Role of fibulin-5 insufficiency and prolapse progression on murine vaginal biomechanical function Article

Full Text via DOI: 10.1038/s41598-021-00351-1 Web of Science: 000711121600028
Open Access

Cited authors

  • Clark-Patterson GL, Roy S, Desrosiers L, Knoepp LR, Sen A, Miller KS


  • The vagina plays a critical role in supporting the pelvic organs and loss of support leads to pelvic organ prolapse. It is unknown what microstructural changes influence prolapse progression nor how decreased elastic fibers contributes to vaginal remodeling and smooth muscle contractility. The objective for this study was to evaluate the effect of fibulin-5 haploinsufficiency, and deficiency with progressive prolapse on the biaxial contractile and biomechanical function of the murine vagina. Vaginas from wildtype (n = 13), haploinsufficient (n = 13), and deficient mice with grade 1 (n = 9) and grade 2 or 3 (n = 9) prolapse were explanted for biaxial contractile and biomechanical testing. Multiaxial histology (n = 3/group) evaluated elastic and collagen fiber microstructure. Western blotting quantified protein expression (n = 6/group). A one-way ANOVA or Kruskal-Wallis test evaluated statistical significance. Pearson's or Spearman's test determined correlations with prolapse grade. Axial contractility decreased with fibulin-5 deficiency and POP (p < 0.001), negatively correlated with prolapse grade (rho = - 0.80; p < 0.001), and positively correlated with muscularis elastin area fraction (rho = - 0.78; p = 0.004). Circumferential (rho = 0.71; p < 0.001) and axial (rho = 0.69; p < 0.001) vaginal wall stresses positively correlated with prolapse grade. These findings demonstrated that fibulin-5 deficiency and prolapse progression decreased vaginal contractility and increased vaginal wall stress. Future work is needed to better understand the processes that contribute to prolapse progression in order to guide diagnostic, preventative, and treatment strategies.

Publication date

  • 2021

Published in

International Standard Serial Number (ISSN)

  • 2045-2322

Number of pages

  • 18


  • 11


  • 1