Assessment of expression of stem cell markers in eutopic and ectopic endometrium in women with ovarian endometriotic cysts


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To compare levels of PDGFR and CD15 in eutopic, ectopic and normal endometrium. Materials and methods. Group I included 70 patients with ovarian endometriotic cysts, and Group II comprised 24 patients with unexplained infertility without endometriosis. Endoscopic removal of endometriotic cyst and hysteroscopy were performed in women in Group I; laparoscopy, chromohydrotubation and hysteroscopy with material sampling for immunohistochemistry were performed in Group II. Results. An increase in CD15 expression in the ectopic endometrium was observed both in the gland (35(32;37), 8 (8;9), p = 0.002) and in stroma (16(15;22), 1(0.8;1.3), p = 0.003); an increase in PDGFR was also detected both in the gland (38(38;41), 9(8; 10), p = 0.002), and in stroma 18(17; 19), 1.1(0.8;1.4), p = 0.001). We noted an increase in CD15 (8(8;9), 8(6.5;8), p = 0.006) and PDGFR (9(8;10), 8(7.5;9), p = 0.001) in the glands of the eutopic endometrium in comparison with the normal one. Conclusion. The results obtained during the study confirm the theory of the role of stem cells in the pathogenesis of endometriosis, which may underlie the development of pathogenetic therapy for this disease.

Full Text

Restricted Access

About the authors

Svetlana O. Dubrovina

Rostov State Medical University

Email: s.dubrovina@gmail.com
MD, professor, main researcher, Research Institute of Obstetrics and Pediatrics

Yuliya D. Berlim

Rostov State Medical University

Email: juliaberlim@yandex.ru
PhD, the head of the Outpatient Department

Vadim S. Chirsky

Email: v_chirsky@mail.ru
MD, professor, head of the Central Pathological Anatomy Laboratory, Ministry of Defense of the Russian Federation, chief pathologist of the Ministry of Defense of the Russian Federation.

Vladimir Yu. Mazhugin

Rostov State Medical University

Email: 79604623623@yandex.ru
head of the Laboratory of Pathological Morphology, Research Institute of Obstetrics and Pediatrics

Knarik A. Areshyan

Rostov State Medical University

Email: arieshian@bk.ru
postgraduate student, Research Institute of Obstetrics and Pediatrics

References

  1. Sampson J.A. Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity. Am. J. Obstet. Gynaecol. 1927; 14: 422-9.
  2. Prianishnikov V.A. On the concept of stem cell and a model of functional-morphological structure of the endometrium. Contraception. 1978; 18: 213-23.
  3. Maruyama T., Yoshimura Y. Stem cell theory for the pathogenesis of endometriosis. Front. Biosci. (Elite Ed). 2012; 4: 2854-63.
  4. Cervello I., Mas A., Gil-Sanchis C., Peris L., Faus A., Saunders PT. et al. Reconstruction of endometrium from human endometrial side population cell lines. PLoS One. 2011; 6(6): e21221. https://dx.doi.org/10.1371/journal. pone.0021221.
  5. Oliveira F.R., Dela Cruz C., Del Puerto H.L., Vilamil Q.T., Reis F.M., Camargos A.F Stem cells: are they the answer to the puzzling etiology of endometriosis? Histol. Histopathol. 2012; 27(1): 23-9.
  6. Kao A.P, Wang K.H., Chang C.C., Lee J.N., Long C.Y., Chen H.S., Tsai C.F. et al. Comparative study of human eutopic and ectopic endometrial mesenchymal stem cells and the development of an in vivo endometriotic invasion model. Fertil. Steril. 2011; 95(4): 1308-15. e1.
  7. Chan R.W., Ng E.H., Yeung W.S. Identification of cells with colony-forming activity, self-renewal capacity, and multipotency in ovarian endometriosis. Am. J. Pathol. 2011; 178(6): 2832-44.
  8. Moggio A., Pittatore G., Cassoni P., Marchino G.L., Revelli A., Bussolati B. Sorafen ibinhibits growth, migration, and angiogenic potential of ectopic endometrial mesenchymal stem cells derived from patients with endometriosis. Fertil. Steril. 2012; 98(6): 1521-30. e2.
  9. Cousins F.L., Xiao L., Gargett C. Adult stem cells in the pathogenesis and treatment of endometriosis. J. Endometr. Pelvic Pain Disord. 2017; 9(4): 223-31. https://dx.doi.org/10.5301/jeppd.5000310.
  10. Masuda H., Anwar S.S., Bühring H.J., Rao J.R., Gargett C.E. A novel marker of human endometrial mesenchymal stem-like cells. Cell Transplant. 2012; 21(10): 2201-14.
  11. Gargett C.E., Schwab K.E., Brosens J.J., Puttemans P., Benagiano G., Brosens I. Potential role of endometrial stem/progenitor cells in the pathogenesis of early-onset endometriosis. Mol. Hum. Reprod. 2014; 20(7): 591-8.
  12. Valentijn A.J., Palial K., Al-Lamee H., Tempest N., Drury J., Von Zglinicki T. et al. SSEA-1 isolates human endometrial basal glandular epithelial cells: phenotypic and func onal characterization and implications in the pathogenesis of endometriosis. Hum. Reprod. 2013; 28(10): 2695-708.
  13. Хачатрян А.М., Коган Е.А., Чупрынин В.Д., Парамонова Н.Б., Адамян Л.В., Хилькевич Е.Г., Языкова О.И. Инфильтративный эндометриоз мочевыводящих путей: механизмы роста и прогрессирования. Клиникоморфологическое и иммуногистохимическое исследование. Акушерство и гинекология. 2016; 6: 78-86.
  14. Дубровина С.О., Берлим Ю.Д., Гимбут В.С., КрасильниковаЛ.В.,Арешян К.А. Современные представления об эндометриоидных кистах яичников. Проблемы репродукции. 2015; 21(3): 98-104.
  15. Kondo W., Bourdel N., Zomer M.T., Slim K., Rabischong B., Pouly J.L. et al. Laparoscopic cystectomy for ovarian endometrioma - a simple stripping technique should not be used. J. Endometr. 2011; 3(3): 125-34. https://dx.doi.org/10.5301/je.2011.8909.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies