miR-4463 regulates aromatase expression and activity for 17 beta-estradiol synthesis in response to follicle-stimulating hormone
CLINICAL AND EXPERIMENTAL REPRODUCTIVE MEDICINE-CERM
Authors: Lee, Su-Yeon; Kang, Youn-Jung; Kwon, Jinie; Nishi, Yoshihiro; Yanase, Toshihiko; Lee, Kyung-Ah; Koong, Mi Kyoung
Abstract
Objective: The aim of this study was to investigate microRNAs (miRNAs) related to follicle-stimulating hormone (FSH) responsiveness using miRNA microarrays and to identify their target genes to determine the molecular regulatory pathways involved in FSH signaling in KGN cells. Methods: To change the cellular responsiveness to FSH, KGN cells were treated with FSH receptor (FSHR)-specific small interfering RNA (siRNA) followed by FSH. miRNA expression profiles were determined through miRNA microarray analysis. Potential target genes of selected miRNAs were predicted using bioinformatics tools, and their regulatory function was confirmed in KGN cells. Results: We found that six miRNAs (miR-1261, miR-130a-3p, miR-329-3p, miR-185-5p, miR-144-5p and miR-4463) were differentially expressed after FSHR siRNA treatment in KGN cells. Through a bioinformatics analysis, we showed that these miRNAs were predicted to regulate a large number of genes, which we narrowed down to cytochrome P450 family 19 subfamily A member 1 (CYP19A1) and estrogen receptor alpha (ESR1) as the main targets for miR-4463. Functional analysis revealed that miR-4463 is a regulatory factor for aromatase expression and function in KGN cells. Conclusion: In this study, we identified differentially expressed miRNAs related to FSH responsiveness. In particular, upregulation of miR-4463 expression by FSHR deficiency in human granulosa cells impaired 17 beta-estradiol synthesis by targeting CYP19A1 and ESR1. Therefore, our data might provide novel candidates for molecular biomarkers for use in research into poor responders.
Comparison of subchorionic hematoma in medicated or natural single euploid frozen embryo transfer cycles
FERTILITY AND STERILITY
Authors: Reich, Jenna; Blakemore, Jennifer K.; Grifo, James A.
Abstract
Objective: To study the effect of frozen embryo transfer (FET) preparation protocol on incidence of subchorionic hematoma (SCH) and serum hormone levels. Design: Retrospective cohort study. Setting: University-affiliated fertility center. Patient(s): Patients who underwent FET at the New York University Langone Fertility Center. Intervention(s): None. Main Outcome Measure(s): The primary outcome was incidence of SCH by protocol in FET cycles. Result(s): There were 1,273 FET cycles that met criteria for inclusion. The frequency of SCH was lower in natural compared with pro- grammed cycles (P< .05; relative risk = 0.4 [0.27-0.78]; odds ratio 0.4 [0.23-0.75]). Serum estrogen level was higher in programmed compared with natural cycles on day of progesterone initiation (P< .001) and cycle day 28 (P< .001). However, serum estrogen levels at the same time points were not associated with formation of SCH in programmed or natural cycles. Conclusion(s): This is the first study to evaluate the formation of SCHs by FET protocol type. Our results highlight that high serum estradiol levels do not independently lead to an increase in rate of SCH. Further research must be done to understand other clinical, or perhaps molecular, differences between natural and programmed FET cycle preparations that can be better associated with SCH formation. (C) 2020 by American Society for Reproductive Medicine.