Expression of MMIF, HIF-1α and VEGF in Serum and Endometrial Tissues of Patients with Endometriosis
Expression of MMIF, HIF-1α and VEGF in Serum and Endometrial Tissues of Patients with Endometriosis作者机构:Department of Obstetrics and Gynecology Wuhan 6th Hospital Affiliated to Jianghan University Wuhan 430000 China Department of Obstetrics and Gynecology Wuhan Children's Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan 430000 China
出 版 物:《Current Medical Science》 (当代医学科学(英文))
年 卷 期:2018年第38卷第3期
页 面:499-504页
核心收录:
学科分类:1002[医学-临床医学] 100211[医学-妇产科学] 1010[医学-医学技术(可授医学、理学学位)] 10[医学]
主 题:macrophage migration inhibitory factor hypoxia-inducible factor-1α vascular endothelial growth factor endometriosis diagnosis
摘 要:The aim of this study was to investigate the expression of macrophage migration inhibitory factor (MMIF), hypoxia-inducible factor- 1 α(HIF- 1α )and vascular endothelial growth factor (VEGF) in the serum and endometrial tissues of patients with endometriosis (EM) and the clinical significance. Eighty EM patients [American Reproductive Association stage Ⅰ (n=20), stage Ⅱ (n=22), stage Ⅲ (n=21) and stage Ⅳ (n=17)] were enrolled and divided into mild (10- 14 points, n=28), moderate (16-24 points, n=27) and severe (26-30 points, n=25) dysmenorrhea groups. The control group included 40 healthy women of childbearing age who underwent routine healthcare examinations in the enrolment period. The expression of MMIF, HIF- 1α and VEGF in the serum and endometrial tissues was measured by enzyme-linked immunosorbent assay and Western blotting, respectively. Meanwhile, the sensitivity and specificity of serum MMIF, HIF-1α, and VEGF when separately used as single indexes or jointly used as one index were examined as well. The results showed that serum concentrations of MMIF, HIF-1α, and VEGF were significantly higher in EM patients than in controls (P〈0.05). The expression of all three proteins in both serum and endometrial tissues increased significantly with the R-AFS stage (P〈0.05) and with dysmenorrheal severity (P〈0.05). The sensitivity and specificity of the combined detection of serum MMIF, HIF-1α, and VEGF levels were significantly higher than those of single index detection (P〈0.05). In conclusion, the expression of MMIF, HIF-1α, and VEGF in the serum and endometrial tissues may be used to assess the stage of EM and the severity of dysmenorrhea. Combined evaluation of MMIF, HIF-1α, and VEGF significantly improves the diagnostic sensitivity and specificity.