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子宫内膜中GATA2表达的免疫组织化学分析及其与良性和癌前子宫内膜疾病中激素受体表达的关系

Immunohistochemical Analysis of GATA2 Expression in Endometrium and its Relationship with Hormone Receptor Expression in Benign and Premalignant Endometrial Disorders.

作者信息

Keske Aysenur, Polaki Usha S, Matson Daniel R

机构信息

Department of Pathology and Laboratory Medicine, University of Wisconsin - Madison, Madison, Wisconsin, USA.

出版信息

Reprod Sci. 2024 Dec;31(12):3880-3891. doi: 10.1007/s43032-024-01730-5. Epub 2024 Oct 23.

Abstract

The GATA gene family encodes highly conserved zinc-finger transcription factors that facilitate the development and function of multiple organ systems including the uterus. In the endometrium, GATA2 functions in a positive autoregulatory loop with the progesterone receptor (PGR) and colocalizes with PGR on chromatin to promote PGR transcriptional programs. GATA2 also has PGR-independent functions that maintain endometrial cell identity, and GATA2 transcripts reportedly are down-regulated in endometrial disorders including endometriosis. This event is accompanied by a reciprocal increase in GATA6. Here, we applied custom anti-GATA2 monoclonal antibodies and performed GATA2 immunohistochemistry (IHC) on patient endometrial tissues corresponding to proliferative, secretory, inactive, and hormone-treated endometrium, as well as endometriosis and endometrial atypical hyperplasia/endometrioid intraepithelial neoplasia (EAH/EIN). We also performed IHC for the estrogen receptor, PGR, and GATA6 in relevant groups. The results reveal a tight correlation between GATA2 and PGR expression in the glandular and stromal cells of benign endometrium. GATA2 expression is markedly reduced in stromal but not glandular cells in endometriosis and EAH/EIN. This reduction in GATA2 expression does not lead to a detectable increase in GATA6 expression in endometriosis. Although average glandular GATA2 expression was preserved in endometriosis and EAH/EIN cases, its expression was decoupled from PGR, implying that alternative pathways regulate GATA2 levels in these disorders. Our findings indicate that GATA2 dysregulation is a feature of endometriosis and EAH/EIN, and support a model whereby loss of stromal GATA2 in these disorders contributes to their progesterone insensitivity.

摘要

GATA基因家族编码高度保守的锌指转录因子,这些因子促进包括子宫在内的多个器官系统的发育和功能。在子宫内膜中,GATA2与孕激素受体(PGR)形成正向自调节环,并与PGR在染色质上共定位,以促进PGR转录程序。GATA2还具有不依赖PGR的功能,可维持子宫内膜细胞特性,据报道,在包括子宫内膜异位症在内的子宫内膜疾病中,GATA2转录本下调。这一事件伴随着GATA6的相应增加。在这里,我们应用定制的抗GATA2单克隆抗体,并对与增殖期、分泌期、静止期和激素处理的子宫内膜相对应的患者子宫内膜组织,以及子宫内膜异位症和子宫内膜非典型增生/子宫内膜样上皮内瘤变(EAH/EIN)进行GATA2免疫组织化学(IHC)检测。我们还对相关组进行了雌激素受体、PGR和GATA6的IHC检测。结果显示,在良性子宫内膜的腺细胞和基质细胞中,GATA2与PGR表达之间存在紧密相关性。在子宫内膜异位症和EAH/EIN中,GATA2在基质细胞而非腺细胞中的表达明显降低。在子宫内膜异位症中,GATA2表达的降低并未导致GATA6表达的可检测增加。尽管在子宫内膜异位症和EAH/EIN病例中,腺细胞GATA2的平均表达得以保留,但其表达与PGR解偶联,这意味着在这些疾病中存在调节GATA2水平的替代途径。我们的研究结果表明,GATA2失调是子宫内膜异位症和EAH/EIN的一个特征,并支持这样一种模型,即在这些疾病中,基质GATA2的缺失导致它们对孕激素不敏感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bec/11611939/9af1b7587088/43032_2024_1730_Fig1_HTML.jpg

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