Expression of mRNA-TLR-5 Gene in Patients with Endometriosis using Real-time PCR in Tehran, Iran

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This study measured mRNA-TLR-5 gene expression in women with endometriosis and found significantly higher expression in ectopic endometriotic tissue compared to eutopic endometrium and control groups.

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This study investigated mRNA expression of Toll-like receptor 5 (TLR-5) in women undergoing laparoscopic surgery in Tehran, Iran (2021), comparing ectopic endometrium from ovarian endometriotic cysts, eutopic endometrial mucosa, and normal endometrial samples from patients without infertility or endometriosis. After RNA extraction and cDNA synthesis, TLR-5 mRNA levels were measured using real-time PCR. TLR-5 expression was significantly higher in ectopic samples than in eutopic and control groups, with an additional significant difference between eutopic and control groups. The authors note the observed increase in ectopic TLR-5 expression may relate to reduced apoptosis and a microenvironment that supports survival and proliferation of cells in the peritoneal cavity, though no functional confirmation is described. This paper is centrally about endometriosis — it measures TLR-5 mRNA expression in ectopic versus eutopic endometrial tissue from endometriosis patients.

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Abstract

BACKGROUND: Endometriosis is one of the common diseases of women, especially in reproductive age, and it is one of the most important causes of infertility in women. The aim of this study was to investigate the level of mRNA-TLR-5 expression in women with endometriosis. METHODS: The present study was performed in Nikan Hospital, Tehran, Iran, in 2021. The samples of endometrial mucosa for the eutopic group and an ovarian endometriotic cyst for the ectopic group were obtained from the patients who underwent laparoscopic surgery at the Fetal Infertility Center and were diagnosed with endometriosis. Normal endometrial samples were also obtained from patients who had no history of infertility and underwent laparoscopic TL surgery for reasons other than endometriosis such as ovarian cysts (control group). After RNA extraction and cDNA synthesis, TLR-5 gene expression was evaluated by the Real-Time PCR method. RESULTS: Based on the results of the comparison of TLR-5 gene expression in all three ectopic, eutopic endometrium, and control groups by Real-Time PCR, it was found that the TLR-5 gene expression is significantly higher in ectopic samples than in the other two groups, but there is a significant difference between two utopic and control groups. CONCLUSION: The increase in TLR-5 expression in the ectopic group can probably be a reason for reducing the apoptosis of cells entered into the peritoneal cavity and creating an environment for the survival and proliferation of these cells.
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Abstract

Background: Endometriosis is one of the common diseases of women, especially in reproductive age, and it is one of the most important causes of infertility in women. The aim of this study was to investigate the level of mRNA-TLR-5 expression in women with endometriosis.

Methods

The present study was performed in Nikan Hospital, Tehran, Iran, in 2021. The samples of endometrial mucosa for the eutopic group and an ovarian endometriotic cyst for the ectopic group were obtained from the patients who underwent laparoscopic surgery at the Fetal Infertility Center and were diagnosed with endometriosis. Normal endometrial samples were also obtained from patients who had no history of infertility and underwent laparoscopic TL surgery for reasons other than endometriosis such as ovarian cysts (control group). After RNA extraction and cDNA synthesis, TLR-5 gene expression was evaluated by the Real-Time PCR method.

Results

Based on the results of the comparison of TLR-5 gene expression in all three ectopic, eutopic endometrium, and control groups by Real-Time PCR, it was found that the TLR-5 gene expression is significantly higher in ectopic samples than in the other two groups, but there is a significant difference between two utopic and control groups.

Conclusion

The increase in TLR-5 expression in the ectopic group can probably be a reason for reducing the apoptosis of cells entered into the peritoneal cavity and creating an environment for the survival and proliferation of these cells.

Keywords

Endometrial mucosa, gene expression, TLR-5 gene, real-time polymerase chain reaction (Real-Time PCR), glands and stroma, abdomen. [http://dx.doi.org/10.1016/j.ogc.2007.12.008] [PMID: 18319131] [http://dx.doi.org/10.1080/09513590.2019.1616688] [PMID: 31155975] [http://dx.doi.org/10.2217/whe.15.56] [PMID: 26439119] [http://dx.doi.org/10.1034/j.1600-0897.2003.00042.x] [PMID: 14506928] [http://dx.doi.org/10.1093/humupd/dmz018] [PMID: 31424502] [http://dx.doi.org/10.1016/j.bpobgyn.2018.01.010] [PMID: 29506962] [http://dx.doi.org/10.1111/jog.13559] [PMID: 29316073] [http://dx.doi.org/10.1007/s00404-021-06075-x] [PMID: 33928453] [http://dx.doi.org/10.1007/s12094-022-02999-1] [PMID: 36374404] [http://dx.doi.org/10.3892/mmr.2013.1755] [PMID: 24173432] [PMID: 16474276] [http://dx.doi.org/10.4049/jimmunol.167.4.1882] [PMID: 11489966] [http://dx.doi.org/10.1073/pnas.95.2.588] [PMID: 9435236] [http://dx.doi.org/10.1186/1477-7827-6-40] [http://dx.doi.org/10.1007/BF02773401] [http://dx.doi.org/10.1016/j.humimm.2011.08.015] [PMID: 21920397] [http://dx.doi.org/10.1016/j.molmed.2018.07.004] [PMID: 30054239] [http://dx.doi.org/10.1111/aji.13537] [PMID: 35263479] [http://dx.doi.org/10.1016/j.cyto.2009.08.010] [PMID: 19775907] [http://dx.doi.org/10.1093/humrep/deh775] [PMID: 15695310] [http://dx.doi.org/10.1016/j.jri.2009.09.008] [PMID: 19959241] [http://dx.doi.org/10.1159/000516543] [PMID: 34139707] [PMID: 20083854]

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

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References (46)

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