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Publication : Reduced progression of endometrial hyperplasia with oral mTOR inhibition in the Pten heterozygote murine model.

First Author  Milam MR Year  2007
Journal  Am J Obstet Gynecol Volume  196
Issue  3 Pages  247.e1-5
PubMed ID  17346540 Mgi Jnum  J:122611
Mgi Id  MGI:3714878 Doi  10.1016/j.ajog.2006.10.872
Citation  Milam MR, et al. (2007) Reduced progression of endometrial hyperplasia with oral mTOR inhibition in the Pten heterozygote murine model. Am J Obstet Gynecol 196(3):247.e1-5
abstractText  OBJECTIVE: Phosphatase and tensin homolog (PTEN) mutations are associated with human endometrial cancers, and PTEN heterozygote(+/-) mice have a high rate of endometrial neoplasia. The objective of this study was to evaluate an oral mTOR inhibitor (mTOR-I) on the reduction of endometrial hyperplasia in an animal model. STUDY DESIGN: Three groups of 10 female mice were treated from age 20-26 weeks: group A, Pten wild type with mTOR-I; group B, Pten+/- with placebo; and group C, Pten +/- with mTOR-I. Rates of hyperplasia and markers of proliferation and apoptosis were evaluated. RESULTS: Higher grade hyperplasia occurred in a significantly greater percentage of the untreated Pten+/- group B (80%; 8/10) compared with groups A (0%; 0/10) and C (20%; 2/10; P < .02). The treated Pten+/- mTOR-I group C also demonstrated significantly increased apoptosis (P < .002) and decreased proliferation index (P < .02) compared with the untreated group B. CONCLUSION: Oral mTOR inhibition decreases the progression of endometrial hyperplasia in the Pten heterozygote murine model through decreased cell proliferation and increased apoptosis.
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