The Effect of Combined Oral Contraceptive Pills on Beclin-1 and LC3B Transcript Levels in Ovarian Endometrioma.

Background. Autophagy is likely altered in patients with endometriosis. Ovarian steroid hormones seem to affect this changing of the autophagic process. Objective. To study the effect of combined oral contraceptive (COC) pills on the expression of autophagic-related gene BECN1 and LC3B in the ectopi...

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Publicado en:BioMed Research International pp. 1 - 7
Autores principales: Waiyaput, Wanwisa, Bovornsakulvong, Ongarj, Lertvikool, Srithean, Sophonsritsuk, Areepan
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell 6/29/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/29/2021
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2021/5519538
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        atl: The Effect of Combined Oral Contraceptive Pills on Beclin-1 and LC3B Transcript Levels in Ovarian Endometrioma.
      aug:
        au:
          Waiyaput, Wanwisa
          Bovornsakulvong, Ongarj
          Lertvikool, Srithean
          Sophonsritsuk, Areepan
        affil: Office of Research Academic and Innovation, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand
      sug:
        subj:
          Contraceptives, Oral Combined Pharmacodynamics
          Beclin-1 Protein Drug Effects
          Endometrial Neoplasms Physiopathology
          Endometriosis Physiopathology
          Gene Expression Drug Effects
          Human
          Quasi-Experimental Studies
          Adolescence
          Adult
          Middle Age
          Descriptive Statistics
          Polymerase Chain Reaction
          Randomized Controlled Trials
          Random Assignment
          Female
          Autophagy-Related Proteins Drug Effects
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Background. Autophagy is likely altered in patients with endometriosis. Ovarian steroid hormones seem to affect this changing of the autophagic process. Objective. To study the effect of combined oral contraceptive (COC) pills on the expression of autophagic-related gene BECN1 and LC3B in the ectopic and eutopic endometria of patients with endometriosis. Material and Methods. The present quasiexperimental study recruited 36 women (18–45 years old) with endometrioma and nonendometrioma who were scheduled for surgery. Patients with endometrioma were randomly assigned to either a no-treatment group (n = 12) or a COC group (n = 12). The COC group was prescribed a daily oral pill composed of 3 mg drospirenone and 0.03 mg ethinyl estradiol for 6 weeks before surgery. The control group (n = 12) was composed of women without endometrioma. Ectopic endometriotic and endometrium tissues were collected from the no-treatment and COC groups, whereas the only endometrium was collected from the control group. These tissues were used for real-time PCR to measure the expression of the BECN1 and LC3B genes. Results. The baseline demographic data were not different among the three groups. The BECN1 gene expression in endometrium tissue in the COC group was significantly less than that in the no-treatment and control groups (P = 0.011 and 0.029, respectively). No significant difference of endometriotic cyst BECN1 and LC3B gene expression was found between COC and no treatment. Conclusions. Oral COC pills for 6 weeks continuously before surgery decreased the eutopic endometrial expression (mRNA) of the BECN1 gene compared to those from healthy normal women and nontreated patients with an endometriotic cyst. The change in the expression of autophagy-related genes was more distinct in eutopic than ectopic endometria. This trial is registered with TCTR20170720002. Registered and enrolled the first patient on 20 July 2017.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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