Endometriosis Leads to an Increased Trefoil Factor 3 Concentration in the Peritoneal Cavity but Does Not Alter Systemic Levels
Endometriosis elevates peritoneal fluid trefoil factor 3 (TFF3) correlating with disease biomarkers, while serum TFF3 levels fluctuate with the menstrual cycle but not disease state.
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The study investigated whether trefoil factor 3 (TFF3) is locally increased and associated with established endometriosis biomarkers and inflammatory markers, using peritoneal fluid and serum samples from women with or without endometriosis and an induced endometriosis mouse model. Women with endometriosis had significantly higher TFF3 concentrations in peritoneal fluid, which correlated with local CA125, CA19–9, interleukin-8, monocyte chemotactic protein-1, and matrix metalloproteinase 7, while serum TFF3 levels were influenced by menstrual cycle but were not associated with disease status; mice showed local TFF3 elevation in early endometriosis that paralleled markers of systemic inflammation (spleen weight). A major caveat is that serum results were confounded by menstrual-cycle effects, limiting disease-state interpretation for systemic TFF3. This paper is centrally about endometriosis — it demonstrates increased local peritoneal TFF3 concentration in endometriosis without changes in systemic levels.
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Cited by (5)
- Integrated analysis of single-cell and bulk transcriptomic data reveals altered cellular composition and predictive cell types in ectopic endometriosis 2025
- An integrated multi-tissue approach for endometriosis candidate biomarkers: a systematic review 2024
- The pathogenesis of endometriosis and adenomyosis: insights from single-cell RNA sequencing† 2024
- External validation of putative biomarkers in eutopic endometrium of women with endometriosis using NanoString technology 2020
- Effect of high-intensity focused ultrasound ablation on endometriosis of the abdominal wall. 2018
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