The therapeutic effects and underlying mechanisms of the intrauterine perfusion of granulocyte colony-stimulating factor on a thin-endometrium rat model

Life Sci. 2020 Nov 1:260:118439. doi: 10.1016/j.lfs.2020.118439. Epub 2020 Sep 17.

Abstract

Aims: This study aims to investigate the effects of intrauterine perfusion of granulocyte colony-stimulating factor (G-CSF) on a thin-endometrium rat model.

Main methods: Twenty rats in two groups of 10 were used. Group I was perfused with normal saline (NS) in the right uterine horn and 95% ethanol in the left one. Group II was bilaterally perfused with 95% ethanol into the uterine horns. After three estrous cycles, Group II was perfused with NS in the right uterine horn and G-CSF (30 μg/kg) in the left one. Hematoxylin-eosin (HE) and immunohistochemistry (IHC) staining were used to detect changes in endometrial thickness and expression of cytokeratin 19 (CK19) and vimentin (Vim). The relative expression levels of vascular endothelial growth factor (Vegf) and leukemia inhibitory factor (Lif) were also tested via reverse transcription-quantitative real-time polymerase chain reaction (RT-qPCR) and Western-blot analyses.

Key findings: G-CSF treatment significantly increased the thickness of the endometrium in the 95% ethanol-induced thin-endometrium rat model. The expression levels of endometrial glandular epithelial cell marker for CK19 and stromal cell marker Vim were augmented in the G-CSF-treated group compared with the control group. Moreover, G-CSF treatment stimulated the expression of VEGF and LIF in the 95% ethanol-induced thin-endometrium rat model.

Significance: G-CSF intrauterine perfusion improved endometrial receptivity in the thin-endometrium rat model by stimulating endometrial proliferation and angiogenesis.

Keywords: Granulocyte colony-stimulating factor; Leukemia inhibitory factor; Thin endometrium; Vascular endothelial growth factor.

MeSH terms

  • Animals
  • Endometrium / drug effects*
  • Endometrium / physiology
  • Endometrium / physiopathology*
  • Ethanol / toxicity
  • Female
  • Gene Expression / drug effects
  • Granulocyte Colony-Stimulating Factor / administration & dosage
  • Granulocyte Colony-Stimulating Factor / pharmacology*
  • Leukemia Inhibitory Factor / genetics
  • Perfusion
  • Rats, Sprague-Dawley
  • Uterus / physiology
  • Vascular Endothelial Growth Factor A / genetics
  • Vimentin / metabolism

Substances

  • Leukemia Inhibitory Factor
  • Vascular Endothelial Growth Factor A
  • Vimentin
  • vascular endothelial growth factor A, rat
  • Granulocyte Colony-Stimulating Factor
  • Ethanol