Gene expression and tyrosine kinase activity of insulin receptor in uterine leiomyoma and matched myometrium.

OBJECTIVE: Our objective was to determine the insulin receptor (IR) mRNA levels and IR tyrosine kinase activity in normal myometrium and leiomyoma. DESIGN: Experimental study. SETTING: Academic research center. PATIENTS: Five women with leiomyoma submitted to hysterectomy. INTERVENTION: Plasma membrane fraction of human myometrium and leiomyoma were prepared and samples were incubated with and without insulin. mRNA was isolated and RT-PCR with specific primers was performed. MAIN OUTCOME MEASURE: Western blots of plasma membranes incubated with and without insulin were performed. Chemoluminescent methods followed by densitometry were used to assess IR autophosphorylation. RT-PCR with specific primers for IR gene sequences was used to determine IR mRNA levels. RESULTS: IR mRNA levels in myometrium (0.634+/-0.038) and in leiomyoma (0.649+/-0.047; p=0.813) were not different. The degree of insulin-stimulated IR autophosphorylation (relative optical density of the 95 kDa band) was also not different between myometrium (1.496+/-0.310) and leiomyoma (1.593+/-0.129; p=0.650). CONCLUSIONS: There was no difference in IR receptor expression and IR autophosphorylation between normal myometrium and leiomyoma. Other steps of insulin signaling chain may participate in the altered proliferation of leiomyomas.

Adenocarcinoma gigante de mama / Giant adenocarcinoma of breast

Os autores apresentam um caso de um tumor de mama de grandes proporçoes, l5cm de extensao, com evoluçao de nove anos e diagnóstico de adenocarcinoma bem diferenciado de mama, variante cribiforme, com produçao de muco. O destaque especial está relacionado com o diagnóstico diferencial deste tipo de tumor.