Research Papers:

MRP4 regulates ENaC-dependent CREB/COX-2/PGE2 signaling during embryo implantation

Jun-Jiang Chen, Yan Wang, Xiaojing Meng, Ye Chun Ruan, Fei Zou and Hsiao Chang Chan _

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Oncotarget. 2017; 8:78520-78529. https://doi.org/10.18632/oncotarget.19676

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Jun-Jiang Chen1,2, Yan Wang2, Xiaojing Meng1, Ye Chun Ruan2,4,5, Fei Zou1 and Hsiao Chang Chan2,3,4

1Department of Occupational Health and Occupational Medicine, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, China

2Epithelial Cell Biology Research Centre, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China

3Sichuan University – The Chinese University of Hong Kong Joint Laboratory for Reproductive Medicine, West China Second University Hospital, Sichuan University, Chengdu, China

4Shenzhen Research Institute, The Chinese University of Hong Kong, Hong Kong, China

5Interdisciplinary Division of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong, China

Correspondence to:

Hsiao Chang Chan, email: [email protected]

Fei Zou, email: [email protected]

Ye Chun Ruan, email: [email protected]

Keywords: MRP4, embryo implantation, CREB, COX-2, PGE2

Received: April 28, 2017     Accepted: May 22, 2017     Published: July 28, 2017


Multi-drug resistance protein 4 (MRP4), a potential chemotherapeutic target as well as a transporter for endogenous signaling molecules (e.g. prostaglandins), is known to be expressed in the endometrium, although its possible role(s) in the physiology of the endometrium remains unknown. Here, we show that MRP4 is upregulated at implantation window and localized to the basolateral membrane of the endometrial epithelium, the interface between the epithelium and stroma in mice. In human endometrial epithelial cells, MRP4 expression is upregulated by ENaC activation and the inhibition of MRP4 blocks ENaC-dependent PGE2 release as well as phosphorylation of CREB. Intrauterine injection of MRP4 inhibitor in mice prior to implantation significantly downregulated implantation markers COX-2, Claudin4 and Lif, and reduced implantation rate. These results in together have revealed a previously undefined role of MRP4 in mediating ENaC-dependent CREB/COX-2/PGE2 signaling essential to embryo implantation with implication in cancer progression as well.

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PII: 19676