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

Abstract:

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.

journal_name

Am J Obstet Gynecol

authors

Milam MR,Celestino J,Wu W,Broaddus RR,Schmeler KM,Slomovitz BM,Soliman PT,Gershenson DM,Wang H,Ellenson LH,Lu KH

doi

10.1016/j.ajog.2006.10.872

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

247.e1-5

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(06)02137-5

journal_volume

196

pub_type

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