Interleukin-33 stimulates stress in the endoplasmic reticulum of the human myometrium via an influx of calcium during initiation of labor

Background: Inflammation is currently recognized as one of the major causes of premature delivery. As a member of the IL-1β family, interleukin-33 (IL-33) has been shown to be involved in a variety of pregnancy-related diseases. This study aims to investigate the potential function of IL-33 in uterine smooth muscle cells during labor.Methods: Samples of myometrium from term pregnant (≥37 weeks gestation) women were frozen or cells were isolated and cultured. Immunohistochemistry and western blotting were used to identify the distribution of IL-33. Cultured cells were incubated with LPS to mimic inflammation as well as 4μ8C to block endoplasmic reticulum (ER) stress and BAPTA-AM, a calcium chelator.Results: Similar with onset of labor, LPS could reduce the expression of nuclear IL-33 in a time-limited manner and induced ER stress. Meanwhile, Knockdown of IL-33 increased LPS-induced calcium concentration, ER stress and phosphorylation of NF-κB and p38. In addition, siRNA IL-33 further simulates LPS enhanced COX-2 expression via NF-κB and p38 pathways. IL-33 expression was decreased in the nucleus with the onset of labor. LPS induced ER stress and increased expression of the labor-associated gene, COX-2, as well as IL-6 and IL-8 in cultured myometrial cells. IL-33 also increased COX-2 expression. However, after IL-33 was knockdown, the stimulating effect of LPS on calcium was enhanced. 4μ8C also inhibited the expression of COX-2 markedly. The expression of calcium channels on the membrane and intracellular free calcium ion were both increased accompanied by phosphorylated NF-κB and p38.Conclusions: These data suggest that IL-33 may be involved in initiation of labor by leading to stress of the ER via an influx of calcium ions in human uterine smooth muscle cells.

Mathematical model of excitation-contraction in a uterine smooth muscle cell

The Bursztyn et al. (2007) paper proposes a mathematical model of excitation-contraction in a myometrial smooth muscle cell (SMC). The model incorporates processes of intracellular Ca^2+ concentration control, myosin light chain (MLC) phosphorylation and stress production. We create a modularized CellML implementation of the model, which is able to simulate these processes against the original data.

Mathematical model of excitation-contraction in a uterine smooth muscle cell

The Bursztyn et al. (2007) paper proposes a mathematical model of excitation-contraction in a myometrial smooth muscle cell (SMC). The model incorporates processes of intracellular Ca^2+ concentration control, myosin light chain (MLC) phosphorylation and stress production. We create a modularized CellML implementation of the model, which is able to simulate these processes against the original data.

Huge fibroid uterus mimicking an ovarian malignancy

Leiomyoma of the uterus is the most common benign tumor arising from uterine smooth muscle. This is a case of a woman with an exophytic uterine leiomyoma mimicking an ovarian neoplasm. The potential for uterine leiomyomas to grow to an extreme size before causing symptoms is quite remarkable. This is likely due to the relatively large volume of the abdominal cavity, the distensibility of the abdominal wall and the slow growth rate of these tumors. In our case report, despite a fibroid of size reaching up to 34 weeks of gestation, our patient had minimal symptoms except for abdominal discomfort. There were no symptoms related to abnormal uterine bleeding or abnormal bowel or bladder habit. Also, the history and clinical examination of the patient favored a diagnosis of ovarian malignancy.