GRIM19 is involved in WT1 expression and epithelial-to-mesenchymal transition in adenomyotic lesions

Chen Geng1, Hao-Ran Liu1, Yue Zhao1

  • 1Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.

Reproduction (Cambridge, England)
|September 30, 2021
PubMed

Insights

Low GRIM19 expression in adenomyosis may trigger WT1 upregulation, promoting epithelial-to-mesenchymal transition (EMT). This finding offers new insights into adenomyosis pathogenesis and potential therapeutic targets for this condition.

Area of Science:

  • Gynecologic pathology
  • Cellular biology
  • Molecular mechanisms of disease

Background:

  • Adenomyosis is a gynecologic disorder where the endometrium implants within the uterine myometrium.
  • Epithelial-to-mesenchymal transition (EMT) is implicated in adenomyosis pathogenesis.
  • GRIM19 (Gene Regulation: Interferon-induced 19) expression is reduced in adenomyosis, but its role is unclear.

Purpose of the Study:

  • To investigate the association between GRIM19 downregulation and EMT in adenomyosis.
  • To explore the role of WT1 (Wilms Tumor 1) in this process.

Main Methods:

  • Western blotting and quantitative real-time PCR to assess gene and protein expression (GRIM19, WT1, CDH1, CDH2, KRT8).
  • Immunohistochemistry to localize WT1 expression in human and mouse tissues.
  • In vitro studies using Ishikawa cells with GRIM19 knockdown via siRNA.
  • In vivo studies using GRIM19 gene-knockdown mice.

Main Results:

  • Adenomyotic lesions showed decreased GRIM19 and increased WT1 expression.
  • EMT markers (CDH1, CDH2, KRT8) were altered, indicating EMT occurrence in adenomyosis.
  • GRIM19 knockdown in vitro and in vivo promoted cell proliferation, migration, and invasion.
  • GRIM19 knockdown led to increased WT1 expression and induced EMT in Ishikawa cells and mouse models.

Conclusions:

  • Downregulation of GRIM19 in adenomyosis may upregulate WT1 expression.
  • This upregulation of WT1 appears to induce EMT in endometrial cells.
  • These findings provide novel insights into adenomyosis pathogenesis and suggest GRIM19/WT1 pathways as potential therapeutic targets.