To clarify the biological characteristics of uterine leiomyomas, cells
explanted and cultured from uterine leiomyomas and from normal myomet
rial tissue were observed by time-lapse cinemicrography and phase-cont
rast microscopy. The histological characteristics were evaluated by el
ectron microscopy and immunofluorescence microscopy, and these observa
tions revealed significant differences, By time-lapse cinemicrography,
the cells cultured from leiomyomas and myometrium differed in their b
ehaviour. Cells from the myometrium started to grow in parallel with t
he cell's major axis and formed topographically uniform hills and vall
eys by day 21 of culture, In contrast, the cells from leiomyomas start
ed to grow irregularly, as if having no contact inhibition, and formed
ball-like aggregates of cells by day 21 of culture. The aggregates re
sembled the nodules of leiomyoma in vivo, Ultrastructurally, cells fro
m both leiomyomas and myometrium had typical features of smooth muscle
. Immunofluorescently, a different distribution of a-smooth muscle act
in-positive filaments and different staining of cellular fibronectin a
nd N-cadherin between the cells from leiomyomas and myometrium were ob
served, which may contribute in part to the different behaviour of the
cells, Given that the explant cell culture system resembles the featu
res of uterine leiomyomas in vivo, this suggests that it can be used a
s an in-vitro model.