Ovarian hyperstimulation affects fluid transporters in the uterus: a potential mechanism in uterine receptivity
Laura A. Lindsay A B and Christopher R. Murphy A
+ Author Affiliations
- Author Affiliations
A Anderson Stuart Bldg, F13, School Of Medical Sciences (Anatomy and Histology), The University of Sydney, NSW 2006, Australia.
B Corresponding author. Email: laural@anatomy.usyd.edu.au
Reproduction, Fertility and Development 26(7) 982-990 https://doi.org/10.1071/RD12396
Submitted: 10 December 2012 Accepted: 25 June 2013 Published: 26 July 2013
Abstract
Controlled ovarian hyperstimulation is commonly used in fertility treatment. Evidence suggests that this could alter the endometrial environment and influence implantation rate. However, the mechanisms underlying this disruption are unknown. A recently developed rat ovarian hyperstimulation (OH) model found alterations in the localisation and expression of several molecules associated with implantation, as well as an increase in luminal fluid at the time of implantation. The present study investigated the effects of OH in rats on the expression of fluid-transporting molecules aquaporin 5 (AQP5) and claudin 4. The expression of these proteins was investigated in uterine luminal epithelial cells of rats undergoing OH and compared with normal pregnancy. There was a significant increase in AQP5 protein in OH rats at the time of implantation, along with a loss of the mesometrial staining gradient, which is thought to contribute to implantation position. At the same time, there was a significant decrease in claudin 4 protein. These results suggest that OH in rats causes a dysregulation in uterine fluid dynamics through modifications to fluid-transporting molecules, resulting in an unfavourable implantation environment for the blastocyst.
Additional keywords: aquaporins, pregnancy, tight junctions.
References
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