Endometriosis Knowledgebase


A repository for genes associated with endometriosis

Results


PMID 12322896
Gene Name PTGS2
Condition Endometriosis
Association Associated
Population size 28
Population details 28 premenopausal women undergoing laparotomy or laparoscopic surgery for benign conditions
Sex Female
Other associated phenotypes Endometriosis
Increased expression of cyclooxygenase-2 in local lesions of endometriosis patients.

Am J Reprod Immunol. 2002 Jul;48(1):50-6.

Chishima, Fumihisa| Hayakawa, Satoshi| Sugita, Kenji| Kinukawa, Noriko| Aleemuzzaman, Sheike| Nemoto, Norimichi| Yamamoto, Tatsuo| Honda, Mitsuo

Department of Obstetrics and Gynecology, Nihon University School of Medicine, Tokyo, Japan. fchishi@med.nihon-u.ac.jp

PROBLEM: Human endometrial glands contain the highest levels of cyclooxygenase (COX), although whether it is COX-1 and/or COX-2 has not been previously determined. Overexpression of COX-2 may result in the pathogenesis of endometriosis. METHOD OF STUDY: Tissue sections were obtained from 28 premenopausal women undergoing laparotomy or laparoscopic surgery for benign conditions. Endometrium, ectopic endometriosis tissue and peritoneum were obtained at the time of surgery. Informed consents were obtained from all the patients participating in this study. Immunohistochemistry was performed on consecutive sections of paraffin-embedded tissue using anti-COX-2 antibody. Expressions of COX-2 mRNA in endometrium, ectopic endometriosis tissue, and peritoneum were quantitavely determined by competitive reverse transcription-polymerase chain reaction (RT-PCR). RESULTS: In the uterus, COX-2 was localized in the endometrial epithelium. Eutopic endometrial surface epithelium contains more COX-2 than does glandular epithelium. We observed more frequent and denser COX-2 staining in the ectopic endometriosis implants when compared with eutopic endometrium. Level of COX-2 mRNA in endometriosis was increased up to five times that of eutopic endometria. CONCLUSION: Hyper activation of COX-2 with abnormal prostaglandin generation is considered to contribute to the pathophysiology of endometriosis and disease progression.

Mesh Terms: Adult| Cyclooxygenase 2| Endometriosis/enzymology/*genetics| Endometrium/enzymology| Female| Humans| Immunohistochemistry| Isoenzymes/*genetics/immunology/metabolism| Membrane Proteins| Middle Aged| Prostaglandin-Endoperoxide Synthases/*genetics