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Abstract:
OBJECTIVE:Pelvic organ prolapse (POP) is a global health problem for which the pathophysiological mechanism remains unclear. The loss of extracellular matrix proteins is considered an important molecular basis for this pathology. Heparanase is a heparin sulfate degrading endoglycosidase that has an important role in various biological processes and is a key component of extracellular matrix. The aim of this study was to compare expression of Heparanase in connective tissue of uterosacral ligaments in women with or without uterine prolapse. STUDY DESIGN:Thirty-nine women who underwent hysterectomy for benign reasons were enrolled in the study. Twenty-three women with uterine prolapse (stage ≥3) who underwent vaginal hysterectomy (VH) - POP group, were compared to sixteen women without uterine prolapse who underwent abdominal hysterectomy (stage <2) - control group. Uterosacral ligaments (USL) biopsies were obtained from all uterine specimens near their origin. All tissue samples were analyzed by immunohistochemistry and tested for the presence of Heparanase using antiheparanse antibody 733. RESULTS:Heparanse positive staining was more common in the connective tissue of uterosacral ligaments in women with uterine prolapse. Positive staining was seen in 17/23 (73.9 %) women with uterine prolapse compared to 4/16 (25 %) without uterine prolapse (p = 0.003). On multivariate logistic regression analysis, positive staining displayed a trend for an independent association with POP, after controlling for menopausal status and parity (OR 13.57, 95 %CI 0.82-224.4, p = 0.06). CONCLUSION:Heparanase expression is more common in the connective tissue of uterosacral ligaments in women with uterine prolapse compared to women with no prolapse.
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最新影响因子:2.831 | 期刊ISSN:0301-2115 | CiteScore:N/A |
出版周期:Bimonthly | 是否OA:YES | 出版年份:1973 |
期刊官方网址:http://www.elsevier.com/wps/find/journaldescription.cws_home/505961/description
自引率:4.00% | 研究方向:医学-妇产科学 |
出版地区:NETHERLANDS |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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The European Journal of Obstetrics & Gynecology and Reproductive Biology publishes original research, reviews and case reports in the fields of obstetrics, prenatal diagnosis, general gynecology, gynecologic oncology, uro-gynecology, infertility and reproductive endocrinology. The journal promotes scientific and clinical professional communication about the state of the art in obstetrics and gynecology worldwide and in particular in Europe.
《欧洲妇产科和生殖生物学杂志》发表了产科、产前诊断、普通妇科、妇科肿瘤、泌尿妇科、不孕不育和生殖内分泌领域的原始研究、综述和病例报告。该杂志促进科学和临床专业交流,在世界范围内,尤其是在欧洲,产科和妇科的最新进展。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
OBSTETRICS & GYNECOLOGY (妇产科学) 4区 REPRODUCTIVE BIOLOGY (生殖生物学) 4区 |
50/82 21/29 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
357 | 295 | 62 |
引文计数(2018)
文献(2015-2017)
N/A次引用
N/A篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Reproductive Medicine
|
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