Received:18 March 2021,
Published:15 September 2021
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Boping YANG, Jianxin GUO, Hao WANG, et al. Expression and clinical significance of SnoN, TGF-β1 and Smad4 in endometrium of patients with severe intrauterine adhesion[J]. Journal of Third Military Medical University, 2021, 43(17): 1667-1672.
Boping YANG, Jianxin GUO, Hao WANG, et al. Expression and clinical significance of SnoN, TGF-β1 and Smad4 in endometrium of patients with severe intrauterine adhesion[J]. Journal of Third Military Medical University, 2021, 43(17): 1667-1672. DOI: 10.16016/j.1000-5404.202103150.
目的
2
探讨核转录共抑制因子(ski-related novel protein N,SnoN)在宫腔粘连(intrauterine adhesions,IUA)发病中的作用,及其与转化生长因子β1 (transforming growth factor-β1,TGF-β1)、Smad4关系。
方法
2
收集重度宫腔粘连(sIUA组)和宫腔无病变的子宫纵隔患者(对照组)宫内膜组织各20例,通过免疫组化、Western blot、RT-qPCR检测子宫内膜组织中SnoN、TGF-β1、Smad4的表达水平,并应用Spearman等级相关分析SnoN、TGF-β1、Smad4之间的相关性,探讨其与宫腔粘连发病的关系。
结果
2
sIUA组患者宫内膜组织中TGF-β1、Smad4表达水平明显高于对照组(
P
<
0.01),而SnoN表达水平明显低于对照组(
P
<
0.01)。在重度宫腔粘连宫内膜组织中,TGF-β1与Smad4的蛋白表达水平呈正相关(
r
=0.468 9,
P
<
0.05),而TGF-β1与SnoN的蛋白水平呈负相关(
r
=-0.483 5,
P
<
0.05)。
结论
2
SnoN可能通过TGF-β1/Smad4信号通路参与宫腔粘连的发病。
Objective
2
To investigate the role of ski-related novel protein N (SnoN) in the pathogenesis of intrauterine adhesion (IUA) and its association with transforming growth factor-β1 (TGF-β1) and Smad4 in endometrial tissue in IUA patients.
Methods
2
Endometrial tissues of 20 severe IUA patients (sIUA group) and 20 healthy women with uterine septum (control group) were collected from our 2 departments during January 2019 and October 2020. Immunohistochemical assay
Western blotting and reverse transcription quantitative polymerase chain reaction (RT-qPCR) were used to detect the expression of SnoN
TGF-β1 and Smad4 in the endometrial tissue of the control and sIUA groups. The correlations of their expression levels in the endometrial tissues were analyzed with Spearman rank correlation analysis to investigate the association of the levels and IUA.
Results
2
The expression levels of TGF-β1 and Smad4 were significantly higher
while that of SnoN was obviously lower in the sIUA group than the control group (all
P
<
0.01). In the endometrial tissues from the sIUA group
the expression of Smad4 was positively correlated with that of TGF-β1 (
r
=0.468 9
P
<
0.05). However
the TGF-β1 expression was negatively correlated with that of SnoN (
r
=-0.483 5
P
<
0.05).
Conclusion
2
SnoN may be involved in the pathogenesis of IUA
via
the TGF-β1/Smad4 signal pathway.
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