Targeted development of specific biomarkers of endometrial stromal cell differentiation using bioinformatics: the IFITM1 model

When classifying cellular uterine mesenchymal neoplasms, histological distinction of endometrial stromal from smooth muscle neoplasms can be difficult. The only widely established marker of endometrial stromal differentiation, CD10, has marginal specificity. We took a bioinformatics approach to iden...

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Veröffentlicht in:Modern pathology 2014-04, Vol.27 (4), p.569-579
Hauptverfasser: Parra-Herran, Carlos E, Yuan, Liping, Nucci, Marisa R, Quade, Bradley J
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creator Parra-Herran, Carlos E
Yuan, Liping
Nucci, Marisa R
Quade, Bradley J
description When classifying cellular uterine mesenchymal neoplasms, histological distinction of endometrial stromal from smooth muscle neoplasms can be difficult. The only widely established marker of endometrial stromal differentiation, CD10, has marginal specificity. We took a bioinformatics approach to identify more specific markers of endometrial stromal differentiation by searching the Human Protein Atlas, a public database of protein expression profiles. After screening the database using different methods, interferon-induced transmembrane protein 1 (IFITM1) was selected for further analysis. Immunohistochemistry for IFITM1 was performed using tissue sections from the selected cases of proliferative endometrium (22), secretory endometrium (6), inactive endometrium (19), adenomyosis (10), conventional leiomyoma (11), cellular leiomyoma (16), endometrial stromal nodule (2), low-grade endometrial stromal sarcoma (16), high-grade endometrial stromal sarcoma (2) and undifferentiated uterine sarcoma (2). Stained slides were scored in terms of intensity and distribution. Normal endometrial samples uniformly showed diffuse and strong IFITM1 staining. Endometrial stromal neoplasms, particularly low-grade endometrial stromal sarcoma, showed higher IFITM1 expression compared with smooth muscle neoplasms (P
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Normal endometrial samples uniformly showed diffuse and strong IFITM1 staining. Endometrial stromal neoplasms, particularly low-grade endometrial stromal sarcoma, showed higher IFITM1 expression compared with smooth muscle neoplasms (P&lt;0.0001). IFITM1 immunohistochemistry has high sensitivity and specificity, particularly in the distinction between low-grade endometrial stromal sarcoma and leiomyoma (81.2 and 86.7%, respectively). Our results indicate that IFITM1 is a sensitive and specific marker of endometrial stromal differentiation across the spectrum from proliferative endometrium to metastatic stromal sarcoma. IFITM1 is a potential valuable addition to immunohistochemical panels used in the diagnosis of cellular mesenchymal uterine tumors. Further studies with larger number of cases are necessary to corroborate this impression and determine the utility of IFITM1 in routine practice. 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subjects 631/114
631/136/142
692/308/1892
692/699/67/1517/1931
Antigens, Differentiation - analysis
Bioinformatics
Biomarkers
Biomarkers, Tumor - analysis
Cell Differentiation
Computational Biology
Databases, Protein
Endometrial Neoplasms - chemistry
Endometrial Neoplasms - pathology
endometrial stroma
endometrial stromal neoplasms
Endometrial Stromal Tumors - chemistry
Endometrial Stromal Tumors - pathology
Endometrium
Female
Fibroids
Humans
IFITM1
Immunohistochemistry
Interferon
Laboratory Medicine
Medicine
Medicine & Public Health
original-article
Pathology
Predictive Value of Tests
Prognosis
Protein expression
Proteins
Sarcoma
Smooth muscle
Stromal Cells - chemistry
Stromal Cells - pathology
Tumors
title Targeted development of specific biomarkers of endometrial stromal cell differentiation using bioinformatics: the IFITM1 model
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