Expression of GnRH Receptor Type-II Correlates with Proliferation Activity in Endometriosis

Background: Global estimated prevalence of endometriosis is about 10 to 15% of women in reproductive age. This chronic inflammatory ectopic endometrium causes pain symptoms and is also attributed to infertility problems. Even though advances in endometriosis management have been developed, cumulativ...

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Main Authors: Zucha, Muhammad A., Dewanto, Agung, Widad, Shofwal, Taufiqurrachman, Irwan, Kusumanto, Ardhanu, Pangastuti, Nuring, Silawani, Supak
Format: Article
Language:English
Published: Jaypee Brothers Medical Publishers (P) Ltd 2022
Subjects:
Online Access:https://repository.ugm.ac.id/283826/1/Zucha_KKMK.pdf
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author Zucha, Muhammad A.
Dewanto, Agung
Widad, Shofwal
Taufiqurrachman, Irwan
Kusumanto, Ardhanu
Pangastuti, Nuring
Silawani, Supak
author_facet Zucha, Muhammad A.
Dewanto, Agung
Widad, Shofwal
Taufiqurrachman, Irwan
Kusumanto, Ardhanu
Pangastuti, Nuring
Silawani, Supak
author_sort Zucha, Muhammad A.
collection UGM
description Background: Global estimated prevalence of endometriosis is about 10 to 15% of women in reproductive age. This chronic inflammatory ectopic endometrium causes pain symptoms and is also attributed to infertility problems. Even though advances in endometriosis management have been developed, cumulative recurrence rate of endometriosis is still as high as 55% after 5 years of therapy with GnRH agonist. Therefore, further investigations are continuously needed to improve treatment outcome in endometriosis, especially through better understanding of the disease pathophysiology. Methods: This cross-sectional study was aimed to describe the expression of GnRH receptor type-II (GnRHR-II) with immunohistochemical staining. Semiquantitative analysis of protein expression was performed with histological scoring (H-score). Moreover, the expression level of GnRHR-II was then compared to Ki-67 protein expression, a marker of cell proliferation. Results: We found a positive correlation between GnRHR–II expression with Ki–67 protein (Pearson correlation score 0.56, 95% CI: 0.15–0.80, p = 0.01). Interestingly, our results also found that the expression of GnRHR–II was also significantly higher in groups of subjects with larger endometriosis tissue size (p = 0.02). Conclusion: Our study showed an evidence of extrapituitary expression of GnRH receptor type-II. Endometriosis consistently expressed GnRHR-II and might play important role in the regulation of proliferation. Our results may trigger further explorations of GnRH receptor-targeted therapy that selectively inhibit proliferation pathway.
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spelling oai:generic.eprints.org:2838262023-11-22T08:42:55Z https://repository.ugm.ac.id/283826/ Expression of GnRH Receptor Type-II Correlates with Proliferation Activity in Endometriosis Zucha, Muhammad A. Dewanto, Agung Widad, Shofwal Taufiqurrachman, Irwan Kusumanto, Ardhanu Pangastuti, Nuring Silawani, Supak Obstetrics and Gynaecology Background: Global estimated prevalence of endometriosis is about 10 to 15% of women in reproductive age. This chronic inflammatory ectopic endometrium causes pain symptoms and is also attributed to infertility problems. Even though advances in endometriosis management have been developed, cumulative recurrence rate of endometriosis is still as high as 55% after 5 years of therapy with GnRH agonist. Therefore, further investigations are continuously needed to improve treatment outcome in endometriosis, especially through better understanding of the disease pathophysiology. Methods: This cross-sectional study was aimed to describe the expression of GnRH receptor type-II (GnRHR-II) with immunohistochemical staining. Semiquantitative analysis of protein expression was performed with histological scoring (H-score). Moreover, the expression level of GnRHR-II was then compared to Ki-67 protein expression, a marker of cell proliferation. Results: We found a positive correlation between GnRHR–II expression with Ki–67 protein (Pearson correlation score 0.56, 95% CI: 0.15–0.80, p = 0.01). Interestingly, our results also found that the expression of GnRHR–II was also significantly higher in groups of subjects with larger endometriosis tissue size (p = 0.02). Conclusion: Our study showed an evidence of extrapituitary expression of GnRH receptor type-II. Endometriosis consistently expressed GnRHR-II and might play important role in the regulation of proliferation. Our results may trigger further explorations of GnRH receptor-targeted therapy that selectively inhibit proliferation pathway. Jaypee Brothers Medical Publishers (P) Ltd 2022 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/283826/1/Zucha_KKMK.pdf Zucha, Muhammad A. and Dewanto, Agung and Widad, Shofwal and Taufiqurrachman, Irwan and Kusumanto, Ardhanu and Pangastuti, Nuring and Silawani, Supak (2022) Expression of GnRH Receptor Type-II Correlates with Proliferation Activity in Endometriosis. International Journal of Infertility and Fetal Medicine, 13 (2). pp. 35-39. ISSN 22293817 https://www.scopus.com/record/display.uri?eid=2-s2.0-85130996938&doi=10.5005%2fjp-journals-10016-1253&origin=inward&txGid=e9d69c56133d3435664ab35ee2c1051d https://doi.org/10.5005/jp-journals-10016-1253
spellingShingle Obstetrics and Gynaecology
Zucha, Muhammad A.
Dewanto, Agung
Widad, Shofwal
Taufiqurrachman, Irwan
Kusumanto, Ardhanu
Pangastuti, Nuring
Silawani, Supak
Expression of GnRH Receptor Type-II Correlates with Proliferation Activity in Endometriosis
title Expression of GnRH Receptor Type-II Correlates with Proliferation Activity in Endometriosis
title_full Expression of GnRH Receptor Type-II Correlates with Proliferation Activity in Endometriosis
title_fullStr Expression of GnRH Receptor Type-II Correlates with Proliferation Activity in Endometriosis
title_full_unstemmed Expression of GnRH Receptor Type-II Correlates with Proliferation Activity in Endometriosis
title_short Expression of GnRH Receptor Type-II Correlates with Proliferation Activity in Endometriosis
title_sort expression of gnrh receptor type ii correlates with proliferation activity in endometriosis
topic Obstetrics and Gynaecology
url https://repository.ugm.ac.id/283826/1/Zucha_KKMK.pdf
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