Kinetics of estradiol dehydrogenase (E
2 DH) activity and the in vitro effects of progesterone (P) and synthetic steroids on E
2 DH activity were investigated in human normal endometrium and endometrial carcinoma. In proliferative and secretory endometrium and endometrial carcinoma, E
2 DH activities were 1.5±0.2, 10.1±1.1 and 1.2±0.1 nmol/mg protein/h (mean±SEM), Km was 2.3 μM, and Vmax were 0.20, 1.7 and 0.14 nmol/mg protein/10 min, respectively. Culturing proliferative endometria with progestogens resulted in a time- and dose-dependent stimulation of E
2 DH activity up to 72 h and 10
-6M, respectively. Medroxyprogesterone acetate had the highest effect to stimulate E
2 DH activity among the steroids investigated. Chlormadinone acetate, norethindrone, P and R2323 were also effective. However, danazol, lynestrenol and E
2 had negligible effect. Histological examination showed that progestogens caused early secretory change in the proliferative endometrium. These results indicate that the progestational activity is responsible for the elevation of E
2 DH activity in proliferative endometrium and that the extent to which each steroid increases E
2 DH activity may correlate with its local progestational activity. In the endometrial carcinoma, progestogens also stimulated E
2 DH activity in seven cases out of nine during culture for 48h, but the elevation was lower than that in the proliferative endometrium.
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