Is cervical dilatation during parturition at term associated with apoptosis?

Verfasser / Beitragende:
[B. Kemp, W. Rath, M. Winkler, T. Reineke, H.M. Beier, U. von Rango]
Ort, Verlag, Jahr:
2004
Enthalten in:
Journal of Perinatal Medicine, 32/2(2004-03-01), 137-143
Format:
Artikel (online)
ID: 378942409
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024 7 0 |a 10.1515/JPM.2004.025  |2 doi 
035 |a (NATIONALLICENCE)gruyter-10.1515/JPM.2004.025 
245 0 0 |a Is cervical dilatation during parturition at term associated with apoptosis?  |h [Elektronische Daten]  |c [B. Kemp, W. Rath, M. Winkler, T. Reineke, H.M. Beier, U. von Rango] 
520 3 |a Aims: Cellular turnover may be involved in remodeling of the cervix during parturition. Therefore, the number and localization of apoptotic and proliferating cells during cervical dilatation at term were determined. Methods: Biopsy specimens from the lower uterine segment of 36 women undergoing cesarean section with a cervical dilatation of <2 cm (n = 10), 2-<4 cm (n = 9), 4-6 cm (n = 8), and 6 cm (n = 9) were examined for nuclear fragmentation by the TUNEL assay, and for cell survival by the apoptosis-blocking bcl-2. Proliferation was marked by Ki-67, epithelial cells by cytokeratin and leukocytes by CD 45. For quantification of apoptotic and proliferating cells, eight random fields of each specimen stained for TUNEL or Ki-67 were blindly counted by two investigators. For statistical evaluation, 90% confidence intervals based on a Poisson distribution were used; groups with non-overlapping intervals were considered significantly different. Results: Apoptotic cells were found exclusively within the stromal compartment, while bcl-2 was expressed in epithelial cells and leukocytes. Proliferating cells were of stromal and epithelial origin. The number of apoptotic as well as proliferating cells ranged from 0 to 2 cells per high-power field (median number 0) in all groups. The confidence intervals were overlapping for all groups, showing no statistical difference between them. Conclusion: Apoptosis does not seem to play a decisive role in the process of cervical dilatation during parturition at term. 
540 |a © Walter de Gruyter 
690 7 |a Human reproduction, growth & development  |2 nationallicence 
690 7 |a Gynaecology & obstetrics  |2 nationallicence 
690 7 |a Paediatric medicine  |2 nationallicence 
690 7 |a Apoptosis  |2 nationallicence 
690 7 |a cervical dilatation  |2 nationallicence 
690 7 |a cervix  |2 nationallicence 
690 7 |a parturition  |2 nationallicence 
690 7 |a proliferation  |2 nationallicence 
700 1 |a Kemp  |D B.  |u Department of Obstetrics and Gynecology, University Hospital, Technical University, Aachen, Germany.  |4 aut 
700 1 |a Rath  |D W.  |u Department of Obstetrics and Gynecology, University Hospital, Technical University, Aachen, Germany.  |4 aut 
700 1 |a Winkler  |D M.  |u Department of Obstetrics and Gynecology, University Hospital, Technical University, Aachen, Germany.  |4 aut 
700 1 |a Reineke  |D T.  |u Statistical Institute, Aachen, Germany.  |4 aut 
700 1 |a Beier  |D H.M.  |u Institute of Anatomy and Reproductive Biology, University Hospital, Technical University, Aachen, Germany.  |4 aut 
700 1 |a Rango  |D U. von  |u Institute of Anatomy and Reproductive Biology, University Hospital, Technical University, Aachen, Germany.  |4 aut 
773 0 |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/2(2004-03-01), 137-143  |x 0300-5577  |q 32:2<137  |1 2004  |2 32  |o jpme 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kemp  |D B.  |u Department of Obstetrics and Gynecology, University Hospital, Technical University, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rath  |D W.  |u Department of Obstetrics and Gynecology, University Hospital, Technical University, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Winkler  |D M.  |u Department of Obstetrics and Gynecology, University Hospital, Technical University, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Reineke  |D T.  |u Statistical Institute, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Beier  |D H.M.  |u Institute of Anatomy and Reproductive Biology, University Hospital, Technical University, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rango  |D U. von  |u Institute of Anatomy and Reproductive Biology, University Hospital, Technical University, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/2(2004-03-01), 137-143  |x 0300-5577  |q 32:2<137  |1 2004  |2 32  |o jpme 
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