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Department of Anatomy (Y.K.H., P.Y., J.F.W., Z.W., G.R.C.) and Department of Growth and Development (P.J.M., R.D.), University of California, San Francisco, California 94143
Address all correspondence and requests for reprints to: Dr. Gerald R. Cunha, Department of Anatomy, Mail Stop 0452, University of California, San Francisco, California 94143. E-mail: grcunha{at}itsa.ucsf.edu
Estrogens are crucial for growth and function of the female genital
tract. Recently, we showed that induction of uterine epithelial
proliferation by estradiol is a paracrine event requiring an estrogen
receptor-positive stroma. Growth factors [such as EGF (epidermal
growth factor) ligands] are likely paracrine mediators, which may
directly or indirectly regulate epithelial proliferation in estrogen
target organs via cell-cell interactions. In this report, we used mice
with a null mutation in their EGF receptor (EGFR) to examine the role
of EGFR signaling in growth of the uterus and vagina and in
estrogen-induced uterine and vaginal epithelial proliferation. When WT
and EGFR-knockout (EGFR-KO) uteri and vaginae were grown as renal
capsule grafts in nude mice, growth of uterine and vaginal grafts of
EGFR-KO mice was reduced, compared with their WT counterparts. Grafts
of both EGFR-KO uteri and vaginae were about one third smaller (wet
weight) than their corresponding WT organs, even though differentiation
of both epithelium and mesenchyme were normal in both cases. Both
wild-type and EGFR-KO vaginal grafts contained within their lumina
alternating layers of cornified and mucified epithelial cell layers,
indicating cyclic alteration of epithelial differentiation. In response
to estradiol treatment, stromal cell labeling index (LI), as assessed
by incorporation of 3H-thymidine, was severely depressed in
EGFR-KO uterine and vaginal grafts vs. stromal cell LI
in WT uterine and vaginal grafts. Unexpectedly, epithelium of both
EGFR-KO and wild-type grafts responded comparably to estradiol with a
marked elevation (
7-fold overall) of epithelial LI in response to
estradiol in uterine and vaginal epithelia. These data supported the
hypothesis that overall uterine and vaginal organ growth, in response
to estrogen, required EGFR signaling for DNA synthesis in the
fibromuscular stroma, whereas EGFR signaling was not essential for
estrogen-induced epithelial growth in the uterus and vagina.
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