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Peer-reviewedCC BYMedComm

Histone Deacetylase 3-Progesterone Receptor Cooperation Regulates Progesterone Responsiveness in the Uterus.

3 more authors
5 affiliations
  1. 1Department of Obstetrics, Gynecology and Women's Health University of Missouri Columbia Missouri USA.
  2. 2Center For Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University Nanjing China.
  3. 3Department of Obstetrics and Gynecology Duke University Durham North Carolina USA.
  4. 4Department of Obstetrics and Gynecology Wake Forest Baptist Health Winston-Salem North Carolina USA.
  5. 5Department of Biomedical Laboratory Science Yonsei University Mirae Campus Wonju Republic of Korea.

Abstract

Endometriosis affects a substantial proportion of women of reproductive age, with 30%-50% affected by infertility. A defining pathological feature is progesterone resistance resulting from impaired progesterone receptor (PGR) signaling, yet the underlying mechanisms remain incompletely understood. Here, we define conserved shared target genes of histone deacetylase 3 (HDAC3) and PGR in the mouse uterus using integrated transcriptomic and cistromic analyses, supported by uterine-specific Hdac3 and Pgr knockout mice. Co-immunoprecipitation and proximity ligation assays indicate that HDAC3 associates with PGR, with reciprocal attenuation of their expression in Hdac3- and Pgr-deficient uteri. Multiplex immunofluorescence demonstrates colocalization of HDAC3 and PGR in endometrial epithelial and stromal cells. HDAC3 and PGR expression levels show a positive correlation in stromal cells in both controls and infertile women with endometriosis, whereas this correlation in epithelial cells is selectively preserved in a subset of infertile cases. Chromatin profiling demonstrates extensive co-occupancy of HDAC3 and PGR at regulatory regions associated with progesterone-responsive genes. Together, these findings support a model in which HDAC3 functions as a coregulator of PGR-dependent transcription in the uterus and indicate that HDAC3-PGR cooperation is a key determinant of endometrial receptivity. This work provides mechanistic insight into progesterone resistance underlying endometriosis-associated infertility.

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BibTeX
@article{yun2026histone,
  title = {{Histone Deacetylase 3-Progesterone Receptor Cooperation Regulates Progesterone Responsiveness in the Uterus.}},
  author = {Sohyeon Yun and Rong Li and Soo Lim Kim and Loan Thi Kim Nguyen and Shamsun Nahar and Keun Cheon Kim and DaHye Kang and Eunhee M Jeong and Lisa Brennaman and Mistie P Mills and Steven L Young and Bruce A Lessey and Tae Hoon Kim and Jung-Yoon Yoo and Jae-Wook Jeong},
  journal = {MedComm},
  year = {2026},
  month = nov,
  doi = {10.1002/mco2.71122},
  url = {https://europepmc.org/article/MED/42996627},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Histone Deacetylase 3-Progesterone Receptor Cooperation Regulates Progesterone Responsiveness in the Uterus.
AU  - Sohyeon Yun
AU  - Rong Li
AU  - Soo Lim Kim
AU  - Loan Thi Kim Nguyen
AU  - Shamsun Nahar
AU  - Keun Cheon Kim
AU  - DaHye Kang
AU  - Eunhee M Jeong
AU  - Lisa Brennaman
AU  - Mistie P Mills
AU  - Steven L Young
AU  - Bruce A Lessey
AU  - Tae Hoon Kim
AU  - Jung-Yoon Yoo
AU  - Jae-Wook Jeong
PY  - 2026
DA  - 2026/11/05
JO  - MedComm
DO  - 10.1002/mco2.71122
UR  - https://europepmc.org/article/MED/42996627
AB  - Endometriosis affects a substantial proportion of women of reproductive age, with 30%-50% affected by infertility. A defining pathological feature is progesterone resistance resulting from impaired progesterone receptor (PGR) signaling, yet the underlying mechanisms remain incompletely understood. Here, we define conserved shared target genes of histone deacetylase 3 (HDAC3) and PGR in the mouse uterus using integrated transcriptomic and cistromic analyses, supported by uterine-specific Hdac3 and Pgr knockout mice. Co-immunoprecipitation and proximity ligation assays indicate that HDAC3 associates with PGR, with reciprocal attenuation of their expression in Hdac3- and Pgr-deficient uteri. Multiplex immunofluorescence demonstrates colocalization of HDAC3 and PGR in endometrial epithelial and stromal cells. HDAC3 and PGR expression levels show a positive correlation in stromal cells in both controls and infertile women with endometriosis, whereas this correlation in epithelial cells is selectively preserved in a subset of infertile cases. Chromatin profiling demonstrates extensive co-occupancy of HDAC3 and PGR at regulatory regions associated with progesterone-responsive genes. Together, these findings support a model in which HDAC3 functions as a coregulator of PGR-dependent transcription in the uterus and indicate that HDAC3-PGR cooperation is a key determinant of endometrial receptivity. This work provides mechanistic insight into progesterone resistance underlying endometriosis-associated infertility.
SN  - 2688-2663
ER  -