INTERRELATION OF STEROID RECEPTOR GENE EXPRESSION IN UTERINE TISSUES AND SERUM CONCENTRATIONS OF IMMUNOREGULATORY PROTEINS, CYTOKINES, SEX STEROIDS IN PROLIFERATIVE DISEASES

Pathogenetic mechanisms of uterine leiomyoma, adenomyosis and their combination are complicated and poorly understood, a differential diagnosis of leiomyosarcoma of the uterus is difficult. Our study aimed for a comparative analysis of the serum contents of α2-MG, PAG, some cytokines, sex steroids a...

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Autores principales: S. V. Shramko, V. N. Zorina, N. A. Zorin, I. A. Botvinyeva, S. V. Arkhipova, V. V. Likhacheva
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Publicado: SPb RAACI 2018
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spelling oai:doaj.org-article:7cf550c982aa40b1834681bd949d42cf2021-11-18T08:03:47ZINTERRELATION OF STEROID RECEPTOR GENE EXPRESSION IN UTERINE TISSUES AND SERUM CONCENTRATIONS OF IMMUNOREGULATORY PROTEINS, CYTOKINES, SEX STEROIDS IN PROLIFERATIVE DISEASES1563-06252313-741X10.15789/1563-0625-2018-5-731-738https://doaj.org/article/7cf550c982aa40b1834681bd949d42cf2018-11-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/1641https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XPathogenetic mechanisms of uterine leiomyoma, adenomyosis and their combination are complicated and poorly understood, a differential diagnosis of leiomyosarcoma of the uterus is difficult. Our study aimed for a comparative analysis of the serum contents of α2-MG, PAG, some cytokines, sex steroids and the expression of steroid receptor genes in the patients with different variants of uterine proliferative diseases, in order to determine their pathological role, diagnostic and prognostic value. Expression of estrogen receptor genes adenomyosis nodes was 1.5 to 2-fold higher than in leiomyoma, the combined pathology showed intermediate values, and expression of ER and PGR genes in leiomyosarcoma was minimal. In cellular leiomyoma, expression of ER receptor genes in the surrounding myometrium was 2 to 3-fold higher than in cases of simple leiomyomas. At the same time, concentration of estrogen and progesterone in the blood is comparable between the groups and control groups. All the patients have a deficiency of immunomodulatory α2-MG (12-13% for leiomyomas, 20% for adenomyosis, and 23% for malignant pathology). The concentration of immunosuppressive PAG is increased in combined conditions and leiomyosarcoma. In addition, the contents of IL-6 and TNFα increase, the VEGF levels exceed normal values 4 to 4.5-fold, in leiomyoma, 5.5-fold, in combined pathology, 6.5, in adenomyosis, and 10-fold, in leiomyosarcoma.The obtained results confirm that immunomodulatory proteins, cytokines and cell-targeting sex hormones exert an interdependent influence upon each other in the studied diseases, and their significant changes may be used in diagnostics and prognosis.S. V. ShramkoV. N. ZorinaN. A. ZorinI. A. BotvinyevaS. V. ArkhipovaV. V. LikhachevaSPb RAACIarticleleiomyomasteroid receptor genescytokinealpha2-macroglobulinImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 20, Iss 5, Pp 731-738 (2018)
institution DOAJ
collection DOAJ
language RU
topic leiomyoma
steroid receptor genes
cytokine
alpha2-macroglobulin
Immunologic diseases. Allergy
RC581-607
spellingShingle leiomyoma
steroid receptor genes
cytokine
alpha2-macroglobulin
Immunologic diseases. Allergy
RC581-607
S. V. Shramko
V. N. Zorina
N. A. Zorin
I. A. Botvinyeva
S. V. Arkhipova
V. V. Likhacheva
INTERRELATION OF STEROID RECEPTOR GENE EXPRESSION IN UTERINE TISSUES AND SERUM CONCENTRATIONS OF IMMUNOREGULATORY PROTEINS, CYTOKINES, SEX STEROIDS IN PROLIFERATIVE DISEASES
description Pathogenetic mechanisms of uterine leiomyoma, adenomyosis and their combination are complicated and poorly understood, a differential diagnosis of leiomyosarcoma of the uterus is difficult. Our study aimed for a comparative analysis of the serum contents of α2-MG, PAG, some cytokines, sex steroids and the expression of steroid receptor genes in the patients with different variants of uterine proliferative diseases, in order to determine their pathological role, diagnostic and prognostic value. Expression of estrogen receptor genes adenomyosis nodes was 1.5 to 2-fold higher than in leiomyoma, the combined pathology showed intermediate values, and expression of ER and PGR genes in leiomyosarcoma was minimal. In cellular leiomyoma, expression of ER receptor genes in the surrounding myometrium was 2 to 3-fold higher than in cases of simple leiomyomas. At the same time, concentration of estrogen and progesterone in the blood is comparable between the groups and control groups. All the patients have a deficiency of immunomodulatory α2-MG (12-13% for leiomyomas, 20% for adenomyosis, and 23% for malignant pathology). The concentration of immunosuppressive PAG is increased in combined conditions and leiomyosarcoma. In addition, the contents of IL-6 and TNFα increase, the VEGF levels exceed normal values 4 to 4.5-fold, in leiomyoma, 5.5-fold, in combined pathology, 6.5, in adenomyosis, and 10-fold, in leiomyosarcoma.The obtained results confirm that immunomodulatory proteins, cytokines and cell-targeting sex hormones exert an interdependent influence upon each other in the studied diseases, and their significant changes may be used in diagnostics and prognosis.
format article
author S. V. Shramko
V. N. Zorina
N. A. Zorin
I. A. Botvinyeva
S. V. Arkhipova
V. V. Likhacheva
author_facet S. V. Shramko
V. N. Zorina
N. A. Zorin
I. A. Botvinyeva
S. V. Arkhipova
V. V. Likhacheva
author_sort S. V. Shramko
title INTERRELATION OF STEROID RECEPTOR GENE EXPRESSION IN UTERINE TISSUES AND SERUM CONCENTRATIONS OF IMMUNOREGULATORY PROTEINS, CYTOKINES, SEX STEROIDS IN PROLIFERATIVE DISEASES
title_short INTERRELATION OF STEROID RECEPTOR GENE EXPRESSION IN UTERINE TISSUES AND SERUM CONCENTRATIONS OF IMMUNOREGULATORY PROTEINS, CYTOKINES, SEX STEROIDS IN PROLIFERATIVE DISEASES
title_full INTERRELATION OF STEROID RECEPTOR GENE EXPRESSION IN UTERINE TISSUES AND SERUM CONCENTRATIONS OF IMMUNOREGULATORY PROTEINS, CYTOKINES, SEX STEROIDS IN PROLIFERATIVE DISEASES
title_fullStr INTERRELATION OF STEROID RECEPTOR GENE EXPRESSION IN UTERINE TISSUES AND SERUM CONCENTRATIONS OF IMMUNOREGULATORY PROTEINS, CYTOKINES, SEX STEROIDS IN PROLIFERATIVE DISEASES
title_full_unstemmed INTERRELATION OF STEROID RECEPTOR GENE EXPRESSION IN UTERINE TISSUES AND SERUM CONCENTRATIONS OF IMMUNOREGULATORY PROTEINS, CYTOKINES, SEX STEROIDS IN PROLIFERATIVE DISEASES
title_sort interrelation of steroid receptor gene expression in uterine tissues and serum concentrations of immunoregulatory proteins, cytokines, sex steroids in proliferative diseases
publisher SPb RAACI
publishDate 2018
url https://doaj.org/article/7cf550c982aa40b1834681bd949d42cf
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AT vnzorina interrelationofsteroidreceptorgeneexpressioninuterinetissuesandserumconcentrationsofimmunoregulatoryproteinscytokinessexsteroidsinproliferativediseases
AT nazorin interrelationofsteroidreceptorgeneexpressioninuterinetissuesandserumconcentrationsofimmunoregulatoryproteinscytokinessexsteroidsinproliferativediseases
AT iabotvinyeva interrelationofsteroidreceptorgeneexpressioninuterinetissuesandserumconcentrationsofimmunoregulatoryproteinscytokinessexsteroidsinproliferativediseases
AT svarkhipova interrelationofsteroidreceptorgeneexpressioninuterinetissuesandserumconcentrationsofimmunoregulatoryproteinscytokinessexsteroidsinproliferativediseases
AT vvlikhacheva interrelationofsteroidreceptorgeneexpressioninuterinetissuesandserumconcentrationsofimmunoregulatoryproteinscytokinessexsteroidsinproliferativediseases
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