Effect of GnRH agonist therapy on the expression of human heat shock protein 70 in eutopic and ectopic endometria of women with endometriosis

2015 · W336435396
OA: green CC0
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This study investigated the role of heat shock protein 70 (HSP70) in endometriosis, finding its expression increased in eutopic and ectopic endometrial lesions, and decreased after GnRH agonist therapy.

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This study investigated the role of heat shock protein 70 (HSP70) in endometriosis by analyzing its expression alongside CD68 in eutopic and ectopic endometrial tissues. Researchers utilized immunohistochemical methods to assess tissue samples from women with endometriosis, specifically examining pelvic peritoneal and ovarian lesions as well as normal uterine lining. The results demonstrated significantly enhanced HSP70 and CD68 expression in the eutopic endometrium and red peritoneal lesions compared to controls. Furthermore, treatment with GnRH agonists led to a significant reduction in HSP70 levels within the endometrium, indicating that this stress-related protein contributes to disease progression. This paper is centrally about endometriosis — specifically the molecular mechanisms involving HSP70 and their modulation by GnRH agonist therapy.

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論文審査の結果の要旨 報告番号 博(医歯薬)甲第 735 号 氏名 今村 健仁 学位審査委員 主 査 大 園 惠 幸 副 査 松 山 俊 文 副 査 栁 原 克 紀 論文審査の結果の要旨 1 研究目的の評価 本研究は、子宮内膜症の病態におけるストレス関連蛋白(Heat shock protein70: HSP70)の役割を明らかにしようとしたもので、目的は十分 に妥当である。 2 研究手法に関する評価 正所性子宮内膜組織および異所性(骨盤腹膜および卵巣)子宮内膜症 病変組織における HSP70 および CD68 の発現動態を免役組織学的手法を 用い Q-H(quantitative histogram)スコアにて検討した。さらに GnRH アゴニスト(Gonadotropin-releasing hormone agonist)療法施行した群 におけるHSP70発現への影響を検討したもので、研究手法も妥当である。 3 解析・考察の評価 上記手法で解析した結果、子宮内膜症の正所性子宮内膜および骨盤腹 膜の赤色病変で有意にHSP70およびCD68の発現が増強していたが、 GnRH アゴニスト療法を施行した子宮内膜では有意に低下しており、HSP70 が 子宮内膜症増殖・進展に関与していることを明らかにしたもので、今後 の子宮内膜症研究への貢献が大いに期待される。 以上のように本論文は、子宮内膜症研究へ貢献するところが大であり審 査委員は全員一致で博士(医学)の学位に値するものと判断した。

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endometriosis

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