miR-132-3p Modulates DUSP9-Dependent p38/JNK Signaling Pathways to Enhance Inflammation in the Amnion Leading to Labor

Labor is a process of inflammation and hormonal changes involving both fetal and maternal compartments. MicroRNA-132-3p (miR-132-3p) has been reported to be involved in the development of inflammation-related diseases. However, little is known about its potential role in labor onset. This study aimed to explore the mechanism of miR-132-3p in amnion for labor initiation. In the mouse amnion membranes, the expression of miR-132-3p was found to increase gradually during late gestation. In human amniotic epithelial cell line (WISH), upregulation of miR-132-3p was found to increase proinflammatory cytokines and cyclooxygenase 2 (COX2) as well as prostaglandin E2 (PGE2), which was suppressed by miR-132-3p inhibitor. Dual-specificity phosphatase 9 (DUSP9) was identified as a novel target gene of miR-132-3p, which could be negatively regulated by miR-132-3p. DUSP9 was present in the mouse amnion epithelial cells, with a decrease in its abundance at 18.5 days post coitum (dpc) relative to 15.5 dpc. Silencing DUSP9 was found to facilitate the expression of proinflammatory cytokines and COX2 as well as PGE2 secretion in WISH cells, which could be attenuated by p38 inhibitor SB203580 or JNK inhibitor SP600125. Additionally, intraperitoneal injection of pregnant mice with miR-132-3p agomir not only caused preterm birth, but also promoted the abundance of COX2 as well as phosphorylated JNK and p38 levels, and decreased DUSP9 level in mouse amnion membranes. Collectively, miR-132-3p might participate in inflammation and PGE2 release via targeting DUSP9-dependent p38 and JNK signaling pathways to cause preterm birth.


Introduction
Labor or parturition, an event indicating the end of pregnancy, is a complex physiological process involving interactions between the myometrium and signals derived from fetus, fetal membranes, and placenta [1]. Fetal membranes provide mechanical support to protect the growing fetus as well as delivery signals to inform the mother of fetal maturation through endocrine or paracrine pathways to ensure the smooth delivery of fetus [2,3]. There is substantial evidence that indicates that fetal membrane-derived signals, including prostaglandins (PGs) and inflammation, are involved in the initiation and progression of parturition [4][5][6][7]. Specifically, prostaglandins and inflammation were reported to induce changes in cervical structure, contraction of the uterus, and weakening of fetal membranes at the onset of labor [8]. Excessive or premature activation of these signals might cause preterm labor, resulting in maternal and neonatal pathological damages and diseases [9]. Therefore, understanding the molecular mechanism of prostaglandins and inflammation in fetal membranes during labor may facilitate the prediction or prevention of preterm birth.
MiRNAs, a class of noncoding small RNAs, play an essential role in parturition initiation. For instance, the expression of miR-181a could be suppressed by E2 in myometrium

miR-132-3p Was Upregulated in Mouse Amnion Membranes during Late Gestation
The potential role of miR-132-3p in labor was explored by analyzing the expression of miR-132-3p in mouse amnion membranes during late gestation. In Figure 1A, miR-132-3p showed a gradual increase from 15.5 to 18.5 dpc in mouse amnion membranes, coupled with significant upregulation in the mRNA expression of IL-1β, IL-6, IL-8, and COX2 at 18.5 dpc relative to 15.5 dpc ( Figure 1B). Additionally, Western blot analysis revealed a significant rise in COX2 protein as well as phosphorylated p38 and JNK levels in mouse amnion membranes at 18.5 dpc versus 15.5 dpc ( Figure 1C). Furthermore, the expression of miR-132-3p in mouse amnion membranes were positively correlated with that of IL-1β, IL-6, and COX2 mRNA, but not in the expression of miR-132-3p and IL-8 mRNA ( Figure 1D), suggesting a potential role of amniotic miR-132-3p in the process of parturition.

miR-132-3p Increased the Abundance of Proinflammatory Cytokines and PGE2 in WISH Cells
The role of miR-132-3p on WISH cells was investigated by transfection of the cells with miR-132-3p mimic, miR-132-3p inhibitor, or their respective controls. The expression of miR-132-3p showed a significant increase in miR-132-3p mimic relative to the control mimic, but was significantly suppressed by miR-132-3p inhibitor (Figure 2A). RT-qPCR analysis showed that the levels of IL-1β, IL-6, IL-8, TNF-α, and COX2 were significantly higher in miR-132-3p mimic-treated WISH cells, but lower in the miR-132-3p inhibitor-treated WISH cells when compared with their respective controls ( Figure 2B). Magnetic Luminex Assays showed that the concentrations of IL-1β, IL-6, IL-8, and TNF-α in the culture mediums were significantly higher in the miR-132-3p mimic group, but lower in its inhibition group relative to their respective controls ( Figure 2C,D). Western blot analysis showed that the expression of COX2 protein had an increase in the miR-132-3p mimic group, but a decrease in the miR-132-3p inhibitor group as compared with their respective controls ( Figure 2E). ELISA analysis revealed a higher concentration of PGE2 in miR-132-3p mimic-treated WISH cells, but a lower concentration in miR-132-3p inhibitor-treated cells relative to their respective controls ( Figure 2F). These results confirmed that overexpression of miR-132-3p could promote the release of proinflammatory cytokines and PGE2. (C) Western blot analysis of the protein expression of COX2, JNK, and p38 as well as the phosphorylated JNK, and p38 levels in mouse amnion membranes at 15.5 and 18.5 dpc using β-actin as internal control (n = 6). (D) Gene expression correlation analysis between miR-132-3p and IL-1β, IL-6, IL-8, and COX2 mRNA in mouse amnion membranes at 15.5 dpc (n = 6-7) and 18.5 dpc (n = 6). Pearson correlation test and values of r and p are shown for each analysis. Data were shown as mean ± SEM. * p < 0.05, ** p < 0.01 vs. 15.5 dpc.

miR-132-3p Increased the Abundance of Proinflammatory Cytokines and PGE2 in WISH Cells
The role of miR-132-3p on WISH cells was investigated by transfection of the cells with miR-132-3p mimic, miR-132-3p inhibitor, or their respective controls. The expression of miR-132-3p showed a significant increase in miR-132-3p mimic relative to the control mimic, but was significantly suppressed by miR-132-3p inhibitor ( Figure 2A). RT-qPCR analysis showed that the levels of IL-1β, IL-6, IL-8, TNF-α, and COX2 were significantly higher in miR-132-3p mimic-treated WISH cells, but lower in the miR-132-3p inhibitortreated WISH cells when compared with their respective controls ( Figure 2B). Magnetic Luminex Assays showed that the concentrations of IL-1β, IL-6, IL-8, and TNF-α in the culture mediums were significantly higher in the miR-132-3p mimic group, but lower in its inhibition group relative to their respective controls ( Figure 2C,D). Western blot analysis showed that the expression of COX2 protein had an increase in the miR-132-3p mimic group, but a decrease in the miR-132-3p inhibitor group as compared with their respective controls ( Figure 2E). ELISA analysis revealed a higher concentration of PGE2 in miR-132-3p mimic-treated WISH cells, but a lower concentration in miR-132-3p inhibitor-treated cells relative to their respective controls ( Figure 2F). These results confirmed that overexpression of miR-132-3p could promote the release of proinflammatory cytokines and PGE2. (C) Western blot analysis of the protein expression of COX2, JNK, and p38 as well as the phosphorylated JNK, and p38 levels in mouse amnion membranes at 15.5 and 18.5 dpc using β-actin as internal control (n = 6). (D) Gene expression correlation analysis between miR-132-3p and IL-1β, IL-6, IL-8, and COX2 mRNA in mouse amnion membranes at 15.5 dpc (n = 6-7) and 18.5 dpc (n = 6). Pearson correlation test and values of r and p are shown for each analysis. Data were shown as mean ± SEM. * p < 0.05, ** p < 0.01 vs. 15.5 dpc.

miR-132-3p
Directly Targets DUSP9 Figure 3D shows the potential target genes of miR-132-3p predicted by TargetSca and miRDB, with DUSP9 as one of the many target genes. A recent study revealed tha DUSP9 knockout could induce the production of liver inflammation [25]. RT-qPCR an Western blot results showed a significant decrease in the abundance of DUSP9 mRNA  Figure 3D shows the potential target genes of miR-132-3p predicted by TargetScan and miRDB, with DUSP9 as one of the many target genes. A recent study revealed that DUSP9 knockout could induce the production of liver inflammation [25]. RT-qPCR and Western blot results showed a significant decrease in the abundance of DUSP9 mRNA and protein in mouse amnion membranes at 18.5 dpc relative to 15.5 dpc ( Figure 3A,B). Similarly, immunohistochemical staining of mouse amnion membranes revealed that DUSP9 in amnion epithelial cells showed weaker signal intensity at 18.5 dpc than at 15.5 dpc ( Figure 3C). Sequence alignment indicated the mature sequence of miR-132-3p and the binding site of miR-132-3p in the DUSP9 3 UTR are highly conserved across species ( Figure 3E). Whether miR-132-3p directly targets DUSP9 3 UTR was verified by co-transfecting WISH cells with miR-132-3p mimic and pmirGLO-DUSP9-3 UTR WT construct, resulting in a significant downregulation of the luciferase activity ( Figure 3F,G). However, miR-132-3p mimic had no effect on the luciferase activity in WISH cells transfected with pmirGLO empty vector or pmirGLO-DUSP9-3 UTR MUT construct, where four bases containing the miR-132-3p binding site were muted ( Figure 3F,G). Compared with their respective controls, the DUSP9 expression was significantly suppressed in miR-132-3p mimic-treated WISH cells, but enhanced in the miR-132-3p inhibitor-treated cells ( Figure 3H). Moreover, DUSP9 protein expression in WISH cells was suppressed by overexpression of miR-132-3p, but enhanced by inhibition of miR-132-3p ( Figure 3I). Taken together, DUSP9 was the direct target gene of miR-132-3p and could be negatively regulated by miR-132-3p.

Inhibition of DUSP9 Promoted Inflammatory Responses and PGE2 Secretion in WISH Ce
Compared with the negative control, the WISH cells transfected with DUS interference fragments showed significant reduction in the mRNA and protein expressi levels of DUSP9 ( Figure 4A,B). Meanwhile, RT-qPCR analysis showed that the treatme of DUSP9 siRNA contributed to the expression of IL-1β, IL-6, IL-8, TNF-α, and COX2 WISH cells ( Figure 4C). Consistently, Magnetic Luminex Assays indicated that WISH ce

Inhibition of DUSP9 Promoted Inflammatory Responses and PGE2 Secretion in WISH Cells
Compared with the negative control, the WISH cells transfected with DUSP9 interference fragments showed significant reduction in the mRNA and protein expression levels of DUSP9 ( Figure 4A,B). Meanwhile, RT-qPCR analysis showed that the treatment of DUSP9 siRNA contributed to the expression of IL-1β, IL-6, IL-8, TNF-α, and COX2 in WISH cells ( Figure 4C). Consistently, Magnetic Luminex Assays indicated that WISH cells treated with DUSP9 siRNA showed a significant increase in the concentrations of IL-1β, IL-6, IL-8, and TNF-α ( Figure 4D,E). Western blot analysis confirmed the increase of COX2 protein in WISH cells transfected with DUSP9 siRNA ( Figure 4F). Moreover, the ELISA results showed a significant increase of PGE2 secretion in DUSP9 siRNA-treated WISH cells ( Figure 4G). These findings indicated that DUSP9 knockdown could promote inflammatory responses and PGE2 secretion.

miR-132-3p Induced Inflammation and PGE2 via DUSP9 in WISH Cells
It has been reported that DUSP9 can inactivate p38 and JNK pathways b dephosphorylating serine/threonine and tyrosine residues [22]. As shown in Figure 5A the protein levels of phosphorylated p38 and JNK were obviously increased when the cel were transfected with miR-132 mimic or DUSP9 siRNA compared to NC, bu downregulated by the treatment of miR-132-3p inhibitor relative to inhibitor NC. T explore whether miR-132-3p induces inflammation and PGE2 expression by DUSP downregulation, WISH cells were co-transfected with miR-132-3p inhibitor or inhibito NC and si-DUSP9 or NC. RT-qPCR analysis revealed a marked decrease in the mRN levels of IL-1β, IL-6, IL-8, TNF-α, and COX2 due to inhibition of miR-132-3p, which wa

miR-132-3p Induced Inflammation and PGE2 via DUSP9 in WISH Cells
It has been reported that DUSP9 can inactivate p38 and JNK pathways by dephosphorylating serine/threonine and tyrosine residues [22]. As shown in Figure 5A, the protein levels of phosphorylated p38 and JNK were obviously increased when the cells were trans-fected with miR-132 mimic or DUSP9 siRNA compared to NC, but downregulated by the treatment of miR-132-3p inhibitor relative to inhibitor NC. To explore whether miR-132-3p induces inflammation and PGE2 expression by DUSP9 downregulation, WISH cells were co-transfected with miR-132-3p inhibitor or inhibitor NC and si-DUSP9 or NC. RT-qPCR analysis revealed a marked decrease in the mRNA levels of IL-1β, IL-6, IL-8, TNF-α, and COX2 due to inhibition of miR-132-3p, which was recovered by co-transfection of DUSP9 siRNA and miR-132-3p inhibitor ( Figure 5B). Magnetic Luminex Assays showed lower concentrations of IL-1β, IL-6, IL-8, and TNF-α for miR-132-3p inhibitor treatment relative to the control, but this effect was rescued by DUSP9 siRNA treatment ( Figure 5C,D). Western blot analysis showed that inhibition of miR-132-3p remarkably increased the DUSP9 protein expression, and suppressed the COX2 protein level as well as phosphorylated JNK and p38 levels, which could be mitigated by knockdown of DUSP9 in miR-132-3p inhibitortreated WISH cells ( Figure 5E). Moreover, ELISA results showed that miR-132-3p inhibitor obviously repressed the concentration of PGE2 in the supernatant, which was reversed by DUSP9 siRNA transfection ( Figure 5F). In summary, miR-132-3p could promote the expression of proinflammatory cytokines, COX2, and PGE2 as well as the activation of p38 and JNK signaling pathways via targeting DUSP9.  Figure 5F). In summary, miR-132-3p could promote the expression o proinflammatory cytokines, COX2, and PGE2 as well as the activation of p38 and JNK signaling pathways via targeting DUSP9.  Whether DUSP9 is involved in the process of inflammatory responses and COX2 as well as PGE2 production through p38 and JNK signaling pathways was investigated by treating WISH cells with DUSP9 siRNA in the presence or absence of DMSO, p38 inhibitor SB203580 (10 µM), and JNK inhibitor SP600125 (20 µM). RT-qPCR analysis indicated that treatment with SB203580 and SP600125 could significantly attenuate DUSP9 siRNA-induced increases in the mRNA levels of IL-1β, IL-6, IL-8, TNF-α, and COX2 ( Figure 6A,B,G,H). Meanwhile, Magnetic Luminex Assays demonstrated that induction of IL-1β, IL-6, IL-8, and TNF-α by DUSP9 siRNA was significantly attenuated by the treatment of SB203580 and SP600125 ( Figure 6C,D,I,J). Moreover, Western blot and ELISA analysis displayed that SB203580 and SP600125 could significantly block DUSP9 siRNA-induced increases in COX2 protein expression and PGE2 secretion ( Figure 6E,F,K,L). These results suggest that DUSP9 regulated the expression of IL-1β, IL-6, IL-8, TNF-α, and COX2 as well as PGE2 release through p38 and JNK signaling pathways.

Silencing DUSP9-Induced Inflammation and COX2 as well as PGE2 Depended on Activation of p38 and JNK Signaling Pathways in WISH Cells
Whether DUSP9 is involved in the process of inflammatory responses and COX2 as well as PGE2 production through p38 and JNK signaling pathways was investigated by treating WISH cells with DUSP9 siRNA in the presence or absence of DMSO, p38 inhibitor SB203580 (10 μM), and JNK inhibitor SP600125 (20 μM). RT-qPCR analysis indicated that treatment with SB203580 and SP600125 could significantly attenuate DUSP9 siRNAinduced increases in the mRNA levels of IL-1β, IL-6, IL-8, TNF-α, and COX2 ( Figure  6A,B,G,H). Meanwhile, Magnetic Luminex Assays demonstrated that induction of IL-1β, IL-6, IL-8, and TNF-α by DUSP9 siRNA was significantly attenuated by the treatment of SB203580 and SP600125 ( Figure 6C,D,I,J). Moreover, Western blot and ELISA analysis displayed that SB203580 and SP600125 could significantly block DUSP9 siRNA-induced increases in COX2 protein expression and PGE2 secretion ( Figure 6E,F,K,L). These results suggest that DUSP9 regulated the expression of IL-1β, IL-6, IL-8, TNF-α, and COX2 as well as PGE2 release through p38 and JNK signaling pathways.

Overexpression of miR-132-3p Caused Preterm Labor in Mice
The function of miR-132-3p during pregnancy and labor was further investigated through intraperitoneal injection of pregnant mice with agomir NC or miR-132-3p agomir at day 15.5 of pregnancy. RT-qPCR results revealed a significant increase in the expression of miR-132-3p in the amnion membranes of mice injected miR-132-3p agomir ( Figure 7A). miR-132-3p agomir injection significantly shortened the gestational days of pregnant mice and caused preterm birth at 18.55 ± 0.10 dpc relative to the term birth at 19.20 ± 0.07 dpc for the agomir NC injected mice, without causing any maternal and fetal death ( Figure 7B). Additionally, RT-qPCR analysis showed a marked increase in the COX2 level in the amnion membranes of mice receiving miR-132-3p agomir ( Figure 7C). Western blot analysis found a significant decrease in DUSP9 level and upregulation in the protein level of COX2 as well as phosphorylated p38 and JNK levels in mouse amnion membranes upon miR-132-3p agomir injection ( Figure 7D). These results confirmed a critical role of miR-132-3p in labor initiation by targeting the DUSP9-p38/JNK axis in vivo. for the agomir NC injected mice, without causing any maternal and fetal death ( Figure  7B). Additionally, RT-qPCR analysis showed a marked increase in the COX2 level in the amnion membranes of mice receiving miR-132-3p agomir ( Figure 7C). Western blot analysis found a significant decrease in DUSP9 level and upregulation in the protein level of COX2 as well as phosphorylated p38 and JNK levels in mouse amnion membranes upon miR-132-3p agomir injection ( Figure 7D). These results confirmed a critical role of miR-132-3p in labor initiation by targeting the DUSP9-p38/JNK axis in vivo.

Discussion
Labor is a process of inflammation [29], and inflammation, which is recognized as the infiltration of immune cells and the production of proinflammatory cytokines, occurs in the cervix, myometrium, and fetal membranes, facilitating cervical remodeling, uterine contractility, and membrane rupture in both term and preterm labor [30,31]. Our results indicated that miR-132-3p expression was significantly increased in mouse amnion membranes during late gestation. Overexpression of miR-132-3p was shown to increase

Discussion
Labor is a process of inflammation [29], and inflammation, which is recognized as the infiltration of immune cells and the production of proinflammatory cytokines, occurs in the cervix, myometrium, and fetal membranes, facilitating cervical remodeling, uterine contractility, and membrane rupture in both term and preterm labor [30,31]. Our results indicated that miR-132-3p expression was significantly increased in mouse amnion membranes during late gestation. Overexpression of miR-132-3p was shown to increase the expression of labor-associated inflammatory cytokines, including IL-1β, IL-6, IL-8, and TNF-α. Previous studies have reported the involvement of miR-132-3p in various diseases. MiR-132-3p was decreased in serum and placenta tissues of patients with gestational diabetes mellitus (GDM) and acts a protective effect on GDM by promoting trophoblast cell proliferation [20]. miR-132-3p was also shown to be involved in the development of preeclampsia by promoting trophoblast cells viability and invasiveness, and inhibiting apoptosis via targeting DAPK-1 [21]. There is growing body of evidence indicating that the activation of ERK, p38, JNK, NF-κB, and STAT3 signaling pathways participate in the process of initiation parturition and preterm labor, particularly in inflammatory and hormonal aspects [32][33][34][35]. The actions of miR-132-3p are closely related to these signaling pathways. For instance, TGF-β-induced miR-132-3p expression could shift from inflammatory to the proliferative phase to accelerate skin wound healing through modulating HBEGF-dependent NF-κB, ERK, and STAT3 signaling pathways [36]. Resveratrol and Notoginsenoside R1-induced miR-132-3p expression were reported to attenuate LPS-induced inflammation by blocking the activation of p38 and JNK signaling pathways in PC-12 cells [37,38]. Additionally, Fang et al. [39] showed that overexpression of miR-132-3p suppressed the macrophage M1 inflammation by targeting MEKK3 to inactivate NF-κB and p38/JNK signaling pathways, ultimately attenuating spinal cord ischemia-reperfusion (SCIR) injury in rat. On the contrary, Diao et al. [40] reported that cigarette smoke extract (CSE) induced miR-132-3p expression and suppressed the expression suppressor of cytokine signaling 5 (SOCS5), promoting the levels of inflammatory cytokines in THP-1 and BEAS-2B cells. These studies indicate the involvement of miR-132-3p in numerous biological processes, exerting anti-inflammatory or pro-inflammatory effects upon targeting various genes to regulate different signaling pathways. In our previous study, miR-144-3p in amnion was shown to play an essential role in both term and preterm birth by modulating c-fos and COX2 [41]. In the present study, we demonstrated that COX2 expression and PGE2 release could be increased by upregulation of miR-132-3p. COX2 is the rate-limiting enzyme of prostaglandins [42], and prostaglandins, particularly PGE2 and PGF2α, are mainly derived from amnion and decidua/myometrium, respectively [43,44], which can trigger the rupture of fetal membranes, cervix ripening, and myometrium contraction [45,46]. Korotkov et al. [47] reported that upregulated expression of miR-132-3p could suppress the level of pro-epileptogenic factors, such as COX2 in human cultured astrocytes. Upregulation of extracellular vesicles-packaged miR-132-3p released from CS-treated Th17 cells was shown to induce osteocastogenesis via COX2 downregulation [48]. Recently, administering LNA-anti-miR-132 in mice has been shown to attenuate CCL 4 -induced inflammatory mediators IL-1β and COX2 to alleviate liver fibrosis [49]. These reports indicate that the regulation of COX2 by miR-132-3p appears to be dependent on cell context, which can be either suppressive or promotive. In this study, we also demonstrated that intraperitoneal injection of pregnant mice with miR-132-3p agomir not only caused preterm birth, but also increased the abundance of COX2, suggesting that proinflammatory effects of miR-132-3p in the amnion membranes is an important route to initiate labor.
Additionally, we identified that DUSP9 is a putative target gene of miR-132-3p by TargetScan and miRDB software and verified by dual luciferase reporter assay. DUSP9 knockdown was shown to offset the biological effects of miR-132-3p inhibitor on WISH cells. DUSP9 is a member of the largest group of protein phosphatases [50]. Phosphatases are important switches for controlling intracellular signal transduction by regulating the steady-state activities of mitogen-activated protein (MAP) kinases [51][52][53], and they per-form important functions in parturition. Lei et al. [54] reported that the anti-inflammatory effect of progesterone is mediated through GR-dependent induction of DUSP1 to inhibit AP-1 signaling, thereby maintaining uterine quiescence during pregnancy. Additionally, the decrease of src-homology phosphatase type-1 (SHP-1) was reported to promote uterine remodeling and plasticity through activation of focal adhesion kinase (FAK) and focal adhesion pathways, facilitating myometrium contraction and leading to labor [55]. Note that DUSP9 was obviously expressed in villous trophoblast, along with its downregulation in placenta across human gestation and in severe preeclampsia [28]. Interestingly, we found that DUSP9 could express in amnion epithelial cells, with a decrease in its abundance at 18.5 dpc versus 15.5 dpc. DUSP9 has been reported to be involved in the development of various diseases through multi-pathways. In gastric cancer, the low expression of DUSP9 promoted the proliferation of gastric cancer cells by activating the JNK signaling pathway [56]. In hepatocellular carcinoma, decreased DUSP9 was reported to promote cell proliferation through the ERK1/2 pathway, which was associated with poor prognosis [57]. Emanuelli et al. [58] showed that DUSP9 exerted a protective effect against stress-induced insulin resistance by inhibiting ERK and JNK phosphorylation and, to a lesser extent, p38 MAPK phosphorylation. The MAPK pathway mediated by p38 and JNK was shown to play an important role in regulating cell functions, including immune inflammatory response [59]. Previous studies have found the involvement of p38 an JNK in the pathogenesis of inflammation-induced preterm birth [60,61]. P38 MAPK not only participated in functional progesterone withdrawal, but also mediated oxidative stress (OS)-induced senescence in amnion epithelial cells, which contributed jointly to labor initiation [62][63][64]. In the present work, by using p38 inhibitor SB203580 and JNK inhibitor SP600125, we identified silencing DUSP9 mainly activates p38 and JNK signaling pathways, thus triggering an inflammatory and hormonal cascade. Injection of pregnant mice with miR-132-3p agomir was found to decrease the DUSP9 protein level, and increase the phosphorylation of p38 and JNK protein levels in amnion membranes, suggesting the therapeutic potential of JNK or p38 pathways for preterm labor. Interestingly, DUSP9 knockout was reported to increase high-fat diet-induced liver inflammatory responses by activating the ASK1-JNK/p38 signaling pathway [25]. Jiang, et al. [65] also demonstrated that DUSP9 acts a suppressor for the development of cardiac hypertrophy through the interaction and dephosphorylation of ASK1 to repress p38 and JNK signaling pathways. By activating the p38 and JNK pathways, ASK1 could facilitate infection-induced uterine inflammation leading to preterm birth [66]. Therefore, we speculate that DUSP9 may bind to and dephosphorylate ASK1 to participate in the inflammatory response and PGE2 production medicated by the p38 and JNK signaling pathways in the process of labor.
In conclusion, we have demonstrated that upregulation of miR-132-3p could suppress the DUSP9 level in amnion to activation of p38 and JNK signaling pathways, thereby inducing inflammatory responses and COX2 as well as PGE2 to trigger parturition ( Figure 8). However, due to limitations without human fetal tissues during pregnancy and labor in our study, the correlation between miR-132-3p and DUSP9 needs to be further elucidated. Understanding the mechanism for triggering labor at term birth may provide an effective strategy to prevent preterm birth and a diagnostic target for preterm labor. parturition ( Figure 8). However, due to limitations without human fetal tissues pregnancy and labor in our study, the correlation between miR-132-3p and DUSP to be further elucidated. Understanding the mechanism for triggering labor at ter may provide an effective strategy to prevent preterm birth and a diagnostic tar preterm labor.

Animals
Six-to eight-week-old Kunming mice were obtained from the Experimental Animal Center of Huazhong Agricultural University (Wuhan, China) and allowed to adapt to the environment for one week before experiments. All mice were housed at 26 • C constant temperature and 60% relative humidity with a 12 h light/12 h dark cycle and free access to food and water. Female mice mated with male mice overnight from 18:00 p.m. onward. When vaginal plugs were found at 6:00 a.m. the following day, it was defined as gestational day 0.5. The pregnant mice were divided into four groups (with 6-8 mice in each group): 15.5, 16.5, 17.5 and 18.5 days of gestation, respectively. To analyze the gestational changes of miR-132-3p expression, amnion membrane tissues were collected separately from timed pregnant mice at 6:00 a.m. on day 15.5, 16.5, 17.5 and 18.5 post coitum (dpc). The mice amnion membranes collected on day 15.5 and 18.5 of gestation were stored at 4% paraformaldehyde for subsequent immunohistochemical staining analysis.

miRNA Agomir Injection
Agomir NC and miR-132-3p agomir were synthesized by the GenePharma Company (Suzou, China) and chemically modified with a 3 -cholesterol conjugation on the passenger strand to promote its uptake in vivo. To explore whether the injection of miR-132-3p can induce preterm birth, mice on day 15.5 of pregnancy were intraperitoneally injected separately with agomir NC (5 mg/kg BW) and miR-132-3p agomir (5 mg/kg BW) dissolved in 200 µL of phosphate-buffered solution (PBS). For the injected mice, some were allowed to give birth to record the labor time, and some were sacrificed to collect amnion membranes for detecting the abundance of COX2, DUSP9, p38 and JNK as well as phosphorylated p38 and JNK levels. When the miR-132-3p agomir-injected mice delivered the first pup, amnion membranes were collected simultaneously from both the experimental and control groups at the corresponding time points [55]. The collected amnion membranes were flash frozen in liquid nitrogen and stored at −80 • C for further treatment.

Immunohistochemistry
The mice amnion membranes from day 15.5 and 18.5 of gestation were fixed in 4% paraformaldehyde and embedded in paraffin, followed by deparaffinization and rehydration of 5 µm sections. After trypsin-induced antigen retrieval, the sections were incubated in 0.3% hydrogen peroxide for 25 min to quench endogenous peroxidase activity, followed by blocking with 3% Bovine Serum Albumin (BSA) for 30 min at room temperature, and incubation overnight at 4 • C with DUSP9 specific primary antibody (1:50, 503839, ZEN-BIO, Chengdu, China). Next, the sections were incubated with horseradish peroxidase (HRP) conjugated anti-rabbit secondary antibody (1:1000, ab6721, Abcam, Cambridge, MA, USA) for 50 min, followed by staining with diaminobenzidine for visualization, and then counterstaining with hematoxylin. Digital images were taken by using an Olympus BX53 microscope (BX53, Olympus, Tokyo, Japan).

Reverse Transcription Quantitative Polymerase Chain Reaction (RT-qPCR)
The total RNA of tissues was extracted by homogenization in RNAiso Plus (#9109, Takara, Japan), and the total RNA of cells was extracted using the HP Total RNA Kit (Omega, Doraville, GA, USA). The expression level of miR-132-3p was quantified using the stem-loop RT-qPCR method, and cDNA was synthesized using RevertAid First Strand cDNA Synthesis Kit (#K1622, Thermo Fisher Scientific, Waltham, MA, USA). qPCR was performed using iTaq Universal SYBR ® Green Supermix (#1725124, Bio-Rad, Hercules, CA, USA) on CFX384 Touch qPCR system (Bio-Rad, Hercules, CA, USA) at 95 • C for 5 min, 40 cycles of 95 • C for 20 s, 58 • C for 20 s, and 70 • C for 20 s. The expression level of miRNA was normalized to U6, and β-actin was used as an internal control for mRNA. The comparative 2 −∆∆CT method was used to analyze the gene expression levels. The primers used in this study are listed in Table 1.

Enzyme-Linked Immunosorbent Assay
Briefly, cultured cell supernatant samples were collected from different groups and centrifuged at 3000 g for 5 min to pellet cell debris. The concentration of PGE2 was determined using enzyme-linked immunosorbent assay (ELISA) kit (HM10090, Bioswamp, Wuhan, China) according to the manufacturer' instructions. The optical density (OD) was measured with the EnSpire plate reader (PerkinElmer) at 450 nm.

Dual-Luciferase Reporter Assay
Online analysis websites TargetScan (www.targetscan.org/vert_71/, accessed on 8 January 2022) and miRDB (mirdb.org, accessed on 8 January 2022) were used to predict the target genes of miR-132-3p and putative binding site between miR-132-3p and DUSP9 3 untranslated region (3 UTR). The DUSP9 3 UTR containing the seed sequence binding site of miR-132-3p was amplified by PCR, followed by digesting the PCR product and pmirGLO vector using MssI (FD1344, Thermo Fisher Scientific, Waltham, MA, USA) and XhoI (FD0694, Thermo Fisher Scientific, Waltham, MA, USA). The fragment of DUSP9 3 UTR was inserted into the pmirGLO vector using T4 DNA ligase (M0202S, NEB). The pmirGLO-DUSP9-3 UTR-MUT vector was constructed using site-directed mutagenesis. WISH cells were transfected with miR-132-3p mimic or NC and the three reported plasmids. After 48 h of transfection, cells were lysed to collect the supernatant. The luciferase activity was measured by Dual-luciferase ® Reporter System (E1980, Promega Corporation, Madison, WI, USA) according to the manufacturer's protocol, and relative luciferase activity was calculated as the ratio of the firefly luciferase activity to Renilla luciferase activity.

Statistical Analysis
In this study, all data were presented as means ± standard error of means (SEM) and were graphed using GraphPad Prism software. Unpaired Student's test was performed for comparison between two groups. Comparisons among different groups were conducted by one-way ANOVA. * p < 0.05, ** p < 0.01, # p < 0.05, ## p < 0.01 indicated statistical significance for different groups or experiments.