Semin Reprod Med 2015; 33(05): 350-356
DOI: 10.1055/s-0035-1563602
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Stem Cells in Myometrial Physiology

Masanori Ono
1   Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan
,
Tetsuo Maruyama
1   Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan
› Author Affiliations
Further Information

Publication History

Publication Date:
26 August 2015 (online)

Abstract

Normal adult tissues contain a small subset of tissue-specific stem cells. These stem cells are capable of self-renewing as well as generating daughter cells that are destined to completely differentiate and thereby support tissue remodeling and repair. The human uterus is an example of how such cell populations support the function of an organ. The uterus primarily consists of endometrium and myometrium, and these tissues rapidly enlarge to support the developing fetus during pregnancy. Uterine enlargement and remodeling can occur more than a dozen times during a woman's reproductive life. The expansion of the gravid uterus is achieved mainly through myometrial hyperplasia and hypertrophy, and these processes suggest an important role for stem/progenitor cell systems. Recently, stem/progenitor cells in the myometrium have been identified and their properties characterized. Here, we discuss some of the properties of myometrial stem/progenitor cells. We also suggest a new model of myometrial physiology and how stem cell systems might contribute to pregnancy-associated uterine remodeling.

 
  • References

  • 1 Maruyama T, Masuda H, Ono M, Kajitani T, Yoshimura Y. Human uterine stem/progenitor cells: their possible role in uterine physiology and pathology. Reproduction 2010; 140 (1) 11-22
  • 2 Ramsey EM. Anatomy of the human uterus. In: Chard T, Grudzinskas JG, , eds., The Uterus. Cambridge: Cambridge University Press; 1994: 18-40
  • 3 Shynlova O, Oldenhof A, Dorogin A , et al. Myometrial apoptosis: activation of the caspase cascade in the pregnant rat myometrium at midgestation. Biol Reprod 2006; 74 (5) 839-849
  • 4 Clay MM, Chappelle P. Quadruplets births in the literature: a catalogue of cases. In: Clay MM, , ed., Quadruplets and Higher Multiple Births. Cambridge: Cambridge University Press; 1989: 95-122
  • 5 Shynlova O, Tsui P, Jaffer S, Lye SJ. Integration of endocrine and mechanical signals in the regulation of myometrial functions during pregnancy and labour. Eur J Obstet Gynecol Reprod Biol 2009; 144 (Suppl. 01) S2-S10
  • 6 Lye SJ, Mitchell J, Nashman N , et al. Role of mechanical signals in the onset of term and preterm labor. Front Horm Res 2001; 27: 165-178
  • 7 Shynlova O, Mitchell JA, Tsampalieros A, Langille BL, Lye SJ. Progesterone and gravidity differentially regulate expression of extracellular matrix components in the pregnant rat myometrium. Biol Reprod 2004; 70 (4) 986-992
  • 8 Chandran S, Cairns MT, O'Brien M, Smith TJ. Transcriptomic effects of estradiol treatment on cultured human uterine smooth muscle cells. Mol Cell Endocrinol 2014; 393 (1-2) 16-23
  • 9 Avrech OM, Golan A, Weinraub Z, Bukovsky I, Caspi E. Mifepristone (RU486) alone or in combination with a prostaglandin analogue for termination of early pregnancy: a review. Fertil Steril 1991; 56 (3) 385-393
  • 10 Chai SY, Smith R, Fitter JT , et al. Increased progesterone receptor A expression in labouring human myometrium is associated with decreased promoter occupancy by the histone demethylase JARID1A. Mol Hum Reprod 2014; 20 (5) 442-453
  • 11 Patel B, Elguero S, Thakore S, Dahoud W, Bedaiwy M, Mesiano S. Role of nuclear progesterone receptor isoforms in uterine pathophysiology. Hum Reprod Update 2015; 21 (2) 155-173
  • 12 Shynlova O, Tsui P, Dorogin A, Langille BL, Lye SJ. Insulin-like growth factors and their binding proteins define specific phases of myometrial differentiation during pregnancy in the rat. Biol Reprod 2007; 76 (4) 571-578
  • 13 Tanwar PS, Lee HJ, Zhang L , et al. Constitutive activation of beta-catenin in uterine stroma and smooth muscle leads to the development of mesenchymal tumors in mice. Biol Reprod 2009; 81 (3) 545-552
  • 14 Daley GQ. Stem cells: roadmap to the clinic. J Clin Invest 2010; 120 (1) 8-10
  • 15 Golebiewska A, Brons NH, Bjerkvig R, Niclou SP. Critical appraisal of the side population assay in stem cell and cancer stem cell research. Cell Stem Cell 2011; 8 (2) 136-147
  • 16 Maruyama T, Miyazaki K, Masuda H, Ono M, Uchida H, Yoshimura Y. Review: human uterine stem/progenitor cells: implications for uterine physiology and pathology. Placenta 2013; 34 (Suppl): S68-S72
  • 17 Maruyama T. Endometrial stem/progenitor cells. J Obstet Gynaecol Res 2014; 40 (9) 2015-2022
  • 18 Szotek PP, Chang HL, Zhang L , et al. Adult mouse myometrial label-retaining cells divide in response to gonadotropin stimulation. Stem Cells 2007; 25 (5) 1317-1325
  • 19 Ono M, Maruyama T, Masuda H , et al. Side population in human uterine myometrium displays phenotypic and functional characteristics of myometrial stem cells. Proc Natl Acad Sci U S A 2007; 104 (47) 18700-18705
  • 20 Ono M, Kajitani T, Uchida H , et al. OCT4 expression in human uterine myometrial stem/progenitor cells. Hum Reprod 2010; 25 (8) 2059-2067
  • 21 Chang HL, Senaratne TN, Zhang L , et al. Uterine leiomyomas exhibit fewer stem/progenitor cell characteristics when compared with corresponding normal myometrium. Reprod Sci 2010; 17 (2) 158-167
  • 22 Ono M, Qiang W, Serna VA , et al. Role of stem cells in human uterine leiomyoma growth. PLoS ONE 2012; 7 (5) e36935
  • 23 Mas A, Cervelló I, Gil-Sanchis C , et al. Identification and characterization of the human leiomyoma side population as putative tumor-initiating cells. Fertil Steril 2012; 98 (3) 741-751.e6
  • 24 Mohyeldin A, Garzón-Muvdi T, Quiñones-Hinojosa A. Oxygen in stem cell biology: a critical component of the stem cell niche. Cell Stem Cell 2010; 7 (2) 150-161
  • 25 Shynlova O, Dorogin A, Lye SJ. Stretch-induced uterine myocyte differentiation during rat pregnancy: involvement of caspase activation. Biol Reprod 2010; 82 (6) 1248-1255
  • 26 Maruyama T, Ono M, Yoshimura Y. Somatic stem cells in the myometrium and in myomas. Semin Reprod Med 2013; 31 (1) 77-81
  • 27 Gargett CE, Masuda H. Adult stem cells in the endometrium. Mol Hum Reprod 2010; 16 (11) 818-834
  • 28 Goodell MA, Brose K, Paradis G, Conner AS, Mulligan RC. Isolation and functional properties of murine hematopoietic stem cells that are replicating in vivo. J Exp Med 1996; 183 (4) 1797-1806
  • 29 Ono M, Kajitani T, Uchida H , et al. CD34 and CD49f double-positive and lineage marker-negative cells isolated from human myometrium exhibit stem cell-like properties involved in pregnancy-induced uterine remodeling. Biol Reprod 2015; 93 (2) 1-9 , 37
  • 30 Notta F, Doulatov S, Laurenti E, Poeppl A, Jurisica I, Dick JE. Isolation of single human hematopoietic stem cells capable of long-term multilineage engraftment. Science 2011; 333 (6039) 218-221
  • 31 Nystedt J, Anderson H, Tikkanen J , et al. Cell surface structures influence lung clearance rate of systemically infused mesenchymal stromal cells. Stem Cells 2013; 31 (2) 317-326
  • 32 Lathia JD, Gallagher J, Heddleston JM , et al. Integrin alpha 6 regulates glioblastoma stem cells. Cell Stem Cell 2010; 6 (5) 421-432
  • 33 Wang L, Wang L, Gu Y, Shu Y, Shen Y, Xu Q. Integrin α6(high) cell population functions as an initiator in tumorigenesis and relapse of human liposarcoma. Mol Cancer Ther 2011; 10 (12) 2276-2286
  • 34 Sidney LE, Branch MJ, Dunphy SE, Dua HS, Hopkinson A. Concise review: evidence for CD34 as a common marker for diverse progenitors. Stem Cells 2014; 32 (6) 1380-1389
  • 35 Mas A, Nair S, Laknaur A, Simón C, Diamond MP, Al-Hendy A. Stro-1/CD44 as putative human myometrial and fibroid stem cell markers. Fertil Steril 2015; 104 (1) 225-234.e3
  • 36 Ono M, Yin P, Navarro A , et al. Paracrine activation of WNT/β-catenin pathway in uterine leiomyoma stem cells promotes tumor growth. Proc Natl Acad Sci U S A 2013; 110 (42) 17053-17058
  • 37 Ono M, Yin P, Navarro A , et al. Inhibition of canonical WNT signaling attenuates human leiomyoma cell growth. Fertil Steril 2014; 101 (5) 1441-1449
  • 38 Walker CL, Stewart EA. Uterine fibroids: the elephant in the room. Science 2005; 308 (5728) 1589-1592
  • 39 Yin P, Ono M, Moravek MB , et al. Human uterine leiomyoma stem/progenitor cells expressing CD34 and CD49b initiate tumors in vivo. J Clin Endocrinol Metab 2015; 100 (4) E601-E606
  • 40 Crisan M, Yap S, Casteilla L , et al. A perivascular origin for mesenchymal stem cells in multiple human organs. Cell Stem Cell 2008; 3 (3) 301-313