Abstract: Endometrium type I (COL1) and III (COL3) collagen accumulation, periglandular fibrosis and mare infertility characterize endometrosis. Metalloproteinase-2 (MMP-2), MMP-9 and tissue inhibitors of metalloproteinases (TIMP-1 and TIMP-2) are involved in collagen turnover. Since epigenetic changes may control fibroproliferative diseases, we hypothesized that epigenetic mechanisms could modulate equine endometrosis. Epigenetic changes can be reversed and therefore extremely promising for therapeutic use. Methylation pattern analysis of a particular gene zone is used to detect epigenetic changes. DNA methylation commonly mediates gene repression. Thus, this study aimed to evaluate if the transcription of some genes involved in equine endometrosis was altered with endometrial fibrosis, and if the observed changes were epigenetically modulated, through DNA methylation analysis. Endometrial biopsies collected from cyclic mares were histologically classified (Kenney and Doig category I, n = 6; category IIA, n = 6; category IIB, n = 6 and category III, n = 6). Transcription of COL1A1, COL1A2, COL3A1, MMP2, MMP9, TIMP1, and TIMP2 genes and DNA methylation pattern by pyrosequencing of COL1A1, MMP2, MMP9, TIMP1 genes were evaluated. Both MMP2 and MMP9 transcripts decreased with fibrosis, when compared with healthy endometrium (category I) (P < 0.05). TIMP1 transcripts were higher in category III, when compared to category I endometrium (P < 0.05). No differences were found for COL1A1, COL1A2, COL3A1 and TIMP2 transcripts between endometrial categories. There were higher methylation levels of (i) COL1A1 in category IIB (P < 0.05) and III (P < 0.01), when compared to category I; (ii) MMP2 in category III, when compared to category I (P < 0.001) and IIA (P < 0.05); and (iii) MMP9 in category III, when compared to category I and IIA (P < 0.05). No differences in TIMP1 methylation levels were observed between endometrial categories. The hypermethylation of MMP2 and MMP9, but not of COL1A1 genes, occurred simultaneously with a decrease in their mRNA levels, with endometrial fibrosis, suggesting that this hypermethylation is responsible for repressing their transcription. Our results show that endometrosis is epigenetically modulated by anti-fibrotic genes (MMP2 and MMP9) inhibition, rather than fibrotic genes activation and therefore, might be promising targets for therapeutic use.
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This research investigates the role of epigenetic changes in equine endometrosis, a disease affecting horse fertility characterized by fibrous changes in the uterine endometrium, and proposes that targeting these changes could have therapeutic potential.
Research Aim and Hypothesis
The study sought to explore if genes involved in equine endometrosis, a disease characterized by fibrosis (scarring) of the uterine endometrium, are under the influence of epigenetic changes.
The authors hypothesized that the genes important for fibrosis development, namely Collagen type I and III, matrix Metalloproteinase-2 (MMP-2) and -9 (MMP-9), and their tissue inhibitors (TIMP-1 and TIMP-2), could be modulated by epigenetic mechanisms, specifically, DNA methylation.
Study Methodology
Endometrial tissue biopsies were collected from horses in different stages of their reproductive cycle and classified into four categories based on their histological appearance, according to the Kenney and Doig scoring system.
The researchers evaluated the transcription levels of the genes previously mentioned, and analyzed the DNA methylation patterns of some of them (COL1A1, MMP2, MMP9, TIMP1) through a technique called pyrosequencing.
Key Findings
The study found that the transcript levels of both MMP2 and MMP9 genes decreased with the progression of fibrosis compared to healthy endometrium, while TIMP1 transcript levels were higher in advanced fibrosis.
No differences were observed in the transcript levels of COL1A1, COL1A2, COL3A1 and TIMP2.
MMP2 and MMP9 genes had increasing levels of methylation as endometrosis advanced, while COL1A1 showed higher methylation levels in the later stages compared to healthy endometrium. No changes were found in TIMP1 methylation levels.’
Interpretation and Implication
The increased methylation of MMP2 and MMP9 genes, occurring simultaneously with decrease in their transcript levels, suggests that methylation is likely repressing their transcription, thus contributing to disease progression.
The results indicate that the development of endometrosis is epigenetically modulated primarily through the inhibition of genes that counteract fibrosis (MMP2 and MMP9) rather than the activation of genes promoting fibrosis. This insight offers new potential therapeutic targets – perhaps by reversing the DNA methylation, the expression of these genes could be restored, impeding the progress of the disease.
Cite This Article
APA
Alpoim-Moreira J, Fernandes C, Pimenta J, Bliebernicht M, Rebordão MR, Castelo-Branco P, Szóstek-Mioduchowska A, Skarzynski DJ, Ferreira-Dias G.
(2022).
Metallopeptidades 2 and 9 genes epigenetically modulate equine endometrial fibrosis.
Front Vet Sci, 9, 970003.
https://doi.org/10.3389/fvets.2022.970003
CIISA - Center for Interdisciplinary Research in Animal Health, Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal.
Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Lisbon, Portugal.
Fernandes, Carina
CIISA - Center for Interdisciplinary Research in Animal Health, Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal.
Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Lisbon, Portugal.
Pimenta, Jorge
CIISA - Center for Interdisciplinary Research in Animal Health, Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal.
Unidade Estratégica de Investigação e Serviços de Biotecnologia e Recursos Genéticos (UEISBR), Instituto Nacional de Investigação Agrária e Veterinária, I. P. (INIAV), Vairão, Portugal.
Bliebernicht, Miguel
Embriovet, Muge, Portugal.
Rebordão, Maria Rosa
CIISA - Center for Interdisciplinary Research in Animal Health, Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal.
Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Lisbon, Portugal.
Polytechnic of Coimbra, Coimbra Agriculture School, Coimbra, Portugal.
Castelo-Branco, Pedro
Faculty of Medicine and Biomedical Sciences (FMCB), University of Algarve, Faro, Portugal.
Algarve Biomedical Center Research Institute (ABC-RI), Faro, Portugal.
Szóstek-Mioduchowska, Anna
Institute of Animal Reproduction and Food Research PAS, Olsztyn, Poland.
Skarzynski, Dariusz J
Institute of Animal Reproduction and Food Research PAS, Olsztyn, Poland.
Ferreira-Dias, Graça
CIISA - Center for Interdisciplinary Research in Animal Health, Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal.
Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Lisbon, Portugal.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Bochsler PN, Slauson DO. Inflammation and repair of tissue. Mechanisms of Disease: A Textbook of Comparative General Pathology, 3rd Edition St. Louis, MO: Mosby; (2002). p. 140–245.
Masseno APB. Caracterização histoquímica do colágeno e expressão de MMP2, MMP9 e TIMP-1 nas endometrites crónicas das éguas. Faculdade de Medicina Veterinária e Zootecnia, Universidade Estadual Paulista, Botucatu, Brazil (2009).
Costa LD. Histochemical and immunohistochemical characterization of fibrotic changes in mares endometrosis. Faculty of Veterinary Medicine and Animal Science- University Estadual Paulista “Júlio de Mesquita Filho”, Botucatu, Brazil (2015).
Lunelli D, Cirio SM, Leite SC, Camargo CE, Kozicki LE. Collagen types in relation to expression of estradiol and progesterone receptors in equine endometrial fibrosis. Adv Biosci Biotechnol (2013) 4:599–605.
Centeno LAM, Bastos HBA, Bueno VLC, Trentin JM, Fiorenza MF, FialaRechsteiner S. Gene expression of Mmp-1, Mmp-2 And TNF-α in the endometrium of mares with different degrees of fibrosis. J Equine Vet Sci (2018) 66:143–4.
Vandooren J, Van den Steen PE, Opdenakker G. Biochemistry and molecular biology of gelatinase B or matrix metalloproteinase-9 (MMP-9): the next decade.. Crit Rev Biochem Mol Biol 2013 May-Jun;48(3):222-72.
Djuric T, Zivkovic M. Overview of MMP biology and gene associations in human diseases. The Role of Matrix Metalloproteinase in Human Body Pathologies London: IntechOpen; (2017).
Hemmann S, Graf J, Roderfeld M, Roeb E. Expression of MMPs and TIMPs in liver fibrosis - a systematic review with special emphasis on anti-fibrotic strategies.. J Hepatol 2007 May;46(5):955-75.
Avci E, Sarvari P, Savai R, Seeger W, Pullamsetti SS. Epigenetic Mechanisms in Parenchymal Lung Diseases: Bystanders or Therapeutic Targets?. Int J Mol Sci 2022 Jan 4;23(1).
Yang D, Xu P, Su H, Zhong W, Xu J, Su Z, Liu X. The histone methyltransferase DOT1L is a new epigenetic regulator of pulmonary fibrosis.. Cell Death Dis 2022 Jan 17;13(1):60.
Curradi M, Izzo A, Badaracco G, Landsberger N. Molecular mechanisms of gene silencing mediated by DNA methylation.. Mol Cell Biol 2002 May;22(9):3157-73.
Weber M, Hellmann I, Stadler MB, Ramos L, Pääbo S, Rebhan M, Schübeler D. Distribution, silencing potential and evolutionary impact of promoter DNA methylation in the human genome.. Nat Genet 2007 Apr;39(4):457-66.
Singer M, Kosti I, Pachter L, Mandel-Gutfreund Y. A diverse epigenetic landscape at human exons with implication for expression.. Nucleic Acids Res 2015 Apr 20;43(7):3498-508.
Kulis M, Queirós AC, Beekman R, Martín-Subero JI. Intragenic DNA methylation in transcriptional regulation, normal differentiation and cancer.. Biochim Biophys Acta 2013 Nov;1829(11):1161-74.
Untergasser A, Cutcutache I, Koressaar T, Ye J, Faircloth BC, Remm M, Rozen SG. Primer3--new capabilities and interfaces.. Nucleic Acids Res 2012 Aug;40(15):e115.
Dheda K, Huggett JF, Bustin SA, Johnson MA, Rook G, Zumla A. Validation of housekeeping genes for normalizing RNA expression in real-time PCR.. Biotechniques 2004 Jul;37(1):112-4, 116, 118-9.
Castelo-Branco P, Choufani S, Mack S, Gallagher D, Zhang C, Lipman T, Zhukova N, Walker EJ, Martin D, Merino D, Wasserman JD, Elizabeth C, Alon N, Zhang L, Hovestadt V, Kool M, Jones DT, Zadeh G, Croul S, Hawkins C, Hitzler J, Wang JC, Baruchel S, Dirks PB, Malkin D, Pfister S, Taylor MD, Weksberg R, Tabori U. Methylation of the TERT promoter and risk stratification of childhood brain tumours: an integrative genomic and molecular study.. Lancet Oncol 2013 May;14(6):534-42.
Matys V, Kel-Margoulis OV, Fricke E, Liebich I, Land S, Barre-Dirrie A, Reuter I, Chekmenev D, Krull M, Hornischer K, Voss N, Stegmaier P, Lewicki-Potapov B, Saxel H, Kel AE, Wingender E. TRANSFAC and its module TRANSCompel: transcriptional gene regulation in eukaryotes.. Nucleic Acids Res 2006 Jan 1;34(Database issue):D108-10.
Wang Y, Fan PS, Kahaleh B. Association between enhanced type I collagen expression and epigenetic repression of the FLI1 gene in scleroderma fibroblasts.. Arthritis Rheum 2006 Jul;54(7):2271-9.
Huang SK, Fisher AS, Scruggs AM, White ES, Hogaboam CM, Richardson BC, Peters-Golden M. Hypermethylation of PTGER2 confers prostaglandin E2 resistance in fibrotic fibroblasts from humans and mice.. Am J Pathol 2010 Nov;177(5):2245-55.
Dees C, Schlottmann I, Funke R, Distler A, Palumbo-Zerr K, Zerr P, Lin NY, Beyer C, Distler O, Schett G, Distler JH. The Wnt antagonists DKK1 and SFRP1 are downregulated by promoter hypermethylation in systemic sclerosis.. Ann Rheum Dis 2014 Jun;73(6):1232-9.
Noda S, Asano Y, Nishimura S, Taniguchi T, Fujiu K, Manabe I, Nakamura K, Yamashita T, Saigusa R, Akamata K, Takahashi T, Ichimura Y, Toyama T, Tsuruta D, Trojanowska M, Nagai R, Sato S. Simultaneous downregulation of KLF5 and Fli1 is a key feature underlying systemic sclerosis.. Nat Commun 2014 Dec 12;5:5797.
Watson CJ, Collier P, Tea I, Neary R, Watson JA, Robinson C, Phelan D, Ledwidge MT, McDonald KM, McCann A, Sharaf O, Baugh JA. Hypoxia-induced epigenetic modifications are associated with cardiac tissue fibrosis and the development of a myofibroblast-like phenotype.. Hum Mol Genet 2014 Apr 15;23(8):2176-88.
Abraham DJ, Eckes B, Rajkumar V, Krieg T. New developments in fibroblast and myofibroblast biology: implications for fibrosis and scleroderma.. Curr Rheumatol Rep 2007 May;9(2):136-43.
Bravo PNAMP. Involvement of Hormones, Cytokines and Angiogenic Factors on Mare Oviduct Physiological Function and Fibrosis. Universidade de Lisboa, Faculdade de Medicina Veterinária, Lisboa, Portugal (2018).
Gumbs JA. TGF-β Mediated Synthesis of Degradation-Resistant Collagen (I) Homotrimer in Musculoskeletal Cells. University of Liverpool, Liverpool, United Kingdom: (2019).
Vogel C, Marcotte EM. Insights into the regulation of protein abundance from proteomic and transcriptomic analyses.. Nat Rev Genet 2012 Mar 13;13(4):227-32.
Di Nezza LA, Misajon A, Zhang J, Jobling T, Quinn MA, Ostör AG, Nie G, Lopata A, Salamonsen LA. Presence of active gelatinases in endometrial carcinoma and correlation of matrix metalloproteinase expression with increasing tumor grade and invasion.. Cancer 2002 Mar 1;94(5):1466-75.
Qin L, Han YP. Epigenetic repression of matrix metalloproteinases in myofibroblastic hepatic stellate cells through histone deacetylases 4: implication in tissue fibrosis.. Am J Pathol 2010 Oct;177(4):1915-28.
Sugihara T, Koda M, Matono T, Maeda K, Yamamoto S, Ueki M, Murawaki Y. Extracellular matrix metabolism-related gene expression in bile duct-ligated rats.. Mol Med Rep 2009 May-Jun;2(3):345-51.
Kendziorski JA, Belcher SM. Strain-specific induction of endometrial periglandular fibrosis in mice exposed during adulthood to the endocrine disrupting chemical bisphenol A.. Reprod Toxicol 2015 Dec;58:119-30.
Bailey JR, Bland PW, Tarlton JF, Peters I, Moorghen M, Sylvester PA, Probert CS, Whiting CV. IL-13 promotes collagen accumulation in Crohn's disease fibrosis by down-regulation of fibroblast MMP synthesis: a role for innate lymphoid cells?. PLoS One 2012;7(12):e52332.
Kim WU, Min SY, Cho ML, Hong KH, Shin YJ, Park SH, Cho CS. Elevated matrix metalloproteinase-9 in patients with systemic sclerosis.. Arthritis Res Ther 2005;7(1):R71-9.
Andersen GN, Nilsson K, Pourazar J, Hackett TL, Kazzam E, Blomberg A, Waldenström A, Warner J, Rantapää-Dahlqvist S, Mincheva-Nilsson L, Sandström T. Bronchoalveolar matrix metalloproteinase 9 relates to restrictive lung function impairment in systemic sclerosis.. Respir Med 2007 Oct;101(10):2199-206.
Leong E, Bezuhly M, Marshall JS. Distinct Metalloproteinase Expression and Functions in Systemic Sclerosis and Fibrosis: What We Know and the Potential for Intervention.. Front Physiol 2021;12:727451.
Heymans S, Schroen B, Vermeersch P, Milting H, Gao F, Kassner A, Gillijns H, Herijgers P, Flameng W, Carmeliet P, Van de Werf F, Pinto YM, Janssens S. Increased cardiac expression of tissue inhibitor of metalloproteinase-1 and tissue inhibitor of metalloproteinase-2 is related to cardiac fibrosis and dysfunction in the chronic pressure-overloaded human heart.. Circulation 2005 Aug 23;112(8):1136-44.
Wang BL, Tu YY, Fu JF, Zhong YX, Fu GQ, Tian XX, Wang LH, Gong L, Ren QY. Unbalanced MMP/TIMP-1 expression during the development of experimental pulmonary fibrosis with acute paraquat poisoning.. Mol Med Rep 2011 Mar-Apr;4(2):243-8.
Messeguer X, Escudero R, Farré D, Núñez O, Martínez J, Albà MM. PROMO: detection of known transcription regulatory elements using species-tailored searches.. Bioinformatics 2002 Feb;18(2):333-4.
Farré D, Roset R, Huerta M, Adsuara JE, Roselló L, Albà MM, Messeguer X. Identification of patterns in biological sequences at the ALGGEN server: PROMO and MALGEN.. Nucleic Acids Res 2003 Jul 1;31(13):3651-3.
Sato T, Furukawa K. Transcriptional regulation of the human beta-1,4-galactosyltransferase V gene in cancer cells: essential role of transcription factor Sp1.. J Biol Chem 2004 Sep 17;279(38):39574-83.
Wang G, Zeng Y, Chen S, Li D, Li W, Zhou Y, Singer RH, Gu W. Localization of TFPI-2 in the nucleus modulates MMP-2 gene expression in breast cancer cells.. Sci Rep 2017 Oct 19;7(1):13575.
Bergman MR, Cheng S, Honbo N, Piacentini L, Karliner JS, Lovett DH. A functional activating protein 1 (AP-1) site regulates matrix metalloproteinase 2 (MMP-2) transcription by cardiac cells through interactions with JunB-Fra1 and JunB-FosB heterodimers.. Biochem J 2003 Feb 1;369(Pt 3):485-96.
Li Y, Zhang W, Dai Y, Chen K. Identification and verification of IGFBP3 and YTHDC1 as biomarkers associated with immune infiltration and mitophagy in hypertrophic cardiomyopathy. Front Genet 2022;13:986995.
Ferreira-Dias GM, Alpoim-Moreira J, Szóstek-Mioduchowska A, Rebordão MR, Skarzynski DJ. The path to fertility: Current approaches to mare endometritis and endometrosis. Anim Reprod 2024;21(3):e20240070.