Publication: Expression of TGF-ß signaling proteins in normal placenta and gestational trophoblastic disease
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Date
2007
Authors
Xuan, Y.H. ; Choi, Y.L. ; Shin, Y.K. ; Ahn, G.H. ; Kim, Kyung Hee ; Kim, W.J. ; Lee, H.C. ; Kim, S.H.
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Publisher
Murcia : F. Hernández
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DOI
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info:eu-repo/semantics/article
Description
Abstract
The transforming growth factor ß (TGF-ß) is
a vital regulator of placental development and functions.
TGF-ß exerts several modulatory effects on trophoblast
cells, such as inhibition of proliferation and
invasiveness, and stimulation of differentiation by
inducing multinucleated cell formation. In this study, we
determine the expression patterns of TGF-ß signaling
molecules in normal trophoblast, various hydatidiform
mole types and choriocarcinoma.
A total of 132 cases, including 51 normal placenta
(20 first trimester, 11 second trimester, and 20 third
trimester) and 81 gestational trophoblastic diseases (17
choriocarcinoma, and 64 hydatidiform moles: 39
complete, 6 partial, and 19 invasive) were
immunohistochemically analyzed with anti-TGF ß1/2,
TGF-ß receptor type I (TßRI), TßRII, Smad 2/3, and
Smad 4 antibodies on paraffin blocks. In the case of
normal placenta, maximal levels of all TGF-ß signaling
molecules were observed in villous trophoblast in the
first trimester, which decreased with gestational age.
Expression of all the TGF-ß signaling proteins except
Smad2/3, was significantly enhanced in various moles,
relative to normal trophoblast. Moreover, TGF-ß
signaling molecules were significantly downregulated in
choriocarcinoma, compared to moles. In particular, TßRI
and Smad2/3 levels were lower in choriocarcinoma than
normal villous trophoblast (TßRI: p<0.025, Smad2/3: p<0.001). In conclusion, the TGF-ß signaling pathway
plays an important role in the pathogenesis and
progression of gestational trophoblastic disease, and may
thus be employed as a potential therapeutic target and a
diagnostic biomarker
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