Effect of oral contraceptives on vascular endothelial growth factor, Cox-2 and aromatase expression in the endometrium of uteri affected by myomas and associated pathologies

Abstract Background The study was conducted to evaluate vascular endothelial growth factor (VEGF), Cox-2 and aromatase expression in the endometrium of uteri with myomas and other associated pathologies. Study Design Hysteroscopy was performed in 118 women of reproductive age with myomas and menorrh...

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Veröffentlicht in:Contraception (Stoneham) 2008-12, Vol.78 (6), p.479-485
Hauptverfasser: Maia, Hugo, Casoy, Julio, Pimentel, Kleber, Correia, Tania, Athayde, Célia, Cruz, Thomaz, Coutinho, Elsimar Metzker
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container_end_page 485
container_issue 6
container_start_page 479
container_title Contraception (Stoneham)
container_volume 78
creator Maia, Hugo
Casoy, Julio
Pimentel, Kleber
Correia, Tania
Athayde, Célia
Cruz, Thomaz
Coutinho, Elsimar Metzker
description Abstract Background The study was conducted to evaluate vascular endothelial growth factor (VEGF), Cox-2 and aromatase expression in the endometrium of uteri with myomas and other associated pathologies. Study Design Hysteroscopy was performed in 118 women of reproductive age with myomas and menorrhagia, 40 of whom were using a pill containing 75 mcg gestodene+30 mcg ethinylestradiol. Aromatase p450, VEGF and Cox-2 expression was detected using immunohistochemistry. Fisher's Exact Test and the Mann–Whitney test were used in the statistical analysis, with significance established at p
doi_str_mv 10.1016/j.contraception.2008.07.002
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Study Design Hysteroscopy was performed in 118 women of reproductive age with myomas and menorrhagia, 40 of whom were using a pill containing 75 mcg gestodene+30 mcg ethinylestradiol. Aromatase p450, VEGF and Cox-2 expression was detected using immunohistochemistry. Fisher's Exact Test and the Mann–Whitney test were used in the statistical analysis, with significance established at p&lt;.05. Results In patients with myomas and menorrhagia, associated pathologies such as adenomyosis, endometrial polyps and endometriosis were found in 32%, 12% and 17% of cases, respectively. Aromatase, Cox-2 and VEGF expression was greater during the proliferative phase compared to the luteal phase of the cycle or following oral contraceptive use. Conclusion Endogenous progesterone or combined oral contraceptives are potent inhibitors of VEGF, aromatase and Cox-2 expression in the endometrium of patients with myomas and menorrhagia.</description><identifier>ISSN: 0010-7824</identifier><identifier>EISSN: 1879-0518</identifier><identifier>DOI: 10.1016/j.contraception.2008.07.002</identifier><identifier>PMID: 19014794</identifier><identifier>CODEN: CCPTAY</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aromatase ; Aromatase - metabolism ; Biological and medical sciences ; Birth control ; Contraceptives, Oral - pharmacology ; Cox-2 ; Cyclooxygenase 2 - metabolism ; Endometrium - enzymology ; Endometrium - metabolism ; Endometrium - pathology ; Female ; Genital system. Reproduction ; Gestodene ; Gynecology. Andrology. Obstetrics ; Hormonal contraception ; Humans ; Hysterectomy ; Immunohistochemistry ; Luteal Phase ; Medical sciences ; Menorrhagia ; Menorrhagia - complications ; Menorrhagia - enzymology ; Menorrhagia - pathology ; Myoma ; Obstetrics and Gynecology ; Pharmacology. Drug treatments ; Progesterone - pharmacology ; Uterine Neoplasms - complications ; Uterine Neoplasms - enzymology ; Uterine Neoplasms - pathology ; Vascular Endothelial Growth Factor A - metabolism ; VEGF</subject><ispartof>Contraception (Stoneham), 2008-12, Vol.78 (6), p.479-485</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-bf33ede0af135ab3e96eb251b20b0d37188d07f66a6495584fab433ffbf120a53</citedby><cites>FETCH-LOGICAL-c491t-bf33ede0af135ab3e96eb251b20b0d37188d07f66a6495584fab433ffbf120a53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.contraception.2008.07.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20938872$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19014794$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maia, Hugo</creatorcontrib><creatorcontrib>Casoy, Julio</creatorcontrib><creatorcontrib>Pimentel, Kleber</creatorcontrib><creatorcontrib>Correia, Tania</creatorcontrib><creatorcontrib>Athayde, Célia</creatorcontrib><creatorcontrib>Cruz, Thomaz</creatorcontrib><creatorcontrib>Coutinho, Elsimar Metzker</creatorcontrib><title>Effect of oral contraceptives on vascular endothelial growth factor, Cox-2 and aromatase expression in the endometrium of uteri affected by myomas and associated pathologies</title><title>Contraception (Stoneham)</title><addtitle>Contraception</addtitle><description>Abstract Background The study was conducted to evaluate vascular endothelial growth factor (VEGF), Cox-2 and aromatase expression in the endometrium of uteri with myomas and other associated pathologies. Study Design Hysteroscopy was performed in 118 women of reproductive age with myomas and menorrhagia, 40 of whom were using a pill containing 75 mcg gestodene+30 mcg ethinylestradiol. Aromatase p450, VEGF and Cox-2 expression was detected using immunohistochemistry. Fisher's Exact Test and the Mann–Whitney test were used in the statistical analysis, with significance established at p&lt;.05. Results In patients with myomas and menorrhagia, associated pathologies such as adenomyosis, endometrial polyps and endometriosis were found in 32%, 12% and 17% of cases, respectively. Aromatase, Cox-2 and VEGF expression was greater during the proliferative phase compared to the luteal phase of the cycle or following oral contraceptive use. Conclusion Endogenous progesterone or combined oral contraceptives are potent inhibitors of VEGF, aromatase and Cox-2 expression in the endometrium of patients with myomas and menorrhagia.</description><subject>Adult</subject><subject>Aromatase</subject><subject>Aromatase - metabolism</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Contraceptives, Oral - pharmacology</subject><subject>Cox-2</subject><subject>Cyclooxygenase 2 - metabolism</subject><subject>Endometrium - enzymology</subject><subject>Endometrium - metabolism</subject><subject>Endometrium - pathology</subject><subject>Female</subject><subject>Genital system. Reproduction</subject><subject>Gestodene</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hormonal contraception</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Immunohistochemistry</subject><subject>Luteal Phase</subject><subject>Medical sciences</subject><subject>Menorrhagia</subject><subject>Menorrhagia - complications</subject><subject>Menorrhagia - enzymology</subject><subject>Menorrhagia - pathology</subject><subject>Myoma</subject><subject>Obstetrics and Gynecology</subject><subject>Pharmacology. Drug treatments</subject><subject>Progesterone - pharmacology</subject><subject>Uterine Neoplasms - complications</subject><subject>Uterine Neoplasms - enzymology</subject><subject>Uterine Neoplasms - pathology</subject><subject>Vascular Endothelial Growth Factor A - metabolism</subject><subject>VEGF</subject><issn>0010-7824</issn><issn>1879-0518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkkuP0zAUhSMEYsrAX0CWEKxIuc7LtpBGQlV5SCOxANaW41xPXZI42E6Z_ij-I8604rVi5YW_c-7VOTfLnlFYU6DNq_1auzF6pXGK1o3rAoCvga0BinvZinImcqgpv5-tACjkjBfVRfYohD0AMFGzh9kFFUArJqpV9mNrDOpInCHOq578YX3AQNxIDirouVee4Ni5uMPeJuzGu-9xR4zS0fmXZONu84KosSPKu0FFFZDg7eQxhLQhsSNJwjuDAaO387DMmyN6S9TdfOxIeyTDMYnDyScEp61aPiYVd653NxbD4-yBUX3AJ-f3Mvvydvt58z6__vjuw-bNda4rQWPemrLEDkEZWtaqLVE02BY1bQtooSsZ5bwDZppGNZWoa14Z1VZlaUxraAGqLi-zFyffybtvM4YoBxs09r0a0c1BNoIJUQMk8PUJ1N6F4NHIydtB-aOkIJe25F7-1ZZc2pLAZGorqZ-ex8ztgN1v7bmeBDw_A6kE1RuvRm3DL64AUXLOFqPticMUysGil0FbHDV21qd0Zefsfy509Y-P7u1o0-iveMSwd7MfU-6SylBIkJ-WA1vuC3jKoql4-ROvotS3</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Maia, Hugo</creator><creator>Casoy, Julio</creator><creator>Pimentel, Kleber</creator><creator>Correia, Tania</creator><creator>Athayde, Célia</creator><creator>Cruz, Thomaz</creator><creator>Coutinho, Elsimar Metzker</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20081201</creationdate><title>Effect of oral contraceptives on vascular endothelial growth factor, Cox-2 and aromatase expression in the endometrium of uteri affected by myomas and associated pathologies</title><author>Maia, Hugo ; Casoy, Julio ; Pimentel, Kleber ; Correia, Tania ; Athayde, Célia ; Cruz, Thomaz ; Coutinho, Elsimar Metzker</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-bf33ede0af135ab3e96eb251b20b0d37188d07f66a6495584fab433ffbf120a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aromatase</topic><topic>Aromatase - metabolism</topic><topic>Biological and medical sciences</topic><topic>Birth control</topic><topic>Contraceptives, Oral - pharmacology</topic><topic>Cox-2</topic><topic>Cyclooxygenase 2 - metabolism</topic><topic>Endometrium - enzymology</topic><topic>Endometrium - metabolism</topic><topic>Endometrium - pathology</topic><topic>Female</topic><topic>Genital system. Reproduction</topic><topic>Gestodene</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hormonal contraception</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Immunohistochemistry</topic><topic>Luteal Phase</topic><topic>Medical sciences</topic><topic>Menorrhagia</topic><topic>Menorrhagia - complications</topic><topic>Menorrhagia - enzymology</topic><topic>Menorrhagia - pathology</topic><topic>Myoma</topic><topic>Obstetrics and Gynecology</topic><topic>Pharmacology. Drug treatments</topic><topic>Progesterone - pharmacology</topic><topic>Uterine Neoplasms - complications</topic><topic>Uterine Neoplasms - enzymology</topic><topic>Uterine Neoplasms - pathology</topic><topic>Vascular Endothelial Growth Factor A - metabolism</topic><topic>VEGF</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maia, Hugo</creatorcontrib><creatorcontrib>Casoy, Julio</creatorcontrib><creatorcontrib>Pimentel, Kleber</creatorcontrib><creatorcontrib>Correia, Tania</creatorcontrib><creatorcontrib>Athayde, Célia</creatorcontrib><creatorcontrib>Cruz, Thomaz</creatorcontrib><creatorcontrib>Coutinho, Elsimar Metzker</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Contraception (Stoneham)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maia, Hugo</au><au>Casoy, Julio</au><au>Pimentel, Kleber</au><au>Correia, Tania</au><au>Athayde, Célia</au><au>Cruz, Thomaz</au><au>Coutinho, Elsimar Metzker</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of oral contraceptives on vascular endothelial growth factor, Cox-2 and aromatase expression in the endometrium of uteri affected by myomas and associated pathologies</atitle><jtitle>Contraception (Stoneham)</jtitle><addtitle>Contraception</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>78</volume><issue>6</issue><spage>479</spage><epage>485</epage><pages>479-485</pages><issn>0010-7824</issn><eissn>1879-0518</eissn><coden>CCPTAY</coden><abstract>Abstract Background The study was conducted to evaluate vascular endothelial growth factor (VEGF), Cox-2 and aromatase expression in the endometrium of uteri with myomas and other associated pathologies. Study Design Hysteroscopy was performed in 118 women of reproductive age with myomas and menorrhagia, 40 of whom were using a pill containing 75 mcg gestodene+30 mcg ethinylestradiol. Aromatase p450, VEGF and Cox-2 expression was detected using immunohistochemistry. Fisher's Exact Test and the Mann–Whitney test were used in the statistical analysis, with significance established at p&lt;.05. Results In patients with myomas and menorrhagia, associated pathologies such as adenomyosis, endometrial polyps and endometriosis were found in 32%, 12% and 17% of cases, respectively. Aromatase, Cox-2 and VEGF expression was greater during the proliferative phase compared to the luteal phase of the cycle or following oral contraceptive use. Conclusion Endogenous progesterone or combined oral contraceptives are potent inhibitors of VEGF, aromatase and Cox-2 expression in the endometrium of patients with myomas and menorrhagia.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19014794</pmid><doi>10.1016/j.contraception.2008.07.002</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aromatase
Aromatase - metabolism
Biological and medical sciences
Birth control
Contraceptives, Oral - pharmacology
Cox-2
Cyclooxygenase 2 - metabolism
Endometrium - enzymology
Endometrium - metabolism
Endometrium - pathology
Female
Genital system. Reproduction
Gestodene
Gynecology. Andrology. Obstetrics
Hormonal contraception
Humans
Hysterectomy
Immunohistochemistry
Luteal Phase
Medical sciences
Menorrhagia
Menorrhagia - complications
Menorrhagia - enzymology
Menorrhagia - pathology
Myoma
Obstetrics and Gynecology
Pharmacology. Drug treatments
Progesterone - pharmacology
Uterine Neoplasms - complications
Uterine Neoplasms - enzymology
Uterine Neoplasms - pathology
Vascular Endothelial Growth Factor A - metabolism
VEGF
title Effect of oral contraceptives on vascular endothelial growth factor, Cox-2 and aromatase expression in the endometrium of uteri affected by myomas and associated pathologies
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