Objective： Intrauterine adhesion （IUA） is a major health problem that causes infertility, menstrual irregularities, and recurrent pregnancy losses in women. Unfortunately, treatments for IUA are limited, and there ...Objective： Intrauterine adhesion （IUA） is a major health problem that causes infertility, menstrual irregularities, and recurrent pregnancy losses in women. Unfortunately, treatments for IUA are limited, and there are currently no effective strategies for preventing IUA recurrence. In this review, we introduced the role of Hippo signaling in the normal endometrium and IUA and described the mechanisms by which the Hippo pathway integrates with the Wnt and transforming growth factor-β （TGF-β） signaling pathways to form an intricate network governing the development of fibrosis. Data Sources： Original research articles in English that were published until July 2017 were collected from the PubMed database. Study Selection： Literature search was conducted using the search terms ＂endometrial fibrosis OR fibrosis AND or OR intrauterine adhesion OR Asherman syndrome OR IUA,＂ ＂Hippo AND or OR Hippo/TAZ,＂ ＂TGF-β,＂ and ＂Wnt.＂ Related original research articles were included in the comprehensive analysis. Results： Endometrial fibrosis is recognized as a key pathological event in the development of IUA, which is characterized by epithelial/fibroblast-myofibroblast transition. Myofibroblasts play crucial roles in the pathogenesis of fibrous scarring, and myofibroblast differentiation can be triggered by multiple signaling pathways. H ippo signaling is a critical regulator of the epithelial/fibroblast-myofibroblast transition and α-smooth muscle actin, which exhibits a specific spatiotemporal expression in the endometrium. Conclusions： Hippo signaling plays a critical role in fibrous diseases and participates in cross talks with Wnt and TGF-β signaling. Our findings not only contributed to knowledge on the pathogenesis of endometrial fibrosis, but can also serve as a useful resource for developing specific molecular inhibitors for IUA treatment and prevention.展开更多
目的研究人慢性创面用封闭负压引流治疗前后,创周组织中血小板衍化生长因子和转化生长因子-β表达的变化,探讨封闭负压引流技术加速创面愈合的机制。方法对6例慢性创面患者给封闭负压引流治疗,分别于治疗前及治疗后1、3、5、7d,对创周...目的研究人慢性创面用封闭负压引流治疗前后,创周组织中血小板衍化生长因子和转化生长因子-β表达的变化,探讨封闭负压引流技术加速创面愈合的机制。方法对6例慢性创面患者给封闭负压引流治疗,分别于治疗前及治疗后1、3、5、7d,对创周组织取材、匀浆、离心后得到创周组织的蛋白溶液,应用Western blot方法和Kodak Digital Science ID软件系统观察和分析PDGF及TGF-β的动态变化。结果治疗前创周组织中PDGF及TGF-β表达较少,治疗后两者表达逐渐增多,治疗后第3天起较治疗前显著增加。结论封闭负压引流技术可以提高慢性创面创周组织中PDGF及TGF-β的表达,从而促进创面愈合。展开更多
基金This work was supported by grants from the National Natural Science Foundation of China （No. 81601236 and No. 81471505）.
文摘Objective： Intrauterine adhesion （IUA） is a major health problem that causes infertility, menstrual irregularities, and recurrent pregnancy losses in women. Unfortunately, treatments for IUA are limited, and there are currently no effective strategies for preventing IUA recurrence. In this review, we introduced the role of Hippo signaling in the normal endometrium and IUA and described the mechanisms by which the Hippo pathway integrates with the Wnt and transforming growth factor-β （TGF-β） signaling pathways to form an intricate network governing the development of fibrosis. Data Sources： Original research articles in English that were published until July 2017 were collected from the PubMed database. Study Selection： Literature search was conducted using the search terms ＂endometrial fibrosis OR fibrosis AND or OR intrauterine adhesion OR Asherman syndrome OR IUA,＂ ＂Hippo AND or OR Hippo/TAZ,＂ ＂TGF-β,＂ and ＂Wnt.＂ Related original research articles were included in the comprehensive analysis. Results： Endometrial fibrosis is recognized as a key pathological event in the development of IUA, which is characterized by epithelial/fibroblast-myofibroblast transition. Myofibroblasts play crucial roles in the pathogenesis of fibrous scarring, and myofibroblast differentiation can be triggered by multiple signaling pathways. H ippo signaling is a critical regulator of the epithelial/fibroblast-myofibroblast transition and α-smooth muscle actin, which exhibits a specific spatiotemporal expression in the endometrium. Conclusions： Hippo signaling plays a critical role in fibrous diseases and participates in cross talks with Wnt and TGF-β signaling. Our findings not only contributed to knowledge on the pathogenesis of endometrial fibrosis, but can also serve as a useful resource for developing specific molecular inhibitors for IUA treatment and prevention.
文摘目的研究人慢性创面用封闭负压引流治疗前后,创周组织中血小板衍化生长因子和转化生长因子-β表达的变化,探讨封闭负压引流技术加速创面愈合的机制。方法对6例慢性创面患者给封闭负压引流治疗,分别于治疗前及治疗后1、3、5、7d,对创周组织取材、匀浆、离心后得到创周组织的蛋白溶液,应用Western blot方法和Kodak Digital Science ID软件系统观察和分析PDGF及TGF-β的动态变化。结果治疗前创周组织中PDGF及TGF-β表达较少,治疗后两者表达逐渐增多,治疗后第3天起较治疗前显著增加。结论封闭负压引流技术可以提高慢性创面创周组织中PDGF及TGF-β的表达,从而促进创面愈合。
