Abstract: Endometrial fibrosis is a main hallmark of endometrosis, a degenerative condition of the equine endometrium. Fibrosis, is characterized by the excessive accumulation of extracellular matrix (ECM) components. Current research highlights the crucial role of MΦ in activating fibroblasts in the development of fibrotic processes. However, the specific actions of distinct MΦ subpopulations on equine endometrial fibroblasts remain to be elucidated. Thus, this study aimed to investigate the long-term effect of the secretome of equine in vitro-generated monocyte-derived (eqMD)-MΦ (pro-inflammatory MΦ1) and eqMD-MΦ (anti-inflammatory MΦ2a) on the transcriptomic profiles, expression of ECM-related components, inflammatory markers, and functional characteristics of equine endometrial fibroblasts cultured in vitro. Analysis of all 404 differentially expressed genes (DEGs) identified in fibroblasts following treatment with MΦ1 secretome revealed annotations associated with cell movement of neutrophils, lymphocyte migration, proliferation of connective tissue cells, and growth of connective tissue. Analysis of all 282 DEGs identified in fibroblasts following treatment with MΦ2a secretome was annotated to assembly of intercellular junctions, formation of the plasma membrane, and development of gap junctions. MΦ1 and MΦ2a affected the expression of ECM-associated components and inflammatory markers as well as increased the proliferation and migration of endometrial fibroblasts. Our data suggest that MΦ1 subpopulation influences the expression of genes associated with the inflammatory response in fibroblasts, while MΦ2 subpopulation appears to affect the expression of genes linked to tissue organization processes. These findings suggest that the sequential or balanced activation of MΦ1-and MΦ2-like signaling may be crucial for effective endometrial repair in the mare.
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Overview
This study explores how secreted factors from different subtypes of macrophages influence gene expression and behavior of equine endometrial fibroblasts, cells involved in uterine tissue structure and repair.
It highlights the distinct roles of pro-inflammatory (MΦ1) and anti-inflammatory (MΦ2a) macrophages in regulating fibrosis-related processes in the horse endometrium, relevant for understanding and potentially treating endometrial fibrosis.
Introduction and Background
Endometrial fibrosis, marked by excessive extracellular matrix (ECM) buildup, is a key feature of equine endometrosis, a degenerative uterine condition.
Macrophages (MΦ), immune cells that can adopt different functional states, are known to activate fibroblasts, the cells that produce ECM, and thus contribute to fibrosis.
Two major macrophage phenotypes studied are pro-inflammatory MΦ1 and anti-inflammatory MΦ2; their distinct effects on equine endometrial fibroblasts were previously unclear.
Objectives
To examine the long-term effects of secretomes (the collection of secreted proteins and signaling molecules) from in vitro-generated equine monocyte-derived MΦ1 and MΦ2a on equine endometrial fibroblasts.
To assess changes in transcriptomic profiles (gene expression), ECM-related component expression, inflammatory marker levels, and functional characteristics such as proliferation and migration in fibroblasts exposed to these macrophage secretomes.
Methods
Equine monocytes were differentiated in vitro into two macrophage types: MΦ1 (pro-inflammatory) and MΦ2a (anti-inflammatory).
Endometrial fibroblasts were cultured and treated with secretomes from these macrophages over a long-term period.
Gene expression in fibroblasts after treatment was examined to identify differentially expressed genes (DEGs).
Functional assays measured fibroblast proliferation and migration capabilities.
Annotation and pathway analyses were conducted to understand biological processes linked to the DEGs.
Key Findings
Treatment with MΦ1 secretome led to 404 differentially expressed genes in fibroblasts.
These genes were largely associated with immune-related activities such as neutrophil movement, lymphocyte migration, and proliferation and growth of connective tissue cells, indicating a role in inflammatory and tissue remodeling responses.
Treatment with MΦ2a secretome resulted in 282 DEGs in fibroblasts.
These genes were linked to assembly of intercellular junctions, plasma membrane formation, and development of gap junctions, suggesting promotion of tissue organization and structural functions.
Both MΦ1 and MΦ2a secretomes increased fibroblast proliferation and migration, which are important for tissue repair.
Expression of ECM components and inflammatory markers was modulated differently by each macrophage subtype, consistent with their distinct roles in inflammation and tissue remodeling.
Interpretation and Significance
MΦ1 secretome promotes fibroblast gene expression related to inflammation and connective tissue growth, implying a role in initiating repair and immune responses during endometrial injury.
MΦ2a secretome influences genes linked to the organization and maintenance of tissue structure, consistent with resolving inflammation and supporting tissue repair and remodeling.
The balance or sequential activation of MΦ1 and MΦ2a signaling pathways may be crucial for effective and regulated endometrial repair in horses, minimizing fibrosis development.
Understanding these macrophage-fibroblast interactions could aid in designing therapeutic strategies to prevent or treat endometrial fibrosis and improve reproductive health in mares.
Conclusion
The study provides novel insights into how macrophage subpopulations differentially impact endometrial fibroblast behavior at molecular and functional levels.
Targeting macrophage-fibroblast communication pathways may offer promising avenues for managing equine endometrial fibrosis and its associated reproductive problems.
Cite This Article
APA
Słyszewska M, Sadowska A, Tobolski D, Piotrowska-Tomala K, Ferreira-Dias G, Szóstek-Mioduchowska A.
(2026).
The effect of macrophage secretome on equine endometrial fibroblast transcriptomic and functional characteristics.
Theriogenology, 267, 118177.
https://doi.org/10.1016/j.theriogenology.2026.118177
Team of Molecular Basis of Equine Reproduction, InLife Institute of Animal Reproduction and Food Research, Polish Academy of Science, Olsztyn, 10-683, Poland.
Sadowska, Agnieszka
Team of Molecular Basis of Equine Reproduction, InLife Institute of Animal Reproduction and Food Research, Polish Academy of Science, Olsztyn, 10-683, Poland.
Tobolski, Dawid
Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, Warsaw, 02-787, Poland.
Piotrowska-Tomala, Katarzyna
Team of Molecular Basis of Equine Reproduction, InLife Institute of Animal Reproduction and Food Research, Polish Academy of Science, Olsztyn, 10-683, 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.
Szóstek-Mioduchowska, Anna
Team of Molecular Basis of Equine Reproduction, InLife Institute of Animal Reproduction and Food Research, Polish Academy of Science, Olsztyn, 10-683, Poland. Electronic address: a.szostek-mioduchowska@pan.olsztyn.pl.
MeSH Terms
Animals
Female
Horses
Fibroblasts / metabolism
Fibroblasts / physiology
Endometrium / cytology
Transcriptome
Macrophages / metabolism
Macrophages / physiology
Cells, Cultured
Gene Expression Regulation / physiology
Secretome / physiology
Conflict of Interest Statement
Declaration of interest The author declares no conflict of interest.