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Endometritis in dairy cows is associated with pathogenic microorganisms, local inflammatory injuries, and uterine microecological disorders. Escherichia coli (E. coli) is the primary pathogen responsible for bovine endometritis onset; however, the underlying pathomechanisms remain unclear. In this study, we aimed to investigate E. coli-induced endometritis mechanisms in dairy cows using bovine bone marrow-derived macrophages and endometrial tissue. Following E. coli infection of macrophages, we observed a significant increase in the mRNA expression levels of innate immune recognition receptors, including toll-like receptor 2 (TLR2), toll-like receptor 4 (TLR4), and nucleotide-binding oligomerization domain-like receptor protein 3 (NLRP3), as well as prostaglandin D (PGD)-related enzymes (cyclooxygenase-2 and hematopoietic prostaglandin D synthase). Furthermore, the secretion of PGD, a major mediator of inflammation, was markedly upregulated. In E. coli-infected macrophages, TLR2, TLR4, and NLRP3 increased the secretion of inflammatory mediators, including PGD, by activating mitogen-activated protein kinase (MAPK) and nuclear factor-κB (NF-κB). This lead to enhanced inflammatory response. During early E. coli infection, PGD inhibitors reduced the secretion of inflammatory mediators by modulating MAPK and NF-κB pathway activation and enhancing macrophage bacterial killing, thereby alleviating endometrial tissue damage in dairy cows. In contrast, in the later stages of infection, PGD inhibitors exacerbated the inflammatory response and impaired the killing capacity of macrophages, which lead to increased endometrial tissue damage. Therefore, our findings highlight that TLR2, TLR4, and NLRP3 are pivotal in regulating PGD secretion during E. coli-induced endometritis in dairy cows. PGD had a pro-inflammatory effect in the early stages of E. coli infection and anti-inflammatory effects in the later stages. These findings can help develop strategies benefiting endometritis treatment.
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http://dx.doi.org/10.1016/j.theriogenology.2025.117374 | DOI Listing |
Cureus
August 2025
Internal Medicine, Khwaja Yunus Ali Medical College, Sirajganj, BGD.
Endometrial carcinoma is one of the most common gynecologic cancers worldwide. The condition typically occurs after menopause; however, young women under the age of 40 years can also be diagnosed with the disease. Providers may delay diagnosis in young patients due to nonspecific presentation or low clinical suspicion.
View Article and Find Full Text PDFEur J Pharmacol
September 2025
Departamento de Química and Institute for advanced research in chemical Science (IAdChem), Facultad de Ciencias, Módulo 13, Universidad Autónoma de Madrid, 28049 Madrid, Spain.
The Skp2-Cks1 protein-protein interaction (PPI) within the SCF ubiquitin ligase acts as a co-receptor for phosphorylated CDK inhibitors-most prominently p27-relieving CDK inhibition and advancing the cell cycle, a dependency accentuated in RB-pathway-defective cancers. Crystallographic and cryo-EM analyses delineate a composite pocket formed by the Skp2 leucine-rich-repeat groove and the phosphate-recognition site of Cks1; Cks1-centered open-closed motions further influence druggability. Using HTRF/TR-FRET and AlphaScreen biochemistry, alongside cell-based target-engagement readouts in some studies, three small-molecule classes have emerged that disrupt this PPI: 1,3-diphenyl-pyrazines and triazolo[1,5-a]pyrimidines (lead E35) with low-micromolar potency, and "Skp2E3LI" compounds with micromolar cellular activity.
View Article and Find Full Text PDFCurr Obes Rep
September 2025
Department of Medicine, Division of Endocrinology, University of Arizona, Tucson, AZ, USA.
Purpose Of The Review: This review aimed to summarize current evidence on the effectiveness of medical nutrition therapy (MNT) in the management of obesity and endometriosis, with a focus on dietary patterns such as the Mediterranean and Ketogenic diets, as well as nutritional supplementation. Additionally, it highlights the central role of the clinical nutritionist in implementing individualized, evidence-based interventions within multidisciplinary care.
Recent Findings: Although the literature reports the existence of an inverse relationship between risk of endometriosis and body mass index, clinical evidence jointly reports that a condition of obesity is associated with greater disease severity.
Cureus
August 2025
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, USA.
Extra-pelvic endometriosis, defined as the presence of endometrial tissue or stroma outside of the pelvic cavity, is a rare cause of hemothorax and hemoperitoneum. Here, we present a case of a 34-year-old woman with a history of endometriosis who experienced recurrent, cyclical episodes of hemorrhagic pleural effusions and ascites. Despite multiple surgeries to address the ectopic endometrial implants, her symptoms persisted for years without definitive resolution, illustrating the challenges of treatment even after the diagnosis has been established.
View Article and Find Full Text PDFBioact Mater
December 2025
Division of Cancer Immunology and Microbiology, Medicine and Oncology Integrated Service Unit, School of Medicine, University of Texas Rio Grande Valley, McAllen, TX, USA.
The endometrium is a vital mucosal tissue which undergoes cyclical regeneration, differentiation, and remodeling upon hormonal, cellular, and molecular signaling networks. Dysregulation of these processes can trigger a range of pathological conditions including chronic inflammatory disorders, hyperplastic lesions, malignancies, and infertility, necessitating the need for effective therapeutic interventions. Furthermore, we are still dependent on conventional treatment modalities which are often constrained by inefficient drug biodistribution, systemic toxicity, and emergence of therapeutic resistance.
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