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Adrenomedullin, Bcl-2 and microvessel density in normal, hyperplastic and neoplastic endometrium.

Abstract
Adrenomedullin (ADM) is a multifunctional 52-amino acid peptide involved in numerous physiological and pathological processes, including angiogenesis, growth regulation, differentiation, and vasodilation. ADM is thought to act through the G protein-coupled receptor calcitonin receptor-like receptor, with specificity being conferred by receptor-associated modifying protein 2. The aim of the present study was to clarify the roles of ADM status, and tumor vessels in endometrium. Specimens were examined for ADM, microvessel density (MVD), area of venules (AV) and Bcl-2 oncoprotein using an immunoperoxidase method. The difference of ADM between normal proliferative phase and hyperplasia without atypia was significant (P < 0.05). The level of Bcl-2 was significantly different between hyperplasia without atypia and hyperplasia with atypia (P < 0.05). ADM, MVD and AV in the endometrium increased in a stepwise manner from normal, simple or complex hyperplasia with or without atypia to grade 1 adenocarcinoma. In contrast, expression of Bcl-2 oncoprotein was decreased. These parameters identify the role of ADM expression and Bcl-2 protein in relation to cell growth and vasodilating in the neoplastic changes.
AuthorsOsamu Nunobiki, Misa Nakamura, Emiko Taniguchi, Hirotoshi Utsunomiya, Ichiro Mori, Yukari Tsubota, Yoshiya Mabuchi, Kennichi Kakudo
JournalPathology international (Pathol Int) Vol. 59 Issue 8 Pg. 530-6 (Aug 2009) ISSN: 1440-1827 [Electronic] Australia
PMID19627536 (Publication Type: Journal Article)
Chemical References
  • Proto-Oncogene Proteins c-bcl-2
  • Adrenomedullin
Topics
  • Adenocarcinoma (metabolism, pathology)
  • Adrenomedullin (biosynthesis)
  • Adult
  • Endometrial Neoplasms (metabolism, pathology)
  • Endometrium (blood supply, pathology)
  • Female
  • Humans
  • Hyperplasia (metabolism, pathology)
  • Immunohistochemistry
  • Microvessels
  • Middle Aged
  • Neovascularization, Pathologic (metabolism, pathology)
  • Proto-Oncogene Proteins c-bcl-2 (biosynthesis)

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