TY - JOUR

T1 - Sustained replication in endometrium of women with endometriosis occurs without evoking a DNA damage response

AU - Hapangama, Dharani

AU - Turner, Mark

AU - Drury, J

AU - Quenby, S

AU - Hart, Anna

AU - Maddick, M

AU - Martin-Ruiz, C

AU - von Zglinicki, T

PY - 2009/3

Y1 - 2009/3

N2 - BACKGROUND To test our hypothesis that eutopic secretory phase endometrium from women with endometriosis is similar to proliferative phase endometrium from fertile women without endometriosis, we explored the expression of regulators of cell fate across the menstrual cycle.METHODS Endometrial biopsies were taken from 73 women, comprising 38 women with surgically diagnosed active peritoneal endometriosis (Group 1) and 35 fertile women without endometriosis (Group 2). Nucleolin, proliferating cell nuclear antigen (PCNA), telomerase and histone γ-H2AX expression was evaluated by immunohistochemistry and mean telomere length (TL) by quantitative PCR.RESULTS We have immunolocalized nucleolin and γ-H2AX in the benign premenopausal endometrium for the first time. All markers were present in the proliferative phase endometrium of all women. In Group 2, during the secretory phase, proliferative markers declined with a paradoxical increase in stromal γ-H2AX. Women in Group 1, however, showed a persistent immunoreactivity for the proliferative markers, while the staining for γ-H2AX decreased in secretory endometrium (P < 0.05). This difference between groups was significant in both stroma and glands for nucleolin (P < 0.0001), PCNA (P < 0.01) and γ-H2AX (P < 0.05) in the secretory phase. We showed a positive correlation between mean TL and nucleolin expression (glandular r = 0.37, P = 0.002; stromal r = 0.4, P = 0.001), telomerase immunoreactivity (glandular r = 0.33, P = 0.009; stromal r = 0.4, P = 0.001) and glandular PCNA (r = 0.35, P = 0.004), whereas a negative correlation was seen between mean TL and γ-H2AX (r = −0.28, P = 0.04).CONCLUSIONS These findings demonstrate that the state of replication seen in secretory phase endometrium from women with active peritoneal endometriosis is not a simple extension of the proliferative phase.

AB - BACKGROUND To test our hypothesis that eutopic secretory phase endometrium from women with endometriosis is similar to proliferative phase endometrium from fertile women without endometriosis, we explored the expression of regulators of cell fate across the menstrual cycle.METHODS Endometrial biopsies were taken from 73 women, comprising 38 women with surgically diagnosed active peritoneal endometriosis (Group 1) and 35 fertile women without endometriosis (Group 2). Nucleolin, proliferating cell nuclear antigen (PCNA), telomerase and histone γ-H2AX expression was evaluated by immunohistochemistry and mean telomere length (TL) by quantitative PCR.RESULTS We have immunolocalized nucleolin and γ-H2AX in the benign premenopausal endometrium for the first time. All markers were present in the proliferative phase endometrium of all women. In Group 2, during the secretory phase, proliferative markers declined with a paradoxical increase in stromal γ-H2AX. Women in Group 1, however, showed a persistent immunoreactivity for the proliferative markers, while the staining for γ-H2AX decreased in secretory endometrium (P < 0.05). This difference between groups was significant in both stroma and glands for nucleolin (P < 0.0001), PCNA (P < 0.01) and γ-H2AX (P < 0.05) in the secretory phase. We showed a positive correlation between mean TL and nucleolin expression (glandular r = 0.37, P = 0.002; stromal r = 0.4, P = 0.001), telomerase immunoreactivity (glandular r = 0.33, P = 0.009; stromal r = 0.4, P = 0.001) and glandular PCNA (r = 0.35, P = 0.004), whereas a negative correlation was seen between mean TL and γ-H2AX (r = −0.28, P = 0.04).CONCLUSIONS These findings demonstrate that the state of replication seen in secretory phase endometrium from women with active peritoneal endometriosis is not a simple extension of the proliferative phase.

KW - endometriosis

KW - nucleolin

KW - histone γ-H2AX

KW - senescence

KW - endometrium

U2 - 10.1093/humrep/den416

DO - 10.1093/humrep/den416

M3 - Journal article

VL - 24

SP - 687

EP - 696

JO - Human Reproduction

JF - Human Reproduction

SN - 0268-1161

IS - 3

ER -