Abstract
The key relationship between Sampson’s theory and the presence of mesenchymal stem cells in the menstrual flow (MenSCs), as well as the changes in post-transcriptional regulatory processes as actors in the etiopathogenesis of endometriosis, are poorly understood. No study to date has investigated the imbalance of miRNAs in MenSCs related to the disease. Thus, through literature and in silico analyses, we selected four predicted miRNAs as regulators of EGR1, SNAI1, NR4A1, NR4A2, ID1, LAMC3, and FOSB involved in pathways of apoptosis, angiogenesis, response to steroid hormones, migration, differentiation, and cell proliferation. These genes are frequently overexpressed in the endometriosis condition in our group studies. They were the trigger for the miRNAs search. Therefore, a case–control study was conducted with MenSCs of women with and without endometriosis (ten samples per group). Crossing information obtained from the STRING, PubMed, miRPathDB, miRWalk, and DIANA TOOLS databases, we chose to explore the expression of miR-21-5p, miR-100-5p, miR-143-3p, and miR-200b-3p by RT-qPCR. We found an upregulation of the miR-200b-3p in endometriosis MenSCs (P = 0.0207), with a 7.93-fold change (ratio of geometric means) compared to control. Overexpression of miR-200b has been associated with increased cell proliferation, stemness, and accentuated mesenchymal-epithelial transition process in eutopic endometrium of endometriosis. We believe that dysregulated miR-200b-3p may establish primary changes in the MenSCs, thus favoring tissue implantation at the ectopic site.
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Data Availability
RT-qPCR raw data are available upon request from the corresponding author.
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Acknowledgements
The authors thank Océlia de Vasconcelos for her support in collecting the samples. In addition, we are especially grateful to the women who voluntarily agreed to participate in this work.
Funding
This study was financially supported by the Sao Paulo Research Foundation (FAPESP 2013/22431–3), National Institute of Hormones and Women’s Health (Hormona)-CNPq (INCT-CNPq 465482/2014–7), and CAPES Higher Education Improvement Coordination (Scholarship).
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RZO applied the experiments, analyzed and interpreted the data, and drafted the article. FOB, ACLC, and LBCP performed a literature review, in silico analysis, and interpreted the data. The CCP assisted in the RT-qPCR experiments and the preparation of the laboratory experiments. PAT and MDO helped in cell culture, immunophenotyping, and cell differentiation. OBPN, JCRS, and RAF helped design the study, select the samples, and review the manuscript. JM designed and coordinated the study, supervised the experiments, and edited the manuscript. All authors read and approved the final manuscript.
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The Research Ethics Committee of the University Hospital of the Ribeirao Preto Medical School approved this case–control study (HCRP 3644/2019). The MenSC used in this work were collected from November 2014 to December 2016 following the ethics guidelines established by the Declaration of Helsinki (HCRP 15227/2012). They have been transferred to a biorepository of the Human Reproduction Section at the Department of Gynecology and Obstetrics of the Ribeirao Preto Medical School (HCRP 3644/2019).
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All participants have provided written informed consent (HCRP. 3644/2019, approval date 06/04/2019).
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The authors declare no competing interests.
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de Oliveira, R.Z., de Oliveira Buono, F., Cressoni, A.C.L. et al. Overexpression of miR-200b-3p in Menstrual Blood-Derived Mesenchymal Stem Cells from Endometriosis Women. Reprod. Sci. 29, 734–742 (2022). https://doi.org/10.1007/s43032-022-00860-y
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DOI: https://doi.org/10.1007/s43032-022-00860-y