Department of Gynecology and Obstetrics, Justus Liebig University, University of Giessen, Feulgenstr. 10-12, 35392, Giessen, Germany.
Department of Gynecology, UKE Hamburg, Hamburg, Germany.
Arch Gynecol Obstet. 2020 Apr;301(4):1003-1011. doi: 10.1007/s00404-020-05472-y. Epub 2020 Mar 5.
Claudins as the major components of tight junctions are important in maintaining cell-cell integrity and thus function as a barrier. Dysregulation of the claudins is often associated with loss of the epithelial phenotype, a process called epithelial-mesenchymal transition (EMT), which most often results in gain of migrative and invasive properties. However, the role of claudins in the endometrium or endometriosis has only rarely been examined.
In this study, we investigated localization of claudin-2 and claudin-3 in the eutopic and ectopic endometrium with immunohistochemistry. A detailed quantification with HSCORE was performed for claudin-2 and claudin-3 in endometrium without endometriosis and in cases with endometriosis compared to the three endometriotic entities: peritoneal, ovarian, and deep-infiltrating endometriosis.
We found a preferential localization of both claudins in the glandular and the luminal epithelial cells in the endometrium with and without endometriosis. Quantification of localization of both claudins showed no differences in eutopic endometrium of control cases compared to cases with endometriosis. Furthermore, both claudins are localized highly similar in the ectopic compared to the eutopic endometrium, which is in clear contrast to previously published data for claudin-3.
From our results, we conclude that localization of claudin-2 and claudin-3 is highly stable in eutopic and ectopic endometrium without any loss of the epithelial phenotype and thus do not contribute to the pathogenesis of endometriosis.
紧密连接的主要成分 Claudin 对于维持细胞间的完整性非常重要,因此具有屏障功能。Claudin 的失调通常与上皮表型的丧失有关,这一过程称为上皮-间充质转化(EMT),通常会导致迁移和侵袭特性的获得。然而,Claudin 在子宫内膜或子宫内膜异位症中的作用很少被研究过。
在这项研究中,我们通过免疫组织化学研究了 Claudin-2 和 Claudin-3 在在位和异位子宫内膜中的定位。我们对无子宫内膜异位症的子宫内膜和子宫内膜异位症病例中的 Claudin-2 和 Claudin-3 进行了详细的 HSCORE 定量分析,并与三种子宫内膜异位症实体进行了比较:腹膜、卵巢和深部浸润性子宫内膜异位症。
我们发现 Claudin-2 和 Claudin-3 在有或没有子宫内膜异位症的子宫内膜中的腺上皮和腔上皮细胞中都有优先定位。Claudin-2 和 Claudin-3 的定位定量分析显示,对照组和子宫内膜异位症组的在位子宫内膜之间没有差异。此外,Claudin-2 和 Claudin-3 在异位子宫内膜中的定位高度相似,这与之前发表的 Claudin-3 数据形成了鲜明对比。
从我们的结果可以得出结论,Claudin-2 和 Claudin-3 的定位在在位和异位子宫内膜中非常稳定,没有上皮表型的丧失,因此不会导致子宫内膜异位症的发病机制。