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Human Reproduction, Vol. 15, No. suppl_3, pp. 39-47, 2000
© 2000 European Society of Human Reproduction and Embryology

Endothelial cell dysfunction following prolonged activation of progesterone receptor

Juan Carlos Rodríguez-Manzaneque, Michael Graubert and M.Luisa Iruela-Arispe1

Department of Molecular, Cell and Developmental Biology, and Molecular Biology Institute, University of California Los Angeles, CA 90095, USA

Correspondence: 1To whom correspondence should be addressed at: Molecular Biology Institute, 611 Charles Young Drive, Los Angeles, CA 90095, USA. E-mail: arispe{at}mbi.ucla.edu

Progestin-only contraceptives are associated with breakthrough bleeding in up to 50% of users. The causes of blood vessel rupture are not well understood. Here we report that both normal and Norplant®-exposed endothelium express progesterone receptor. Experiments performed in vitroon endothelial cells isolated from human endometrium revealed that longterm progesterone exposure leads to suppression of endothelial cell proliferation, inhibition of migration and alteration in the profile of extracellular matrix proteins secreted by human endometrial endothelial cells. In addition, we detected increased levels of matrix metalloproteinase-9 in endothelialcultures treated with progesterone. The effect of progesterone on the cell cycle, along with the increased amounts of matrix-degrading enzymes, could account for breakdown of basement membrane components, vascular fragility and consequent vessel rupture leading to breakthrough endometrial bleeding.

Key words: angiogenesis/endothelial cell/migration/progesterone/proliferation


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