Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
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ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

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Advances in Clinical and Experimental Medicine

2018, vol. 27, nr 10, October, p. 1417–1424

doi: 10.17219/acem/70861

Publication type: original article

Language: English

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Studies on selected molecular factors in endometrial cancers

Anna Markowska1,A,D,F, Monika Szarszewska2,A,B,C, Jakub Żurawski3,B,C, Stefan Sajdak4,B, Paweł Knapp5,B, Anna Gryboś6,B, Anita Olejek7,B, Wiesława Bednarek8,B, Andrzej Roszak9,B, Marcin Jóźwik10,B, Andrzej Marszałek11,B,C, Violetta Filas11,B,C, Katarzyna Wójcik-Krowiranda12,B, Radosław Mądry2,B, Janina Markowska2,A,E,F, Rafał Sozański13,B

1 Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poland

2 Department of Gynecological Oncology, Poznan University of Medical Sciences, Poland

3 Department of Biology and Environmental Protections, Division of Immunobiochemistry, Poznan University of Medical Sciences, Poland

4 Department of Gynecological Surgery, Poznan University of Medical Sciences, Poland

5 Department of Gynecology and Gynecologic Oncology, Medical University of Bialystok, Poland

6 Department of Gynecology and Obstetrics, Faculty of Health Science, Wroclaw Medical University, Poland

7 Department of Gynecology, Obstetrics and Oncologic Gynecology, Medical University of Silesia, Bytom, Poland

8 Chair and Clinic of Gynecological Oncology, Medical University of Lublin, Poland

9 Department of Electroradiology, Poznan University of Medical Science, Greater Poland Cancer Centre, Poland

10 Chair and Department of Gynecology, Gynecologic Endocrinology and Obstetrics, University of Warmia and Mazury in Olsztyn, Poland

11 Department of Tumor Pathology and Prophylaxis, Poznan University of Medical Sciences, Greater Poland Cancer Center, Poland

12 Department of Gynecological Oncology, Medical University of Lodz, Poland

13 1st Department and Clinic of Gynaecology and Obstetrics, Wroclaw Medical University, Poland


Background. Endometrial carcinomas (EC) differ in etiology, clinical course and prognosis.
Objectives. This multi-center study aimed at a closer recognition of molecular factors linked to heterogeneity of EC by evaluating estrogen and progesterone receptors, proteins dependent on MMR genes, proteins linked to poor prognosis and metastases, and mutations in BRCA1.
Material and Methods. Using sections of paraffin-embedded preparations, in 115 patients with EC type I and 31 with EC type II, expression of ERα, ERβ1, PR, MLH1, and MSH2 proteins, as well as ARID1A, c-MET and BRCA1, was estimated by immunohistochemistry using specific antibodies.
Results. Expression of ERβ1 was augmented in EC type II, in poorly differentiated cancers and with growing clinical advancement. An augmented expression of ERα was noted in well-differentiated EC and at lower clinical stage. An increased expression of PR and decreased of MLH1 were detected in type I EC. The expression of ARID1A and c-MET proteins showed no differences between the types of EC, stages of clinical advancement or grading. In 51.6% patients with type II EC, a loss of BRCA1 expression was disclosed; in this group of cancers a decreased expression of ERα was noted.
Conclusion. An augmented expression of ERβ1 was linked to type II EC. A higher expression of ERα in EC cancers was associated with a lower histopathological grade. A decreased expression of MLH1 protein was estimated in EC type I. Type II EC may be connected to BRCA1 mutation.

Key words

endometrial cancer, BRCA1, estrogen receptors, MMR, ARID1A

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