Immunohistochemical evaluation of cathepsin D in normal, hyperplastic and malignant endometrium: Correlation with hormone receptor status c-erbB-2, p53, Rb proteins and proliferation associated indices

The immunohistochemical expression of cathepsin D was performed in paraffin embedded tissue from 79 endometrial carcinomas, 35 cases of hyperplasia, and 32 normal endometrium using the streptavidin-biotin method to investigate the role of cathepsin D (CD) in these lesions and its possible relationsh...

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Veröffentlicht in:International journal of gynecological cancer 2003-05, Vol.13 (3), p.344-351
Hauptverfasser: IOACHIM, E., KITSIOU, E., CHARALABOPOULOS, K., MITSELOU, A., ZAGORIANAKOU, N., MAKRYDIMAS, G., TZIORAS, S., SALMAS, M.
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container_issue 3
container_start_page 344
container_title International journal of gynecological cancer
container_volume 13
creator IOACHIM, E.
KITSIOU, E.
CHARALABOPOULOS, K.
MITSELOU, A.
ZAGORIANAKOU, N.
MAKRYDIMAS, G.
TZIORAS, S.
SALMAS, M.
description The immunohistochemical expression of cathepsin D was performed in paraffin embedded tissue from 79 endometrial carcinomas, 35 cases of hyperplasia, and 32 normal endometrium using the streptavidin-biotin method to investigate the role of cathepsin D (CD) in these lesions and its possible relationship with other potential and established prognostic markers. The association between CD and the other markers was assessed by univariate analysis. Tumor cell CD expression was lower in the group of carcinomas compared to the normal proliferative (P = 0.022) and secretory endometrium (P = 0.0005). In addition, hyperplastic cell CD expression was lower compared with epithelial cell CD expression in the secretory phase of normal endometrium (P = 0.009). Malignant cell CD expression was inversely correlated with tumor stromal cells (P = 0.007). A positive relationship of stromal cell CD expression with pRb (P = 0.046) and PCNA score (P < 0.0001) was detected in the group of carcinomas. In the proliferative phase of normal endometrium, epithelial CD expression was positively correlated with estrogen status (P = 0.015). The data show that down-regulation of CD expression is an early event in endometrial carcinogenesis. In addition, stromal cell CD expression may be involved in cell growth process in endometrial carcinomas.
doi_str_mv 10.1136/ijgc-00009577-200305000-00014
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The association between CD and the other markers was assessed by univariate analysis. Tumor cell CD expression was lower in the group of carcinomas compared to the normal proliferative (P = 0.022) and secretory endometrium (P = 0.0005). In addition, hyperplastic cell CD expression was lower compared with epithelial cell CD expression in the secretory phase of normal endometrium (P = 0.009). Malignant cell CD expression was inversely correlated with tumor stromal cells (P = 0.007). A positive relationship of stromal cell CD expression with pRb (P = 0.046) and PCNA score (P &lt; 0.0001) was detected in the group of carcinomas. In the proliferative phase of normal endometrium, epithelial CD expression was positively correlated with estrogen status (P = 0.015). The data show that down-regulation of CD expression is an early event in endometrial carcinogenesis. 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subjects Adult
Cancer
Carcinoma, Endometrioid - immunology
Carcinoma, Endometrioid - pathology
Cathepsin D - biosynthesis
Cathepsin D - immunology
Cell Transformation, Neoplastic - immunology
Endometrial cancer
Endometrial Hyperplasia - immunology
Endometrial Hyperplasia - pathology
Endometrial Neoplasms - immunology
Endometrial Neoplasms - pathology
Endometrium
Female
Humans
Immunohistochemistry
Middle Aged
Neoplasm Proteins - immunology
Neoplasm Staging
Nuclear Proteins - immunology
Precancerous Conditions - immunology
Precancerous Conditions - pathology
Prognosis
Receptors, Steroid - immunology
title Immunohistochemical evaluation of cathepsin D in normal, hyperplastic and malignant endometrium: Correlation with hormone receptor status c-erbB-2, p53, Rb proteins and proliferation associated indices
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