Literature DB >> 28540356

Data on expression of genes involved in estrogen and progesterone action, inflammation and differentiation according to demographic, histopathological and clinical characteristics of endometrial cancer patients.

Maša Sinreih1, Saša Štupar2, Luka Čemažar2, Ivan Verdenik3, Snježana Frković Grazio4, Špela Smrkolj2,3, Tea Lanišnik Rižner1.   

Abstract

Endometrial cancer is the sixth most common cancer in women worldwide. It is associated with aberrant actions of steroid hormones, estrogens and progesterone, but also with enhanced inflammation and reduced cellular differentiation. Here, we show data on demographic and histopathological characteristics of 51 patients with endometrial cancer, together with data on correlations between the expression of 38 genes involved in estrogen and progesterone actions, inflammation and differentiation, and demographic characteristics. We also show data on changes in gene expression of these 38 genes according to histopathological and clinical characteristics of these patients. This article includes data referenced in the manuscript entitled »STAR and AKR1B10 are down-regulated in high-grade endometrial cancer by Sinreih et al. (in press) [1].

Entities:  

Keywords:  Differentiation; Endometrial cancer; Estrogens; Gene expression; Inflammation; Progesterone

Year:  2017        PMID: 28540356      PMCID: PMC5430149          DOI: 10.1016/j.dib.2017.04.050

Source DB:  PubMed          Journal:  Data Brief        ISSN: 2352-3409


Specifications Table Value of the data Data on correlations between the expression ratios of these 38 genes and demographic characteristics may be helpful for explanation of different etiological factors identified in epidemiological studies. Data on changes in the expression ratios of these 38 genes according to histopathological and clinical data may lay foundation for further investigations of individual players of the individual pathophysiological processes.

Data

We provide data on demographic, histopathological and clinical characteristic of 51 endometrial cancer patients treated at the University Medical Centre Ljubljana, at the Division of Gynaecology and Obstetrics. Demographic (age, body mass, BMI, menopausal status, parity), histopathological and clinical data (histological type and grade of tumor, depth of myometrial invasion, presence of lymphovascular invasion, FIGO stage) (Table 1) together with data on statistical analysis of gene expression ratios (Table 2, Table 3, Table 4, Table 5, Table 6, Table 7, Table 8, Table 9, Table 10, Table 11) are included. The study was approved by the National Medical Ethics Committee of the Republic of Slovenia.
Table 1

Demographic, histopathological and clinical characteristics of the endometrial cancer patients.

SampleAgeBody massBMIAge at last menstruationParityFIGO stageHistological grade (low/high)Myometrial invasion (yes/no)Myometrial invasion >1/2 (yes/no)Lymphovascular invasion (yes/no)
1395921.7premenopausal1IBhighyesyesyes
283NANA504IBhighyesyesno
34113046.1premenopausal1IAlowyesnono
4537928.3501IAlownonono
5606825.0561IBlowyesyesyes
6646326.2501IVlowyesnoNA
7739534.1451IBlowyesyesno
8698331.6591IAlowyesnono
9798432.8492IBlowyesyesno
10747528.6501IAlowyesnono
11768332.4561IAlowyesnono
12537027.3premenopausal3IAlownonono
13369233.8premenopausal2IAlownonono
14455520.0premenopausal1IAlownonono
15696825.353IBlowyesyesyes
16546523.0premenopausal0IAhighNAnono
177210035.9451IAlowNAnono
18545119.9premenopausal2IAlownonono
19698230.1650IBhighyesyesyes
207785NA501IBhighyesyesno
215710438.2562IAlownono
22618830.8502IAlownonono
237869NA502IAlowyesnoyes
24637531.6553IAlowyesnoyes
25718029.4592IAhighyesnono
26818228.4512IAlowNAnono
27736524.8480IBhighyesyesyes
28508832.3premenopausal1IIIAlowyesnono
29275720.0premenopausal0IAhighyesnono
30596019.4402IBhighyesyesyes
317011947.7501IAlowyesnono
327310034.6532IAlowyesnono
33757330.4553IAlowyesyesyes
347513048.9503IAlowyesnoyes
355086NANA1IAhighyesnoyes
367110041.1544IAlowyesnono
37756024.0501IIIC1highyesyesyes
38559538.1544IAlownonono
394311044.6premenopausal2IAlownonono
40688734.9532IAlowyesnono
41839033.1552IAlownonono
425910237.5521IAlownonono
43669334.6571IAlowyesnono
44666725.5522IAlowyesnono
45805928.1501IBhighyesyesyes
46726727.5503IAlowyesnono
47447929.0premenopausal2IAlownonono
48456020.8premenopausal2IIlowyesnono
49728029.4582IAlowyesnono
505597NA582IBhighyesyesNA
514894NApremenopausal2IAhighyesnono

NA, not available.

Table 2

Correlations between expression of genes involved in estrogen biosynthesis and action and demographic characteristics of endometrial cancer patients.

GeneAge
Body mass
BMI
Age at menopause
Parity
RhopAdj.pNRhoPAdj.NRhopAdj. pNRhopAdj. pNRhopAdj.pN
AKR1C3-0.1590.4591.00024-0.0290.8950.89523-0.0120.9601.000210.2310.3560.94918-0.473*0.0220.35223
CYP19A1-0.1100.6100.97624-0.1080.6230.90623-0.0100.9641.00021-0.0320.8991.000180.1290.5571.00023
HSD17B20.3550.0170.272450.1730.2621.000440.2090.1901.00041-0.360*0.0430.688320.2450.1090.87244
HSD17B10.0000.9980.99829-0.1160.5581.00028-0.1790.3811.000260.1070.6520.869200.0590.7671.00028
HSD17B4-0.0970.6540.87224-0.0560.8000.853230.0860.7121.000210.1380.5850.851180.0790.7191.00023
HSD17B80.0180.9341.00024-0.1220.5791.00023-0.2030.3781.000210.0280.9131.00018-0.3100.1500.80023
HSD17B14-0.1500.4951.000230.1920.3931.000220.2380.3131.000200.1730.5070.811170.2570.2490.99622
HSD17B120.1150.5931.000240.0900.6830.91123-0.0010.9960.99621-0.2780.2641.00018-0.0830.7081.00023
SULT1E10.1920.2551.000370.1270.4611.000360.1220.4991.00033-0.2130.2850.912270.0160.9250.98736
STS0.1090.5731.000290.0630.7510.858280.0620.7631.000260.1710.4720.83920-0.0120.9520.95228
SULT2A1-0.1010.5531.00037-0.0880.6100.97636-0.0770.6691.000330.0190.9260.98827-0.1300.4511.00036
SULT2B1-0.0120.9461.000370.2010.2391.000360.1980.2701.000330.0160.9370.937270.0930.5881.00036
ESR1-0.0310.8451.00042-0.0620.7000.86241-0.0900.5921.00038-0.3640.0480.384300.0200.8991.00041
ESR2-0.3550.0210.16842-0.0870.5891.00041-0.0700.6781.000380.1560.4110.822300.0980.5411.00041
GPER20.0880.6430.93530-0.3610.0540.86429-0.2540.2011.000270.2010.3830.875210.0850.6601.00029
GPER340.1160.5401.00030-0.1560.4201.00029-0.0490.8100.997270.2900.2021.000210.0480.8060.99229

Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown.

Correlation is significant at the 0.05 level (2-tailed).

Table 3

Correlations between expression of genes involved in estrogen oxidative metabolism and demographic characteristics of endometrial cancer patients.

GeneAge
Body mass
BMI
Age at menopause
Parity
RhopAdj. pNRhopAdj. pNRhopAdj. pNRhopAdj. pNRhopAdj. pN
SULT1E10.1920.2550.850370.1270.4610.922360.1220.4990.99833-0.2130.2850.950270.0160.9251.00036
CYP1A10.2870.0850.85037-0.0290.8660.96236-0.0450.8031.000330.0030.9890.98927-0.0860.6190.88436
CYP1B10.0210.9000.90037-0.0900.6020.86036-0.0270.8810.881330.0400.8441.00027-0.0330.8471.00036
CYP1A20.2380.1570.78537-0.1440.4021.00036-0.1190.5080.847330.0480.8111.000270.1730.3121.00036
CYP3A50.0280.8690.96637-0.1300.4501.00036-0.1550.3881.000330.1020.6121.00027-0.1290.4530.90636
CYP3A7-0.1570.3530.88337-0.2520.1391.00036-0.2180.2221.00033-0.0080.9701.00027-0.2310.1750.87536
COMT-0.1350.4260.852370.0050.9770.97736-0.0290.8740.971330.2090.2950.73827-0.2880.0890.89036
UGT2B70.1170.4900.817370.0470.7860.983360.0320.8591.000330.3180.1060.530270.0080.9630.96336
SULT1A1-0.0510.7650.95637-0.2180.2011.00036-0.2050.2531.000330.0590.7711.00027-0.1670.3300.82536
GSTP1-0.0710.6840.977350.1090.5380.897340.1400.4531.000310.511**0.0080.080260.1180.5070.84534

Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown. ** Correlation is significant at the 0.001 level (2-tailed).

Table 4

Correlations between expression of genes involved in progesterone biosynthesis and action and demographic characteristics of endometrial cancer patients.

GeneAge
Body mass
BMI
Age at menopause
Parity
RhopAdj. pNRhopAdj. pNRhopAdj. pnRhopAdj. pNRhopAdj. pN
PGR-0.0890.5630.845450.0810.6031.000440.0160.9200.92041-0.0760.6800.874320.1820.2380.53644
PAQR7-0.455*0.0020.01845-0.0190.9030.90344-0.1130.4821.000410.2770.1250.563320.2200.1500.67544
PAQR5-0.0340.8260.82645-0.2260.1400.63044-0.1720.2821.000410.0490.7910.89032-0.1240.4220.63344
PAQR8-0.1370.3820.86043-0.0720.6531.00042-0.0760.6461.00039-0.436*0.0140.12631-0.1040.5140.66142
PRB0.0700.6490.834450.0720.6401.000440.0660.6831.00041-0.1280.4850.728320.2480.1050.94544
STAR-0.1940.2020.606450.358*0.0170.153440.374*0.0160.144410.2260.2130.479320.2070.1780.53444
HSD3B10.1150.4910.884380.0210.9021.00037-0.0480.7871.000340.0080.9670.967290.0550.7480.84237
HSD3B2-0.0650.7000.788370.0750.6650.998360.0440.8090.91033-0.1940.3330.59927-0.0140.9350.93536
CYP11A1-0.2430.1080.48645-0.0500.7470.96044-0.1390.3871.000410.2510.1660.498320.1550.3150.56744

Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown. * Correlation is significant at the 0.05 level (2-tailed).

Table 5

Correlations between expression of genes involved in progesterone metabolism and demographic characteristics of endometrial cancer patients.

GeneAge
Body mass
BMI
Age at menopause
Parity
RhopAdj. pNRhopAdj. pNRhopAdj. pNRhopAdj.pNRhopAdj.pN
SRD5A1-0.2120.2700.54029-0.531**0.0040.02428-0.533**0.0050.03026-0.2180.3560.53420-0.382*0.0450.13528
SRD5A20.439*0.0170.10229-0.1890.3360.67228-0.0850.6781.00026-0.0370.8760.876200.2410.2170.32628
AKR1C1-0.0280.8540.854450.0100.9501.00044-0.0480.7640.917410.2980.0970.29132-0.0880.5680.56844
AKR1C20.0360.8170.980450.0030.9860.98644-0.0800.6201.000410.2970.0990.19832-0.1560.3130.37644
AKR1C3-0.1590.4590.68924-0.0290.8951.00023-0.0120.9600.960210.2310.3560.42718-0.473*0.0220.13223
HSD17B2*0.0170.051450.1730.2620.786440.2090.1900.57041-*0.0430.258320.2450.1090.21844

Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown. * Correlation is significant at the 0.05 level (2-tailed), **Correlation is significant at the 0.001 level (2-tailed).

Table 6

Correlations between expression of genes involved in PGF2α biosynthesis and retinoic acid metabolism and demographic characteristics of endometrial cancer patients.

GeneAge
Body mass
BMI
Age at menopause
Parity
RhoPAdj. pNRhopAdj. pNRhopAdj. pNRhopAdj. pNRhopAdj. pN
AKR1B1-0.2780.0640.19245-0.357*0.0170.02644-0.332*0.0340.05141-0.2270.2110.63332-0.1060.4950.49544
AKR1B100.0360.8150.815450.481**0.0010.003440.516**0.0010.003410.0460.8040.804320.2490.1030.15544
AKR1C3-0.1590.4590.68924-0.0290.8950.89523-0.0120.9600.960210.2310.3560.53418-0.4730.0220.06623

Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown.

Correlation is significant at the 0.05 level (2-tailed), ​** Correlation is significant at the 0.001 level (2-tailed).

Table 7

Changes in expression of genes involved in estrogen biosynthesis and action according to histopathological and clinical characteristics of endometrial cancer patients.

Histological grade (high gradevs.low grade)
FIGO stage (IAvs.IB-IV)
Menopausal status
Myometrial invasion (yes/no)
Myometrial invasion >1/2 (yes/no)
Lymphovascular invasion invasion (yes/no)
Adj.pppAdj.ppppAdj.p
AKR1C30.8250.8800.3060.4240.7540.5550.1000.8040.99
CYP19A10.7120.8760.2190.0110.1760.8830.0680.6800.989
HSD17B20.0100.1600.2510.0280.2240.9390.1990.9610.961
HSD17B10.0190.1010.2880.7410.8470.0600.6900.0750.600
HSD17B40.0100.0800.785110.5070.5840.3640.582
HSD17B80.5070.6760.8910.3170.8450.3380.2730.1170.624
HSD17B140.2760.5520.8850.6740.8990.5630.4300.3590.718
HSD17B120.2100.4800.9460.4630.7410.6060.2730.2150.491
SULT1E10.0720.2300.0600.3210.7340.7610.3130.1770.566
STS0.4570.6650.9150.7060.8690.5800.0840.9121
SULT2A10.8050.9200.5910.7580.8090.1830.9220.0040.064
SULT2B10.0440.1760.7370.1320.5280.4930.4950.3610.642
ESR10.9010.9010.8310.3300.660.1820.4540.2100.560
ESR20.3330.5920.7380.1130.6030.7390.2550.1500.600
GPER20.4460.7140.7990.4830.7030.9190.2880.9150.976
GPER340.1860.49610.2680.8580.4160.5070.710.947

Changes in gene expression ratios were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) and adjusted significance (Adj. p) are shown. Adj. p was calculated only in the groups where p < 0.05.

Table 8

Changes in expression of genes involved in estrogen oxidative metabolism according to histopathological and clinical characteristics of endometrial cancer patients.

Histological grade (high gradevs.low grade)FIGO stage (IAvs.IB-IV)Menopausal statusMyometrial invasion (yes/no)Myometrial invasion >1/2 (yes/no)Lymphovascular invasion invasion (yes/no)
Pppppp
SULT1E10.0720.0600.3210.7610.3130.177
CYP1A10.5480.7370.6820.0870.1260.290
CYP1B10.5250.5680.9730.0680.1430.290
CYP1A20.6980.5910.4120.7320.3130.511
CYP3A50.5720.4020.1320.5940.2550.688
CYP3A70.8880.4810.9180.5940.6260.798
COMT0.6720.8400.9450.4240.0970.535
UGT2B70.9160.1490.1710.5680.9220.535
SULT1A10.0970.9200.2060.3810.9220.342
GSTP10.7200.0940.8060.5120.4760.147

Changes in expression were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) is shown.

Table 9

Changes in expression of genes involved in progesterone biosynthesis and action according to histopathological and clinical characteristics of endometrial cancer patients.

Histological grade (high gradevs.low grade)
FIGO stage (IAvs.IB-IV)Menopausal status
Myometrial invasion (yes/no)Myometrial invasion >1/2 (yes/no)
Lymphovascular invasion invasion (yes/no)
pAdj.pppAdj.pppAdj.pp
PGR0.0700.2100.3370.70710.9390.2680.4020.710
PAQR70.1910.4300.1650.0540.2430.4170.0100.090.859
PAQR50.88910.7290.90010.6130.1800.3240.102
PAQR80.4790.7190.7180.1760.5280.8590.0540.1220.363
PRB0.0260.1170.5390.80210.5300.5210.5860.616
STAR0.0010.0090.0780.9000.90.7020.0410.1230.409
HSD3B10.9040.9040.1180.69310.2520.6260.6260.224
HSD3B20.4370.7870.2020.3930.8840.7040.4540.5840.742
CYP11A10.7380.9490.1570.0280.2520.6570.0360.1620.528

Changes in expression were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) and adjusted significance (Adj. p) are shown. Adj. p was calculated only in the groups where p < 0.05.

Table 10

Changes in expression of genes involved in progesterone metabolism according to histopathological and clinical characteristics of endometrial cancer patients.

Histological grade (high gradevs.low grade)
FIGO stage (IAvs.IB-IV)Menopausal status
Myometrial invasion (yes/no)Myometrial invasion >1/2 (yes/no)
Lymphovascular invasion invasion (yes/no)
pAdj.pppAdj.pppAdj.pp
SRD5A10.2220.4440.1370.1090.2180.4720.5070.5070.541
SRD5A20.0560.1680.3670.0480.1440.3190.3520.4220.739
AKR1C10.4860.7290.1220.9200.9200.8420.0200.1200.987
AKR1C20.5220.6260.0880.5310.6370.8420.0230.0690.662
AKR1C30.8250.8250.3060.4240.6360.5550.1000.2000.804
HSD17B20.0100.0600.2510.0280.1680.9390.1990.2990.961

Changes in expression were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) and adjusted significance (Adj. p) are shown. Adj. p was calculated only in the groups where p < 0.05.

Table 11

Changes in expression of genes involved in PGF2α biosynthesis and retinoic acid metabolism according to histopathological and clinical characteristics of endometrial cancer patients.

Histological grade (high gradevs.low grade)
FIGO stage (IAvs.IB-IV)Menopausal status
Myometrial invasion (yes/no)Myometrial invasion >1/2 (yes/no)Lymphovascular invasion invasion (yes/no)
pAdj.pppAdj.ppppAdj.p
AKR1B10.0700.1050.7290.0260.0780.8420.5210.3730.56
AKR1B100.0010.0030.0550.0750.1130.0830.080.0370.111
AKR1C30.8250.8250.3060.4240.4240.5550.10.8040.804

Changes in expression were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) and adjusted significance (Adj. p) are shown. Adj. p was calculated only in the groups where p < 0.05.

Demographic, histopathological and clinical characteristics of the endometrial cancer patients. NA, not available. Correlations between expression of genes involved in estrogen biosynthesis and action and demographic characteristics of endometrial cancer patients. Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown. Correlation is significant at the 0.05 level (2-tailed). Correlations between expression of genes involved in estrogen oxidative metabolism and demographic characteristics of endometrial cancer patients. Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown. ** Correlation is significant at the 0.001 level (2-tailed). Correlations between expression of genes involved in progesterone biosynthesis and action and demographic characteristics of endometrial cancer patients. Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown. * Correlation is significant at the 0.05 level (2-tailed). Correlations between expression of genes involved in progesterone metabolism and demographic characteristics of endometrial cancer patients. Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown. * Correlation is significant at the 0.05 level (2-tailed), **Correlation is significant at the 0.001 level (2-tailed). Correlations between expression of genes involved in PGF2α biosynthesis and retinoic acid metabolism and demographic characteristics of endometrial cancer patients. Spearman׳s rho correlation coefficient (Rho) and 2-tailed significance (p) and adjusted significance (Adj. p) and N number of endometrial cancer cases are shown. Correlation is significant at the 0.05 level (2-tailed), ​** Correlation is significant at the 0.001 level (2-tailed). Changes in expression of genes involved in estrogen biosynthesis and action according to histopathological and clinical characteristics of endometrial cancer patients. Changes in gene expression ratios were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) and adjusted significance (Adj. p) are shown. Adj. p was calculated only in the groups where p < 0.05. Changes in expression of genes involved in estrogen oxidative metabolism according to histopathological and clinical characteristics of endometrial cancer patients. Changes in expression were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) is shown. Changes in expression of genes involved in progesterone biosynthesis and action according to histopathological and clinical characteristics of endometrial cancer patients. Changes in expression were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) and adjusted significance (Adj. p) are shown. Adj. p was calculated only in the groups where p < 0.05. Changes in expression of genes involved in progesterone metabolism according to histopathological and clinical characteristics of endometrial cancer patients. Changes in expression were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) and adjusted significance (Adj. p) are shown. Adj. p was calculated only in the groups where p < 0.05. Changes in expression of genes involved in PGF2α biosynthesis and retinoic acid metabolism according to histopathological and clinical characteristics of endometrial cancer patients. Changes in expression were tested using Mann-Whitney nonparametric tests for two-group comparisons, and Wilcoxon nonparametric W tests. Corrections for multiple testing were performed according to Benjamini and Hochberg [7]. Asymptotic 2-tailed significance (p) and adjusted significance (Adj. p) are shown. Adj. p was calculated only in the groups where p < 0.05.

Demographic, histopathological and clinical data

The demographic, histopathological and clinical characteristics are given in Table 1. For the 51 patients, the mean age was 63.16 years (SD, 13.33 years; range, 26.72–83.58 years), the mean body weight was 81.24 kg (SD, 17.25 kg; range, 51–130 kg), and the mean BMI was 30.63 kg/m2 (SD, 6.95 kg/m2; range, 19.37–48.93 kg/m2). According to the WHO definitions, of the 46 patients with BMI data, 10 (21.7%) were within the normal range (BMI, 18.5–25.0 kg/m2), 12 (26.1%) were overweight (BMI, 25–30 kg/m2), and 24 (52.2%) were obese (BMI, >30 kg/m2), with 15 (32.6%) as moderately obese (BMI, 30–35 kg/m2), 5 (10.9%) as severely obese (BMI, 35–40 kg/m2), and 4 (8.7%) as very severely obese (BMI, >40 kg/m2). Forty-six (92.0%) of the 50 patients with the relevant data had at least one full-term pregnancy, four (8.0%) had none. Information for menopausal status was also available for 50 patients, with 38 (76.0%) post-menopausal and 12 (24.0%) pre-menopausal. The minimum age at the last menstruation was 40 years, and the maximum was 65 years, with the mean of 52.34 years (SD, 4.54 years). The longest post-menopausal time before analysis was 33.6 years. The Cancer Registry of the Republic of Slovenia was searched for the vital status of these 51 patients. The cut-off point was June 20, 2016, at which date 36 (70.6%) of these patients were still alive, and 15 (29.4%) were dead. The mean age at death was 75.36 years (SD, 9.30 years), with the minimum age at death of 57.05 years, and maximum age of 86.44 years. Eight patients (15.7%) died of cancer: four (7.8%) of uterine cancer, one of ovarian cancer, one of kidney cancer, one of malignant melanoma of the skin, and one of glioblastoma (2.0%, for each). Three patients (5.9%) died of chronic ischemic heart disease, one of atherosclerotic arteries of the extremities, one of benign meningeal neoplasm, and one of infection and inflammatory reaction due to an internal joint prosthesis (2.0%, for each). Morbid obesity with alveolar hypoventilation resulted in the death of one of the patients (2.0%). The most common histologic type was endometrioid adenocarcinoma, as seen for 41 of the 51 patients (80.4%), of these, 29 (70.7%) had tumor grade 1 (G1), eight (19.5%) grade 2 (G2), and five (12.2%) grade 3 (G3). Five (9.80%) of the 51 patients had serous carcinoma, one (2.0%) had mucinous carcinoma, one (2.0%) had carcinosarcoma, and three (5.9%) had dedifferentiated carcinoma. At histologic examination, the tumor tissue was limited to the endometrium in 12 (23.5%) of the 51 patients, invasion into the myometrium (<50% of myometrial thickness) was seen in 25 (49.0%), and deep tumor invasion (≥50% of myometrial thickness) was seen in 14 (27.5%). For one patient (2.0%), the tumor tissue had spread to the adjacent tissue to the right fallopian tube, while histological examination revealed pelvic lymph node metastases for one patient (2.0%). According to the International Federation of Gynecology and Obstetrics (FIGO) staging, 33 (66.0%) were classified as stage IA, 11 (22.0%) as stage IB, one (2.0%) as stage II, two (4.0%) as stage III, one as stage IIIA, one as stage IIIC1, and one as stage IV (2.0%, for each).

Experimental design, materials and methods

Gene expression ratios in cancer versus adjacent control tissue

We investigated expression of genes encoding enzymes of estrogen biosynthesis [2] (Figure 1, [1]), enzymes of estrogen metabolism [3] (Figure 2, [1]), enzymes of progesterone synthesis and metabolism [4] (Figures 3 and 4, [1]) and enzymes of PGF2α synthesis and metabolism of retinoic acid [5] (Figure 5, [1]). We also investigated expression of nuclear estrogen and progesterone receptors ESR1, ESR2 [2], [6], PGR, PRB [4], and membrane bound estrogen and progesterone receptors GPER, PAQR5, PAQR7 and PAQR8 (manuscript in preparation) (Figures 2 and 3, [1]). Our studies comprised from 22 to 47 patients. To provide information about up/down-regulation of these 38 genes in cancer versus adjacent control tissue we calculated ratios for gene expression in tumor/ adjacent control tissue and these data were statistically analyzed.

Statistical analysis

The correlations between the ratios for expression of 38 genes in tumor/ adjacent control tissue and demographic parameters were evaluated by calculating Spearman׳s correlation coefficient rho (Table 2, Table 3, Table 4, Table 5, Table 6). The statistical significant changes in the ratios for expression of 38 genes in tumor/ adjacent control tissue with regard to histopathological and clinical characteristics were tested using the Mann-Whitney test and the Wilcoxon W test, followed by Benjamini and Hochberg corrections for multiple testing [7] (Table 7, Table 8, Table 9, Table 10, Table 11).
Subject areaBiochemistry, Molecular biology
More specific subject areaMolecular endocrinology, Gynecological endocrinology
Type of dataTables
How data was acquiredClinical and histopathological data was obtained from the patients’ medical and histopathological records, respectively.
The gene expression data obtained by quantitative real-time PCR was statistically analyzed.
Data formatAnalyzed
Experimental factors
Experimental featuresRatios for expression of 38 genes in samples of endometrial cancer versus adjacent control endometrium were calculated and this data was statistically analyzed.
Data source locationLjubljana, Slovenia
Data accessibilityThe statistically analyzed data is available within this article and the raw expression data may be provided upon request.
  6 in total

1.  Decreased levels of AKR1B1 and AKR1B10 in cancerous endometrium compared to adjacent non-cancerous tissue.

Authors:  Neli Hevir; Jasna Sinkovec; Tea Lanišnik Rižner
Journal:  Chem Biol Interact       Date:  2012-11-09       Impact factor: 5.192

2.  Expression analysis of estrogen-metabolizing enzymes in human endometrial cancer.

Authors:  Tina Smuc; Ruth Rupreht; Jasna Sinkovec; Jerzy Adamski; Tea Lanisnik Rizner
Journal:  Mol Cell Endocrinol       Date:  2005-12-06       Impact factor: 4.102

3.  Disturbed expression of phase I and phase II estrogen-metabolizing enzymes in endometrial cancer: lower levels of CYP1B1 and increased expression of S-COMT.

Authors:  Neli Hevir; Jasna Sinkovec; Tea Lanišnik Rižner
Journal:  Mol Cell Endocrinol       Date:  2010-09-29       Impact factor: 4.102

4.  STAR and AKR1B10 are down-regulated in high-grade endometrial cancer.

Authors:  Maša Sinreih; Saša Štupar; Luka Čemažar; Ivan Verdenik; Snježana Frković Grazio; Špela Smrkolj; Tea Lanišnik Rižner
Journal:  J Steroid Biochem Mol Biol       Date:  2017-02-21       Impact factor: 4.292

5.  Altered expression of genes involved in progesterone biosynthesis, metabolism and action in endometrial cancer.

Authors:  Maša Sinreih; Neli Hevir; Tea Lanišnik Rižner
Journal:  Chem Biol Interact       Date:  2012-11-27       Impact factor: 5.192

6.  Aberrant pre-receptor regulation of estrogen and progesterone action in endometrial cancer.

Authors:  Tina Smuc; Tea Lanisnik Rizner
Journal:  Mol Cell Endocrinol       Date:  2008-09-27       Impact factor: 4.102

  6 in total
  1 in total

1.  Loss of AKR1B10 promotes colorectal cancer cells proliferation and migration via regulating FGF1-dependent pathway.

Authors:  Yizhou Yao; Xuchao Wang; Diyuan Zhou; Hao Li; Huan Qian; Jiawen Zhang; Linhua Jiang; Bin Wang; Qi Lin; Xinguo Zhu
Journal:  Aging (Albany NY)       Date:  2020-07-02       Impact factor: 5.682

  1 in total

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