PMID- 11326934 OWN - NLM STAT- MEDLINE DCOM- 20010531 LR - 20131121 IS - 0529-567X (Print) IS - 0529-567X (Linking) VI - 34 IP - 5 DP - 1999 May TI - [Study on decidual and villous cells apoptosis and its control gene in medical abortion]. PG - 281-3 AB - OBJECTIVE: To study relationship of decidual and villous cells apoptosis and its control gene B-cell lymphoma/leukemia-2(bcl-2), bcl-2 associated X protein (bax) with medical abortion. METHODS: Forty four women who volunteered to terminate their pregnancy were divided into 3 group: mifepristone group (exp. 1, n = 15), mifepristone with misoprostol group (exp. II, n = 14) and control group (n = 15). The cell cycles of DNA of the decidual and villous cells stained with Propidium Iodide (PI) were analyzed and bcl-2 and bax gene protein labeled with immuno-fluorescence were detected by flow cytometry. RESULTS: The percentage of decidual cells apoptosis were (14.0 +/- 3.9)%, (22.9 +/- 6.3)%, (5.3 +/- 9.3)% and of villous apoptosis were (10.9 +/- 2.8)%, (13.9 +/- 4.7)%, (4.6 +/- 3.0)% in exp. I, exp. II and control group respectively. The apoptotic percentages in decidual and villous cells of exp. I and exp. II groups were significantly higher than that of control (P < 0.01-0.001). On DNA histogram, apoptosis peaks appeared in all the groups. The decidual cell apoptosis of exp. II groups was significantly higher than that of exp. I group (P < 0.01). Both decidual apoptotic percentages of exp. I and exp. II groups were significantly higher than that of villous (P < 0.01). Decidual bcl-2/bax ratio were 1.4 +/- 0.7, 0.9 +/- 0.3, 1.4 +/- 0.7 and villous bcl-2/bax ratio were 1.0 +/- 0.4, 0.8 +/- 0.3, 1.4 +/- 0.6 in the 3 groups respectively. Both decidual and villous bcl-2/bax ratio of exp. II group was significantly lower than that of control (P < 0.05-0.01) which was in consistent with apoptosis. CONCLUSIONS: These data indicated that mifepristone with misocprostol for terminating human early pregnancy might be realized by inducing decidual and villous cells excessive apoptosis. The descent of bcl-2/bax ratio could be one of the factors of inducing decidual and villous apoptosis. FAU - Li, R AU - Li R AD - Second Hospital, Hebei Medical University, Shijiazhuang 050000. FAU - Wang, Z AU - Wang Z FAU - Wu, R AU - Wu R LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Fu Chan Ke Za Zhi JT - Zhonghua fu chan ke za zhi JID - 16210370R RN - 0 (Abortifacient Agents, Nonsteroidal) RN - 0 (Abortifacient Agents, Steroidal) RN - 0 (BAX protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (bcl-2-Associated X Protein) RN - 0E43V0BB57 (Misoprostol) RN - 320T6RNW1F (Mifepristone) SB - IM MH - Abortifacient Agents, Nonsteroidal MH - *Abortifacient Agents, Steroidal MH - Abortion, Induced/methods MH - Adult MH - Apoptosis/*drug effects MH - Chorionic Villi/*pathology MH - Decidua/*cytology MH - Female MH - Gene Expression Regulation MH - *Genes, bcl-2 MH - Humans MH - *Mifepristone MH - Misoprostol MH - Pregnancy MH - Proto-Oncogene Proteins/metabolism MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - bcl-2-Associated X Protein EDAT- 2001/05/01 10:00 MHDA- 2001/06/02 10:01 CRDT- 2001/05/01 10:00 PHST- 2001/05/01 10:00 [pubmed] PHST- 2001/06/02 10:01 [medline] PHST- 2001/05/01 10:00 [entrez] PST - ppublish SO - Zhonghua Fu Chan Ke Za Zhi. 1999 May;34(5):281-3.