Skip to content
2000
image of Bushen Zhuyun Decoction Enhances Endometrial Receptivity via the IL-6/STAT3 Signaling Pathway in Rats

Abstract

Background

Reproductive endocrine disorder can impair endometrial receptivity, preventing embryo implantation and increasing miscarriage risk. Impaired endometrial receptivity contributes significantly to female infertility. Inflammatory signaling pathways including the IL-6/STAT3 pathway help embryos implant. Therefore, it is crucial to explore the relationship between the IL-6/STAT3 signaling pathway and endometrial receptivity.

Objective

To investigate the mechanism by which Bushen Zhuyun decoction (BSZY) enhances endometrial receptivity in rats through the IL-6/STAT3 signaling pathway.

Methods

Mifepristone-induced poor endometrial receptivity models of female SD rats were established, followed by histopathological observation. ELISA was used to measure serum sex hormones and VEGF. Western blotting or IHC was used to measure steroid receptors, IGFBP1, and IL-6/STAT3 pathway activation in the uterus during each estrus cycle and early gestation of normal rats. The Treg/Th17 balance was assessed using flow cytometry.

Results

Significant differences were found in the protein expressions of steroid receptors, IL-6, STAT3, and p-STAT3 during each estrus cycle and early gestation of normal rats. The protein expressions of STAT3 and PR were strongly correlated with each other. BSZY notably improved uterine morphology increased the expression of implantation markers and raised the serum concentrations of sex hormones and VEGF. BSZY enhanced the expressions of IL-6 and its receptors and restored the expressions of STAT3 and p-STAT3 in the uterus of pregnant rats. In addition, BSZY effectively restored the Treg/Th17 balance in the peripheral blood of pregnant rats.

Conclusion

BSZY enhances endometrial receptivity and promotes decidualization in SD rats the IL-6/STAT3 signaling pathway.

Loading

Article metrics loading...

/content/journals/cchts/10.2174/0113862073351630241128182125
2024-11-29
2025-03-01
Loading full text...

Full text loading...

References

  1. Hart R.J. Physiological Aspects of Female Fertility: Role of the Environment, Modern Lifestyle, and Genetics. Physiol. Rev. 2016 96 3 873 909 10.1152/physrev.00023.2015 27252278
    [Google Scholar]
  2. Cox C.M. Thoma M.E. Tchangalova N. Mburu G. Bornstein M.J. Johnson C.L. Kiarie J. Infertility prevalence and the methods of estimation from 1990 to 2021: a systematic review and meta-analysis. Hum. Reprod. Open 2022 2022 4 hoac051 10.1093/hropen/hoac051 36483694
    [Google Scholar]
  3. Ginsburg K.A. Luteal phase defect. Etiology, diagnosis, and management. Endocrinol. Metab. Clin. North Am. 1992 21 1 85 104 10.1016/S0889‑8529(18)30233‑0 1576984
    [Google Scholar]
  4. Practice Committees of the American Society for Reproductive Medicine and the Society for Reproductive Endocrinology and Infertility Diagnosis and treatment of luteal phase deficiency: A committee opinion. Fertil. Steril. 2021 115 6 1416 1423 10.1016/j.fertnstert.2021.02.010 33827766
    [Google Scholar]
  5. Scholefield H. Preface. Best Pract. Res. Clin. Obstet. Gynaecol. 2008 22 5 761 762 10.1016/j.bpobgyn.2008.07.002 18722164
    [Google Scholar]
  6. Billhaq D.H. Lee S.H. Lee S. The potential function of endometrial‐secreted factors for endometrium remodeling during the estrous cycle. Anim. Sci. J. 2020 91 1 e13333 10.1111/asj.13333 31909524
    [Google Scholar]
  7. van der Linden M. Buckingham K. Farquhar C. Kremer J.A.M. Metwally M. Luteal phase support for assisted reproduction cycles. Cochrane Libr. 2015 2016 10 CD009154 10.1002/14651858.CD009154.pub3 26148507
    [Google Scholar]
  8. Sun Y. Liu P. Ye H. Consensus on luteal support and progesterone supplementation. Journal of Reproduction and Contraception. 2015 35 1 1 8 10.7669/j.issn.0253‑357X.2015.01.0001
    [Google Scholar]
  9. Garg A. Zielinska A.P. Yeung A.C. Abdelmalak R. Chen R. Hossain A. Israni A. Nelson S.M. Babwah A.V. Dhillo W.S. Abbara A. Luteal phase support in assisted reproductive technology. Nat. Rev. Endocrinol. 2024 20 3 149 167 10.1038/s41574‑023‑00921‑5 38110672
    [Google Scholar]
  10. Cao Z. Zhou H. Effect of Bushen Zhuyun recipe on PKC/MAPK/ERK signal pathway and luteal function of pituitary in rats with luteal insufficiency. J. Tradit. Chin. Med. 2021 62 09 808 813 10.13288/j.11‑2166/r.2021.09.014
    [Google Scholar]
  11. Liu B. Zhou H. Zhou B. Regulation of BuShen ZhuYun Decotion on gonadotropin in rat pituitary cells. Journal of Medical Postgraduates. 2018 31 07 703 708 10.16571/j.cnki.1008‑8199.2018.07.007
    [Google Scholar]
  12. Tang X. Zhou H. Feng H. Mechanism of Bushen Zhuyun Prescription on Improving Luteal Function of Brown Norway Rats Based on MAPKs Signaling Pathway. Zhongguo Shiyan Fangjixue Zazhi 2022 28 12 78 85 10.13422/j.cnki.syfjx.20220904
    [Google Scholar]
  13. Yang L. Zhou B. Dai J. Zhou H. Bushen Zhuyun Recipe improves the morphology of the gonad axis of rats with mifepristone-induced luteal phase defect. Journal of Medical Postgraduates. 2015 28 10 1012 1016 10.16571/j.cnki.1008‑8199.2015.10.002
    [Google Scholar]
  14. Mechanism of Bushen Zhuyun Prescrption in Treatment of LPD by Reducing Apoptotic Levels of Ovary Based on Network Pharmacology and Animal Experiment. Traditional Chinese Medicine Information. 2022 39 04 1 9 10.19656/j.cnki.1002‑2406.20220401
    [Google Scholar]
  15. Wang X. Tong Y. Zhang H. Zou Y. Ding Y. Liu B. Zhou W. Shan J. Ji J. Su W. Liu Y. ZHou H. Bushen Zhuyun Decoction Improves Endometrial Receptivity by Inhibiting NF-κB/NLRP3 Signaling Pathway. Comb. Chem. High Throughput Screen. 2024 27 10.2174/0113862073309790240711110744 39021185
    [Google Scholar]
  16. Singh R.K. Key heterocyclic cores for smart anticancer drug–design Part II. Bentham Science Publishers 2022 10.2174/97898150400741220101
    [Google Scholar]
  17. Hu X. li J. Fu M. Zhao X. Wang W. The JAK/STAT signaling pathway: from bench to clinic. Signal Transduct. Target. Ther. 2021 6 1 402 10.1038/s41392‑021‑00791‑1 34824210
    [Google Scholar]
  18. Kim M. Morales L.D. Jang I.S. Cho Y.Y. Kim D.J. Protein Tyrosine Phosphatases as Potential Regulators of STAT3 Signaling. Int. J. Mol. Sci. 2018 19 9 2708 10.3390/ijms19092708 30208623
    [Google Scholar]
  19. Zhou M. Xu H. Zhang D. Si C. Zhou X. Zhao H. Liu Q. Xu B. Zhang A. Decreased PIBF1/IL6/p-STAT3 during the mid-secretory phase inhibits human endometrial stromal cell proliferation and decidualization. J. Adv. Res. 2021 30 15 25 10.1016/j.jare.2020.09.002 34026283
    [Google Scholar]
  20. Peña S. Rubio M. Vargas C. Alanis C. Paredes A.H. Participation of leukaemia inhibitory factor in follicular development and steroidogenesis in rat ovaries. J. Endocrinol. 2023 258 1 e220255 10.1530/JOE‑22‑0255 37078922
    [Google Scholar]
  21. Yu M. Peng X. Li H. Xu Y. Sun X. Chen J. Gankyrin has a potential role in embryo implantation via activation of STAT3. Reproduction 2022 163 3 157 165 10.1530/REP‑21‑0199 35038312
    [Google Scholar]
  22. Liu Z Song Y Hu R Bushen Antai recipe ameliorates immune microenvironment and maternal-fetal vascularization in STAT3-deficient abortion-prone mice. J Ethnopharmacol. 2024 318 Pt A 116889 10.1016/j.jep.2023.116889
    [Google Scholar]
  23. Boulanger M.J. Chow D. Brevnova E.E. Garcia K.C. Hexameric structure and assembly of the interleukin-6/IL-6 alpha-receptor/gp130 complex. Science 2003 300 5628 2101 2104 10.1126/science.1083901 12829785
    [Google Scholar]
  24. Rose-John S. Jenkins B.J. Garbers C. Moll J.M. Scheller J. Targeting IL-6 trans-signalling: past, present and future prospects. Nat. Rev. Immunol. 2023 23 10 666 681 10.1038/s41577‑023‑00856‑y 37069261
    [Google Scholar]
  25. Rose-John S. IL-6 trans-signaling via the soluble IL-6 receptor: importance for the pro-inflammatory activities of IL-6. Int. J. Biol. Sci. 2012 8 9 1237 1247 10.7150/ijbs.4989 23136552
    [Google Scholar]
  26. Zhao W Sun G Dose Conversion of dosage among different experimental animals. Journal of Animal Husbandry and Veterinary Science and Technology Information 2010 2010 5 52 3
    [Google Scholar]
  27. Mao L. Wang X. Sun Y. Yang M. Chen X. Cui L. Bai W. Platelet-rich fibrin improves repair and regeneration of damaged endometrium in rats. Front. Endocrinol. (Lausanne) 2023 14 1154958 10.3389/fendo.2023.1154958 37614713
    [Google Scholar]
  28. Li Y. Zeng X. Lu D. Yin M. Shan M. Gao Y. Erastin induces ferroptosis via ferroportin-mediated iron accumulation in endometriosis. Hum. Reprod. 2021 36 4 951 964 10.1093/humrep/deaa363 33378529
    [Google Scholar]
  29. Pluim D. Buitelaar P. de Jong K.A.M. Rosing H. Brandsma D. Huitema A.D.R. Beijnen J.H. ELISA assay for the quantification of ipilimumab in human serum, plasma, milk, and cerebrospinal fluid. J. Pharm. Biomed. Anal. 2024 245 116140 10.1016/j.jpba.2024.116140 38701533
    [Google Scholar]
  30. Li Z. Sun Q. Liu Q. Mu X. Wang H. Zhang H. Qin F. Wang Q. Nie D. Liu A. Li Q. Ji J. Jiang Y. Lu S. Wang Q. Lu Z. Compound 511 ameliorates MRSA-induced lung injury by attenuating morphine-induced immunosuppression in mice via PI3K/AKT/mTOR pathway. Phytomedicine 2023 108 154475 10.1016/j.phymed.2022.154475 36252465
    [Google Scholar]
  31. Zhang H. Ge S. Ni B. He K. Zhu P. Wu X. Shao Y. Augmenting ATG14 alleviates atherosclerosis and inhibits inflammation via promotion of autophagosome-lysosome fusion in macrophages. Autophagy 2021 17 12 4218 4230 10.1080/15548627.2021.1909833 33849389
    [Google Scholar]
  32. Xu D. Zhou H. Hong Y. Liu Y. Experience of TCM master XIA Gui-cheng in the treatment of infertility due to inadequate luteal function. Zhonghua Zhongyiyao Zazhi 2021 36 02 813 817
    [Google Scholar]
  33. Zhu A. Yao F. Shen M. Oxycodone alleviates mifepristone‐stimulated human endometrial stromal cell injury by activating the Keap1/Nrf2/HO‐1 signaling pathway. Immun. Inflamm. Dis. 2023 11 9 e1008 10.1002/iid3.1008 37773689
    [Google Scholar]
  34. Harms P.W. Frankel T.L. Moutafi M. Rao A. Rimm D.L. Taube J.M. Thomas D. Chan M.P. Pantanowitz L. Multiplex Immunohistochemistry and Immunofluorescence: A Practical Update for Pathologists. Mod. Pathol. 2023 36 7 100197 10.1016/j.modpat.2023.100197 37105494
    [Google Scholar]
  35. Luo J. Qi Q. Chen Y. Wang Y. Xie Q. Effect of GnRH-antagonist, mifepristone and letrozole on preventing ovarian hyperstimulation syndrome in rat model. Reprod. Biomed. Online 2021 42 2 291 300 10.1016/j.rbmo.2020.10.006 33249057
    [Google Scholar]
  36. Wang F. Ferreira L.M.R. Mazzanti A. Yu H. Gu B. Meissner T.B. Li Q. Strominger J.L. Progesterone-mediated remodeling of the maternal-fetal interface by a PGRMC1-dependent mechanism. J. Reprod. Immunol. 2024 163 104244 10.1016/j.jri.2024.104244 38555747
    [Google Scholar]
  37. Nili F. Sadri M. Ameli F. Utility of AMACR immunohistochemical staining in differentiating Arias-Stella reaction from clear cell carcinoma of ovary and endometrium. BMC Cancer 2023 23 1 332 10.1186/s12885‑023‑10753‑1 37041497
    [Google Scholar]
  38. Nagy B. Szekeres-Barthó J. Kovács G.L. Sulyok E. Farkas B. Várnagy Á. Vértes V. Kovács K. Bódis J. Key to Life: Physiological Role and Clinical Implications of Progesterone. Int. J. Mol. Sci. 2021 22 20 11039 10.3390/ijms222011039 34681696
    [Google Scholar]
  39. Parisi F. Fenizia C. Introini A. Zavatta A. Scaccabarozzi C. Biasin M. Savasi V. The pathophysiological role of estrogens in the initial stages of pregnancy: molecular mechanisms and clinical implications for pregnancy outcome from the periconceptional period to end of the first trimester. Hum. Reprod. Update 2023 29 6 699 720 10.1093/humupd/dmad016 37353909
    [Google Scholar]
  40. Liao Z. Tang S. Nozawa K. Shimada K. Ikawa M. Monsivais D. Matzuk M. Affinity-tagged SMAD1 and SMAD5 mouse lines reveal transcriptional reprogramming mechanisms during early pregnancy. eLife 2024 12 RP91434 10.7554/eLife.91434.4 38536963
    [Google Scholar]
  41. Duan H. Xiao L. Hu J. Zhang Y. Zhao X. Ge W. Jiang Y. Song L. Yang S. Luo W. Expression of oestrogen receptor, androgen receptor and progesterone nuclear receptor in sheep uterus during the oestrous cycle. Reprod. Domest. Anim. 2019 54 10 1305 1312 10.1111/rda.13489 31188500
    [Google Scholar]
  42. Kowalik M.K. Rekawiecki R. Kotwica J. Expression and localization of progesterone receptor membrane component 1 and 2 and serpine mRNA binding protein 1 in the bovine corpus luteum during the estrous cycle and the first trimester of pregnancy. Theriogenology 2014 82 8 1086 1093 10.1016/j.theriogenology.2014.07.021 25168721
    [Google Scholar]
  43. Dhiman A. Sharma R. Singh R.K. Target-based anticancer indole derivatives and insight into structure‒activity relationship: A mechanistic review update (2018–2021). Acta Pharm. Sin. B 2022 12 7 3006 3027 10.1016/j.apsb.2022.03.021 35865090
    [Google Scholar]
  44. Brundin P.M.A. Landgren B.M. Fjällström P. Shamekh M.M. Gustafsson J.Å. Johansson A.F. Nalvarte I. Expression of Sex Hormone Receptor and Immune Response Genes in Peripheral Blood Mononuclear Cells During the Menstrual Cycle. Front. Endocrinol. (Lausanne) 2021 12 721813 10.3389/fendo.2021.721813 34630328
    [Google Scholar]
  45. Barba-Moreno L. Alfaro-Magallanes V.M. de Jonge X.A.K.J. Díaz A.E. Cupeiro R. Peinado A.B. Hepcidin and interleukin‐6 responses to endurance exercise over the menstrual cycle. Eur. J. Sport Sci. 2022 22 2 218 226 10.1080/17461391.2020.1853816 33317411
    [Google Scholar]
  46. Hughes S.M. Levy C.N. Katz R. Lokken E.M. Anahtar M.N. Hall M.B. Bradley F. Castle P.E. Cortez V. Doncel G.F. Fichorova R. Fidel P.L. Jr Fowke K.R. Francis S.C. Ghosh M. Hwang L.Y. Jais M. Jespers V. Joag V. Kaul R. Kyongo J. Lahey T. Li H. Makinde J. McKinnon L.R. Moscicki A.B. Novak R.M. Patel M.V. Sriprasert I. Thurman A.R. Yegorov S. Mugo N.R. Roxby A.C. Micks E. Hladik F. Abdool Karim S.S. Abou M. Anderson S.M. Andreasen A. Ao T.T. Archer D.F. Arien K.K. Arnold K.B. Asin S. Baden S. Bagaya B.S. Baisley K. Barnard E. Bartolf A. Bernick B.A. Birse K. Boggild A.K. Boily-Larouche G. Boksa L.A. Bowman B.A. Bowman F.P. Broliden K. Burgener A.D. Buyze J. Byrne E.H. Chandra N. Chapman S. Chen H.Y. Cheruiyot J. Chesson R.R. Cohen K.E. Cools P. Cosgrove C. Coulton G.R. Crowley-Nowick P.A. Crucitti T. Cunningham T.D. Cu-Uvin S. Dawood H.Y. Delany-Moretlwe S. Dong K.L. Donoval B.A. Dufault B. Dunlap K. Dunphy L.J. Edwards R.P. Engstrand L. Espinosa T. Fahey J.V. Fashemi T. Fortenberry J.D. Freiermuth J.L. Galiwango R.M. Ghebremichael M.S. Good S.V. Goovaerts O. Graham P.J. Hardy L. Hasselrot K. Hayes R.J. Herold B.C. Herrera C. Hershow R.C. Hildesheim A. Hillier S. Hou Y. Huang H. Hughes S.M. Hwang L.Y. Introini A. Ismail N. Jacot T. Jais M. Jespers V. Joag V. Johnston C. Jones C. Joseph S. Kapiga S. Kappes J.C. Kimani J. Kimani M. Kimble T. Kiwanuka N. Kowatsch M. Kwatampora J. Kwon D.S. Lajoie J. Landay A. Lauffenburger D.A. Lehman D.A. Leslie A. Liebenberg L.J. Lieberman J.A. Lounev V. Ma Y. Mabhula A. Mabuka J. Maganja K. Marrazzo J. Masson L. Mayer K.H. McCorrister S. Menten J. Mesquita P.M.M. Michiels J. Mirkin S. Moodley A. Mpendo J. Mukura L.R. Mwaura M. Ndayisaba G. Ndung’u T. Njoki J. Noel-Romas L. Nyanga B. Ochsenbauer C. Odem-Davis K. Olson G.S. Omollo K. Orr D.P. Overbaugh J. Oyugi J. Padavattan N. Pakrashi T. Pandey U. Passmore J-A.S. Pustilnik T. Rabe L. Richardson-Harman N. Rollenhagen C. Romas L. Rossoll R.M. Schwartz J.L. Scott M.E. Seifert M. Shah A. Shahabi K. Shattock R.J. Shen Z. Shi B. Sibeko S. Song Y. Spear G. Starkman B.S. Strickler H.D. Sumerel J.L. Tannich E. Theall K.P. Tjernlund A. van de Wijgert J. Van Der Pol B. Vanham G. Walker B.D. Walker J.L. Watson-Jones D. Wefer H. Westmacott G.R. Wira C.R. Wright P.F. Younes N. Yousefieh N. Changes in concentrations of cervicovaginal immune mediators across the menstrual cycle: a systematic review and meta-analysis of individual patient data. BMC Med. 2022 20 1 353 10.1186/s12916‑022‑02532‑9 36195867
    [Google Scholar]
  47. Yang T. Zhao J. Liu F. Li Y. Lipid metabolism and endometrial receptivity. Hum. Reprod. Update 2022 28 6 858 889 10.1093/humupd/dmac026 35639910
    [Google Scholar]
  48. Mikhailova V. Grebenkina P. Khokhlova E. Davydova A. Salloum Z. Tyshchuk E. Zagainova V. Markova K. Kogan I. Selkov S. Sokolov D. Pro- and Anti-Inflammatory Cytokines in the Context of NK Cell–Trophoblast Interactions. Int. J. Mol. Sci. 2022 23 4 2387 10.3390/ijms23042387 35216502
    [Google Scholar]
  49. Xia T. Zhang M. Lei W. Yang R. Fu S. Fan Z. Yang Y. Zhang T. Advances in the role of STAT3 in macrophage polarization. Front. Immunol. 2023 14 1160719 10.3389/fimmu.2023.1160719 37081874
    [Google Scholar]
  50. Ernst M. Inglese M. Waring P. Campbell I.K. Bao S. Clay F.J. Alexander W.S. Wicks I.P. Tarlinton D.M. Novak U. Heath J.K. Dunn A.R. Defective gp130-mediated signal transducer and activator of transcription (STAT) signaling results in degenerative joint disease, gastrointestinal ulceration, and failure of uterine implantation. J. Exp. Med. 2001 194 2 189 204 10.1084/jem.194.2.189 11457894
    [Google Scholar]
  51. Hiraoka T. Hirota Y. Fukui Y. Gebril M. Kaku T. Aikawa S. Hirata T. Akaeda S. Matsuo M. Haraguchi H. Saito-Kanatani M. Shimizu-Hirota R. Takeda N. Yoshino O. Fujii T. Osuga Y. Differential roles of uterine epithelial and stromal STAT3 coordinate uterine receptivity and embryo attachment. Sci. Rep. 2020 10 1 15523 10.1038/s41598‑020‑72640‑0 32968170
    [Google Scholar]
  52. Yu T. Lin S. Xu R. Du T.X. Li Y. Gao H. Diao H.L. Zhang X.H. Cyclophilin A plays an important role in embryo implantation through activating Stat3. Reproduction 2020 160 3 343 351 10.1530/REP‑20‑0187 32580158
    [Google Scholar]
  53. Fang Y. Feng X. Xue N. Cao Y. Zhou P. Wei Z. STAT3 signaling pathway is involved in the pathogenesis of miscarriage. Placenta 2020 101 30 38 10.1016/j.placenta.2020.08.021 32916476
    [Google Scholar]
  54. Zhang X. Chen Y. Wang X. Zhang Z. Wang J. Shen Y. Hu Y. Wu X. NINJ1 triggers extravillous trophoblast cell dysfunction through blocking the STAT3 signaling pathway. Genes Genomics 2022 44 11 1385 1397 10.1007/s13258‑022‑01313‑1 36166142
    [Google Scholar]
  55. Cao L. Luo S. Ou R. Influence of kidney-and-spleen-strengthening herbs on endometrial receptivity of kidney deficiency model rats. Zhonghua Zhongyiyao Zazhi 2011 26 05 1057 1061
    [Google Scholar]
  56. Javidan M. Changaei M. Ramezani Tehrani F. Mosaffa N. Noroozzadeh M. Hosseinzadeh R. Rajaei S. Altered expression of leukemia inhibitory factor (LIF), LIFR, gp130, and IL11 in the embryo implantation site of rat model with prenatal androgen-induced polycystic ovary syndrome. Biochem. Biophys. Res. Commun. 2022 605 24 30 10.1016/j.bbrc.2022.03.053 35306361
    [Google Scholar]
  57. Li Q. Chen Y. Adeniran S.O. Qiu Z. Zhao Q. Zheng P. LIF regulates the expression of miR-27a-3p and HOXA10 in bovine endometrial epithelial cells via STAT3 pathway. Theriogenology 2023 210 101 109 10.1016/j.theriogenology.2023.07.013 37490795
    [Google Scholar]
  58. Kumari A. Silakari O. Singh R. K. Recent advances in colony stimulating factor-1 receptor/c-FMS as an emerging target for various therapeutic implications. Biomed Pharmacother. 2018 103 662 679 10.1016/j.biopha.2018.04.046
    [Google Scholar]
  59. Bhurke A.S. Bagchi I.C. Bagchi M.K. Progesterone‐Regulated Endometrial Factors Controlling Implantation. Am. J. Reprod. Immunol. 2016 75 3 237 245 10.1111/aji.12473 26804062
    [Google Scholar]
  60. Jalali B.M. Likszo P. Lukasik K. STAT3 in porcine endometrium during early pregnancy induces changes in extracellular matrix components and promotes angiogenesis. Biol. Reprod. 2022 107 6 1503 1516 10.1093/biolre/ioac163 35977090
    [Google Scholar]
  61. Cui L. Xu F. Xu C. Ding Y. Wang S. Du M. Circadian gene Rev-erbα influenced by sleep conduces to pregnancy by promoting endometrial decidualization via IL-6-PR-C/EBPβ axis. J. Biomed. Sci. 2022 29 1 101 10.1186/s12929‑022‑00884‑1 36419076
    [Google Scholar]
  62. Li Y. Zhang D. Xu L. Dong L. Zheng J. Lin Y. Huang J. Zhang Y. Tao Y. Zang X. Li D. Du M. Cell–cell contact with proinflammatory macrophages enhances the immunotherapeutic effect of mesenchymal stem cells in two abortion models. Cell. Mol. Immunol. 2019 16 12 908 920 10.1038/s41423‑019‑0204‑6 30778166
    [Google Scholar]
  63. Green E.S. Moldenhauer L.M. Groome H.M. Sharkey D.J. Chin P.Y. Care A.S. Robker R.L. McColl S.R. Robertson S.A. Regulatory T cells are paramount effectors in progesterone regulation of embryo implantation and fetal growth. JCI Insight 2023 8 11 e162995 10.1172/jci.insight.162995 37191999
    [Google Scholar]
  64. Wang W. Sung N. Gilman-Sachs A. Kwak-Kim J. T Helper (Th) Cell Profiles in Pregnancy and Recurrent Pregnancy Losses: Th1/Th2/Th9/Th17/Th22/Tfh Cells. Front. Immunol. 2020 11 2025 10.3389/fimmu.2020.02025 32973809
    [Google Scholar]
  65. Huang S. Xia L. Xia Y. Huang H. Dong L. Icaritin attenuates recurrent spontaneous abortion in mice by modulating Treg/Th17 imbalance via TGF-β/SMAD signaling pathway. Biochim. Biophys. Acta Mol. Cell Res. 2024 1871 1 119574 10.1016/j.bbamcr.2023.119574 37689142
    [Google Scholar]
  66. Patnaik S.S. Kotipalli R. Jerald M.K. Muralidharan K. Combination treatment of recombinant growth differentiation factor-9 and Cetrorelix improves gestational origin of the polycystic ovarian syndrome in female rats. Life Sci. 2023 321 121638 10.1016/j.lfs.2023.121638 37001808
    [Google Scholar]
  67. Ali R. Ahmed Khan T. Gul H. Rehman R. An interplay of Progesterone, Leukemia Inhibitor Factor and Interleukin-6 in the window of implantation; Impact on fertility. Cytokine 2023 170 156332 10.1016/j.cyto.2023.156332 37586287
    [Google Scholar]
  68. Nakamura H. Kimura T. An in vivo screening model for investigation of pathophysiology of human implantation failure. Biomolecules 2022 13 1 79 10.3390/biom13010079 36671464
    [Google Scholar]
  69. Wang X. Han C. Yang D. Zhou J. Dong H. Wei Z. Xu S. Xu C. Zhang Y. Sun Y. Ni B. Guo S. Zhang J. Zhao T. Chen X. Luo J. Wu Y. Tian Y. STAT3 and SOX-5 induce BRG1-mediated chromatin remodeling of RORCE2 in Th17 cells. Commun. Biol. 2024 7 1 10 10.1038/s42003‑023‑05735‑9 38172644
    [Google Scholar]
  70. von Essen M.R. Søndergaard H.B. Petersen E.R.S. Sellebjerg F. IL-6, IL-12, and IL-23 STAT-Pathway Genetic Risk and Responsiveness of Lymphocytes in Patients with Multiple Sclerosis. Cells 2019 8 3 285 10.3390/cells8030285 30917537
    [Google Scholar]
  71. Damasceno L.E.A. Prado D.S. Veras F.P. Fonseca M.M. Toller-Kawahisa J.E. Rosa M.H. Públio G.A. Martins T.V. Ramalho F.S. Waisman A. Cunha F.Q. Cunha T.M. Alves-Filho J.C. PKM2 promotes Th17 cell differentiation and autoimmune inflammation by fine-tuning STAT3 activation. J. Exp. Med. 2020 217 10 e20190613 10.1084/jem.20190613 32697823
    [Google Scholar]
  72. Hou Y. Ji Y. Wang X. Wang S. Ding S. Guangzhong Z. Application of Yin-Yang balance theory in cells regulation and immune response of psoriasis. Global Traditional Chinese Medicine. 2022 15 07 1180 1184
    [Google Scholar]
  73. Zhu L. Tan Y. She Y. Yu J. Yan Q. Discussion on the Effects of Macrophage Polarization on Diabetic Kidney Disease Based on TCM Yin-yang Theory Chinese. Journal of Information on Traditional Chines Medicine. 2024 31 10 19 23 10.19879/j.cnki.1005‑5304.202403054
    [Google Scholar]
  74. Wu H. Dong L. Liang F. Exploration of Professor ZHENG Huifang’s Tonifying Kidney and Invigorating Spleen in Improving Oocyte Quality Based on IVF-ET Technique Shandong. J. Tradit. Chin. Med. 2022 41 02 133 137 10.16295/j.cnki.0257‑358x.2022.02.002
    [Google Scholar]
  75. Yao C. Yao D. On the Changes-related Principles in Li Gao’s Theory of Traditional Chinese Medicine. Studies Of Zhouyi. 2021 04 85 91
    [Google Scholar]
  76. Ruan F. Zhou H. The Effect of Bushen Zhuyun Decoction on Treg, Th17 and Their Related Factors in Luteal Phase Defect Infertility Rats. Journal of Nanjing University of Traditional Chinese Medicine. 2024 40 02 21 28 10.14148/j.issn.1672‑0482.2024.0129
    [Google Scholar]
  77. Zhou H. ZHOU Huifang’s Experience of Effective Prescriptions——Bushen Zhuyun Prescription Jiangsu. J. Tradit. Chin. Med. 2022 54 04 1 2 10.19844/j.cnki.1672‑397X.2022.04.001
    [Google Scholar]
/content/journals/cchts/10.2174/0113862073351630241128182125
Loading
/content/journals/cchts/10.2174/0113862073351630241128182125
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test