Activating transcription factor 3 gene expression suggests that tissue stress plays a role in leiomyoma development  Mark Payson, M.D., Minnie Malik,

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Activating transcription factor 3 gene expression suggests that tissue stress plays a role in leiomyoma development  Mark Payson, M.D., Minnie Malik, Ph.D., Sarah Siti-nur Morris, James H. Segars, M.D., Rebecca Chason, M.D., William H. Catherino, M.D., Ph.D.  Fertility and Sterility  Volume 92, Issue 2, Pages 748-755 (August 2009) DOI: 10.1016/j.fertnstert.2008.06.030 Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 1 ATF3 mRNA expression in leiomyoma and myometrium. Representative reverse-transcriptase PCR analyzing ATF3 levels in leiomyoma and myometrium samples (N = 7). Lane 1: LM, lane marker. Lane 2: negative control, ATF3 and 18S primers (no mRNA). Lane 3: 10 μg myometrial mRNA, ATF3 primers. Lane 4: 10 μg leiomyoma mRNA, ATF3 primers. Lane 5: 10 μg myometrial mRNA, ATF3, and 18S primers. Lane 6: 10 μg leiomyoma mRNA, ATF3, and 18S primers. Fertility and Sterility 2009 92, 748-755DOI: (10.1016/j.fertnstert.2008.06.030) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Assessment of ATF3 protein expression. (A) Western Blot showing ATF3 protein expression (21-kDa bands) using 10 μg each of representative myometrium (M) and leiomyoma (L) lysates (upper panel). β-Actin (42-kDa bands) was used as a control (lower panel). (B) Graphical representation of mean fold protein expression (leiomyoma:myometrium) for ATF3 protein in leiomyoma (black bar) and myometrium (white bar) from eight sample pairs determined by pixel intensity, P<.05 (two-tailed Student's t test). ATF3 was found to be more abundant in leiomyoma. (C) Immunohistochemical images of ATF3 protein in leiomyoma and corresponding myometrium at 63× magnification. Intracellular staining of ATF3 is demonstrated by the arrows. Similar staining patterns were seen in six different sample pairs (not shown). Fertility and Sterility 2009 92, 748-755DOI: (10.1016/j.fertnstert.2008.06.030) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 3 (A) mRNA expression of AP-1 transcripts. Graphical representation of mean fold mRNA expression (leiomyoma:myometrium) for cJun and cFos, respectively, in leiomyoma (black bars) and myometrium (white bars) from 10 sample pairs. Expression values were determined by real-time reverse transcriptase PCR using 10 ng of mRNA isolated from leiomyoma and myometrium samples, respectively. Significance was determined using a two-tailed t test. The mean fold mRNA expression for Jun was found to be −29.56, SEM of 14.9 (P<.05). Fos was found to be −37.97 with an SEM of 15.1 (P<.05). (B) Protein expression cJun and cFos. Graphical representation of mean fold protein expression (leiomyoma:myometrium) for cJun and cFos, respectively, in leiomyoma (black bars) and myometrium (white bars) from eight sample pairs. Values were determined by pixel intensity from Western blot experiments. The mean fold protein expression for cJun and cFos were found to be 1.2 and 1.3, respectively. Protein levels between myometrium and leiomyoma did not differ significantly using a two-tailed t test. Fertility and Sterility 2009 92, 748-755DOI: (10.1016/j.fertnstert.2008.06.030) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions