IMMUNOLOGICAL ASPECTS OF ENDOMETRIAL DISEASE
- Authors: Slobodyanyuk B.A.1, Popov A.A.1, Chanturia T.Z.1, Manannikova T.N.1, Machanskite O.V.1, Fedorov A.A.1, Budykina T.S.1
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Affiliations:
- Moscow Regional Scientific Research Institute for Obstetrics and Gynecology
- Issue: No 37 (2015)
- Pages: 123-128
- Section: GYNECOLOGY
- URL: https://almclinmed.ru/jour/article/view/261
- DOI: https://doi.org/10.18786/2072-0505-2015-37-123-128
- ID: 261
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Abstract
Background: Immunological processes involving peritoneal macrophages could play a critical role in pathophysiology of external genital endometriosis.
Aim: To assess levels of MCP-1, RANTES, and C-reactive protein and to identify their correlations with endometriosis.
Materials and methods: Seventy two patients were evaluated: 26 healthy controls and 46 with endometriosis. Patients were divided into groups as follows: 17 with superficial endometriosis, 18 with endometriomas and 11 with deep infiltrative endometriosis. All patients underwent a laparoscopy during the proliferative phase of the cycle; levels of peritoneal and serum MCP-1, RANTES and C-reactive protein were measured using standard ELISA assays.
Results: There were positive correlations between serum MCP-1 (p = 0.03) and C-reactive protein(p = 0.045) and severity of endometriosis, that could indicate malfunctioning of peritoneal macrophages in advanced stages of endometriosis. Conclusion: MCP-1 and C-reactive protein levels in peripheral blood can be used as markers of endometriosis activity.
Keywords
About the authors
B. A. Slobodyanyuk
Moscow Regional Scientific Research Institute for Obstetrics and Gynecology
Email: fake@neicon.ru
PhD, Research Fellow, Endoscopic Surgery Department
РоссияA. A. Popov
Moscow Regional Scientific Research Institute for Obstetrics and Gynecology
Email: fake@neicon.ru
MD, PhD, Professor, Head of Endoscopic Surgery Department
РоссияT. Z. Chanturia
Moscow Regional Scientific Research Institute for Obstetrics and Gynecology
Author for correspondence.
Email: dr-teona@mail.ru
Postgraduate Student
РоссияT. N. Manannikova
Moscow Regional Scientific Research Institute for Obstetrics and Gynecology
Email: fake@neicon.ru
PhD, Senior Research Fellow, Endoscopic Surgery Department
РоссияO. V. Machanskite
Moscow Regional Scientific Research Institute for Obstetrics and Gynecology
Email: fake@neicon.ru
PhD, Research Fellow, Endoscopic Surgery Department
РоссияA. A. Fedorov
Moscow Regional Scientific Research Institute for Obstetrics and Gynecology
Email: fake@neicon.ru
PhD, Research Fellow, Endoscopic Surgery Department
РоссияT. S. Budykina
Moscow Regional Scientific Research Institute for Obstetrics and Gynecology
Email: fake@neicon.ru
MD, PhD, Head of Clinical Diagnostic Laboratory
РоссияReferences
- Адамян ЛВ, Кулаков ВИ, Андреева ЕН. Эндометриозы: Руководство для врачей. М.: Медицина; 2006. 411 с. (Adamyan LV, Kulakov VI, Andreeva EN. Endometrioses: a guidebook for physicians. Moscow: Meditsina; 2006. 411 p. Russian).
- Кудрина ЕА, Станоевич ИВ, Коган ЕА. Комплексная терапия больных наружным генитальным эндометриозом. В: Новые технологии в диагностике и лечении гинекологических заболеваний. Материалы ХХIII международного конгресса с курсом
- эндоскопии. Москва, 7–10 июня 2010 г. М.; 2010. с.159. (Kudrina EA, Stanoevich IV, Kogan EA. Complex therapy of patients with external genital endometriosis. In: New technologies in diagnostics and treatment of gynecological disorders. Abstracts of ХХIII International Congress witha Course on Endoscopy. 2010 Jun 7–10; Moscow, Russia. Moscow; 2010. p. 159. Russian).
- Ozkan S, Murk W, Arici A. Endometriosis and infertility: epidemiology and evidence-based treatments. Ann N Y Acad Sci. 2008;1127:92–100.
- Rogers PA, D'Hooghe TM, Fazleabas A, Gargett CE, Giudice LC, Montgomery GW, Rombauts L, Salamonsen LA, Zondervan KT. Priori ties for endometriosis research: recommendations from an international consensus workshop. Reprod Sci. 2009;16(4):335–46.
- Sampson JA. Peritoneal endometriosis is due to the menstrual dissemination of endometrial tissue into the peritoneal cavity. Am J Obstet Gynecol. 1927;14:422–69.
- Berkkanoglu M, Arici A. Immunology and endometriosis. Am J Reprod Immunol. 2003;50(1):48–59.
- Nishida M, Nasu K, Narahara H. Role of chemokines in the pathogenesis of endometriosis. Front Biosci (Schol Ed). 2011;3:1196–204.
- Olovsson M. Immunological aspects of endometriosis: an update. Am J Reprod Immunol.2011;66 Suppl 1:101–4.
- Santanam N, Murphy AA, Parthasarathy S. Macrophages, oxidation, and endometriosis. Ann N Y Acad Sci. 2002;955:183–98.
- Agic A, Xu H, Finas D, Banz C, Diedrich K, Hornung D. Is endometriosis associated with systemic subclinical inflammation? Gynecol Obstet Invest. 2006;62(3):139–47.
- Wu MY, Ho HN. The role of cytokines in endometriosis. Am J Reprod Immunol. 2003;49(5):285–96.
- Yadav A, Saini V, Arora S. MCP-1: chemoattractant with a role beyond immunity: a review. Clin Chim Acta. 2010;411(21–22):1570–9.
- Arici A, Oral E, Attar E, Tazuke SI, Olive DL. Monocytechemotactic protein-1 concentration in peritoneal fluid of women with endometriosis and its modulation of expression in mesothelial cells. Fertil Steril. 1997;67(6):1065–72.
- Laudański P, Szamatowicz J, Oniszczuk M. Profiling of peritoneal fluid of women with endometriosis by chemokine protein array. Adv Med Sci. 2006;51:148–52.
- Zeyneloglu HB, Senturk LM, Seli E, Oral E, Olive DL, Arici A. The role of monocyte chemotactic protein-1 in intraperitoneal adhesion formation. Hum Reprod. 1998;13(5):1194–9.
- Lermann J, Mueller A, Korber F, Oppelt P, Beckmann MW, Dittrich R, Renner SP. Evaluation of high-sensitivity C-reactive protein in comparison with C-reactive protein as biochemical serum markers in women with endometriosis. Fertil Steril. 2010;93(7):2125–9.
- Kianpour M, Nematbakhsh M, Ahmadi SM. C-reactive protein of serum and peritoneal fluid in endometriosis. Iran J Nurs Midwifery Res. 2012;17(2 Suppl 1):S115–9.
- Chapron C, Fauconnier A, Dubuisson JB, Barakat H, Vieira M, Breart G. Deep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease. Hum Reprod. 2003;18(4):760–6.
- Adamson GD, Pasta DJ. Surgical treatment of endometriosis-associated infertility: metaanalysis compared with survival analysis. Am J Obstet Gynecol. 1994;171(6):1488–504.
- Oral E, Olive DL, Arici A. The peritoneal environment in endometriosis. Hum Reprod Update. 1996;2(5):385–98.
- Halme J, Becker S, Wing R. Accentuated cyclic activation of peritoneal macrophages in patients with endometriosis. Am J Obstet Gynecol. 1984;1;148(1):85–90.
- Bersinger NA, von Roten S, Wunder DM, Raio L, Dreher E, Mueller MD. PAPP-A and osteoprotegerin, together with interleukin-8 and RANTES, are elevated in the peritoneal fluid of women with endometriosis. Am J Obstet Gynecol. 2006;195(1):103–8.