Uterine Epithelial Estrogen Receptor-α Controls Decidualization via a Paracrine Mechanism

Mol Endocrinol. 2015 Sep;29(9):1362-74. doi: 10.1210/me.2015-1142. Epub 2015 Aug 4.

Abstract

Steroid hormone-regulated differentiation of uterine stromal cells, known as decidualization, is essential for embryo implantation. The role of the estrogen receptor-α (ESR1) during this differentiation process is unclear. Development of conditional Esr1-null mice showed that deletion of this gene in both epithelial and stromal compartments of the uterus leads to a complete blockade of decidualization, indicating a critical role of ESR1 during this process. To further elucidate the cell type-specific function of ESR1 in the uterus, we created WE(d/d) mice in which Esr1 is ablated in uterine luminal and glandular epithelia but is retained in the stroma. Uteri of WE(d/d) mice failed to undergo decidualization, indicating that epithelial ESR1 contributes to stromal differentiation via a paracrine mechanism. We noted markedly reduced production of the leukemia inhibitory factor (LIF) in WE(d/d) uteri. Supplementation with LIF restored decidualization in WE(d/d) mice. Our study indicated that LIF acts synergistically with progesterone to induce the expression of Indian hedgehog (IHH) in uterine epithelium and its receptor patched homolog 1 in the stroma. IHH then induces the expression of chicken ovalbumin upstream promoter-transcription factor II, a transcription factor that promotes stromal differentiation. To address the mechanism by which LIF induces IHH expression, we used mice lacking uterine epithelial signal transducer and activator of transcription 3, a well-known mediator of LIF signaling. Our study revealed that LIF-mediated induction of IHH occurs without the activation of epithelial signal transducer and activator of transcription 3 but uses an alternate pathway involving the activation of the ERK1/2 kinase. Collectively our results provide unique insights into the paracrine mechanisms by which ESR1 directs epithelial-stromal dialogue during pregnancy establishment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • COUP Transcription Factor II / biosynthesis
  • Cell Differentiation / genetics
  • Cell Proliferation / genetics
  • Cells, Cultured
  • Decidua / cytology
  • Decidua / growth & development*
  • Decidua / metabolism
  • Embryo Implantation / physiology*
  • Enzyme Activation / genetics
  • Estrogen Receptor alpha / genetics
  • Estrogen Receptor alpha / metabolism*
  • Extracellular Signal-Regulated MAP Kinases / metabolism
  • Female
  • Hedgehog Proteins / biosynthesis
  • Leukemia Inhibitory Factor / biosynthesis
  • Leukemia Inhibitory Factor / metabolism*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mucous Membrane / cytology
  • Mucous Membrane / metabolism
  • Paracrine Communication / physiology*
  • Patched Receptors
  • Patched-1 Receptor
  • Pregnancy
  • Progesterone / metabolism
  • Receptors, Cell Surface / biosynthesis
  • STAT3 Transcription Factor / genetics
  • Signal Transduction / genetics

Substances

  • COUP Transcription Factor II
  • Estrogen Receptor alpha
  • Hedgehog Proteins
  • Leukemia Inhibitory Factor
  • Lif protein, mouse
  • Patched Receptors
  • Patched-1 Receptor
  • Ptch1 protein, mouse
  • Receptors, Cell Surface
  • STAT3 Transcription Factor
  • Stat3 protein, mouse
  • ihh protein, mouse
  • Progesterone
  • Extracellular Signal-Regulated MAP Kinases