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Departments of Reproductive Biology and of Physiology and Biophysics, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106
Estrogens increase secretion of cervical mucus
in females. The objective of this research was to study the mechanisms
of estrogen action. The experimental models were human CaSki
(endocervical) and hECE (ectocervical) epithelial cells cultured on
filters. Incubation in steroid-free medium increased transepithelial
electrical resistance
(RTE) and
decreased epithelial permeability to the cell-impermeant acid pyranine.
Estrogen treatment reversed the effects, indicating estrogen decreases
epithelial paracellular resistance. The estrogen effect was time and
dose related (EC50 ~1 nM) and
specific (estradiol = diethylstilbestrol > estrone, estriol; no
effect by progesterone, testosterone, or cortisol) and was blocked by
progesterone, tamoxifen, and ICI-182780 (an estrogen receptor
antagonist). Estrogen treatment did not modulate dilution potential or
changes in RTE in
response to diC8 or to low extracellular
Ca2+ (modulators of tight
junctional resistance). In contrast, estrogen augmented decreases in
RTE in response
to hydrostatic and hypertonic gradients [modulators of resistance
of lateral intercellular space (RLIS)],
suggesting estrogen decreases
RLIS. Estrogen
decreased cervical cell size, shortened response time relative to
changes in cell size after hypertonic challenge, and augmented the
decrease in cell size in response to hypertonic and hydrostatic
gradients. Lowering luminal NaCl had no significant effect on
RTE, and the Cl
channel blocker
diphenylamine-2-carboxylate attenuated the hypertonicity-induced decrease in cell size to the same degree in control and
estrogen-treated cells, suggesting estrogen effects on permeability and
cell size are not mediated by modulating
Na+ or
Cl
transport. In contrast,
estrogen increased cellular G-actin levels, suggesting estrogens shift
actin steady-state toward G-actin and the cervical cell cytoskeleton
toward a more flexible structure. We suggest that the mechanism by
which estrogens decrease
RLIS and increase
permeability is by fragmenting the cytoskeleton and facilitating
deformability and decreases in cervical cell size.
paracellular permeability; transepithelial transport; cervical mucus; tight junctions; lateral intercellular space; cytoskeleton; G-actin
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