Biological Implications of Survivin Gene Expression in the Development of Endometriosis and Endometrial Carcinoma

In: Cell and Molecular Biology of Endometrial Carcinoma · 2003 · pp. 252–263 · doi:10.1007/978-4-431-53981-0_18 · W2232508004
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Survivin and MMP gene expression were elevated in aggressive endometriosis and endometrial carcinomas, correlating with invasion and survival.

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The study measured mRNA expression of survivin, MMP-2, MMP-9, and MT1-MMP in 63 pigmented or non-pigmented endometriotic tissues, 26 endometrial carcinoma tissues, and 12 normal eutopic endometrial tissues. Survivin and MMP gene expression were significantly higher in clinically aggressive pigmented endometriotic lesions than in normal eutopic endometrium, with higher survivin in pigmented versus non-pigmented lesions, and survivin expression correlated with MMPs across endometriotic samples. Apoptotic cells were rare in 11 ovarian endometriotic tissues that showed positive immunohistochemical staining for survivin and MMPs, and in endometrial carcinoma, survivin and MMP expression were higher than in normal endometrium and correlated with depth of myometrial invasion. The paper does not explicitly discuss a specific limitation, but it relies on tissue expression correlations rather than direct mechanistic testing. This paper is centrally about endometriosis — it examines how survivin and MMP expression patterns in endometriotic lesions relate to survival and invasion.

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Summary A total of 63 pigmented or non-pigmented endometriotic, 26 endometrial carcinoma, and 12 normal eutopic endometrial tissues were examined for mRNA expression of survivin, matrix metalloproteinase (MMP)−2, MMP−9, and membranetype 1 (MT1)−MMP. The expression levels of the survivin and MMPs genes in clinically aggressive pigmented lesions were significantly higher than those in normal eutopic endometrium, and survivin gene expression in pigmented lesions was also higher than that in non-pigmented lesions (P < 0.05). There was a close correlation between the expression levels of the survivin and MMPs genes in 63 endometriotic tissues examined (P < 0.01). Apoptotic cells detected by dUTP nick-end labeling were rare in 11 ovarian endometriotic tissues, which showed positive immunohistochemical expression for survivin and MMPs. Expression levels of the survivin and MMPs genes in endometrial carcinomas were higher than those in normal eutopic endometrium and were well correlated with the depth of myometrial invasion (P < 0.05). There was a close correlation between the expression levels of the survivin and MMPs genes in 26 endometrial carcinoma tissues examined (P < 0.01). These findings suggest that upregulation of survivin and MMPs may contribute cooperatively to survival and invasion of endometriosis and endometrial carcinomas. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others References Strathy JH, Molgaard CA, Coulman CB (1982) Endometriosis and infertility: A laparoscopic study of endometriosis among fertile and infertile women. Fertil Steril 38:667–672 Thomas EJ, Prentice A (1992) The aetiology and pathogenesis of endometriosis. Reprod Med Rev 1:21–36 Gebel HM, Braun DP, Tambur A et al. (1998) Spontaneous apoptosis of endometrial tissue is impaired in women with endometriosis. Fertil Steril 69:1042–1047 Imai A, Takagi A, Tamaya T (2000) Gonadotropin-releasing hormone analog repairs reduced endometrial cell apoptosis in endometriosis in vitro. Am J Obstet Gynecol 182:1142–1146 Spuijbroek MDEH, Dunselmann GAJ, Menheere PPCA et al. (1992) Early endometriosis invades the extracellular matrix. Fertil Steril 58:929–933 Gaetje R, Kotzian S, Herrmann G et al. (1995) Invasiveness of endometriotic cells in vitro. Lancet 346:1463–1464 Fujimoto J, Sakaguchi H, Hirose R et al. (1998) Significance of sex steroids in roles of cadherin subfamily and its related proteins in the uterine endometrium and placenta. Horm Res 50:30–36 Giudice LC, Tazuke SI, Swiersz L (1998) Status of current research on endometriosis. J Reprod Med 43:252–262 Suganuma N, Harada M, Furuhashi M et al. (1997) Apoptosis in human endometrial and endometriotic tissues. Horm Res 48:42–47 Matsumoto Y, Iwasaka T, Yamasaki F et al. (1999) Apoptosis and Ki-67 expression in adenomyotic lesions and in the corresponding eutopic endometrium. Obstet Gynecol 94:71–77 Devereaux QL, Takahashi R, Salvesen GS et al. (1997) X-linked IAP is a direct inhibitor of cell-death proteases. Nature 388:300–304 Ambrosini G, Adida C, Altieri DC (1997) A novel anti-apoptosis gene, survivin, expressed in cancer and lymphoma. Nat Med 3:917–921 Takai N, Miyazaki T, Nishida M et al. (2002) Survivin expression correlates with clinical stage, histological grade, invasive behavior and survival rate in endometrial carcinoma. Cancer Lett 184:105–116 Lehner R, Enomoto T, Mcgregor JA et al. (2002) Correlation of survivin mRNA detection with histologic diagnosis in normal endometrium and endometrial carcinoma. Acta Obstet Gynecol Scand 81:162–167 Ueda M, Terai Y, Yamashita Y et al. (2002) Correlation between vascular endothelial growth factor-C expression and invasion phenotype in cervical carcinomas. Int J Cancer 98:335–343 Ueda M, Yamashita Y, Takehara M et al. (2002) Survivin gene expression in endometriosis. J Clin Endocrinol Metab 87:3452–3459 Ueda M, Kumagai K, Ueki K et al. (1997) Growth inhibition and apoptotic cell death in uterine cervical carcinoma cells induced by 5-fluorouracil. Int J Cancer 71:668–674 Ueda M, Ueki K, Kumagai K et al. (1998) Apoptosis and tumor angiogenesis in cervical cancer after preoperative chemotherapy. Cancer Res 58:2343–2346 Konno R, Yamakawa H, Utsunomiya H et al. (2000) Expression of survivin and Bcl-2 in the normal human endometrium. Mol Hum Reprod 6:529–534 Jansen RPS, Russell P (1986) Nonpigmented endometriosis: Clinical, laparoscopic, and pathologic definition. Am J Obstet Gynecol 155:1154–1159 Ueki M, Saeki M, Tsurunaga T et al. (1995) Visual findings and histologic diagnosis of pelvic endometriosis under laparoscopy and laparotomy. Int J Fertil 40:248–253 Jones RK, Searle RF, Bulmer N (1998) Apoptosis and bcl-2 expression in normal human endometrium, endometriosis and adenomyosis. Hum Reprod 13:3496–3502 Mori M, Mimori K, Shiraishi T et al. (1997) Analysis of MT1-MMP and MMP2 expression in human gastric cancers. Int J Cancer 74:316–321 Ellenrieder V, Alber B, Lacher U et al. (2000) Role of MT-MMPs and MMP-2 in pancreatic cancer progression. Int J Cancer 85:14–20 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2003 Springer Japan About this chapter Cite this chapter Ueda, M. et al. (2003). Biological Implications of Survivin Gene Expression in the Development of Endometriosis and Endometrial Carcinoma. In: Kuramoto, H., Nishida, M. (eds) Cell and Molecular Biology of Endometrial Carcinoma. Springer, Tokyo. https://doi.org/10.1007/978-4-431-53981-0_18 Download citation DOI: https://doi.org/10.1007/978-4-431-53981-0_18 Publisher Name: Springer, Tokyo Print ISBN: 978-4-431-67977-6 Online ISBN: 978-4-431-53981-0 eBook Packages: Springer Book Archive

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