Relative overexpression of collagen type I and collagen type III messenger ribonucleic acids by uterine leiomyomas during the proliferative phase of the menstrual cycle
EA Stewart, AJ Friedman, K Peck and RA Nowak
Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts.
Uterine leiomyomas contain abundant quantities of extracellular matrix
(ECM). We characterized the localization of three ECM proteins, collagen
type I, collagen type III, and fibronectin, in leiomyomas and adjacent
normal myometrium. We further examined the expression of messenger
ribonucleic acid (mRNA) levels for these proteins from 1) women who were in
various stages of the menstrual cycle and 2) multiple leiomyomas from the
same patient. Immunohistochemical staining showed that fibronectin was
localized primarily around individual smooth muscle cells (SMC). Collagen
type I was distributed across the ECM and also in the cytoplasm of SMC.
Collagen type III was found primarily in the ECM. Leiomyomas showed more
intense staining for collagen types I and III than corresponding normal
myometrium. Northern blot and densitometric analysis showed that both
collagen type I and III mRNAs were consistently elevated in leiomyomas
relative to the adjacent myometrium in patients who were in the
proliferative phase of the menstrual cycle (P < 0.02 for both). These
differences were not evident in the secretory phase. Fibronectin mRNA
levels were quite variable, and there were no significant differences
between the two tissues at any stage of the menstrual cycle. We conclude
that leiomyomas show increased levels of mRNA for collagen types I and III
relative to the normal myometrium. However, this difference is only
manifested during the proliferative phase of the menstrual cycle. These
findings suggest that leiomyomas may be more sensitive to the hormonal
changes that occur during the menstrual cycle than is normal myometrium.
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