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Knockdown of CTMP Enhances Progesterone Sensitivity in Endometrial Cancer by Inhibiting the PI3K/AKT Signaling
Xinyu Yu1, Hongxin Xing1, Kaiyue Shang1
1Department of Obstetrics and Gynecology, Shandong Provincial Hospital, Shandong First Medical University, Jinan, 250021, Shandong, China.
Reproductive Sciences (Thousand Oaks, Calif.)
|November 7, 2025
Summary
Carboxypeptidase inhibitor (CTMP) may drive progesterone resistance in endometrial cancer by activating the PI3K/AKT pathway. Reducing CTMP enhances treatment sensitivity, offering a potential therapeutic target for endometrial cancer.
Area of Science:
- Gynecology
- Oncology
- Molecular Biology
Background:
- Progesterone resistance hinders conservative treatment for endometrial cancer.
- The role of Carboxypeptidase inhibitor (CTMP) in endometrial cancer progression is unclear.
- Effective prediction and reversal of progesterone resistance remain challenging.
Purpose of the Study:
- To investigate the mechanism of CTMP in endometrial cancer.
- To determine CTMP's association with progesterone resistance.
- To explore CTMP's role in the PI3K/AKT signaling pathway.
Main Methods:
- Immunohistochemistry to detect CTMP expression in endometrial tissues.
- Cell culture assays (CCK-8, EDU) for cell growth and proliferation.
- Western blot to analyze CTMP and PI3K/AKT pathway proteins.
Main Results:
- CTMP expression did not differ between sensitive and resistant groups pre-treatment.
- CTMP decreased in progesterone-sensitive tissues post-treatment.
- CTMP knockdown increased sensitivity to medroxyprogesterone acetate (MPA) by inhibiting the PI3K/AKT pathway.
Conclusions:
- CTMP is linked to progestin therapy sensitivity in endometrial atypical hyperplasia and cancer.
- CTMP may promote progesterone resistance via PI3K/AKT pathway activation.
- Targeting CTMP could overcome progesterone resistance in endometrial cancer.
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