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Updated: Aug 20, 2026

Establishment of an Experimental Mouse Model of Endometrioma to Study its Related Infertility
Published on: April 5, 2024
Possible pathophysiological roles of mitogen-activated protein kinases (MAPKs) in endometriosis
Osamu Yoshino1, Yutaka Osuga, Yasushi Hirota
1Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Tokyo.
Problem:
Endometriosis accompanies local inflammatory reactions in the peritoneal cavity. We examined the phosphorylation of mitogen-activated protein kinases (MAPKs), i.e. extracellular signal-regulated kinase (ERK), p38 MAPK (p38) and c-Jun N-terminal kinase (JNK) in endometriotic stromal cells, and their possible pathophysiological roles in endometriosis in relation to proinflammatory substances.
Method Of Study:
Endometriotic stromal cells were isolated from endometriomas and were cultured for the experiments. Phosphorylation of MAPKs in endometriotic stromal cells treated with interleukin (IL)-1beta, tumor necrosis factor (TNF)alpha and H(2)O(2) were examined by Western blot analysis. Effects of PD98059, SB202190 and SP600125 (inhibitors of ERK, p38 and JNK, respectively) on IL-1beta-induced secretion of IL-6 and IL-8, and on IL-1beta-induced expression of cyclo-oxygenase-2 (COX-2) in endometriotic cells were studied. In addition, eutopic endometrial tissues were collected, and the phosphorylation rate of p38 in eutopic endometrial tissues and endometriotic tissues were determined.
Results:
IL-1beta, TNFalpha and H(2)O(2) stimulated the phosphorylation of ERK, p38 and JNK, while the total amounts of proteins of the respective MAPKs were virtually the same compared with those in the unstimulated controls. Both SB202190 and SP600125 suppressed IL-1beta-induced secretion of IL-6 and IL-8, and PD98059 suppressed IL-1beta-induced secretion of IL-8. Both SB202190 and PD98059 suppressed IL-1beta-induced expression of COX-2 in endometriotic cells. The p38 phosphorylation rates in the endometriotic tissues were significantly higher than those in the eutopic endometrial tissues of the same patients.
Conclusions:
Given the current theory that inflammatory changes are involved in the progression of endometriosis, MAPKs could play as pivotal intracellular signal transducers in endometriotic cells, and thus have a pathophysiological role in the disease.
Insights
Mitogen-activated protein kinases (MAPKs) are involved in endometriosis progression. Inhibiting p38 and JNK reduced inflammatory cytokine secretion, while p38 showed higher activity in endometriotic tissues, suggesting a key role in the disease.
Area of Science:
- Cellular and Molecular Biology
- Reproductive Medicine
- Inflammation Research
Background:
- Endometriosis is characterized by local peritoneal inflammation.
- Mitogen-activated protein kinases (MAPKs) are crucial in cellular signaling pathways.
- Understanding MAPK involvement in endometriosis may reveal new therapeutic targets.
Purpose of the Study:
- To investigate the phosphorylation of extracellular signal-regulated kinase (ERK), p38 MAPK (p38), and c-Jun N-terminal kinase (JNK) in endometriotic stromal cells.
- To determine the pathophysiological roles of these MAPKs in endometriosis concerning proinflammatory substances.
- To compare p38 phosphorylation levels in endometriotic and eutopic endometrial tissues.
Main Methods:
- Endometriotic stromal cells were isolated and treated with interleukin-1beta (IL-1beta), tumor necrosis factor-alpha (TNFalpha), and hydrogen peroxide (H2O2).
- MAPK phosphorylation was assessed using Western blot analysis.
- The effects of specific MAPK inhibitors (PD98059, SB202190, SP600125) on cytokine secretion (IL-6, IL-8) and cyclo-oxygenase-2 (COX-2) expression were evaluated.
Main Results:
- IL-1beta, TNFalpha, and H2O2 significantly increased the phosphorylation of ERK, p38, and JNK in endometriotic cells.
- Inhibitors of p38 (SB202190) and JNK (SP600125) reduced IL-1beta-induced IL-6 and IL-8 secretion.
- Inhibitors of p38 (SB202190) and ERK (PD98059) decreased IL-1beta-induced COX-2 expression.
- Significantly higher p38 phosphorylation rates were observed in endometriotic tissues compared to eutopic endometrial tissues.
Conclusions:
- MAPKs, particularly p38, are activated in endometriotic cells and tissues.
- These signaling pathways play a significant role in the inflammatory processes associated with endometriosis.
- MAPKs may serve as critical intracellular signal transducers contributing to the pathophysiology of endometriosis.
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