Local activation of TGF-beta1 at endometriosis sites.

The Journal of reproductive medicine · 2007 · vol. 52(4) , pp. 306–12 · PMID:17506371 · W2408366595
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Endometriotic cysts exhibit increased TGF-beta1 activity due to elevated uPA production by glandular epithelium, which converts plasminogen to plasmin, subsequently activating TGF-beta1.

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Abstract

OBJECTIVE: To investigate the factors related to activation of transforming growth factor-beta 1 (TGF-beta1) at sites of endometriosis. STUDY DESIGN: TGF-beta1 is activated by plasmin, which is formed when plasminogen is activated by urokinase-type plasminogen activator (uPA). We studied these factors by immunohistochemistry or immunoassay. RESULTS: TGF-beta1 protein was localized mainly in the cytoplasm of glandular epithelial cells in both endometriotic cysts and normal endometrium, but strongly positive immunostaining was significantly more common in cysts. The levels of TGF-beta1, uPA and plasmin/alpha2-plasmin inhibitor complex were all higher in cyst fluid than in peritoneal fluid. There was little uPA protein expression in the glandular epithelium of normal endometrium, but it was prominent in the cytoplasm of glandular epithelial cells from endometriotic cysts, and strongly positive immunostaining was significantly more common in cysts. CONCLUSION: These results suggest that TGF-beta1 activity is increased at sites of endometriosis due to enhanced production of both uPA and TGF-beta1 by glandular epithelium and because plasmin activates TGF-beta1 after being converted from plasminogen by uPA.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Fibrinolysin Ovarian Cysts Transforming Growth Factor beta1 Urokinase-Type Plasminogen Activator Adult Chi-Square Distribution Endometriosis Endometriosis Female Fibrinolysin Humans Immunoassay Immunohistochemistry Middle Aged Ovarian Cysts Ovarian Cysts Statistics, Nonparametric Transforming Growth Factor beta1 Urokinase-Type Plasminogen Activator

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