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基于绝经时间的绝经后妇女输卵管中雌激素和孕激素受体免疫表达。

Estrogen and Progesterone Receptor Immunoexpression in Fallopian Tubes among Postmenopausal Women Based on Time since the Last Menstrual Period.

机构信息

Department of Gynecology, Endocrinology and Gynecological Oncology, Pomeranian Medical University, Unii Lubelskiej 1, 71-256 Szczecin, Poland.

Department of Histology and Developmental Biology, Pomeranian Medical University, Żołnierska 48, 71-210 Szczecin, Poland.

出版信息

Int J Environ Res Public Health. 2021 Aug 31;18(17):9195. doi: 10.3390/ijerph18179195.

Abstract

Existing data on the expression of estrogen receptor (ERα) and progesterone receptor (PR) in fallopian tubes in postmenopausal women are mostly inconclusive. Therefore, we assessed ERα and PR immunoexpression in the oviducts of these women. One hundred postmenopausal women were divided into three groups based on time elapsed since the last menstrual period: (A) 1-5 years, (B) 6-10 years, and (C) ≥11 years. In all groups, both in the glandular epithelium and stroma of the ampulla and isthmus of the oviduct, immunolocalization of ERα and PR were noted. The glandular epithelium of the ampulla showed a higher percentage of PR-positive cells than the isthmus in each group. Regarding ERα, there were no significant differences. In the glandular epithelium in both the ampulla and isthmus, the percentage of ERα- and PR-positive cells was significantly higher than that in the stroma in each study group and higher in the A group than in the C group. In conclusion, in postmenopausal women, time elapsed since the last menstrual period in the fallopian tubes was positively correlated with the following: (1) the epithelium showed vacuolation of cytoplasm with greater frequency, (2) the proportion of ciliated cells decreased, and (3) the percentage of ERα- and PR-positive cells also decreased. The obtained results indicate a significant decrease in ERα and PR expression depending on the time that has elapsed since the last menstruation, which is undoubtedly related to the loss of the reproductive function of the patients.

摘要

关于绝经后女性输卵管中雌激素受体 (ERα) 和孕激素受体 (PR) 表达的现有数据大多尚无定论。因此,我们评估了这些女性输卵管中 ERα 和 PR 的免疫表达。100 名绝经后妇女根据最后一次月经结束后的时间分为三组:(A) 1-5 年,(B) 6-10 年,和 (C) ≥11 年。在所有组中,在输卵管的壶腹部和峡部的腺上皮和基质中均观察到 ERα 和 PR 的免疫定位。每个组中,壶腹部的腺上皮中 PR 阳性细胞的比例均高于峡部。关于 ERα,没有显著差异。在输卵管的壶腹部和峡部的腺上皮中,ERα 和 PR 阳性细胞的百分比均显著高于每个研究组的基质,并且 A 组高于 C 组。总之,在绝经后妇女中,输卵管上次月经结束后的时间与以下方面呈正相关:(1) 上皮细胞的细胞质出现空泡化的频率更高,(2) 纤毛细胞的比例减少,以及 (3) ERα 和 PR 阳性细胞的百分比也减少。所得结果表明,ERα 和 PR 的表达随着上次月经结束后的时间而显著下降,这无疑与患者生殖功能的丧失有关。

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