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环氧化酶2对子宫内膜癌进展的影响。

COX2 Effects on endometrial carcinomas progression.

作者信息

Lyndin M, Kravtsova O, Sikora K, Lyndina Yu, Kuzenko Ye, Awuah W A, Abdul-Rahman T, Hyriavenko N, Sikora V, Romaniuk A

机构信息

Department of Pathology, Sumy State University, Sumy, Ukraine.

Department of Pathology, Sumy State University, Sumy, Ukraine; Sumy Regional Clinical Perinatal Center, Sumy, Ukraine.

出版信息

Pathol Res Pract. 2022 Oct;238:154082. doi: 10.1016/j.prp.2022.154082. Epub 2022 Aug 17.

Abstract

Uterine corpus cancer is one of the most prevalent gynecologic malignancies, among which endometrial cancers (EC) represent about 90 %. Despite the proven predictive value of several immunohistochemical markers, there remains a need to identify new indicators of EC progression and exploit them for therapeutic purposes. Potential candidates with diagnostic and therapeutic efficacy include cyclooxygenases (COXs). We studied 50 EC cases: 30 endometrioid (EEC), 10 serous (SEC), 10 clear-cell endometrial carcinomas (CCEC) and 10 cases of normal endometrial tissues. We investigated the expression of COX2, ER, PR, Ki-67, EGFR, p53, Bcl-2, VEGF, MMP1, CD31, and CD163 immunohistochemically. COX2 levels in EC tissue are elevated compared to the normal endometrium and depend on tumour histological features and differentiation. Elevated COX2 leads to increased tumour cell proliferation, apoptosis inhibition, increased VEGF expression, microvessel density, and M2 macrophage infiltration, and inhibition of PR expression. ER, EGFR, and MMP1 levels are unaffected by COX2, whose levels are independent of patient age and FIGO stage.

摘要

子宫体癌是最常见的妇科恶性肿瘤之一,其中子宫内膜癌(EC)约占90%。尽管几种免疫组化标志物已被证实具有预测价值,但仍需要确定EC进展的新指标并将其用于治疗目的。具有诊断和治疗效果的潜在候选物包括环氧化酶(COXs)。我们研究了50例EC病例:30例子宫内膜样癌(EEC)、10例浆液性癌(SEC)、10例透明细胞子宫内膜癌(CCEC)以及10例正常子宫内膜组织。我们通过免疫组化研究了COX2、雌激素受体(ER)、孕激素受体(PR)、Ki-67、表皮生长因子受体(EGFR)、p53、Bcl-2、血管内皮生长因子(VEGF)、基质金属蛋白酶1(MMP1)、CD31和CD163的表达。与正常子宫内膜相比,EC组织中的COX2水平升高,且取决于肿瘤的组织学特征和分化程度。COX2水平升高会导致肿瘤细胞增殖增加、细胞凋亡抑制、VEGF表达增加、微血管密度增加以及M2巨噬细胞浸润,并抑制PR表达。ER、EGFR和MMP1水平不受COX2影响,COX2水平与患者年龄和国际妇产科联盟(FIGO)分期无关。

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