[Non-developing pregnancy: histological and immunohistochemical markers of endocrine disorders in endometrial scrapes]

Arkh Patol. 2008 Nov-Dec;70(6):22-5.
[Article in Russian]

Abstract

Histological and immunohistological (monoclonal antibodies against desmin, vimentin, glycodelin, IGFBP-1, estrogen receptors and progesterone receptors) studies were carried out to examine uterine scrapes from 47 healthy women - medical abortions from 6 to 10 weeks of conception and from 44 patients after non-developing pregnancy in the first trimester (recurrent miscarriage), which had been induced by verified endocrine disorders. Among them, three isolated pathogenetic types were identified: 1) uterine gland retardation as preserved islets of cylindrical glands with a narrow lumen or, on the contrary, areas with enlarged glands and atrophic epitheliocytes; immunohistochemically, they exhibited a drastic reduction in the expression of glycodelin, the major local immunosuppressor; 2) incomplete decidualization when it in the presence of progesterone deficiency was delayed at the state of predecidual and decidual cells retaining the smooth muscle cell marker - desmin; 3) verified progesterone receptor insufficiency. Each of the given clinical and morphological types of endocrine causes of non-developing pregnancy requires that an individual approach be applied to examining and treating these patients.

Publication types

  • English Abstract

MeSH terms

  • Abortion, Missed / etiology
  • Abortion, Missed / metabolism*
  • Abortion, Missed / pathology*
  • Adult
  • Biomarkers / metabolism
  • Desmin / metabolism
  • Endocrine System Diseases / complications
  • Endocrine System Diseases / metabolism*
  • Endocrine System Diseases / pathology*
  • Endometrium / metabolism
  • Endometrium / pathology*
  • Female
  • Humans
  • Immunohistochemistry
  • Insulin-Like Growth Factor Binding Protein 1 / metabolism
  • Pregnancy
  • Pregnancy Trimester, First / metabolism
  • Vimentin / metabolism

Substances

  • Biomarkers
  • Desmin
  • Insulin-Like Growth Factor Binding Protein 1
  • Vimentin