Analysis of the clonality of ectopic glands in peritoneal endometriosis using laser microdissection

To investigate the clonality of ectopic gland cells in peritoneal endometriosis. Prospective study. University hospital. Seventeen women with surgically diagnosed endometriosis. Samples of peritoneal endometriotic lesions were obtained from patients during laparoscopic surgery. Clonality analysis us...

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Veröffentlicht in:Fertility and sterility 2003-11, Vol.80 (5), p.1144-1150
Hauptverfasser: Nabeshima, Hiroshi, Murakami, Takashi, Yoshinaga, Kosuke, Sato, Kazuyo, Terada, Yukihiro, Okamura, Kunihiro
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container_end_page 1150
container_issue 5
container_start_page 1144
container_title Fertility and sterility
container_volume 80
creator Nabeshima, Hiroshi
Murakami, Takashi
Yoshinaga, Kosuke
Sato, Kazuyo
Terada, Yukihiro
Okamura, Kunihiro
description To investigate the clonality of ectopic gland cells in peritoneal endometriosis. Prospective study. University hospital. Seventeen women with surgically diagnosed endometriosis. Samples of peritoneal endometriotic lesions were obtained from patients during laparoscopic surgery. Clonality analysis used the laser microdissection technique, a phosphoglycerate kinase (PGK) gene polymorphism assay, and an androgen receptor (AR) gene polymorphism assay after digestion of the DNA with methylation-sensitive endonuclease. Each ectopic gland of the peritoneal endometriotic lesion showed a monoclonal pattern in both the PGK gene and AR gene assays, but the methylation pattern of the PGK gene and/or AR gene was divergent among adjacent glands in the lesion. These data indicate that the peritoneal endometriotic lesions are multicellular in origin, although individual glands of the lesion are derived from single precursor cells. The colored peritoneal endometriotic lesion in the present study was multicellular in origin. Peritoneal endometriotic lesions may thus be initiated by transplantation of a cluster of eutopic endometrial tissues into the pelvis.
doi_str_mv 10.1016/S0015-0282(03)01181-6
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Prospective study. University hospital. Seventeen women with surgically diagnosed endometriosis. Samples of peritoneal endometriotic lesions were obtained from patients during laparoscopic surgery. Clonality analysis used the laser microdissection technique, a phosphoglycerate kinase (PGK) gene polymorphism assay, and an androgen receptor (AR) gene polymorphism assay after digestion of the DNA with methylation-sensitive endonuclease. Each ectopic gland of the peritoneal endometriotic lesion showed a monoclonal pattern in both the PGK gene and AR gene assays, but the methylation pattern of the PGK gene and/or AR gene was divergent among adjacent glands in the lesion. These data indicate that the peritoneal endometriotic lesions are multicellular in origin, although individual glands of the lesion are derived from single precursor cells. The colored peritoneal endometriotic lesion in the present study was multicellular in origin. 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Prospective study. University hospital. Seventeen women with surgically diagnosed endometriosis. Samples of peritoneal endometriotic lesions were obtained from patients during laparoscopic surgery. Clonality analysis used the laser microdissection technique, a phosphoglycerate kinase (PGK) gene polymorphism assay, and an androgen receptor (AR) gene polymorphism assay after digestion of the DNA with methylation-sensitive endonuclease. Each ectopic gland of the peritoneal endometriotic lesion showed a monoclonal pattern in both the PGK gene and AR gene assays, but the methylation pattern of the PGK gene and/or AR gene was divergent among adjacent glands in the lesion. These data indicate that the peritoneal endometriotic lesions are multicellular in origin, although individual glands of the lesion are derived from single precursor cells. The colored peritoneal endometriotic lesion in the present study was multicellular in origin. Peritoneal endometriotic lesions may thus be initiated by transplantation of a cluster of eutopic endometrial tissues into the pelvis.</description><subject>androgen receptor gene polymorphism</subject><subject>Biological and medical sciences</subject><subject>clonality</subject><subject>Clone Cells - pathology</subject><subject>DNA Methylation</subject><subject>Endometriosis</subject><subject>Endometriosis - pathology</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. 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source Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects androgen receptor gene polymorphism
Biological and medical sciences
clonality
Clone Cells - pathology
DNA Methylation
Endometriosis
Endometriosis - pathology
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Heterozygote
Homozygote
Humans
Hysteroscopy
Laser Therapy
Medical sciences
Microdissection
Non tumoral diseases
Peritoneal Diseases - pathology
Phosphoglycerate Kinase - genetics
phosphoglycerate kinase gene polymorphism
Polymorphism, Genetic
Prospective Studies
title Analysis of the clonality of ectopic glands in peritoneal endometriosis using laser microdissection
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