Pathological and molecular insights into intravenous leiomyomatosis: an integrative multi-omics study

Abstract Intravenous leiomyomatosis (IVL) is a histologically well differentiated smooth muscle tumor with aggressive behavior, capable of extending throughout the venous system. Understanding how IVL occurs and develops is really important for diagnosing and treating it. Unfortunately, because IVL...

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Main Authors: Sheng Yin, Peipei Shi, Jing Han, Hua Li, Aimin Ren, Li Ma, Wenbin Tang, Wenxue Liu, Sihui Yu, Tingting Li, Chunsheng Wang, Yingyong Hou, Jiarong Zhang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Journal of Translational Medicine
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Online Access:https://doi.org/10.1186/s12967-024-05919-9
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author Sheng Yin
Peipei Shi
Jing Han
Hua Li
Aimin Ren
Li Ma
Wenbin Tang
Wenxue Liu
Sihui Yu
Tingting Li
Chunsheng Wang
Yingyong Hou
Jiarong Zhang
author_facet Sheng Yin
Peipei Shi
Jing Han
Hua Li
Aimin Ren
Li Ma
Wenbin Tang
Wenxue Liu
Sihui Yu
Tingting Li
Chunsheng Wang
Yingyong Hou
Jiarong Zhang
author_sort Sheng Yin
collection DOAJ
description Abstract Intravenous leiomyomatosis (IVL) is a histologically well differentiated smooth muscle tumor with aggressive behavior, capable of extending throughout the venous system. Understanding how IVL occurs and develops is really important for diagnosing and treating it. Unfortunately, because IVL is quite rare, there aren’t many comprehensive studies available. In our research, we carried out an extensive multi-omics study, gathering tissue samples from IVL cases, uterine fibroid, and normal myometrium. The single-cell RNA sequencing analysis revealed a notable difference in cell composition between IVL and uterine fibroid. Additionally, H&E staining demonstrated more frequent hydropic changes and hyalinization in IVL tissues, along with a reduced vascular density compared to both normal myometrium and uterine fibroid. In our proteomics analysis of eight paired samples of IVL and normal myometrium fresh frozen tissue, we identified proteins that were differentially expressed, mainly related to focal adhesions and regulation of the actin cytoskeleton. The most frequently involved chromosomes included deletions in 10q22.2, 10q24.32, 13q14, and 13q21-31. Correlation analyses highlighted chromosome 10q as the most frequent cytoband, with corresponding proteins involved in regulating focal adhesions and the cytoskeleton. Integrated analysis between pathological and clinical characteristics indicated that chromosome 10q deletion and vascular morphology in IVL could serve as important markers predicting aggressive behavior. Our study sheds light on the pathological and molecular changes linked to IVL, which could pave the way for new treatment approaches.
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issn 1479-5876
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spelling doaj-art-ae2f549f4e404cbc8def24493cc4492d2025-08-20T02:54:37ZengBMCJournal of Translational Medicine1479-58762025-02-0123111410.1186/s12967-024-05919-9Pathological and molecular insights into intravenous leiomyomatosis: an integrative multi-omics studySheng Yin0Peipei Shi1Jing Han2Hua Li3Aimin Ren4Li Ma5Wenbin Tang6Wenxue Liu7Sihui Yu8Tingting Li9Chunsheng Wang10Yingyong Hou11Jiarong Zhang12Department of Obstetrics and Gynecology, Zhongshan Hospital, Fudan UniversityDepartment of Obstetrics and Gynecology, Zhongshan Hospital, Fudan UniversityDepartment of Pathology, Zhongshan Hospital, Fudan UniversityDepartment of Cardiac Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Obstetrics and Gynecology, Zhongshan Hospital, Fudan UniversityDepartment of Obstetrics and Gynecology, Zhongshan Hospital, Fudan UniversityDepartment of Obstetrics and Gynecology, Zhongshan Hospital, Fudan UniversityDepartment of Obstetrics and Gynecology, Zhongshan Hospital, Fudan UniversityDepartment of Obstetrics and Gynecology, Zhongshan Hospital, Fudan UniversityDepartment of Obstetrics and Gynecology, Zhongshan Hospital, Fudan UniversityDepartment of Cardiac Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Pathology, Zhongshan Hospital, Fudan UniversityDepartment of Obstetrics and Gynecology, Zhongshan Hospital, Fudan UniversityAbstract Intravenous leiomyomatosis (IVL) is a histologically well differentiated smooth muscle tumor with aggressive behavior, capable of extending throughout the venous system. Understanding how IVL occurs and develops is really important for diagnosing and treating it. Unfortunately, because IVL is quite rare, there aren’t many comprehensive studies available. In our research, we carried out an extensive multi-omics study, gathering tissue samples from IVL cases, uterine fibroid, and normal myometrium. The single-cell RNA sequencing analysis revealed a notable difference in cell composition between IVL and uterine fibroid. Additionally, H&E staining demonstrated more frequent hydropic changes and hyalinization in IVL tissues, along with a reduced vascular density compared to both normal myometrium and uterine fibroid. In our proteomics analysis of eight paired samples of IVL and normal myometrium fresh frozen tissue, we identified proteins that were differentially expressed, mainly related to focal adhesions and regulation of the actin cytoskeleton. The most frequently involved chromosomes included deletions in 10q22.2, 10q24.32, 13q14, and 13q21-31. Correlation analyses highlighted chromosome 10q as the most frequent cytoband, with corresponding proteins involved in regulating focal adhesions and the cytoskeleton. Integrated analysis between pathological and clinical characteristics indicated that chromosome 10q deletion and vascular morphology in IVL could serve as important markers predicting aggressive behavior. Our study sheds light on the pathological and molecular changes linked to IVL, which could pave the way for new treatment approaches.https://doi.org/10.1186/s12967-024-05919-9Intravenous leiomyomatosisMulti-omics analysisChromosome 10q deletionVascular morphologyAggressive behavior
spellingShingle Sheng Yin
Peipei Shi
Jing Han
Hua Li
Aimin Ren
Li Ma
Wenbin Tang
Wenxue Liu
Sihui Yu
Tingting Li
Chunsheng Wang
Yingyong Hou
Jiarong Zhang
Pathological and molecular insights into intravenous leiomyomatosis: an integrative multi-omics study
Journal of Translational Medicine
Intravenous leiomyomatosis
Multi-omics analysis
Chromosome 10q deletion
Vascular morphology
Aggressive behavior
title Pathological and molecular insights into intravenous leiomyomatosis: an integrative multi-omics study
title_full Pathological and molecular insights into intravenous leiomyomatosis: an integrative multi-omics study
title_fullStr Pathological and molecular insights into intravenous leiomyomatosis: an integrative multi-omics study
title_full_unstemmed Pathological and molecular insights into intravenous leiomyomatosis: an integrative multi-omics study
title_short Pathological and molecular insights into intravenous leiomyomatosis: an integrative multi-omics study
title_sort pathological and molecular insights into intravenous leiomyomatosis an integrative multi omics study
topic Intravenous leiomyomatosis
Multi-omics analysis
Chromosome 10q deletion
Vascular morphology
Aggressive behavior
url https://doi.org/10.1186/s12967-024-05919-9
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