Page 5 - P. Molecular medicine and imaging
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Paeoniflorin, a Major Compound of P. lactoflora,






                                                                                        Increases Endometrial Receptivity by Upregulating






                                                                                                                                                                                the Expression of LIF











                                                                                              Hye-Rin Park                                    1,2,†       , Hee-Jung Choi                                           1,†    , Mi-Ju Park , Dong-Ryeol Ryu , Ki-Tae Ha                                                                                                               1,2,*
                                                                                                                                                                                                                                                                       1
                                                                                                                                                                                                                                                                                                                                        3


                                                                                                        Korean Medical Research Center for Healthy Aging, Pusan National University and
                                                                                                     1


                                                                  Department of Korean Medical science, School of Korean Medicine, Pusan National University, Yangsan,
                                                               2

                                                                                                                                                                               Gyeongsangnam-do, Republic of Korea



                                                        Department of Molecular Cell Biology, Sungkyunkwan University School of Medicine, Suwon, Republic of Korea
                                                     3






                                                                                                                                                                 These authors contributed equally in this study.
                                                                                                                                                              †






                                                                                                                                        ABSTRACT                                                                                                                                                                                                MATERIALS & METHODS









                Although recent progress of assisted reproduction technologies, many patients have been suffering from recurrent                                                                                                                                                                                         Cell viability assay: Cytotoxic effect caused by paeoniflorin



                implantation failure (RIF) to achieve pregnancy after embryo transfer. Among some types of RIF, endometrial RIF                                                                                                                                                                                          treatment of cultured medium of Ishikawa cells was estimated by


                defined as low endometrial receptivity and thin endometrium can be good therapeutic target of traditional herbal                                                                                                                                                                                         MTT assay.


                medicine. To understand the endometrial RIF in genetic levels, we compared transcriptomic data from human                                                                                                                                                                                                Adhesion assay: The number of fluorescence-labeled JAr cells


                endometrium obtained from patients undergoing RIF to normal samples. First, we performed gene set enrichment                                                                                                                                                                                             bound to Ishikawa cell monolayer were counted.
                                                                                                                                                                                                                                                                                                                         RT-PCR: The mRNA levels of LIF, several adhesion molecules
                analysis using the NCBI GEO database, including GES71835, GES92324, GES26787, and GES4888. Next, we                                                                                                                                                                                                      (Integrin αV, β1, β3 and β5), and β-actin were measured.



                categorized functionally related gene sets with the enrichment map visualization method and the result showed the                                                                                                                                                                                        Western blot analysis: The protein levels of LIF, adhesion


                cell adhesion-related gene sets were enriched in normal human endometrium. Twelve genes of them had a                                                                                                                                                                                                    molecules (Integrin αV, β1, β3 and β5), and GAPDH were


                positive correlation with leukemia inhibitory factor (LIF), a well-known regulator of endometrial receptivity.                                                                                                                                                                                           examined.


                In our study, paeoniflorin, a major compound of P. lactoflora, enhanced embryo implantation in vitro and in vivo via                                                                                                                                                                                     Knock-down of LIF expression: pLKO.1 vectors harboring


                induction of the leukemia inhibitory factor (LIF) and several integrin molecules. Therefore, our results suggest that                                                                                                                                                                                    shRNA for LIF were introduced by viral infection.



                paeoniflorin might be a potent candidate for ameliorating the endometrial RIF by enhancing endometrial receptivity.                                                                                                                                                                                      In vivo study: A implantation failure model mice using RU-486,
                                                                                                                                                                                                                                                                                                                         an antagonist of progesterone receptor, were treated with


                                                                                                                                                                                                                                                                                                                         paeoniflorin(0.16mg/mouse/day).







                                                                                                                                                                                                                           RESULTS










                      Figure 1. Enriched Cell Adhesion-Related                                                                                                              Figure 4. The Effect of Paeoniflorin on LIF                                                                                                               Figure                         5.               Paeoniflorin                                      Enhances



                      Gene Set in Normal Human Endometrium.                                                                                                                 Expression in mRNA and Protein Levels.                                                                                                                    Endometrial                                   Receptivity                                in            an             LIF-




                                                                                                                                                                                                                                                                                                                                      Dependent Manner.






                                                                                                        NES = 2.034                                                                         A)                        Paeoniflorin(μM)                                                                                                                                3.0
                                                                                                        NOM p-value = 0                                                                                                                                                                                                                                                                    *                           *

                                                                                                        FDR q-value = 0                                                                                       0          10         30       50                                                                                                                       2.5


                                                                                                                                                                                                                                                                            LIF                                                                                       2.0




                                                                                                                                                                                                                                                                            β-actin                                                                        Adhesion cell count   (fold of control)  1.5                     ###

                                                                                                                                                                                            B)                        Paeoniflorin(μM)                                                                                                                                1.0





                                                                                                                                                                                                              0          10         30        50                                                                                                                      0.5
                                                                                                                                                                                                                                                                                                                                                                      0.0

                                                                                                                                                                                                                                                                                                                                                                                                                               Paeoniflorin
                                                                                                                                                                                                                                                                                                                                                                                             Paeoniflorin
                                                                                                      GSE71835, 92324                                                                                                                                                       LIF                                                                                                     -   pLKO.1                        -    shLIF

                    The NCBI GEO database, including GES71835, GES92324                                                                                                                                                                                                     GAPDH

                    was performed gene set enrichment analysis. we categorized                                                                                                                                                                                                                                                       Ishikawa cells harboring pLKO.1 or shLIF vector were cultured


                    functionally related gene sets with the enrichment map                                                                                                                                                                                                                                                           in 6-well plates, and treated with paeoniflorin (50μM) in growth


                    visualization method and the result showed the cell adhesion-                                                                                           Ishikawa cells were treated with indicated concentration of                                                                                              medium for 48 h. JAr cells labeled with CMFDA were added

                    related gene sets were enriched in normal human                                                                                                         paeoniflorin for 48 h. Total RNA or proteins were extracted and                                                                                          onto Ishikawa cell monolayer for adhesion. The number of JAr


                    endometrium.                                                                                                                                            the expression level of LIF was examined by (A) RT-PCR (B)                                                                                               cells bound to Ishikawa cells were calculated as means ± SD of

                                                                                                                                                                            Western blot analysis. β-actin and GAPDH were used as an                                                                                                 three independent experiment (*p < 0.05,                                               ###  p < 0.001

                                                                                                                                                                            internal control.                                                                                                                                        compared to control group).

                      Figure                     2.          Paeoniflorin                                Enhances                              the



                      Adhesion of JAr to Ishikawa Cells.
                                                                                                                                                                              Figure 6. Paeoniflorin Increases the expression of Adhesion molecules.



                                            120
                                          Cell viability (% of Control)


                                            100
                                                                                                                                                                                  A)                                                                                       B)                                                                                         C)

                                              80                                                                                                                                                          Paeoniflorin (μM)                                                                       Paeoniflorin (μM)                                                                     N/C                    siLIF #1



                                              60                                                                                                                                                    0      10      30      50                                                                0      10      30      50                                                                   0          +             0          +          Paeoniflorin



                                              40                                                                                                                                                                                                                                                                                                                                                                                        ITGAV
                                                                                                                                                                                                                                                        ITGαV                                                                                  ITGαV

                                              20                                                                                                                                                                                                                                                                                                                                                                                         ITGB1



                                                0                                                                                                                                                                                                      ITGβ1                                                                                   ITGβ1
                                                        0           1          10          50         100         500


                                                                       Paeoniflorin (µM)                                                                                                                                                               ITGβ3                                                                                   ITGβ3                                                                                    ITGB3


                    Ishikawa cells were treated with indicated concentration of                                                                                                                                                                        ITGβ5                                                                                   ITGβ5


                    paeoniflorin in growth medium for 48 h. Cell viability was                                                                                                                                                                                                                                                                                                                                                           ITGB5


                    estimated by using MTT assay and calculated as means ± SD                                                                                                                                                                          β-actin                                                                                 GAPDH

                    of three independent measurements.                                                                                                                                                                                                                                                                                                                                                                                  β-actin




                                                                                                                                                                               Ishikawa cells were treated with indicated concentration of paeoniflorin for 48 h. Total RNA or ]proteins were extracted and the


                     Figure 3. Paeoniflorin did not show any                                                                                                                   expression level of Integrin αV, β1, β3 and β5 were measured by (A) RT-PCR (B) and Western blot analysis. β-actin and GAPDH



                     toxicity to Ishikawa cells.                                                                                                                               were used as an internal control. (C) Peaoniflorin increased the expression of Integrin β1 and β5 in LIF-dependent manner.





                                    Con                                                Paeoniflorin (50μM)

                                                                                                                                                                              Figure 7. Improvement of the Number of                                                                                                                                                        CONCLUSION



                                                                                                                                                                              Implanted Embryos by Paeoniflorin.






                                                                                                                                                                                                                                                                                                                                        Our results suggest that paeoniflorin might be a


                                                                                                                                                                                          Control                                                           15          C57BL/6N                                                        potent drug candidate for endometrial RIF by




                                                                                                                                                                                                                                                                                              **                                        enhancing endometrial receptibility.

                                                                                                                                                                                                                                                            10
                                                                                                                                                                                          RU-486                                                           # of embryos
                                                       3
                                                                                       **                                                                                                                                                                    5                                                                                          ACKNOWLEDGEMENTS




                                                 Adhered cell  (Fold of cell)  2                                                                                                RU-486 + Paeoniflorin                                                        0     C o n trol     RU -4 8 6 R U -48 6+ P ae o niflo rin                 This research was supported by a grant of the Korea Health Technology








                                                                                                                                                                                                                                                                                                                                        R&D Project through the Korea Health Industry Development Institute
                                                       1
                                                                                                                                                                                                                                                                                                                                        (KHIDI) funded by the Ministry of Health & Welfare, Republic of Korea

                                                                                                                                                                                                                                                                                                                                        (grant number: HI17C0935), and supported by a grant from the National

                                                       0                                                                                                                                                                                                                                                                                Research Foundation of Korea (NRF) funded by the Ministry of Science
                                                                       Con                 Paeoniflorin(50μM)                                                                A C57BL/6N mice were treated with                                                                                                                          and ICT, of the Korean Government (Grant no. NRF-
                                                                                                                                                                             paeoniflorin(0.16mg/mouse/day) for 19days. After 8 days of                                                                                                 2014R1A5A20009936).

                    Ishikawa cells were seeded in 6-well plates, and treated with                                                                                            paeoniflorin treatment, the mice were mated. On day 4~7 of


                    paeoniflorin (50μM) in growth medium for 48 h. Jar cells labeled                                                                                         pregnancy, the female mice were treated with RU-

                    with CMFDA were added onto Ishikawa cell monolayer for                                                                                                   486(0.08mg/mouse) by mouth. On day 11 of pregnancy, all


                    adhesion. Ten pictures were taken per well and the number of                                                                                             mice were sacrificed and both uterine horns were excised in                                                                                                                                  Contact information

                    adherent JAr cells were calculated as means ± SD of three                                                                                                order to counter the number of implantation embryos.


                    independent experiment (**p < 0.01 compared to control group).                                                                                                                                                                                                                                                      rin8998@pusan.ac.kr
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