PMID- 33152927 OWN - NLM STAT- MEDLINE DCOM- 20210219 LR - 20231213 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 131 DP - 2020 Nov TI - Type 2 diabetes mellitus facilitates endometrial hyperplasia progression by activating the proliferative function of mucin O-glycosylating enzyme GALNT2. PG - 110764 LID - S0753-3322(20)30957-4 [pii] LID - 10.1016/j.biopha.2020.110764 [doi] AB - OBJECTIVE: Type 2 diabetes mellitus (T2DM) is thought to be a risk factor for endometrial hyperplasia, but potential links between the two diseases are unknown. This study aims to evaluate the role of T2DM in the progression of endometrial hyperplasia. METHODS: Female Sprague-Dawley rats were randomly divided into normal (N) group, endometrial hyperplasia (NH) group, T2DM (T) group, and endometrial hyperplasia with T2DM (TH) group. Proteomics analysis was performed to determine the protein profile of endometrial tissues. Proliferation, migration, and invasion of cells with/without GLANT2-knockdown were assessed. Immunohistochemical staining and ELISA were used to examine the expression of GALNT2 in endometrial tissues and serum of clinical samples. RESULTS: The highest uterus index and endometrial thickness were observed in TH group, with the expression of proliferation marker PCNA increased significantly, indicating that T2DM facilitates the progress of endometrial hyperplasia. Proteomics analysis showed that there were significant differences in protein profiles among groups and differential proteins were mainly enriched in metabolic pathways. Further verification by molecular biology analysis indicated that GALNT2 is the key target for T2DM facilitating endometrial hyperplasia. The expression of GALNT2 was significantly decreased in high glucose environment. T2DM could synergize the proliferative function of GALNT2 aberration by activating EGFR/AKT/ERK pathway. The decreased expressions of GALNT2 in clinical samples were associated with worse subtypes of endometrial hyperplasia. CONCLUSION: T2DM promoted the progression of endometrial hyperplasia by regulating the GALNT2-mediated phosphorylation of EGFR and enhancing cell proliferation. GALNT2 has the potential to be a novel biomarker in the treatment of endometrial hyperplasia. CI - Copyright (c) 2020 The Authors. Published by Elsevier Masson SAS.. All rights reserved. FAU - Zhou, Xueyan AU - Zhou X AD - Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, China. FAU - Xu, Yinxue AU - Xu Y AD - Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, China. FAU - Yin, Di AU - Yin D AD - Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, China. FAU - Zhao, Feng AU - Zhao F AD - Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, China. FAU - Hao, Zhixiang AU - Hao Z AD - Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, China. FAU - Zhong, Ya'nan AU - Zhong Y AD - Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, China. FAU - Zhang, Jingbo AU - Zhang J AD - Department of Obstetrics and Gynecology, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China. FAU - Zhang, Bei AU - Zhang B AD - Department of Obstetrics and Gynecology, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China. Electronic address: bettyzhang10@163.com. FAU - Yin, Xiaoxing AU - Yin X AD - Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, China. Electronic address: yinxx@xzhmu.edu.cn. LA - eng PT - Journal Article DEP - 20201023 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 RN - 0 (Mucins) RN - EC 2.4.1.- (N-Acetylgalactosaminyltransferases) SB - IM MH - Animals MH - Cell Proliferation/physiology MH - Diabetes Mellitus, Experimental/*complications/physiopathology MH - Diabetes Mellitus, Type 2/*complications/physiopathology MH - Disease Progression MH - Endometrial Hyperplasia/*etiology/physiopathology MH - Female MH - Gene Knockdown Techniques MH - Glycosylation MH - Mucins/*metabolism MH - N-Acetylgalactosaminyltransferases/*metabolism MH - Phosphorylation/physiology MH - Rats MH - Rats, Sprague-Dawley MH - Polypeptide N-acetylgalactosaminyltransferase OTO - NOTNLM OT - Endometrial cancer OT - Endometrial hyperplasia OT - Epidermal growth factor receptor OT - N-Acetylgalactosaminyltransferase 2 OT - Proteomics OT - Type 2 diabetes mellitus EDAT- 2020/11/07 06:00 MHDA- 2021/02/20 06:00 CRDT- 2020/11/06 01:01 PHST- 2020/05/09 00:00 [received] PHST- 2020/09/13 00:00 [revised] PHST- 2020/09/16 00:00 [accepted] PHST- 2020/11/06 01:01 [entrez] PHST- 2020/11/07 06:00 [pubmed] PHST- 2021/02/20 06:00 [medline] AID - S0753-3322(20)30957-4 [pii] AID - 10.1016/j.biopha.2020.110764 [doi] PST - ppublish SO - Biomed Pharmacother. 2020 Nov;131:110764. doi: 10.1016/j.biopha.2020.110764. Epub 2020 Oct 23.