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10.1097/PGP.0000000000000233

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suck abstract from ncbi


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pmid26367784
      Int+J+Gynecol+Pathol 2016 ; 35 (3 ): 238-48
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  • Stromal Clues in Endometrial Carcinoma: Loss of Expression of ?-Catenin, Epithelial-Mesenchymal Transition Regulators, and Estrogen-Progesterone Receptor #MMPMID26367784
  • Senol S ; Sayar I ; Ceyran AB ; Ibiloglu I ; Akalin I ; Firat U ; Kosemetin D ; Engin Zerk P ; Aydin A
  • Int J Gynecol Pathol 2016[May]; 35 (3 ): 238-48 PMID26367784 show ga
  • Epithelial-stroma interactions in the endometrium are known to be responsible for physiological functions and emergence of several pathologic lesions. Periglandular stromal cells act on endometrial cells in a paracrine manner through sex hormones. In this study, we immunohistochemically evaluated the expression of epithelial-mesenchymal transition regulators (SNAIL/SLUG, TWIST, ZEB1), adhesion molecules (?-catenin and E-cadhenin), estrogen (ER)-progesterone (PR) receptor and their correlation with each other in 30 benign, 148 hyperplastic (EH), and 101 endometrioid-type endometrial carcinoma (EC) endometria. In the epithelial component, loss of expression in E-cadherin, ER and PR, and overexpression of TWIST and ZEB1 were significantly higher in EC than in EH (P<0.01). In the periglandular stromal component, ?-catenin and SNAIL/SLUG expression were significantly higher in normal endometrium and simple without atypical EH compared with complex atypical EH and EC (P<0.01). In addition, periglandular stromal TWIST expression was significantly higher in EH group compared with EC (P<0.05). There was significantly negative correlation between ?-catenin and ER, TWIST and ER, and TWIST and PR in hyperplastic and carcinomatous glandular epithelium, whereas there was a significantly positive correlation between ?-catenin and SNAIL-SLUG, ?-catenin and TWIST, ?-catenin and ER, ?-catenin and PR, SNAIL-SLUG and ER, SNAIL-SLUG and PR, TWIST and ER, TWIST and PR, in periglandular/cancer-associated stromal cells (P<0.01). In conclusion, the pattern of positive and negative correlations in the expression of epithelial-mesenchymal transition regulators (SNAIL-SLUG and TWIST), sex hormone receptors (ER and PR), and ?-catenin between ECs and hyperplasia, as well as between epithelium and stroma herein, is suggestive of a significant role for these proteins and their underlying molecular processes in the development of endometrial carcinomas.
  • |Antigens, CD [MESH]
  • |Biomarkers, Tumor/*metabolism [MESH]
  • |Cadherins/metabolism [MESH]
  • |Carcinoma, Endometrioid/metabolism/*pathology [MESH]
  • |Endometrial Neoplasms/metabolism/*pathology [MESH]
  • |Endometrium/metabolism/pathology [MESH]
  • |Epithelial-Mesenchymal Transition [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunohistochemistry [MESH]
  • |Receptors, Estrogen/metabolism [MESH]
  • |Receptors, Progesterone/metabolism [MESH]
  • |Stromal Cells/metabolism/pathology [MESH]
  • |Tissue Array Analysis [MESH]


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