Key words: ERα -ERβ -PR -pS2 endometrial carcinomaThe steroid hormone estrogen plays an important role in the growth, differentiation, and function of many target tissues, in particular in the male and female reproductive systems. In the endometrium, hyperestrogenism is considered to the major risk factor for development of malignancy, with or without hyperplastic lesions.
1)Estrogen receptor (ER) α, a member of the superfamily of steroid and thyroid hormone, retinoic acid, and vitamin D receptors, is a ligand-induced transcriptional factor composed of different structural and functional domains.2, 3) The transactivation factor domains (TAF-1 and TAF-2) are located within the NH 2 -terminal (A-B region) and the COOH-terminal (E) sites, whereas the DNA and ligandbinding domains reside in the C and E regions, respectively. Exon 5 deletion splicing of the ER transcript produces a truncated protein which lacks both the TAF-2 and ligand-binding regions, but retains its DNA binding and TAF-1 sequences.4) Previous studies demonstrated that overexpression of the variant is associated with an increase in estradiol-independent growth, resistance to tamoxifen, and enhanced progesterone receptor (PR) expression. 4,5) Recently, a novel ERβ subtype has been discovered in human, rat, and mouse tissues, with a high degree of conservation of the DNA-binding domain (96%), and of the ligand-binding domain (58%), as compared to the amino acid sequence of the ERα protein.6) Although changes in the expression of two ER subtypes have been documented during breast and ovarian tumorigenesis, 7,8) little is known about the endometrial carcinoma case.Several estrogen-inducible genes, including PR and pS2, have been described as markers of estrogen responsiveness in human hormone-dependent tumors. 4,9) In the present study, we investigated the possible contribution of changes in expression of ERα and ERβ at both mRNA and protein levels during endometrial tumorigenesis. The results were also compared with PR and pS2 status, and several clinicopathological factors.
MATERIALS AND METHODSCases A total of 48 endometrial carcinomas (endometrioid type), surgically resected at the Kitasato University Hospital during the period from 1995 to 1998, were investigated for mRNAs. Forty normal endometrial samples (17 cases with a regular menstrual cycle and 23 postmenopausal cases) obtained by total hysterectomy for nonmalignant diseases were also examined. Tissues were snap-frozen immediately after surgical excision and stored at −80°C until use. Histological diagnosis was performed according to the criteria of the International Federation of Gynecology and Obstetrics (FIGO). The carcinoma cases comprised 29 grade (G) 1, 13 G2, and 6 G3 lesions.