Abstract:
INTRODUCTION AND HYPOTHESIS:Little is known about dynamic cell-matrix interactions in the context of pathophysiology and treatments for pelvic organ prolapse (POP). This study sought to identify differences between fibroblasts from women with varying degrees of prolapse in reaction to mechanical stimuli and matrix substrates in vitro. METHODS:Fibroblasts from the vaginal wall of three patients with POP Quantification (POP-Q) system stages 0, II, and IV were stretched on artificial polymer substrates either coated or not coated with collagen I. Changes in morphology and anabolic/catabolic compounds that affect matrix remodelling were evaluated at protein- and gene-expression levels. Statistical analysis was performed using one-way analysis of variance (ANOVA), followed by Tukey-Kramer's post hoc test. RESULTS:POP fibroblasts show delayed cell alignment and lower responses to extracellular matrix remodelling factors at both enzymatic- and gene-expression levels compared with healthy fibroblasts. CONCLUSION:POP fibroblasts, when compared with healthy cells, show differential mechanoresponses on two artificial polymer substrates. This should be taken into account when designing or improving implants for treating POP.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Ruiz-Zapata AM,Kerkhof MH,Zandieh-Doulabi B,Brölmann HA,Smit TH,Helder MNdoi
10.1007/s00192-013-2069-zsubject
Has Abstractpub_date
2013-09-01 00:00:00pages
1567-75issue
9eissn
0937-3462issn
1433-3023journal_volume
24pub_type
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