Abstract:Objective To observe the expression of Rho/ROCK signaling pathway related proteins and explore its mechanism of action in intrauterine adhesion. Methods Rats were injected with anhydrous ethanol into uterine cavity to establish the model of uterine cavity adhesion. The control group was injected with the same amount of normal saline. Morphological changes of endometrium in the two groups were observed two weeks after surgery. The expression of keratin, vimentin, Rho (RhoA, RhoB, RhoC), Rho kinase (ROCKI, ROCKII) and TGF-beta 1 in the endometrium were detected by immunohistochemistry. Results Compared with the control group, the endometrium of the model group was thinner (P?0.05); the glands were decreased (P?0.05); the keratin expression was decreased (P?0.05); and there was no significant difference in vimentin (P?>?0.05). In the model group, the expression of RhoA, RhoB, RhoC, ROCKI, ROCKII and TGF-beta 1 in endometrium of rats were higher than those in the control group with statistically significant differences (P?0.05). Conclusion Injection of anhydrous ethanol can establish a stable animal model of intrauterine adhesion in rats. The Rho/ROCK signal pathway is activated. By activating the Rho/ROCK signal pathway, TGF- beta 1 promotes tissue fibrosis after endometrial injury and participates in the occurrence and development of intrauterine adhesion.