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Abstract
Menstruation in primates is preceded by a period of
intense vasoconstriction, with resultant
ischemia-reperfusion. Although apoptosis is involved in
endometrial breakdown, the relationship between
ischemia-reperfusion and apoptosis in the female genital
tract has not been determined. In order to investigate
the relationship between ischemia-reperfusion and
apoptosis in the uterus, we analyzed a uterine
ischemia-reperfusion model using BDF1 and C57BL/6 mice.
Ischemia was induced by clamping the uterine horn and
uterine artery for 5 to 30 min, followed by 6, 12, 24, or
48 h of reperfusion (n=4 for each group). The number of
TUNEL-positive endometrial cells increased with the
duration of ischemia and reached a maximum at 24 h of
reperfusion, but then tended to decrease at 48 h.
Transmission electron micrographs of endometrial cells
revealed the typical nuclear condensation, confirming the
occurrence of apoptosis. The mRNA expression level of the
proinflammatory cytokine, TNF
in the uterus
increased after reperfusion. Ischemia-reperfusion-induced
endometrial apoptosis was markedly decreased in TNF-R
p55-deficient mice, confirming the essential role of
TNF
in the induction of apoptosis by
ischemia-reperfusion (n=4). Our results suggest that
ischemia-reperfusion and subsequent TNF
expression
may be critical factors to induce endometrial cell
apoptosis. Our mouse model could be suitable for
investigating ischemia-related uterine injury in humans,
particularly in menstruation.
Key words:
Apoptosis
Cytokines
Menstrual cycle
Uterus
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