Stromal Clues in Endometrial Carcinoma: Loss of Expression of β-Catenin, Epithelial-Mesenchymal Transition Regulators, and Estrogen-Progesterone Receptor
 
Yazarlar (9)
Serkan Senol Istanbul Medeniyet University, Türkiye
Ilyas Sayar Erzincan Binali Yildirim University, Türkiye
Ayse B. Ceyran Istanbul Medeniyet University, Türkiye
Ibrahim Ibiloglu Dicle University, Türkiye
Ibrahim Akalin Yuzuncu Yil University, Türkiye
Ugur Firat Dicle University, Türkiye
Duygu Kosemetin Res & Training Dist Hosp, Türkiye
Pinar Engin Zerk Istanbul Medeniyet University, Türkiye
Prof. Dr. Abdullah AYDIN Kırşehir Ahi Evran Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (ESCI dergilerinde yayınlanan tam makale)
Dergi Adı INTERNATIONAL JOURNAL OF GYNECOLOGICAL PATHOLOGY
Dergi ISSN 0277-1691 Wos Dergi Scopus Dergi
Makale Dili İngilizce Basım Tarihi 05-2016
Cilt / Sayı / Sayfa 35 / 3 / 238–248 DOI 10.1097/PGP.0000000000000233
Makale Linki https://doi.org/10.1097/pgp.0000000000000233
Özet
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 (β-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, β-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 β-catenin and ER, TWIST and ER, and TWIST and PR in hyperplastic and carcinomatous glandular epithelium, whereas there was a significantly positive correlation between β-catenin and SNAIL-SLUG, β-catenin and TWIST, β-catenin and ER, β-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 β-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.
Anahtar Kelimeler
Endometrium | EMT | beta-Catenin | E-cadherin | Sex steroid receptors