmans F.J.M., Sie-Go D.M.D.S., Bourgain C., Eijkemans M.J.C., Fauser B.C. et al. The reliability of the histological diagnosis of endometritis in asymptomatic IVF cases: a multicenter observe study. Hum. Reprod. 2012; 27(1): 153-8. https://dx.doi.org/10.1093/humrep/der341.
  10. Feng Y., Ma X., Deng L., Yao B., Xiong Y., Wu Y. et al. Role of selectins and their ligands in human implantation stage. Glycobiology. 2017; 27(5): 385-91. https://dx.doi.org/10.1093/glycob/cwx009.
  11. Di Spiezio Sardo A, Di Carlo C., Minozzi S., Spinelli M., Pistotti V., Alviggi C. et al. Efficacy of hysteroscopy in improving reproductive outcomes of infertile couples: a systematic review and meta-analysis. Hum. Reprod. Update. 2016; 22(4): 479-96. https://dx.doi.org/10.1093/humupd/dmw008.
  12. Romero R., Espinoza J., Mazor M. Can endometrial infection/inflammation explain implantation failure, spontaneous abortion, and preterm birth after in vitro fertilization? Fertil. Steril. 2004; 82(4): 799-804. https://dx.doi. org/10.1016/j.fertnstert.2004.05.076.
  13. Moffett A., Colucci F. Uterine NK cells: active regulators at the maternal-fetal interface. J. Clin. Invest. 2014; 124(5): 1872-9. https://dx.doi.org/10.1172/ JCI68107.
  14. Ledee-Bataille N., Dubanchet S., Coulomb-L’hermine A., Durand-Gasselin I., Frydman R., Chaouat G. A new role for natural killer cells, interleukin (IL)-12, and IL-18 in repeated implantation failure after in vitro fertilization. Fertil. Steril. 2004; 81(1): 59-65. https://dx.doi.org/10.1016/j.fertnstert.2003.06.007.
  15. Бурдули А.Г. Андрогеновый статус у пациенток в программах ЭКО. Акушерство и гинекология. 2019; 3: 40-4. [Burduli A.G. Androgen status in patients in IVF programs. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2019; 3: 40-4. (in Russian)]. https://dx.doi.org/10.18656/ aig.2019.3.40-44.
  16. Mulac-Jericevic B., Mullinax R.A., DeMayo F.J., Lydon J.P., Conneely O.M. Subgroup of reproductive functions of progesterone mediated by progesterone receptor-B isoform. Science. 2000; 289(5485): 1751-4. https://dx.doi. org/10.1126/science.289.5485.1751.
  17. Fleisch M.C., Chou Y.C., Cardiff R.D., Asaithambi A., Shyamala G. Overexpression of progesterone receptor A isoform in mice leads to endome trial hyperproliferation, hyperplasia and atypia. Mol. Hum. Reprod. 2009; 15(4): 241-9. https://dx.doi.org/10.1093/molehr/gap013.
  18. Szekeres-Bartho J., Barakonyi A., Par G., Polgar B., Palkovics T., Szereday L. Progesterone as an immunomodulatory molecule. Int. Immunopharmacol. 2001; 1(6): 1037-48. https://dx.doi.org/10.1016/s1567-5769(01)00035-2.
  19. Yie S.M., Xiao R., Librach C.L. Progesterone regulates HLA-G gene expression through a novel progesterone response element. Hum. Reprod. 2006; 21(10): 2538-44. https://dx.doi.org/10.1093/humrep/del126.
  20. Choi B.C., Polgar K., Xiao L., Hill J.A. Progesterone inhibits in vitro embryotoxic Th1 cytokine production to trophoblast in women with recurrent pregnancy loss. Hum. Reprod. 2000; 15(Suppl. 1): 46-59. https://dx.doi.org/ 10.1093/ humrep/15.suppl_1.46.
  21. Venetis C.A., Kolibianakis E.M., Bosdou J.K., Lainas G.T., Sfontouris I.A., Tarlatzis B.C. et al. Basal serum progesterone and history of elevated progesterone on the day of hCG administration are significant predictors of late follicular progesterone elevation in GnRH antagonist IVF cycles. Hum. Reprod. 2016; 31(8): 1859-65. https://dx.doi.org/10.1093/humrep/dew141.
  22. Venetis C.A., Kolibianakis E.M., Bosdou J.K., Tarlatzis B.C. Progesterone elevation and probability of pregnancy after IVF: a systematic review and metaanalysis of over 60000 cycles. Hum. Reprod. Update. 2013; 19(5): 433-57. https://dx.doi.org/10.1093/humupd/dmt014.
  23. Kasius A., Smit J.G., Torrance H.L., Eijkemans M.J., Mol B.W., Opmeer B.C. et al. Endometrial thickness and pregnancy rate after IVF: a systematic review and meta-analysis. Hum. Reprod. Update. 2014: 20(4): 530-41. https://dx.doi. org/10.1093/humupd/dmu011.
  24. Mahajan N. Endometrial receptivity array: clinical application. J. Hum. Reprod. Sci. 2015: 8(3): 121-9. https://dx.doi.org/10.4103/0974-1208.165153.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies