Results: According to the average scale score of P-cadherin staining of cells, the three groups were statistically different from each other (p=0.0001). This difference stems from statistically significantly lower scores in the spontaneous abortion group than in both the ectopic pregnancy group (p<0.001) and the control group (p<0.001). E-selectin immunostaining showed no positive staining in the groups.
Conclusion:In placental trophoblasts, decreased P-cadherin immunoreactivity plays a role in the aetiopathogenesis of spontaneous abortion. (J Turk Ger Gynecol Assoc 2014; 15: 13-7) Key words: Adhesion molecules, E-selectin, human trophoblast, P-cadherin, placenta Received: 07 November, 2013 Accepted: 21 December, 2013 Expression of P-cadherin (cadherin-3) and E-selectin in the villous trophoblast of first trimester human placenta
AbstractIn human reproduction, EPL is one of the most common complications and has an incidence ranging between 50 and 70% of all conceptions (14). Chromosomal abnormalities are important in the aetiopathogenesis. In recent years, studies at the molecular level have demonstrated the role of the inadequate secretion of CAMs in early pregnancy loss (13). During in vitro studies, the down-regulation of VE-cadherin and up-regulation of E-cadherin have been reported to cause EPL (14). In particular, the insufficient invasion and abnormal placentation by trophoblasts are known to play a role in EPL. However, the presence and role of CAMs and cadherins, in particular in human placenta, are not fully known. The presence of a very low rate of P-cadherin molecule (cadherin-3) has been shown in only the human placenta in previous reports (20). The purpose of this study is to investigate whether E-selectin and P-cadherin (cadherin-3), among those cell adhesion molecules that have wide-ranging roles in implantation and placentation, have a role in early pregnancy complications by measuring their levels in human villous trophoblast cells of patients with an early pregnancy complication and healthy individuals.
Material and Methods
Study DesignThe study was approved by the local ethics committee, and written informed consent was obtained from all participants. This retrospective immunohistochemical study was conducted on patients who applied to Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Obstetrics and Gynaecology Department between February 2005 and June 2006, who were operated upon with a diagnosis of ectopic pregnancy and pathologically diagnosed with ectopic pregnancy, had spontaneous abortion with remaining abortion material, and had an elective pregnancy termination for family planning within legal limits or had their pregnancy terminated because of exposure to teratogenic agents. Accordingly, patients were divided into three groups: ectopic pregnancy group (group 1), spontaneous abortion group (group 2) and curettage group (group 3 or control group). Demographic characteristics of patients (patient age, gravida, parity, number of previous abortion and last menstrual...