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Adult Tissue Angiogenesis: Evidence for Negative Regulation by Estrogen in the Uterus

Departments of Molecular and Integrative Physiology (W.M., H.M., S.K.Dey), Anatomy and Cell Biology (B.R., D.R.A.), and Obstetrics and Gynecology (J.T., S.K.Das), Ralph L. Smith Research Center, University of Kansas Medical Center, Kansas City, Kansas 66160

Address all correspondence and requests for reprints to: S. K. Dey, Ph.D., Department of Molecular and Integrative Physiology, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, Kansas 66160-7338. E-mail: sdey{at}kumc.edu

Increased uterine vascular permeability and angiogenesis are two major events of embryo implantation and placentation during pregnancy. These latter processes require coordinated, uterine-specific interactions between progesterone (P₄) and estrogen (E) signaling. Although roles of these steroids have long been suspected, definitive functions of E and/or P₄ in uterine angiogenesis still remain elusive. We have therefore exploited the availability of reporter and mutant mice to explore the regulation of angiogenesis in response to steroid hormonal changes in vivo. We present here molecular, genetic, physiological, and pharmacological evidence that E and P₄ have different effects in vivo: E promotes uterine vascular permeability but profoundly inhibits angiogenesis, whereas P₄ stimulates angiogenesis with little effect on vascular permeability. These effects of E and P₄ are mediated by differential spatiotemporal expression of proangiogenic factors in the uterus.

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