Abstract
Purpose
This study aims to investigate whether indomethacin (IND) delays preterm birth by regulating the Notch pathway, Tlr receptors, and Sp-A in the placenta in lipopolysaccharide (LPS)-induced preterm labor (PTL) model.
Methods
CD-1 mice were distributed to the pregnant control (PC), Sham, PBS, IND (2 mg/kg; i.p.), LPS (25 μg/100 μl; intrauterine), and LPS + IND groups. The injections were performed on day 14.5 of pregnancy. Placentae were collected on day 15.5 of pregnancy, and immunohistochemical analyzes were performed. Differences in staining intensities between the Cox-1, Notch-1 (N1), Dll-1, Jagged-2 (Jag-2), Tlr-2, and Tlr-4 proteins were compared.
Results
Preterm labor rates were 100% and 66% (preterm delivery delayed 5 h) in the LPS and LPS + IND groups, respectively. In LPS-treated mice, a general morphological deterioration was observed in the placenta. Total placental mid-sagittal measurement was significantly reduced in the LPS-treated group, while it was similar to the PC group in the LPS + IND group. Cox-1 expression in the LZ increased, and Sp-A expression decreased after LPS injection, and IND administration diminished this increase. N1 expression increased in the labyrinth zone (LZ) and the junctional zone (JZ). Dll-1 and Jag-2 expression increased in the JZ after LPS injection (p < 0.0001). IND administration diminished Tlr-2 expression in the LZ and Tlr-4 expression in the JZ after LPS injection.
Conclusion
In conclusion, PG (prostaglandin) inhibition may alter Notch signaling, Tlr, and Sp-A protein expression and may be associated with delayed labor in LPS-induced mice.
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Data availability
All data will be provided by the corresponding author upon request.
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Funding
SA was funded by the Scientific and Technological Research Council of Turkey with International Research Fellowship 2214-A Programme for PhD students grant (1059B141700505-2214/A. The study represents a part of the PhD thesis of SA.
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SA designed the study, performed the experimental procedures, analyzed the data, and drafted the manuscript. NK, BD, and LK assisted SA during experiments, surgical procedures, and data generation. IU acted as a consultant during the execution of the project. CCO contributed to the data analysis and drafting of the article.
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The Animal Research Ethical Committee approved the experimental protocol of Akdeniz University by protocol number 1201/2020.10.008. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.
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Part of the study has been presented as a poster presentation at the 77th American Society for Reproductive Medicine Scientific Congress that has been held in Baltimore in person and on-demand between 17–20 October 2021.
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Avci, S., Kuscu, N., Durkut, B. et al. Altered expression of Notch signaling, Tlr receptors, and surfactant protein expression after prostaglandin inhibition may be associated with the delayed labor in LPS-induced mice. J Assist Reprod Genet 39, 1531–1544 (2022). https://doi.org/10.1007/s10815-022-02515-y
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DOI: https://doi.org/10.1007/s10815-022-02515-y