Changes in endometrial PTEN expression throughout the human menstrual cycle

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This study examined PTEN expression in human endometrium during the menstrual cycle and found that PTEN RNA and protein levels change dynamically in epithelial and stromal cells in response to estrogen and progesterone.

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Abstract

Frequent mutation of the PTEN tumor suppressor gene in endometrial adenocarcinoma has led to the prediction that its product, a phosphatase that regulates the cell cycle, apoptosis, and possibly cell adhesion, is functionally active within normal endometrial tissues. We examined PTEN expression in normal human endometrium during response to changing physiological levels of steroid hormones. PTEN ribonucleic acid levels, assessed by RT-PCR, increase severalfold in secretory compared to proliferative endometrium. This suggested that progesterone, a known antineoplastic factor for endometrial adenocarcinoma, increases PTEN levels. Immunohistochemistry with an anti-PTEN monoclonal antibody displayed a complex pattern of coordinate stromal and epithelial expression. Early in the menstrual cycle under the dominant influence of estrogens, the proliferative endometrium shows ubiquitous cytoplasmic and nuclear PTEN expression. After 3-4 days of progesterone exposure, glandular epithelium of early secretory endometrium maintains cytoplasmic PTEN protein in an apical distribution offset by expanding PTEN-free basal secretory vacuoles. By the midsecretory phase, epithelial PTEN is exhausted, but increases dramatically in the cytoplasm of stromal cells undergoing decidual change. We conclude that stromal and epithelial compartments contribute to the hormone-driven changes in endometrial PTEN expression and infer that abnormal hormonal conditions may, in turn, disrupt normal patterns of PTEN expression in this tissue.

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MeSH descriptors

Endometrium Gene Expression Regulation Genes, Tumor Suppressor Menstrual Cycle Phosphoric Monoester Hydrolases Tumor Suppressor Proteins Endometrium Endometrium Epithelial Cells Epithelial Cells Epithelial Cells Female Humans Immunohistochemistry Menstrual Cycle Phosphoric Monoester Hydrolases Phosphoric Monoester Hydrolases PTEN Phosphohydrolase Reverse Transcriptase Polymerase Chain Reaction Stromal Cells

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Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T20:59:30.381419+00:00
License: CC0 · commercial use OK