#111 : MMP-9 to TIMP-1 Expression Ratio on Endometrioma Favors Tissue Invasion: A Study on Chicken Chorioallantoic Membrane (CAM)
Background and Aims: Endometrioma occurs through the implantation of endometrial tissue in the ovary. The establishment of endometriotic lesions requires endometrial cells to invade the ovary by remodelling the extracellular matrix (ECM). It is plausible that these cells express protease. MMP-9 is a...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
World Scientific Publishing
2023-12-01
|
Series: | Fertility & Reproduction |
Online Access: | https://www.worldscientific.com/doi/10.1142/S2661318223743606 |
_version_ | 1827240358451347456 |
---|---|
author | Vidia Sari Riris Istighfari Jenie Shofwal Widad Agung Dewanto |
author_facet | Vidia Sari Riris Istighfari Jenie Shofwal Widad Agung Dewanto |
author_sort | Vidia Sari |
collection | DOAJ |
description | Background and Aims: Endometrioma occurs through the implantation of endometrial tissue in the ovary. The establishment of endometriotic lesions requires endometrial cells to invade the ovary by remodelling the extracellular matrix (ECM). It is plausible that these cells express protease. MMP-9 is a significant protease controlled by its natural inhibitor, TIMP-1. The balance between MMP-9 and TMIP-1 plays a critical role in the invasion of endometrioma that has never been investigated before. This study aimed to examine the correlation between MMP-9/TIMP-1 expression ratio and MMP-9 activity with the invasion of endometrioma tissue. Method: This study was conducted on 35 samples of endometrioma tissue obtained from 27 women with endometriosis at Dr Sardjito General Hospital, Yogjakarta. The tissue was then implanted into CAM to examine its invasion capability. Invasion scores were assessed using hematoxylin-eosin staining. MMP-9/TIMP-1 expressions ratio was analysed using western blot, while MMP-9 activity in degrading ECM components was determined using gelatin zymography. The Spearman correlation assesses the correlation between variables with significance set as p[Formula: see text]0.05. Results: The results showed a positive linear correlation between the MMP-9/TIMP-1 expression ratio and invasion scores of endometrioma tissue (r=0.486; p=0.003). In addition, the Kruskal-Wallis test showed there was a significant difference between the MMP-9/TIMP-1 expression ratio in each invasion score of endometrioma (p=0.032), and further analysis by Mann-Whitney post hoc tests revealed that significant differences were between invasion score 1 and 3 (p=0.037), also between invasion score 1 and 4 (p=0.010). MMP-9 activity had a strong positive linear correlation with invasion scores of endometrioma tissue (r=0.646; p=0.000). Conclusion: MMP-9 activity in degrading extracellular matrix promotes the invasion of endometrioma. The imbalance between MMP-9 and TIMP-1 enhances the capacity of endometrioma to break down ECM. Higher MMP-9 expression over TIMP-1 expression gives rise to the invasion of endometrioma. |
first_indexed | 2024-04-24T17:13:31Z |
format | Article |
id | doaj.art-24ca0e42c2244b4ab6e04dd38fd965b1 |
institution | Directory Open Access Journal |
issn | 2661-3182 2661-3174 |
language | English |
last_indexed | 2025-03-21T21:23:19Z |
publishDate | 2023-12-01 |
publisher | World Scientific Publishing |
record_format | Article |
series | Fertility & Reproduction |
spelling | doaj.art-24ca0e42c2244b4ab6e04dd38fd965b12024-05-28T17:42:16ZengWorld Scientific PublishingFertility & Reproduction2661-31822661-31742023-12-01050462862810.1142/S2661318223743606#111 : MMP-9 to TIMP-1 Expression Ratio on Endometrioma Favors Tissue Invasion: A Study on Chicken Chorioallantoic Membrane (CAM)Vidia Sari0Riris Istighfari Jenie1Shofwal Widad2Agung Dewanto3Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada-Dr. Sardjito General Hospital, Yogyakarta, IndonesiaMacromolecular Engineering Laboratory, Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada-Dr. Sardjito General Hospital, Yogyakarta, IndonesiaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada-Dr. Sardjito General Hospital, Yogyakarta, IndonesiaBackground and Aims: Endometrioma occurs through the implantation of endometrial tissue in the ovary. The establishment of endometriotic lesions requires endometrial cells to invade the ovary by remodelling the extracellular matrix (ECM). It is plausible that these cells express protease. MMP-9 is a significant protease controlled by its natural inhibitor, TIMP-1. The balance between MMP-9 and TMIP-1 plays a critical role in the invasion of endometrioma that has never been investigated before. This study aimed to examine the correlation between MMP-9/TIMP-1 expression ratio and MMP-9 activity with the invasion of endometrioma tissue. Method: This study was conducted on 35 samples of endometrioma tissue obtained from 27 women with endometriosis at Dr Sardjito General Hospital, Yogjakarta. The tissue was then implanted into CAM to examine its invasion capability. Invasion scores were assessed using hematoxylin-eosin staining. MMP-9/TIMP-1 expressions ratio was analysed using western blot, while MMP-9 activity in degrading ECM components was determined using gelatin zymography. The Spearman correlation assesses the correlation between variables with significance set as p[Formula: see text]0.05. Results: The results showed a positive linear correlation between the MMP-9/TIMP-1 expression ratio and invasion scores of endometrioma tissue (r=0.486; p=0.003). In addition, the Kruskal-Wallis test showed there was a significant difference between the MMP-9/TIMP-1 expression ratio in each invasion score of endometrioma (p=0.032), and further analysis by Mann-Whitney post hoc tests revealed that significant differences were between invasion score 1 and 3 (p=0.037), also between invasion score 1 and 4 (p=0.010). MMP-9 activity had a strong positive linear correlation with invasion scores of endometrioma tissue (r=0.646; p=0.000). Conclusion: MMP-9 activity in degrading extracellular matrix promotes the invasion of endometrioma. The imbalance between MMP-9 and TIMP-1 enhances the capacity of endometrioma to break down ECM. Higher MMP-9 expression over TIMP-1 expression gives rise to the invasion of endometrioma.https://www.worldscientific.com/doi/10.1142/S2661318223743606 |
spellingShingle | Vidia Sari Riris Istighfari Jenie Shofwal Widad Agung Dewanto #111 : MMP-9 to TIMP-1 Expression Ratio on Endometrioma Favors Tissue Invasion: A Study on Chicken Chorioallantoic Membrane (CAM) Fertility & Reproduction |
title | #111 : MMP-9 to TIMP-1 Expression Ratio on Endometrioma Favors Tissue Invasion: A Study on Chicken Chorioallantoic Membrane (CAM) |
title_full | #111 : MMP-9 to TIMP-1 Expression Ratio on Endometrioma Favors Tissue Invasion: A Study on Chicken Chorioallantoic Membrane (CAM) |
title_fullStr | #111 : MMP-9 to TIMP-1 Expression Ratio on Endometrioma Favors Tissue Invasion: A Study on Chicken Chorioallantoic Membrane (CAM) |
title_full_unstemmed | #111 : MMP-9 to TIMP-1 Expression Ratio on Endometrioma Favors Tissue Invasion: A Study on Chicken Chorioallantoic Membrane (CAM) |
title_short | #111 : MMP-9 to TIMP-1 Expression Ratio on Endometrioma Favors Tissue Invasion: A Study on Chicken Chorioallantoic Membrane (CAM) |
title_sort | 111 mmp 9 to timp 1 expression ratio on endometrioma favors tissue invasion a study on chicken chorioallantoic membrane cam |
url | https://www.worldscientific.com/doi/10.1142/S2661318223743606 |
work_keys_str_mv | AT vidiasari 111mmp9totimp1expressionratioonendometriomafavorstissueinvasionastudyonchickenchorioallantoicmembranecam AT ririsistighfarijenie 111mmp9totimp1expressionratioonendometriomafavorstissueinvasionastudyonchickenchorioallantoicmembranecam AT shofwalwidad 111mmp9totimp1expressionratioonendometriomafavorstissueinvasionastudyonchickenchorioallantoicmembranecam AT agungdewanto 111mmp9totimp1expressionratioonendometriomafavorstissueinvasionastudyonchickenchorioallantoicmembranecam |