Topical Estrogen Treatment Augments the Vaginal Response to Escherichia coli Flagellin

The female climacteric or menopausal process characterised by reduced estrogen, associates with an increased risk of recurrent urinary tract infections (rUTIs) linked to uropathogenic Escherichia coli (UPEC). Clinically, topical vaginal estrogen treatment has a prophylactic effect against such infec...

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Veröffentlicht in:Scientific reports 2020-05, Vol.10 (1), p.8473, Article 8473
Hauptverfasser: Stanton, Anna, Mowbray, Catherine, Lanz, Marcelo, Brown, Karen, Hilton, Paul, Tyson-Capper, Alison, Pickard, Robert S., Ali, Ased S. M., Hall, Judith
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container_title Scientific reports
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creator Stanton, Anna
Mowbray, Catherine
Lanz, Marcelo
Brown, Karen
Hilton, Paul
Tyson-Capper, Alison
Pickard, Robert S.
Ali, Ased S. M.
Hall, Judith
description The female climacteric or menopausal process characterised by reduced estrogen, associates with an increased risk of recurrent urinary tract infections (rUTIs) linked to uropathogenic Escherichia coli (UPEC). Clinically, topical vaginal estrogen treatment has a prophylactic effect against such infections. The aim of this study was to investigate, in vitro , the effects of a topical estrogen treatment on vaginal epithelial responses following challenge with E.coli flagellin mimicking an UPEC challenge. Immortalised vaginal epithelial cells (VK2 E6/E7), modelling the vaginal epithelium were treated with either 4 nM 17β-estradiol (E) for seven days, 50 ng/ml E.coli flagellin (F) for 12 h, or 4 nM 17β-estradiol plus 50 ng/ml flagellin (E + F(12 h)). RNA was analysed by microarray gene profiling using the Illumina HumanHT-12 v 4 Expression Beadchip. Following E + F treatments expression of genes encoding host defence molecules including DEFβ4A , DEFB103A , LCN2 as well as those associated with keratinisation eg CNFN and SPRR family genes were significantly enhanced (P 
doi_str_mv 10.1038/s41598-020-64291-y
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M. ; Hall, Judith</creator><creatorcontrib>Stanton, Anna ; Mowbray, Catherine ; Lanz, Marcelo ; Brown, Karen ; Hilton, Paul ; Tyson-Capper, Alison ; Pickard, Robert S. ; Ali, Ased S. M. ; Hall, Judith</creatorcontrib><description>The female climacteric or menopausal process characterised by reduced estrogen, associates with an increased risk of recurrent urinary tract infections (rUTIs) linked to uropathogenic Escherichia coli (UPEC). Clinically, topical vaginal estrogen treatment has a prophylactic effect against such infections. The aim of this study was to investigate, in vitro , the effects of a topical estrogen treatment on vaginal epithelial responses following challenge with E.coli flagellin mimicking an UPEC challenge. Immortalised vaginal epithelial cells (VK2 E6/E7), modelling the vaginal epithelium were treated with either 4 nM 17β-estradiol (E) for seven days, 50 ng/ml E.coli flagellin (F) for 12 h, or 4 nM 17β-estradiol plus 50 ng/ml flagellin (E + F(12 h)). RNA was analysed by microarray gene profiling using the Illumina HumanHT-12 v 4 Expression Beadchip. Following E + F treatments expression of genes encoding host defence molecules including DEFβ4A , DEFB103A , LCN2 as well as those associated with keratinisation eg CNFN and SPRR family genes were significantly enhanced (P &lt; 0.05) compared to either E or F treatments alone. Mutation of estrogen responsive elements (EREs) identified in the DEFβ4 gene promoter abolished the augmented gene expression suggesting estrogen functioned directly through a regulatory mechanism involving ESR1/2. Ingenuity pathway analyses also suggested the pro-inflammatory cytokine IL-17A to regulate the vaginal host defences during infection. Pre-treating VK2 E6/E7 cells with estrogen (4 nM) and challenging with 1L-17A &amp; F (12 h) significantly enhanced DEFβ4, DEF103A and S100A7 expression (P &lt; 0.05). Origins of vaginal IL-17 in vivo remain unclear, but patient biopsies support γδ T cells located within the vaginal epithelium. 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M.</creatorcontrib><creatorcontrib>Hall, Judith</creatorcontrib><title>Topical Estrogen Treatment Augments the Vaginal Response to Escherichia coli Flagellin</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>The female climacteric or menopausal process characterised by reduced estrogen, associates with an increased risk of recurrent urinary tract infections (rUTIs) linked to uropathogenic Escherichia coli (UPEC). Clinically, topical vaginal estrogen treatment has a prophylactic effect against such infections. The aim of this study was to investigate, in vitro , the effects of a topical estrogen treatment on vaginal epithelial responses following challenge with E.coli flagellin mimicking an UPEC challenge. Immortalised vaginal epithelial cells (VK2 E6/E7), modelling the vaginal epithelium were treated with either 4 nM 17β-estradiol (E) for seven days, 50 ng/ml E.coli flagellin (F) for 12 h, or 4 nM 17β-estradiol plus 50 ng/ml flagellin (E + F(12 h)). RNA was analysed by microarray gene profiling using the Illumina HumanHT-12 v 4 Expression Beadchip. Following E + F treatments expression of genes encoding host defence molecules including DEFβ4A , DEFB103A , LCN2 as well as those associated with keratinisation eg CNFN and SPRR family genes were significantly enhanced (P &lt; 0.05) compared to either E or F treatments alone. Mutation of estrogen responsive elements (EREs) identified in the DEFβ4 gene promoter abolished the augmented gene expression suggesting estrogen functioned directly through a regulatory mechanism involving ESR1/2. Ingenuity pathway analyses also suggested the pro-inflammatory cytokine IL-17A to regulate the vaginal host defences during infection. Pre-treating VK2 E6/E7 cells with estrogen (4 nM) and challenging with 1L-17A &amp; F (12 h) significantly enhanced DEFβ4, DEF103A and S100A7 expression (P &lt; 0.05). Origins of vaginal IL-17 in vivo remain unclear, but patient biopsies support γδ T cells located within the vaginal epithelium. 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M.</au><au>Hall, Judith</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Topical Estrogen Treatment Augments the Vaginal Response to Escherichia coli Flagellin</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-05-21</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>8473</spage><pages>8473-</pages><artnum>8473</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>The female climacteric or menopausal process characterised by reduced estrogen, associates with an increased risk of recurrent urinary tract infections (rUTIs) linked to uropathogenic Escherichia coli (UPEC). Clinically, topical vaginal estrogen treatment has a prophylactic effect against such infections. The aim of this study was to investigate, in vitro , the effects of a topical estrogen treatment on vaginal epithelial responses following challenge with E.coli flagellin mimicking an UPEC challenge. Immortalised vaginal epithelial cells (VK2 E6/E7), modelling the vaginal epithelium were treated with either 4 nM 17β-estradiol (E) for seven days, 50 ng/ml E.coli flagellin (F) for 12 h, or 4 nM 17β-estradiol plus 50 ng/ml flagellin (E + F(12 h)). RNA was analysed by microarray gene profiling using the Illumina HumanHT-12 v 4 Expression Beadchip. Following E + F treatments expression of genes encoding host defence molecules including DEFβ4A , DEFB103A , LCN2 as well as those associated with keratinisation eg CNFN and SPRR family genes were significantly enhanced (P &lt; 0.05) compared to either E or F treatments alone. Mutation of estrogen responsive elements (EREs) identified in the DEFβ4 gene promoter abolished the augmented gene expression suggesting estrogen functioned directly through a regulatory mechanism involving ESR1/2. Ingenuity pathway analyses also suggested the pro-inflammatory cytokine IL-17A to regulate the vaginal host defences during infection. 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subjects 13
13/106
13/21
17β-Estradiol
38
38/39
45
45/61
692/4025/2768/1865
692/699/2768/1865
82
Administration, Topical
DNA microarrays
E coli
Epithelial cells
Epithelium
Escherichia coli
Escherichia coli Proteins - genetics
Escherichia coli Proteins - metabolism
Estrogen receptors
Estrogens
Estrogens - administration & dosage
Female
Flagellin
Flagellin - genetics
Flagellin - metabolism
Gene expression
Gene Expression Profiling
Gene Expression Regulation - drug effects
Humanities and Social Sciences
Humans
Inflammation
Interleukin 17
Lymphocytes T
Menopause
Middle Aged
Mimicry
multidisciplinary
Ribonucleic acid
RNA
Science
Science (multidisciplinary)
Signal transduction
Toll-like receptors
Urinary tract
Vagina
Vagina - drug effects
Vagina - metabolism
Vagina - physiology
title Topical Estrogen Treatment Augments the Vaginal Response to Escherichia coli Flagellin
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