1. Infertility. A quantitative evaluation of α1, α4, αV and β3 endometrial integrins of fertile and unexplained infertile women during the menstrual cycle. A flow cytometric appraisal
- Author
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Gonzalez, R.R., Palomino, A., Boric, A., Vega, M., and Devoto, L.
- Abstract
The expression of integrin molecules α1β1, α4β1 and αVβ3 within endometrial tissue has been proposed as a marker of uterine receptivity during the implantation window. The present investigation examines by flow cytometric analysis the concentrations of α1, α4, αV and β3 integrin subunits in endometrial stromal (ESC) and epithelial cells (EEC) in two groups of women throughout the menstrual cycle: normal fertile women (n = 27) and women with unexplained infertility (n = 26). Integrin concentrations in endometrial cells were calculated in relative fluorescence units against a negative cellular control. The assessment of integrin subunits detected the protein in ESC and EEC from the late proliferative to the late secretory phase. In both groups of women, the α1 was the highest integrin expressed in ESC and EEC throughout the menstrual cycle. All women exhibited low concentrations of α4-EEC at the time of the implantation window. Infertile women expressed lower concentrations of the α4-ESC during the proliferative and early secretory phase while lower concentrations of the α1-ESC were seen during the late secretory phase. Interestingly, the infertile women expressed lower concentrations of β3-EEC in the early, mid-secretory and late secretory phases (P < 0.05). Infertile women also expressed lower concentrations of α1-EEC and αV-EEC during the late secretory phase (P < 0.05). It can be concluded that the quantitative determination of β3-EEC by flow cytometry confirmed its potential feature as a marker of endometrial receptivity at the time of the implantation window. In addition, the defective expression of the α1-ESC found in the late secretory phase might be associated with the poor fertility outcome of women with unexplained infertility.
- Published
- 1999