Human Reproduction, Vol 12, 815-822, Copyright © 1997 by Oxford University Press
B Viville, DS Charnock-Jones, AM Sharkey, B Wetzka and SK Smith
The two forms of the progesterone receptor, PR-A and PR-B, are
independently regulated at the transcriptional level, and show distinct
responses to progesterone antagonists. We were interested in possible
differences in the PR-A to PR-B ratio between uterine myometrium and
leiomyomata (fibroid), that might influence the response of fibroids to
progesterone agonists and antagonists, and thus have consequences for the
treatment of this condition. Fibroid and adjacent normal myometrium were
obtained from 11 women undergoing hysterectomy. Immunohistochemistry using
a monoclonal antibody which recognizes both PR-A and PR-B showed
exclusively nuclear staining, and this was stronger in the leiomyomata than
in adjacent myometrium. An antibody specific for PR-B gave fainter staining
of both tissues. Western blotting confirmed a higher concentration of PR in
leiomyomata than myometrium in eight out of 11 cases. In all cases both
forms were present, with a consistent dominance of PR-A over PR-B. However
an RNase protection assay showed that there was no difference between the
concentrations of mRNA encoding PR-A and PR-B, or between the mRNA
concentrations in leiomyomata and normal myometrium. We conclude that the
observed differences between the levels of immunoreactive PR in leiomyomata
and myometrium may result from post-translational control, and support the
use of progesterone antagonists in the treatment of leiomyomata.
ARTICLES
Distribution of the A and B forms of the progesterone receptor messenger ribonucleic acid and protein in uterine leiomyomata and adjacent myometrium
Department of Obstetrics and Gynaecology, University of Cambridge, Rosie Maternity Hospital, UK.
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