포배의 착상은 구조 및 기능적으로 준비된 자궁내막의 체계적 반응에 의하여 진행되는데, 자궁 내막에서 엄격히 통제된 급격한 세포의 증식과 분화가 진행된다. 구강 상피세포암의 억제자로 알려진 Doc-1이 자궁에서 스테로이드 호르몬에 의하여 발현되며 세포 증식을 조절할 것으로 추정되어 왔으나, 그 정확한 발현 변화에 대한 이해가 불충분하였다. 따라서 본 연구에서는 체외에서 탈락막 반응 모델 확립을 통하여 세포의 증식과 분화 진행과정에서 Doc-1의 발현 조절

Implantation of blastocyst into the uterine endometrium is established by the existence of histologically and functionally prepared uterine endometrium. Doc-1, an oral cancer suppressor gene, is expressed under the control of steroid hormones and has been suggested as a proliferation regulator of endometrial cells. However, the role is not much clear and in this study we examined the expression modulation of Doc-1 in decidualizing cells in vitro. In vitro decidualization was performed in endometrial stroma cells using progesterone and estrogen. Until 24 hr after decidual induction the proliferation of stroma cell was significantly increased but decreased after then. On the other hand, most of the cells differentiated into decidual cell after 48 hr of induction. The Doc-1 protein was co-localized in a specific deciudal cells and colocalization rate was increased in a parallel manner with the induction time. Based on these results, it is suggested that Doc-1 expression is under the control of both steroid hormones and decidual signals, and Doc-1 protein is involved in suppression of the proliferation of decidualizing cells.

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