Immunology and endometriosis.
نویسندگان
چکیده
PROBLEM Accumulating data suggests that aberrant immune responses during retrograde menstruation may be involved in the development of endometriosis. METHOD OF STUDY The role of immunology in the etiology of endometriosis is reviewed and summarized from the available literature. RESULTS Immunologic factors may affect a woman's susceptibility to implantation of exfoliated endometrial cells. Immune alterations include increased number and activation of peritoneal macrophages, decreased T cell reactivity and natural killer cell cytotoxicity, increased circulating antibodies, and changes in the cytokine network. CONCLUSION There is substantial evidence that immunologic factors play a role in the pathogenesis of endometriosis and endometriosis-associated infertility. Decreased natural killer cell cytotoxicity leads to an increased likelihood of implantation of endometriotic tissue. In addition, macrophages and a complex network of locally produced cytokines modulate the growth and inflammatory behavior of ectopic endometrial implants.
منابع مشابه
Unbalanced Pro-Inflammatory and Anti-Inflammatory Cytokines Ratio and Endometriosis: A Contributive Pathogenic Role?
متن کامل
Serum and Peritoneal Fluid Cytokine Profiles in Infertile Women with Endometriosis
Background: Endometriosis is a chronic inflammatory disease with the growth of endometrial cells out of uterus and in the peritoneal cavity. T cell subsets participate in the establishment and progress of the disease by producing different cytokines. Objective: To investigate a group of cytokines related to Th1/Th2/Th17/Treg subsets within both peripheral blood...
متن کاملThe possible role of genetic variants in autoimmune-related genes in the development of endometriosis.
Numerous hypotheses have been put forward to explain the presence of ectopic endometrial tissue and stroma. The immune system participates in the homeostasis of the peritoneal cavity, and modifications in its functioning have been advanced to explain endometriosis and its consequences. Recently, the powerful anti-inflammatory effect of progesterone was recognized as a potential causal factor fo...
متن کاملIncreased numbers of activated mast cells in endometriosis lesions positive for corticotropin-releasing hormone and urocortin.
PROBLEM Mast cells are critical in allergic and inflammatory diseases such as interstitial cystitis, which is often clinically associated with or mistaken as endometriosis. Mast cells had previously been reported to be increased at sites of endometriosis, and tryptase may contribute to the fibrosis and inflammation characterizing endometriosis. METHOD OF STUDY This is a pilot study of mast ce...
متن کاملA search to identify genetic risk factors for endometriosis.
PROBLEM To search for molecular markers of endometriosis the following polymorphisms: p53 codon 72 Pro (apoptosis), TNF alpha-308 (inflammation), VEGF-1164AA (angiogenesis), and SOD2 (oxidative stress) were investigated. METHOD OF STUDY Forty-two women-24 with surgically proven endometriosis and 18 with no endometriosis found at the time of laparoscopy-had buccal swabs taken for DNA analyses ...
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عنوان ژورنال:
- American journal of reproductive immunology
دوره 50 1 شماره
صفحات -
تاریخ انتشار 2003