Laparoscopic Salpingectomy Regulates The Expression of Endometrial Homeobox Genes (HOXA9, HOXA10, HOXA11, HOXD10) and HOX Transcript Antisense Intergenic RNA in Women with Communicating Hydrosalpinx: A Prospective Study.

Background: This study aimed to determine the alteration of endometrial expression levels of HOXA9/HOXA10/ HOXAII/HOXDIO genes and HOX transcript antisense intergenic RNA (HOTAIR) in mid-luteal phase endometrium in patients with hydrosalpinx before and after salpingectomy. Materials and Methods: In...

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Publicado en:International Journal of Fertility & Sterility Vol. 18; no. 4; pp. 344 - 352
Autores principales: Zafarani, Fatemeh, Mehranjani, Malek Soleimani, Ghaffari, Firouzeh, Shahhoseini, Maryam, Ali Shariatzadeh, Seyed Mohammad
Formato: research tables/charts Journal Article
Publicado: Royan Institute Oct-Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Fertility & Sterility
      issn: 2008076X
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    pubinfo:
      dt: Oct-Dec2024
      vid: 18
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      pub: Royan Institute
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        10.22074/IJFS.2024.2026081.1655
        181111714
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        atl: Laparoscopic Salpingectomy Regulates The Expression of Endometrial Homeobox Genes (HOXA9, HOXA10, HOXA11, HOXD10) and HOX Transcript Antisense Intergenic RNA in Women with Communicating Hydrosalpinx: A Prospective Study.
      aug:
        au:
          Zafarani, Fatemeh
          Mehranjani, Malek Soleimani
          Ghaffari, Firouzeh
          Shahhoseini, Maryam
          Ali Shariatzadeh, Seyed Mohammad
        affil: Department of Biology, Faculty of Science, Arak University, Arak, Iran
      sug:
        subj:
          Surgery, Laparoscopic
          Salpingectomy Methods
          Gene Expression
          RNA
          Hydrosalpinx Surgery
          Endometrium
          Luteal Phase
          Human
          Female
          Adult
          Prospective Studies
          Iran
          Infertility
          Hysterosalpingography
          Endosonography
          Body Mass Index
          Menstrual Cycle
          Progesterone Blood
          Case Control Studies
          Biopsy
          DNA
          Polymerase Chain Reaction
          RNA, Messenger
          Descriptive Statistics
          Adult: 19-44 years
          Female
      ab: Background: This study aimed to determine the alteration of endometrial expression levels of HOXA9/HOXA10/ HOXAII/HOXDIO genes and HOX transcript antisense intergenic RNA (HOTAIR) in mid-luteal phase endometrium in patients with hydrosalpinx before and after salpingectomy. Materials and Methods: In this prospective study, 14 infertile women with unilateral hydrosalpinx who were scheduled for laparoscopic salpingectomy were evaluated. The presence of hydrosalpinx was confirmed by hyster-osalpingography or transvaginal 2D-ultrasonography. All patients had normal hormonal profiles, body mass index, and regular menstrual cycles identified by mid-luteal serum progesterone. Fourteen healthy fertile age-matched women with a successful pregnancy history were considered the control group. Mid-luteal-phase endometrial biopsies were performed at the time of surgery and during the mid-luteal phase of the fourth treatment cycle by Pipelle. After tissue collection, RNA extraction and cDNA synthesis were performed. Real-time polymerase chain reaction (PCR) technique was used for quantitative gene expression of HOXA9/HOXA10/HOXA11/HOXDIO and lnc HOTAIR. Results: The endometrial expression of HOXA9 (P<0.001), HOXA10 (P=0.001), HOXA11 (P=0.003), and HOXD10 (P=0.004) were significantly lower in the patients with hydrosalpinx compared to the controls. After salpingectomy, we observed a significant increase in the endometrial HOXA9 (P=0.006) and HOXA10 (P=0.023) mRNA expression levels compared to before salpingectomy samples. Similarly, a significant upregulation in endometrial HOXA11 (P= 0.013) and HOXA10 mRNA expression levels (P=0.012) were detected in postoperative samples compared to pre-operative tissue. Moreover, the lnc HOTAIR was significantly higher in the endometrium-induced hydrosalpinx fluid than in controls (P=0.020), which had a 2.89-fold decrease following salpingectomy (P=0.010). Conclusion: Elevated endometrial lncRNA HOTAIR may disrupt the expression of endometrial receptivity HOX genes in women with hydrosalpinx. However, our results failed to show a significant inverse correlation between HO-TAIR and HOX genes due to limited sample size. Further studies with larger sample sizes are required to investigate HOTAIR inverse co-expression with HOX genes in these subjects.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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