Influence of Nerve Growth Factor in Endometriosis-Associated Symptoms

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Peritoneal fluids from endometriosis patients induced neurite outgrowth, showing moderate NGF expression without significant differences across pain groups, indicating neurotrophic properties are endometriosis-associated, not pain-associated.

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This prospective, clinical, blind study investigated whether nerve growth factor (NGF) in peritoneal fluid contributes to dysmenorrhea and/or pelvic pain in patients with histologically proven endometriosis. Peritoneal fluid was tested using a neuronal growth assay with cultured chicken dorsal root ganglia and assessed for NGF-related protein expression by Western blot, with patients stratified into seven groups by preoperative pain score and symptomatology (none, minimal, or severe pain categories). The peritoneal fluids induced neurite outgrowth, and NGF expression in endometriosis peritoneal fluid was moderate, but there were no significant differences across the pain groups, leading the authors to conclude that NGF neurotrophic effects are endometriosis-associated rather than pain-associated. This paper is centrally about endometriosis — it evaluates NGF/peritoneal fluid neurotrophic properties in relation to endometriosis-associated symptoms.

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Abstract

To investigate the role of the nerve growth factor (NGF) in the development of dysmenorrhea/pelvic pain in patients with endometriosis, we performed a prospective, clinical, blind study. Peritoneal fluids (PFs) were obtained from patients with histologically proven endometriosis. Patients with endometriosis were divided into 7 different groups depending on their preoperative pain score and symptomatology: patients with no pain, patients with minimal pain (dysmenorrhea, pelvic pain, or both), and patients with severe pain (dysmenorrhea, pelvic pain, or both) and were used for the neuronal growth assay with cultured chicken dorsal root ganglia (DRG) and for Western blot analyses. Dorsal root ganglia were stained with anti-calcitonin gene-related peptide (CGRP) and anti-growth-associated protein 43 (GAP 43). Peritoneal fluids from patients with endometriosis induce neurite outgrowth. There was no significant difference in the outgrowth between the 7 pain groups. Western blot analyses showed a moderate NGF expression in the PFs from patients with endometriosis, without significant differences in the 7 pain groups. The present study suggests that the neurotrophic properties of endometriotic tissues are endometriosis- and not pain-associated. Similar content being viewed by others

References

Giudice LC, Kao LC. Endometriosis. Lancet. 2004;364(9447):1789–1799. Bulun SE. Endometriosis. N Engl J Med. 2009;360(3):268–279. Tokushige N, Markham R, Russell P, Fraser IS. Nerve fibres in peritoneal endometriosis. Hum Reprod. 2006;21(11):3001–3007. Mechsner S, Schwarz J, Thode J, Loddenkemper C, Salomon DS, Ebert AD. Growth-associated protein 43-positive sensory nerve fibers accompanied by immature vessels are located in or near peritoneal endometriotic lesions. Fertil Steril. 2007;88(3):581–587. Berkley KJ, Dmitrieva N, Curtis KS, Papka RE. Innervation of ectopic endometrium in a rat model of endometriosis. Proc Natl Acad Sci USA. 2004;101(30):11094–11098. Anaf V, Simon P, El Nakadi I, et al. Hyperalgesia, nerve infiltration and nerve growth factor expression in deep adenomyotic nodules, peritoneal and ovarian endometriosis. Hum Reprod. 2002;17(7):1895–1900. Barcena de Arellano ML, Arnold J, Vercellino F, Chiantera V, Schneider A, Mechsner S. Overexpression of nerve growth factor in peritoneal fluid from women with endometriosis may promote neurite outgrowth in endometriotic lesions. Fertil Steril. 2011;95(3):1123–1126. Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertil Steril. 1997;67(5):817–821. Finas D, Huszar M, Agic A, et al. L1 cell adhesion molecule (L1CAM) as a pathogenetic factor in endometriosis. Hum Reprod. 2008;23(5):1053–1062. Abdiche YN, Malashock DS, Pons J. Probing the binding mechanism and affinity of tanezumab, a recombinant humanized anti-NGF monoclonal antibody, using a repertoire of biosensors. Protein Sci. 2008;17(8):1326–1335. Bokor A, Kyama CM, Vercruysse L, et al. Density of small diameter sensory nerve fibres in endometrium: a semi-invasive diagnostic test for minimal to mild endometriosis. Hum Reprod. 2009;24(12):3025–3032. Anaf V, Simon P, El Nakadi I, et al. Relationship between endometriotic foci and nerves in rectovaginal endometriotic nodules. Hum Reprod. 2000;15(8):1744–1750. Zhang X, Yao H, Huang X, Lu B, Xu H, Zhou C. Nerve fibres in ovarian endometriotic lesions in women with ovarian endometriosis. Hum Reprod. 2010;25(2):392–397. Kaiser A, Kopf A, Gericke C, Bartley J, Mechsner S. The influence of peritoneal endometriotic lesions on the generation of endometriosis-related pain and pain reduction after surgical excision. Arch Gynecol Obstet. 2009;280(3):369–373. Atwal G, du Plessis D, Armstrong G, Slade R, Quinn M. Uterine innervation after hysterectomy for chronic pelvic pain with, and without, endometriosis. Am J Obstet Gynecol. 2005;193(5):1650–1655. Quinn M. Uterine innervation in adenomyosis. J Obstet Gynaecol. 2007;27(3):287–291. Zhang X, Lu B, Huang X, Xu H, Zhou C, Lin J. Endometrial nerve fibers in women with endometriosis, adenomyosis, and uterine fibroids. Fertil Steril. 2009;92(5):1799–1801. Vercellini P. Endometriosis: what a pain it is. Semin Reprod Endocrinol. 1997;15(3):251–261. Drake TS, O’Brien WF, Ramwell PW, Metz SA. Peritoneal fluid thromboxane B2 and 6-keto-prostaglandin F1 alpha in endometriosis. Am J Obstet Gynecol. 1981;140(4):401–404. Vernon MW, Beard JS, Graves K, Wilson EA. Classification of endometriotic implants by morphologic appearance and capacity to synthesize prostaglandin F. Fertil Steril. 1986;46(5):801–806. Moon YS, Leung PC, Yuen BH, Gomel V. Prostaglandin F in human endometriotic tissue. Am J Obstet Gynecol. 1981;141(3):344–345. Jones HJ. Endometriosis. Baltimore, MD: Williams & Wilkins; 1982. Tran LV, Tokushige N, Berbic M, Markham R, Fraser IS. Macrophages and nerve fibres in peritoneal endometriosis. Hum Reprod. 2009;24(4):835–841. Mantyh PW. Neurobiology of substance P and the NK1 receptor. J Clin Psychiatry. 2002;63(suppl 11):6–10. Haney AF, Muscato JJ, Weinberg JB. Peritoneal fluid cell populations in infertility patients. Fertil Steril. 1981;35(6):696–698. Dunselman GA, Hendrix MG, Bouckaert PX, Evers JL. Functional aspects of peritoneal macrophages in endometriosis of women. J Reprod Fertil. 1988;82(2):707–710. Kupker W, Schultze-Mosgau A, Diedrich K. Paracrine changes in the peritoneal environment of women with endometriosis. Hum Reprod Update. 1998;4(5):719–723. Tsudo T, Harada T, Iwabe T, et al. Altered gene expression and secretion of interleukin-6 in stromal cells derived from endometriotic tissues. Fertil Steril. 2000;73(2):205–211. Harada T, Iwabe T, Terakawa N. Role of cytokines in endometriosis. Fertil Steril. 2001;76(1):1–10. Ylikorkala O, Viinikka L. Prostaglandins and endometriosis. Acta Obstet Gynecol Scand Suppl. 1983;113:105–107. Apfel SC. Neurotrophic factors and pain. Clin J Pain. 2000;16(2 suppl):S7–S11. Steinhoff M, Stander S, Seeliger S, Ansel JC, Schmelz M, Luger T. Modern aspects of cutaneous neurogenic inflammation. Arch Dermatol. 2003;139(11):1479–1488. Schaible HG, Del Rosso A, Matucci-Cerinic M. Neurogenic aspects of inflammation. Rheum Dis Clin North Am. 2005;31(1):77–101, ix. Rueff A, Mendell LM. Nerve growth factor NT-5 induce increased thermal sensitivity of cutaneous nociceptors in vitro. J Neurophysiol. 1996;76(5):3593–3596. Rueff A, Dawson AJ, Mendell LM. Characteristics of nerve growth factor induced hyperalgesia in adult rats: dependence on enhanced bradykinin-1 receptor activity but not neurokinin-1 receptor activation. Pain. 1996;66(2–3):359–372. Vercellini P, Somigliana E, Vigano P, Abbiati A, Barbara G, Fedele L. Chronic pelvic pain in women: etiology, pathogenesis and diagnostic approach. Gynecol Endocrinol. 2009;25(3):149–158. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Barcena de Arellano, M.L., Arnold, J., Vercellino, G.F. et al. Influence of Nerve Growth Factor in Endometriosis-Associated Symptoms. Reprod. Sci. 18, 1202–1210 (2011). https://doi.org/10.1177/1933719111410711 Published: Issue date: DOI: https://doi.org/10.1177/1933719111410711

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Condition tags

mesh:D004412mesh:D004715mesh:D017699endometriosis

MeSH descriptors

Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Nerve Growth Factor Pelvic Pain Pelvic Pain Adult Animals Ascitic Fluid Ascitic Fluid Blotting, Western Calcitonin Gene-Related Peptide Calcitonin Gene-Related Peptide Cells, Cultured Chick Embryo Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis

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