Endometrial expression of leukemia inhibitory factor in women with different estrogen/progesterone receptor status of the endometrium

Aim: to analyze the endometrial expression of leukemia inhibitory factor (LIF) related to the estrogen/progesterone receptor endometrial status in women with the history of reproductive dysfunctions.Materials and methods. The main group consisted of patients with the history of infertility (n = 81)...

Full description

Bibliographic Details
Main Authors: S. S. Aganezov, V. N. Ellinidi, A. V. Morotskaya, A. S. Artemyeva, A. O. Nyuganen, N. V. Aganezova
Format: Article
Language:Russian
Published: IRBIS LLC 2019-07-01
Series:Акушерство, гинекология и репродукция
Subjects:
Online Access:https://www.gynecology.su/jour/article/view/558
_version_ 1826567142385909760
author S. S. Aganezov
V. N. Ellinidi
A. V. Morotskaya
A. S. Artemyeva
A. O. Nyuganen
N. V. Aganezova
author_facet S. S. Aganezov
V. N. Ellinidi
A. V. Morotskaya
A. S. Artemyeva
A. O. Nyuganen
N. V. Aganezova
author_sort S. S. Aganezov
collection DOAJ
description Aim: to analyze the endometrial expression of leukemia inhibitory factor (LIF) related to the estrogen/progesterone receptor endometrial status in women with the history of reproductive dysfunctions.Materials and methods. The main group consisted of patients with the history of infertility (n = 81) or early pregnancy loss (n = 40). The control group included 16 women with normal fertility. At days 6–8 after ovulation, endometrial biopsy was performed and peripheral blood samples were taken to assess the estradiol and progesterone levels. Histological and immunohistochemical (to quantify the estrogen (ER)/progesterone (PR) receptors and LIF expression) examinations of the endometrium biopsy materials were carried out.Results. In the middle phase of the secretion, women of the control group showed higher levels of LIF expression in the endometrial glands (94%; n = 15) and stroma (88 %; n = 14) significantly more often than patients with reproductive dysfunctions – 69 % (n = 84) and 44 % (n = 53) respectively (p < 0.05). There was no difference in the endometrial LIF expression between women with infertility and those with early pregnancy loss. In women with a sizable hormone-receptor 'response', a pronounced expression of LIF in the luminal epithelium (87 %; n = 52 out of 60) and stroma (68 %; n = 47 out of 69) was detected more often (p < 0.01) than that in patients with impaired hormone-receptor interactions (61 %, n = 27 of 44; 29 %, n = 20 of 68). High PR expression in the endometrial glands (H-score > 105) indicates the risk of impaired LIF expression in the luminal epithelium (OR =2.6) and stroma (OR = 2.5). Overexpression of ER (H-score > 155) in the endometrial stroma is associated with the risk of sub-normal LIF expression in the endometrial glands (OR = 2.5) and stroma (OR = 2.8).Conclusion. A meaningful connection has been found between the endometrial estrogen/progesterone receptor status and the expression of LIF. Women with well-pronounced endometrial hormone-receptor interactions show high levels of endometrial LIF expression more often. The stromal ER and glandular PR expression levels are considered to be prognostic factors of reduced endometrial LIF expression in the uterine body mucosa.
first_indexed 2024-04-10T04:01:22Z
format Article
id doaj.art-2de7e0743c614edebf4229a92fcec488
institution Directory Open Access Journal
issn 2313-7347
2500-3194
language Russian
last_indexed 2025-03-14T11:02:50Z
publishDate 2019-07-01
publisher IRBIS LLC
record_format Article
series Акушерство, гинекология и репродукция
spelling doaj.art-2de7e0743c614edebf4229a92fcec4882025-03-02T10:43:04ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942019-07-01132859410.17749/2313-7347.2019.13.2.085-094496Endometrial expression of leukemia inhibitory factor in women with different estrogen/progesterone receptor status of the endometriumS. S. Aganezov0V. N. Ellinidi1A. V. Morotskaya2A. S. Artemyeva3A. O. Nyuganen4N. V. Aganezova5North-Western State Medical University named after I.I. Mechnikov, Health Ministry of Russian FederationAll-Russian Center for Emergency and Radiation Medicine named after A.M. Nikiforov, EMERCOM of RussiaNorth-Western State Medical University named after I.I. Mechnikov, Health Ministry of Russian FederationNational Medical Research Center of Oncology named after N.N. Petrov, Health Ministry of Russian FederationNational Medical Research Center of Oncology named after N.N. Petrov, Health Ministry of Russian FederationNorth-Western State Medical University named after I.I. Mechnikov, Health Ministry of Russian FederationAim: to analyze the endometrial expression of leukemia inhibitory factor (LIF) related to the estrogen/progesterone receptor endometrial status in women with the history of reproductive dysfunctions.Materials and methods. The main group consisted of patients with the history of infertility (n = 81) or early pregnancy loss (n = 40). The control group included 16 women with normal fertility. At days 6–8 after ovulation, endometrial biopsy was performed and peripheral blood samples were taken to assess the estradiol and progesterone levels. Histological and immunohistochemical (to quantify the estrogen (ER)/progesterone (PR) receptors and LIF expression) examinations of the endometrium biopsy materials were carried out.Results. In the middle phase of the secretion, women of the control group showed higher levels of LIF expression in the endometrial glands (94%; n = 15) and stroma (88 %; n = 14) significantly more often than patients with reproductive dysfunctions – 69 % (n = 84) and 44 % (n = 53) respectively (p < 0.05). There was no difference in the endometrial LIF expression between women with infertility and those with early pregnancy loss. In women with a sizable hormone-receptor 'response', a pronounced expression of LIF in the luminal epithelium (87 %; n = 52 out of 60) and stroma (68 %; n = 47 out of 69) was detected more often (p < 0.01) than that in patients with impaired hormone-receptor interactions (61 %, n = 27 of 44; 29 %, n = 20 of 68). High PR expression in the endometrial glands (H-score > 105) indicates the risk of impaired LIF expression in the luminal epithelium (OR =2.6) and stroma (OR = 2.5). Overexpression of ER (H-score > 155) in the endometrial stroma is associated with the risk of sub-normal LIF expression in the endometrial glands (OR = 2.5) and stroma (OR = 2.8).Conclusion. A meaningful connection has been found between the endometrial estrogen/progesterone receptor status and the expression of LIF. Women with well-pronounced endometrial hormone-receptor interactions show high levels of endometrial LIF expression more often. The stromal ER and glandular PR expression levels are considered to be prognostic factors of reduced endometrial LIF expression in the uterine body mucosa.https://www.gynecology.su/jour/article/view/558endometrial receptivityleukemia inhibitory factorestrogen receptorprogesterone receptor
spellingShingle S. S. Aganezov
V. N. Ellinidi
A. V. Morotskaya
A. S. Artemyeva
A. O. Nyuganen
N. V. Aganezova
Endometrial expression of leukemia inhibitory factor in women with different estrogen/progesterone receptor status of the endometrium
Акушерство, гинекология и репродукция
endometrial receptivity
leukemia inhibitory factor
estrogen receptor
progesterone receptor
title Endometrial expression of leukemia inhibitory factor in women with different estrogen/progesterone receptor status of the endometrium
title_full Endometrial expression of leukemia inhibitory factor in women with different estrogen/progesterone receptor status of the endometrium
title_fullStr Endometrial expression of leukemia inhibitory factor in women with different estrogen/progesterone receptor status of the endometrium
title_full_unstemmed Endometrial expression of leukemia inhibitory factor in women with different estrogen/progesterone receptor status of the endometrium
title_short Endometrial expression of leukemia inhibitory factor in women with different estrogen/progesterone receptor status of the endometrium
title_sort endometrial expression of leukemia inhibitory factor in women with different estrogen progesterone receptor status of the endometrium
topic endometrial receptivity
leukemia inhibitory factor
estrogen receptor
progesterone receptor
url https://www.gynecology.su/jour/article/view/558
work_keys_str_mv AT ssaganezov endometrialexpressionofleukemiainhibitoryfactorinwomenwithdifferentestrogenprogesteronereceptorstatusoftheendometrium
AT vnellinidi endometrialexpressionofleukemiainhibitoryfactorinwomenwithdifferentestrogenprogesteronereceptorstatusoftheendometrium
AT avmorotskaya endometrialexpressionofleukemiainhibitoryfactorinwomenwithdifferentestrogenprogesteronereceptorstatusoftheendometrium
AT asartemyeva endometrialexpressionofleukemiainhibitoryfactorinwomenwithdifferentestrogenprogesteronereceptorstatusoftheendometrium
AT aonyuganen endometrialexpressionofleukemiainhibitoryfactorinwomenwithdifferentestrogenprogesteronereceptorstatusoftheendometrium
AT nvaganezova endometrialexpressionofleukemiainhibitoryfactorinwomenwithdifferentestrogenprogesteronereceptorstatusoftheendometrium