Ferroptosis contributes to endometrial fibrosis in intrauterine adhesions

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  • 作者:Qi Zhu, Simin Yao, Ziying Ye, Peipei Jiang, Huiyan Wang, Xiwen Zhang, Dan Liu, Haining Lv, Chenrui Cao, Zhenhua Zhou, Zihan Zhou, Weichen Pan, Guangfeng Zhao, Yali Hu
  • 期刊:FREE RADICAL BIOLOGY AND MEDICINE
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Intrauterine adhesions (IUA), characterized by endometrial fibrosis, is a challenging clinical issue in reproductive medicine. We previously demonstrated that epithelial-mesenchymal transition (EMT) and fibrosis of endometrial stromal cells (HESCs) played a vital role in the development of IUA, but the precise pathogenesis remains elucidated. Ferroptosis has now been recognized as a unique form of oxidative cell death , but whether it is involved in endometrial fibrosis remains unknown. In the present study, we performed an RNA-seq of the endometria from 4 severe IUA patients and 4 normal controls. Enrichment analysis and protein-protein interactions (PPIs) network analysis of differentially expressed genes (DEGs) were conducted. Immunohistochemistry was used to assess ferroptosis levels and cellular localization . The potential role of ferroptosis for IUA was investigated by in vitro and in vivo experiments. Here, we demonstrated that ferroptosis load is increased in IUA endometria. In vitro experiments showed that erastin-induced ferroptosis promoted EMT and fibrosis in endometrial epithelial cells (P?

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