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Original Research

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The role of 15-lipoxygenase-1 expression and its potential role in the pathogenesis of endometrial hyperplasia and endometrial adenocarcinomas

  • M.E. Sak1
  • I. Alanbay2
  • A. Rodriguez3
  • T. Gokaslan4
  • M. Borahay3
  • I. Shureiqi5
  • G.S. Kilic3,*,

1Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, School of Medicine, Dicle University, Diyarbakır, Turkey

2Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Gulhane Military Medical Academy and Medical School, Ankara, Turkey

3Department of Obstetrics and Gynecology, Divısion of Minimally Invasive Gynecology and Research, The University of Texas Medical Branch, Galveston, TX, USA

4Department of Pathology, Parkland Hospital, Dallas, TX, USA

5Departments of Clinical Cancer Prevention, Gastrointestinal Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA

DOI: 10.12892/ejgo3017.2016 Vol.37,Issue 1,February 2016 pp.36-40

Published: 10 February 2016

*Corresponding Author(s): G.S. Kilic E-mail: gokilic@utmb.edu

Abstract

Purpose of Investigation: To investigate the presence of 15-lipoxygenase-1 (15-LOX-1) expression and its potential role in the pathogenesis of endometrial hyperplasia and endometrial adenocarcinomas. Materials and Methods: The authors investigated the presence of 15-LOX-1 expression in samples from patients diagnosed with normal endometrium (n = 12), endometrial hyperplasia (n = 12), and endometrial cancer (n = 12). The immunohistochemical stainings were scored by three independent pathologists. A Western blot of 15- LOX-1 determined the presence of protein expression in normal endometrium. A Kolmogorov–Smirnov test was used to evaluate the data's distribution pattern. For pairwise comparisons of the combined scores between groups, the Mann-Whitney U test was used. Results: Based on the combined scores for 15-LOX-1 expression, strong immunochemistry staining was observed in samples diagnosed with normal endometrium. There was a significant difference in 15-LOX-1 expression between normal endometrium and endometrial adenocarcinoma (p = 0.03). Comparing tissues from normal endometrium and endometrial hyperplasia, there was a decline in the expression from normal endometrium to endometrial hyperplasia. However, the difference was not statistically significant. Conclusion: The present results show that a decrease of 15-LOX-1 expression in the endometrial tumorigenesis process, starting from normal endometrium to hyperplasia and endometrial cancer, might be a trigger. Further studies are required to determine its potential use as a marker in a larger randomized multicenter study.

Keywords

15-LOX-1, Endometrial hyperplasia; Endometrial adenocarcinomas.

Cite and Share

M.E. Sak,I. Alanbay,A. Rodriguez,T. Gokaslan,M. Borahay,I. Shureiqi,G.S. Kilic. The role of 15-lipoxygenase-1 expression and its potential role in the pathogenesis of endometrial hyperplasia and endometrial adenocarcinomas. European Journal of Gynaecological Oncology. 2016. 37(1);36-40.

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