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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0"><Article><Journal><PublisherName>yemenjmed</PublisherName><JournalTitle>Yemen Journal of Medicine</JournalTitle><PISSN>c</PISSN><EISSN>o</EISSN><Volume-Issue>Volume 4 Issue 1</Volume-Issue><IssueTopic>Multidisciplinary</IssueTopic><IssueLanguage>English</IssueLanguage><Season>January- April 2025</Season><SpecialIssue>N</SpecialIssue><SupplementaryIssue>N</SupplementaryIssue><IssueOA>Y</IssueOA><PubDate><Year>2025</Year><Month>05</Month><Day>22</Day></PubDate><ArticleType>Article</ArticleType><ArticleTitle>Immunohistochemical Expression of Progesterone Receptor and B-cell Lymphoma-2 Antigen in Uterine Leiomyomas in a Southwestern Nigerian Teaching Hospital</ArticleTitle><SubTitle/><ArticleLanguage>English</ArticleLanguage><ArticleOA>Y</ArticleOA><FirstPage>134</FirstPage><LastPage>139</LastPage><AuthorList><Author><FirstName>Adebayo Ayoade</FirstName><LastName>Adekunle1</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>N</CorrespondingAuthor><ORCID/><FirstName>Olabisi</FirstName><LastName>Ayo-Aderibigbe1</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName>Mumini Wemimo</FirstName><LastName>Rasheed2</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName> Najeem Adedamola</FirstName><LastName>Idowu3</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName> Oluwole O.</FirstName><LastName>Odujoko4</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/><FirstName>   Donatus</FirstName><LastName>Sabageh1</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/></Author></AuthorList><DOI>10.63475/yjm.v4i1.0077</DOI><Abstract>Background: Uterine leiomyoma is the most common benign smooth muscle tumor of unknown aetiology. Progesterone may contribute to leiomyoma growth through the induction of B-cell lymphoma-2 (BCL-2) protein in leiomyoma cells. This study aims to determine the patterns of B-cell lymphoma-2 (BCL-2) and progesterone receptor (PR) expression in uterine leiomyomas seen at LTH, Ogbomoso, over a five-year period using immunohistochemical techniques.&#13;
Methods: This was a hospital-based retrospective study of histologically diagnosed leiomyomas in the histopathology department of a teaching hospital between January 2012 and December 2016. A total of 141 cases of uterine leiomyomas were semi-quantitatively analysed immunohistochemically for PR and BCL-2 antigens.&#13;
Results: Immunohistochemical analysis showed that out of 141 cases studied, 74 (52.5%) and 118 (83.7%) were positive for BCL-2 and PR, respectively. Among the 141 cases, 23 (16.3%) were negative for both PR and BCL-2. There was a moderate positive correlation between the immunohistochemical expression of BCL-2 and PR antigens, with a p-value &lt; 0.001 (Pearson correlation = 0.563).&#13;
Conclusion: This study showed that the majority of women with leiomyomas expressed both progesterone receptor and B-cell lymphoma-2 antigens. Therefore, selective women with leiomyomas could benefit from progesterone receptor modulators instead of undergoing invasive procedures such as myomectomy or hysterectomy.&#13;
 </Abstract><AbstractLanguage>English</AbstractLanguage><Keywords>Immunohistochemistry, BCL-2, Progesterone Receptor, Uterine Leiomyoma, Fibroids</Keywords><URLs><Abstract>https://yemenjmed.com/admin/abstract?id=152</Abstract></URLs><References><ReferencesarticleTitle>References</ReferencesarticleTitle><ReferencesfirstPage>16</ReferencesfirstPage><ReferenceslastPage>19</ReferenceslastPage><References>Okolo S. Incidence, aetiology and epidemiology of uterine fibroids. Best Pract Res Clin Obstet Gynaecol. 2008;22(4):571-88.Bulun SE. Uterine fibroids. N Engl J Med. 2013;369(14):1344-55.Kim JJ, Sefton EC. The role of progesterone signaling in the pathogenesis of uterine leiomyoma. Mol Cell Endocrinol. 2012;358(2):223-31.Awowole IO, Makinde ON, Badejoko OO, Omoniyi-Esan GO, Tijani AM, Ajenifuja KO, et al. Clinical correlates of leiomyoma estrogen and progesterone receptors among Nigerian women. Int J Gynaecol Obstet. 2016;135(3):314-8.Matsuo H, Maruo T, Samoto T. Increased expression of BCL-2 protein in human uterine leiomyoma and its up-regulation by progesterone. J Clin Endocrinol Metab. 1997;82(1):293-9.Hoekstra AV, Sefton EC, Berry E, Lu Z, Hardt J, Marsh E, et al. Progestins activate the AKT pathway in leiomyoma cells and promote survival. J Clin Endocrinol Metab. 2009;94(5):1768-74.Yin P, Lin Z, Cheng YH, Marsh EE, Utsunomiya H, Ishikawa H, et al. Progesterone receptor regulates BCL-2 gene expression through direct binding to its promoter region in uterine leiomyoma cells. J Clin Endocrinol Metab. 2007;92(11):4459-66.Huang SC, Tang MJ, Hsu KF, Cheng YM, Chou CY. Fas and its ligand, caspases, and BCL-2 expression in gonadotropin-releasing hormone agonist-treated uterine leiomyoma. J Clin Endocrinol Metab. 2002;87(10):4580-6.Vogler M, Braun Y, Smith VM, Westhoff MA, Pereira RS, Pieper NM, et al. The BCL2 family: from apoptosis mechanisms to new advances in targeted therapy. Signal Transduct Target Ther. 2025;10(1):91.Desouky MK, Anwar RI, Algaidi SA. Immunohistochemical expression of BCL-2 and microvessel density in uterine fibroids in Saudi patients. West Indian Med J. 2015;2(2):121-6.Liao S, Mi HN, Chai LY, Wang HN. Effects of progesterone receptor on proliferation of uterine leiomyoma cells. J Biol Regul Homeost Agents. 2019;33(6):1685-93.Kabirat J, Gupta J, Khaitan T, Bhattacharya PT. Principles and techniques of immunohistochemistry: A review. Int J Biol Med Res. 2015;6(4):5204-10.Allred DC, Harvey JM, Berardo M, Clark GM. Prognostic and predictive factors in breastcancer by immunohistochemical analysis. Mod Pathol. 1998;11(2):155-68.Kim JJ, Kurita T, Bulun SE. Progesterone action in endometrial cancer, endometriosis, uterine fibroids, and breast cancer. Endocr Rev. 2013;34(1):130-62.Machado-Land;oacute;pez A, Simand;oacute;n C, Mas A. Molecular and cellular insights into the development of uterine fibroids. Int J Mol Sci. 2021;22(16):8483.Yun BS, Seong SJ, Cha DH, Kim JY, Kim ML, Shim JY, et al. Changes in proliferating and apoptotic markers of leiomyoma following treatment with a selective progesterone receptor modulator or gonadotropin-releasing hormone agonist. Eur J Obstet Gynecol Reprod Biol. 2015;191:62-7.Wu X, Blanck A, Olovsson M, Mand;ouml;ller B, Favini R, Lindblom B. Apoptosis, cellular proliferation and expression of p53 in human uterine leiomyomas and myometrium during the menstrual cycle and after menopause. Acta Obstet Gynecol Scand. 2000;79(5):397-404.Ishikawa H, Ishi K, Serna VA, Kakazu R, Bulun SE, Kurita T. Progesterone is essential formaintenance and growth of uterine leiomyoma. Endocrinology. 2010;151(6):2433-42.Islam MS, Afrin S, Jones SI, Segars J. Selective Progesterone Receptor Modulators-Mechanisms and Therapeutic Utility. Endocr Rev. 2020;41(5):bnaa012.Borahay MA, Al-Hendy A, Kilic GS, Boehning D. Signaling Pathways in Leiomyoma: Understanding Pathobiology and Implications for Therapy. Mol Med. 2015;21(1):242-56.Maruo T, Matsuo H, Samoto T, Shimomura Y, Kurachi O, Gao Z, et al. Effects of progesterone on uterine leiomyoma growth and apoptosis. Steroids. 2000;65(10-11):585-92.Voronin D, Sotnikova N, Rukavishnikov K, Malyshkina A, Nagornii S, Antsiferov Y. Differential regulatory effect of progesterone on the proliferation and apoptosis of uterine leiomyoma tissue explants and primary leiomyoma cell cultures. JBRA Assist Reprod. 2021;25(4):540-8.Gao Z, Matsuo H, Wang Y, Nakago S, Maruo T. Up-regulation by IGF-I of proliferating cell nuclear antigen and BCL-2 protein expression in human uterine leiomyoma cells. J Clin Endocrinol Metab. 2001;86(11):5593-9.Castro L, Gao X, Moore AB, Yu L, Di X, Kissling GE, et al. A high concentration of genistein induces cell death in human uterine leiomyoma cells by autophagy. Expert Opin Environ Biol. 2016;5(Suppl 1):S1-003.Farris M, Bastianelli C, Rosato E, Brosens I, Benagiano G. Uterine fibroids: an update on current and emerging medical treatment options. Ther Clin Risk Manag. 2019;15:157-78.Ura B, Monasta L, Arrigoni G, Battisti I, Licastro D, Di Lorenzo G, et al. Phosphoproteins involved in the inhibition of apoptosis and in cell survival in the leiomyoma. J Clin Med. 2019;8(5):691. and;nbsp;Catherino WH, Malik M, Driggers P, Chappel S, Segars J, Davis J. Novel, orally active selective progesterone receptor modulator CP8947 inhibits leiomyoma cell proliferation without adversely affecting endometrium or myometrium. J Steroid Biochem Mol Biol. 2010;122(4):279-86.Zhu Y, Xie SW, Zhang JF, Zhang TT, Zhou JY, Cao Y, et al. Involvement of BCL-2, Src, andERand;alpha; in gossypol-mediated growth inhibition and apoptosis in human uterine leiomyoma and myometrial cells. Acta Pharmacol Sin. 2010;31(12):1593-603.Luo X, Yin P, Coon VJS, Cheng YH, Wiehle RD, Bulun SE. The selective progesterone receptor modulator CDB4124 inhibits proliferation and induces apoptosis in uterine leiomyoma cells. Fertil Steril. 2010;93(8):2668-73.Laughlin-Tommaso SK, Stewart EA. Moving toward individualized medicine for uterine leiomyomas. Obstet Gynecol. 2018;132(4):961-71.</References></References></Journal></Article></article>
