Oxidative status of cardinal ligament in pelvic organ prolapse

Fang,Gui; Hong,Li; Liu,Cheng; Yang,Qing; Zhang,Qifan; Li,Yang; Li,Bingshu; Wu,Debin; Wu,Wenying; Shi,Hua

doi:10.3892/etm.2018.6633

Oxidative status of cardinal ligament in pelvic organ prolapse

Authors:
- Gui Fang
- Li Hong
- Cheng Liu
- Qing Yang
- Qifan Zhang
- Yang Li
- Bingshu Li
- Debin Wu
- Wenying Wu
- Hua Shi
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Affiliations: Department of Obstetrics and Gynecology Ultrasound, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, P.R. China, Department of Obstetrics and Gynecology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, P.R. China
Published online on: August 21, 2018 https://doi.org/10.3892/etm.2018.6633
Pages: 3293-3302
Copyright: © Fang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Pelvic organ prolapse (POP) is a common and distressing health problem in adult women, but the pathophysiological mechanism is yet to be fully elucidated. Previous studies have indicated that oxidative stress may be associated with POP. Thus, the aim of the present study was to investigate the oxidative status of pelvic supportive tissue in POP and further demonstrate that oxidative stress is associated with the pathogenesis of POP. A total of 60 samples were collected from females undergoing hysterectomy for POP or cervical intraepithelial neoplasia (CIN). This included 16 females with POP II, 24 females with POP III‑IV (according to the POP‑Q system) and 20 females with CIN II‑III as the control group. Immunohistochemistry was utilized to measure the expression of oxidative biomarkers, 8‑hydroxydeoxyguanosine (8‑OHdG) and 4‑hydroxynonenal (4‑HNE). Major antioxidative enzymes, mitochondrial superoxide dismutase (MnSOD) and glutathione peroxidase 1 (GPx1) were measured through reverse transcription‑quantitative polymerase chain reaction, western blotting and enzyme activity assays. The results demonstrated that in the cardinal ligament, the expression of 8‑OHdG and 4‑HNE was higher in the POP III‑IV group compared with the POP II group and control group. The MnSOD and GPx1 protein level and enzyme activity were lower in the POP III‑IV group compared with the POP II or the control group, while the mRNA expression level of MnSOD and GPx1 was increased. In conclusion, oxidative damage is increased in the pelvic supportive ligament of female patients with POP and the antioxidative defense capacity is decreased. These results support previous findings that oxidative stress is involved in the pathogenesis of POP.

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