title: Hormone and growth factor signaling in endometrial renewal: role of stem/progenitor cells.
abstract: The human endometrium is a dynamic remodeling tissue undergoing more than 400 cycles of regeneration, differentiation and shedding during a woman's reproductive years. The co-ordinated and sequential actions of estrogen and progesterone direct these major remodeling events preparing a receptive endometrium for blastocyst implantation on a monthly basis. Adult stem/progenitor cells are likely responsible for endometrial regeneration. Functional approaches have been used to identify candidate endometrial stem/progenitor cells, as there are no specific stem cell markers. Rare populations of human endometrial epithelial and stromal colony-forming cells/units (CFU) and side population (SP) cells have been identified. Several growth factors are required for CFU activity: epidermal growth factor (EGF), transforming growth factor alpha (TGFalpha) and platelet-derived growth factor BB (PDGF-BB) for both epithelial and stromal CFU, and basic fibroblast growth factor (bFGF) for stromal, but not epithelial CFU. A sub-population of human endometrial stromal cells with mesenchymal stem cell properties of CFU activity and multilineage (fat, muscle, cartilage and bone) differentiation have been isolated by their co-expression of CD146 and PDGF-receptor beta. Candidate epithelial and stromal stem/progenitor cells have been identified in mouse endometrium as rare label retaining cells (LRCs) in the luminal epithelium and as perivascular cells at the endometrial-myometrial junction, respectively. While epithelial and most stromal LRC do not express estrogen receptor alpha (Esr1), they rapidly proliferate on estrogen stimulation, most likely mediated by neighbouring Esr1-expressing niche cells. It is likely that these newly identified endometrial stem/progenitor cells may play key roles in the development of gynecological diseases associated with abnormal endometrial proliferation such as endometriosis and endometrial cancer.
authors.affiliation: Centre for Women's Health Research, Monash Institute of Medical Research, Monash University, Department of Obstetrics and Gynaecology, Monash Medical Centre, Clayton, Victoria Australia. Caroline.Gargett@med.monash.edu.au
authors.forename: Caroline E
authors.initials: CE
authors.lastname: Gargett
authors.forename: Rachel W S
authors.initials: RW
authors.lastname: Chan
authors.forename: Kjiana E
authors.initials: KE
authors.lastname: Schwab
mesh_terms: D000818:Animals; D004717:Endometrium / Q000166:cytology*; D005260:Female; D005831:Genital Diseases, Female / Q000473:pathology; D006728:Hormones / Q000378:metabolism*; D006801:Humans; D036341:Intercellular Signaling Peptides and Proteins / Q000378:metabolism*; D015398:Signal Transduction; D013234:Stem Cells / Q000166:cytology*
chemical_list: D006728:Hormones; D036341:Intercellular Signaling Peptides and Proteins