Estradiol enhances prostaglandin synthase activity in epithelial but not in stromal cells of human endometrium

Exogenous estradiol (E2) has been shown to elevate PGF2 alpha output by explants of human secretory endometrium and in monolayer cultures of glandular epithelial, but not of stromal cells isolated from endometrium. In this study, PGF2 alpha output was measured in each of these cultures in the presence of E2 and the calcium ionophore A23187, added singly or in combination. The ionophore, known to liberate arachidonic acid (AA) by stimulating phospholipase activity, produced a calcium-dependent increase in PGF2 alpha output in the cultures of epithelial cells, whereas greater than additive effects were obtained with mixtures of E2 and A23187. In contrast, PGF2 alpha levels were not elevated by A23187 in the stromal cell cultures even in medium supplemented with CaCl2 or when E2 was added. A calcium-dependent increase in PGF2 alpha output was also observed in fragments of secretory endometrium incubated with A23187. Effects on PGF2 alpha output by endometrial fragments incubated with E2 and A23187 were essentially additive and intermediate between those of the two component cells types. Arachidonic acid produced similar increases in PGF2 alpha output in the epithelial and stromal cell cultures but only in the epithelial cell cultures was there greater utilization of AA in the presence of E2. When mixtures of E2 and AA were added to the cultures of epithelial cells the increase in PGF2 alpha output was 2.5-fold greater than the sum of the increases elicited by E2 or AA alone. In contrast, no enhancement of the AA effect by E2 was observed in the stromal cell cultures. Extrapolation of these results from cell cultures to intact tissue suggests that the epithelium and not the stroma is the primary target for the effects of E2 on PGF2 alpha output by secretory endometrium. The synergistic actions of E2 and either AA, the obligatory precursor of PGF2 alpha, or A23187, an enhancer of AA release from phospholipid stores, point to a stimulatory effect of E2 on prostaglandin synthase activity.