KORELASI EKSPRESI IMMUNOSITOKIMIA VASCULAR ENDOTHELIAL GROWTH FACTOR A (VEGF A) DENGAN PROTEIN GENE PRODUCT 9,5 (PGP 9,5) DARAH HAID PADA PATOFISIOLOGI ENDOMETRIOSIS

In: Andalas Obstetrics And Gynecology Journal · 2019 · vol. 1(1) , pp. 38–46 · doi:10.25077/aoj.1.1.38-46.2017 · W3083793453
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This study found significant differences in VEGF-A and PGP 9.5 expression in eutopic menstrual blood endometrium between endometriosis and non-endometriosis groups, with a positive correlation between VEGF-A and PGP 9.5 in endometriosis patients.

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The study analyzed differences in immunocytochemical expression of the angiogenic factor VEGF-A and the neurogenesis-associated marker PGP 9.5 in eutopic endometrium obtained from menstrual blood, comparing women with endometriosis versus non-endometriosis. In a cross-sectional design, it assessed whether VEGF-A and PGP 9.5 expression differed between groups and whether the two markers correlated in endometriosis patients. VEGF-A expression in eutopic endometrium from menstrual blood differed significantly between groups (p=0.002), and there were significant differences for both VEGF-A and PGP 9.5 expression; additionally, VEGF-A showed a positive correlation with PGP 9.5 expression in women with endometriosis. As a cross-sectional study, it does not establish causal direction of the observed associations. This paper is centrally about endometriosis — it specifically examines VEGF-A and PGP 9.5 expression in menstrual-blood-derived eutopic endometrium and their correlation in endometriosis.

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Abstract

Terdapat perubahan fenotip molekuler endometrium eutopik pada endometriosis berupa perubahan ekspresi gen, respon terhadap hormone steroid, peningkatan marker inflamasi dan molekul adesi seluler, penurunan indeks apoptosis dan kapasitas desidualisasi, peningkatan marker stress oksidatif, peningkatan aktifitas angiogenesis dan neurogenesis. Penelitian dilakukan untuk menganalisis perbedaan ekspresi faktor angiogenesis (VEGF-A) dan faktor neurogenesis (PGP 9,5) endometrium eutopik darah haid antara penderita endometriosis dengan non endometriosis serta korelasi kedua faktor tersebut. Penelitian ini merupakan penelitian potong silang yang menelaah hubungan antara kejadian endometriosis dengan faktor resiko berupa ekspresi VEGF dan PGP 9,5 didalam darah haid. Terdapat perbedaaan yang bermakna ekspresi immunositokimia VEGF A endometrium eutopik darah haid antara kelompok endometriosis dan non endometeriosis (p=0,002). Terdapat perbedaan yang signifikan ekspresi VEGF A dan PGP 9,5 endometrium eutopik darah haid antara kelompok endometriosis dan non endometriosis. Terdapat korelasi positif antara ekspresi VEGF A dengan PGP 9,5 endometrium eutopik darah haid penderita endometriosis.Kata kunci : endometrium eutopik, darah haid, ekspresi VEGF A, ekspresi PGP 9,5, immunositokimia
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Correlation Expression Immunocytochemistry Vascular Endothelial Growth Factor A (VEGF A) With Protein Gene Product 9.5 (PGP 9.5) of Menstrual Blood On Pathophysiology Endometriosis DOI: https://doi.org/10.25077/aoj.1.1.38-46.2017Abstract There are changes of eutopic endometrium molecular fenotipe in endometriosis such as changes in gene expression, steroid hormone response, increase of inflammation marker and cellular adhesion molecule, decrease of apoptotic index and decidualization capacity, increase of oxidative stress marker, increase activity of angiogenesis and neurogenesis. This study was conducted to analyze the differences in the expression of angiogenic factors (VEGF A) and neurogenesis factors (PGP 9.5) eutopic endometrium of menstrual bleeding among patients with endometriosis and non endometriosis and then the correlation of the two factors. This study is a cross sectional that examines the relationship between the incidence of endometriosis with risk factors such as VEGF expression and PGP 9.5 in menstrual blood. There were significant differences in the expression of VEGF A eutopic endometrium menstrual blood between endometriosis and non endometriosis group (p=0.002). There are significant differences expression of VEGF A and PGP 9.5 eutopic endometrial of menstrual blood between endometriosis and non endometriosis groups. There is a positive correlation between the expression of VEGF A with PGP 9.5 eutopic endometrial of menstrual blood on endometriosis patients. Keywords: eutopic endometrium, menstrual blood, VEGF A expression, PGP 9.5 expression, immunocytochemistryReferences Brosen I, Brosen J, Benagiano G. The Eutopic Endometrium In Endometriosis:Are The Changes Of Clinical Significance?Hum Reprod. 2010;8:875-83. Andrade B, Campos P, et al. Identification Of Local Angiogenic And InflammatoryMarkers In The Menstrual Blood Of Women With Endometriosis. Biomedicine & Pharmacotherap.2014;68:899– 904. Hey-Cunningham AJ, Peters KM, Zevallos HB-V, Berbic M, Markham R. Angiogenesis, Lymphangiogenesis and Neurogenesis in Endometriosis. Frontier In Bioscience. 2013; E5:1033-56 Nogueira P, Oliveira D, Petta C, Podgaec S, Ja D, Abrao M. Vascular Endothelial Growth Factor Concentrations In The Serum And Peritoneal Fluid Of Women With Endometriosis. International Journal Of Gynecology And Obstetrics 2007;99:33-7. Donnez J, Smoes P, Gillerot Sp, Casanas- Roux F, Nisolle Vascular Endothelial Growth Factor (Vegf) In Endometriosis. Human Reproduction Update. 1998; 13: 1686–90 Artini PG, Ruggiero M, Papini F, Simi G, Cela V, Genazzani A.R. Endometriosis And Angiogenic Factors. Italy: Department Of Gynecology And Obstetrics University Of Pisa, Pisa,Italy, 2010. Caroline E, Gargett, Rogers PAW. Human Endometrial Angiogenesis. Reproduction. 2001;121:181-6. Healy D, Rogers P, Hii L, Wingfield M. Angiogenesis : New Theory For Endometriosis. Human Reproduction Update. 1998; 4(5): 736-40. Tokushige N, Markam R, Russel P, Fraser I. High Density of Small Nerv Fibers in The Functional Layer of Endometrium in Women with Endometriosis. Hum Reprod. 2006; 21 (3): 782-7. Al-Jefout M, Dezamaulda G, Cooper M, Tokushige N, Luscombe G, Markham R, et al. Diagnosis of Endometriosis by Detection Of Nerve Fibres In An Endometrial Biopsy: A Double Blind Study. Hum Reprod 2006;24(12):3019-2 Bokor A, Kyama C, Vercruysee L, et al. Density Of Small Diameter Sensory Nerve Fiber In Endometrium : A Semi Invasive Diagnostic Test For Minimal To Mild Endometriosis. Human Reproduction. 2009;24:3025-32. Zhang X, Lu B, Huang X, Xu H, Zhou C, Lin J. Endometrial Nerve Fibers In Women With Endometriosis, Adenomyosis, And Uterine Fibroids. Fertil Steril. 2009;92(5):1799-801. Mechsner S, Kaiser A, Kopf A, Gericke C, Ebert A, Bartley J. A Pilot Study To Evaluate The Clinical Relevance Of Endometriosis-Associated Nerve fibers In Peritoneal Endometriotic Lesions. Fertility And Sterility. 2009;92:1856-61. Arellano Ml, Arnold J, Vercellino F, Chiantera V, Schneider A, Mechsner S.Overexpression Of Nerve Growth Factor In Peritoneal fluid From Women With Endometriosis May Promote Neurite Outgrowth In Endometriotic Lesions. Fertility And Sterility. 2011;95:1123-6. Yao H, Huang X, Lu B, Zhou C, Zhang J, Zhang X. Protein Gene Product 9.5-Immunoactive Nerve Fibers And Its Clinical Significance In Endometriotic Peritoneal Lesions. Fertility And Sterility. 2010;4:256-9 Novella-Maestre E, Herraiz S, Vila-Vives JM, Carda C, Ruiz-Sauri A,Pellicer A. Effect Of Antiangiogenic Treatment On Peritoneal Endometriosis-Associated Nerve Fibers. Fertility And Sterility. 2012;98(5):1209-17. Garcia M, Alcazar J, Toledo G. Vascular Endothelial Growth Factor (Vegf) And Ovarian Endometriosis: Correlation Between Vegf Serum Levels, Vegf Cellular Expression, And Pelvic Pain. Fertil Steril. 2007;88:513-5. Djokovic D, Calhaz C. Angiogenesis As A Therapeutic Target In Endometriosis. Acta Med Por. 2014;4:489-97. R-Qiong Z, Zhi-Hong Q, et al. Vascular Endothelial Growth Factor Expression Up-Regulated By Endometrial Ischemia In Secretory Phase Plays An Important Role In Endometriosis. Fertil Steril. 2011;95:2687– 9. Ilie1 R, Ilie2 I. The Implication Of Angiogenesis in Endometriosis. Biotechnology, Molecular Biology And Nanomedicine 2014;2 Tulandi T, Felemban A, Chen M. Nerve Fibers And Histopathology Of Endometriosis-Harboring Peritoneum. J Am Assoc Gynecol Laparosc. 2001;8(1):95-8. Tamburro S, Canis M, Albuisson E, Dechelotte P, Darcha C, Mage G. Expression Of Transforming Growth Factor Beta1 In Nerve Fibers Is Related To Dysmenorrhea And Laparoscopic Appearance Of Endometriotic Implants. Fertil Steril. 2003;80(5):1131-6. Nicoa B, Mangieria D, Benagianoa V, Crivellatob E, Ribattia D. Nerve Growth Factor As An Angiogenic Factor. Microvascular Research. 2008;75:135-41. Nerve Growth Factor Control Of Neuronal Expression Of Angiogenetic And Vasoactive Factors [Internet]. Proceedings Of The National Academy Of Sciences www.Pnas. Org. 2010. Emanueli C, Schratzberger P, Kirchmair R, Madedd P. Paracrine Control Of Vascularization And Neurogenesis By Neurotrophin. British Journal Of Pharmacology. 2003;140:614-9 Vascular Endothelial Growth Factor (Vegf) Stimulates Neurogenesis In Vitro And In Vivo [Internet]. Proceedings Of The National Academy Of Sciences www.Pnas. Org. 2002. Downloads Published How to Cite Issue Section License Copyright (c) 2017 JOURNAL OBGIN EMAS This work is licensed under a Creative Commons Attribution 4.0 International License.

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