Effect of mifepristone on invasion gene and apoptosis gene expression in ectopic endometrial tissue of patients with endometriosis

摘要

Objective: To study the effect of mifepristone on invasion gene and apoptosis gene expression in ectopic endometrial tissue of patients with endometriosis. Methods: Patients with endometriosis who were treated in People's Hospital of Dongxihu District Wuhan City between March 2015 and June 2017 were selected as the research subjects and randomly divided into two groups, mifepristone group received mifepristone therapy 3 months before surgery, and control group received no special treatment. The endometriosis lesions were collected after surgical resection to determine the expression of invasion and apoptosis genes. Results: β-catenin, GSK3β, uPA, NK-kB p65, OPN, Ki-67, c-IAP1, Bcl-2, Livin and Id-1 protein expression in endometriosis lesions of mifepristone group were significantly lower than those of control group while PTEN, Smac, Bax and Fas protein expression were significantly higher than those of control group. Conclusion: Preoperative mifepristone therapy can inhibit cell invasion and promote cell apoptosis in endometriosis lesion.