Abstract
Cytokeratins are a multigene family of polypeptides expressed in distinct combinations
along the various routes of epithelial differentiation. In endometrial cancer and
cervical intraepithelial neoplasia/cervical squamous cell carcinoma, the expression
of cytokeratins correlates with aggressive tumor features, lesion grade, and the International
Federation of Gynecology and Obstetrics (FIGO) stage. Although the central elements
involved in the pathogenesis of endometriosis are as yet unexplained, it is generally
accepted that invasive mechanisms and hormonal effects influence endometriotic disease.
On the basis of a preliminary microarray analysis showing increased mRNA expression
of cytokeratin 8 in peritoneal endometriosis in comparison with eutopic endometrium,
the present study therefore investigated the expression of CK8 in human eutopic and
ectopic endometrium, using immunohistochemical staining. The results of our analyses
points to a posttranscriptional regulation of cytokeratin 8 in endometriotic lesions
possibly through noncoding miRNAs.
Zusammenfassung
Die Proteine der Zytokeratin-Multigenfamilie werden im Rahmen der epithelialen Differenzierung
in verschiedenen Kombinationen exprimiert. Bei Endometrium- und Zervixkarzinomen korreliert
die Expression von Zytokeratinen mit aggressiven Eigenschaften des Tumors, dem Grad
der Läsion und dem FIGO-Stadium. Obwohl die zentralen Elemente der Pathogenese von
Endometriose noch immer umstritten sind, so ist doch allgemein akzeptiert, dass die
Krankheit durch invasive Mechanismen und hormonelle Einflüsse beeinflusst wird. Aufgrund
von Microarray-Analysen, die eine erhöhte mRNA-Expression von Zytokeratin 8 (CK8)
bei peritonealer Endometriose im Vergleich zu eutopem Endometrium vermuten ließen,
untersuchte die vorliegende Studie die Expression von Zytokeratin 8 in eutopem und
ektopem Endometrium mittels Immunhistochemie. Die Ergebnisse dieser Analysen deuten
auf eine posttranskriptionelle Regulation von Zytokeratin 8 in Endometrioseläsionen
z. B. durch miRNAs hin.
Key words
endometrium - adenomyosis - microarray
Schlüsselwörter
Endometrium - Adenomyose - Microarray
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Prof. Dr. med. Regine Gaetje
Department of Obstetrics and Gynecology Johann Wolfgang Goethe-University
Theodor-Stern-Kai 7
60596 Frankfurt
Email: gaetje@em.uni-frankfurt.de