Expression of matrix metalloproteinases in ovarian endometriomas: immunohistochemical study and enzyme immunoassay

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This study investigated the expression of matrix metalloproteinases in ovarian endometriomas using immunohistochemistry and enzyme immunoassay to reveal their presence and levels.

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Abstract

Like carcinoma, endometriosis has the unique characteristics, of invasion and metastasis, though pathologically, it is a benign tumor. However, the mechanism of destruction of the surrounding tissue in endometriosis is still unclear. In this study, the expression and localization of matrix metalloproteinases (MMP)-1, -2, -3, -7, -9 and tissue inhibitors of metalloproteinases-1 (TIMP-1) were evaluated by immunohistochemistry for 20 cases and the amounts of MMP-1, TIMP-1 and MMP-1/TIMP-1 complex in the fluid of endometrioma, were analyzed by ELISA and western blotting for 20 cases, which were analyzed by immunohistochemical study. MMP-1, -2 and -9 were detected strongly in both stromal and epithelial cells and MMP-7 in the epithelial cells in the menstrual period. MMP-3 was mainly expressed in macrophage containing hemosiderin but the change of expression was not clear. TIMP-1 was intensively detected in both stromal and epithelial cells in the menstrual period but the expression decreased in other stages of the menstrual cycle. ELISA for MMP-1 also showed results similar to immunohistochemistry, suggesting that it was released to the cyst in the menstrual period when it was released to the extracellular space from the cytoplasm. The expression of TIMP-1 was not clearly changed during the menstrual cycle. From these results, it was suggested that the destruction of the surrounding matrix by endometriosis might be caused by various MMPs, which are mainly produced in stromal cells.

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MeSH descriptors

Endometrial Neoplasms Matrix Metalloproteinases Ovarian Neoplasms Blotting, Western Endometrial Neoplasms Endometrial Neoplasms Endometrium Endometrium Enzyme-Linked Immunosorbent Assay Female Humans Immunohistochemistry Matrix Metalloproteinases Menstrual Cycle Menstrual Cycle Ovarian Neoplasms Ovarian Neoplasms

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