The role of monocyte chemotactic protein-1 in intraperitoneal adhesion formation
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Women with intraperitoneal adhesions had elevated peritoneal fluid MCP-1 levels, but this correlation was not observed in patients with endometriosis.
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Abstract
Abdomino-pelvic adhesions arise from infection, endometriosis, or peritoneal injury during surgery, and represent a significant source of morbidity in women of reproductive age. Monocyte chemotactic protein-1 (MCP-1) plays a role in the chemotaxis of mononuclear cells and fibroblasts in a murine wound repair model. To evaluate the role of MCP-1 in intraperitoneal adhesion formation, we investigated peritoneal fluid MCP-1 levels of women undergoing laparoscopy. Patients without endometriosis were divided into two groups: normal fertile women undergoing bilateral tubal ligation without intraperitoneal adhesions (n=14) and women with pelvic adhesions (n=8). Patients with endometriosis were arranged into two groups: women with (n=17) and without (n=17) adhesions. Peritoneal fluid MCP-1 levels were quantified using an enzyme-linked immunosorbent assay (ELISA). Peritoneal biopsy samples were immunostained for the detection of MCP-1 protein and macrophages, and were also processed for the presence of MCP-1 mRNA expression. Among women without endometriosis, the median peritoneal fluid MCP-1 level was 144 pg/ml (range 54-261) in women without adhesions and was 336 pg/ml (range 130-2494) in women with adhesions (P=0.01). There was a significant correlation between adhesion scores and MCP-1 levels (r=0.50; P=0.018). Among women with endometriosis, peritoneal fluid MCP-1 levels significantly correlated with the stage of the disease. The presence or absence of adhesions did not significantly affect the peritoneal fluid MCP-1 levels in this group of women. In summary, we have found that women with adhesions have elevated peritoneal fluid MCP-1 levels. However, we were not able to show an incremental effect of adhesions on peritoneal fluid MCP-1 levels of patients with endometriosis. Thus, we conclude that factors besides the intraperitoneal adhesions contribute to the elevated peritoneal fluid MCP-1 levels in patients with endometriosis.
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Cited by (14)
- Exacerbation of Endometriosis Due To Regulatory T-Cell Dysfunction 2017
- The Impact of Endometriosis on Fertility 2015
- Effects of Hominis Placenta Pharmacopuncture Therapy on the Experimentally-induced Endometriosis in the Rats 2014
- Peritoneal fluid concentrations of β-chemokines in endometriosis 2013
- Chemokines in the pathogenesis of endometriosis and infertility 2013
- Peritoneal cytokines and adhesion formation in endometriosis: an inverse association with vascular endothelial growth factor concentration 2012
- Peritoneal adhesions in human and veterinary medicine: from pathogenesis to therapy. A review 2010
- Peritoneal macrophage depletion by liposomal bisphosphonate attenuates endometriosis in the rat model 2008
- Laser capture microdissection and cDNA array analysis of endometrium identify CCL16 and CCL21 as epithelial-derived inflammatory mediators associated with endometriosis 2007
- Regulated upon activation, normal T cell expressed and secreted (RANTES) and monocyte chemotactic protein 1 in follicular fluid accumulate differentially in patients with and without endometriosis undergoing in vitro fertilization 2006
- Profiling of peritoneal fluid of women with endometriosis by chemokine protein array. 2006
- Regulation of FAS Ligand Expression by Chemokine Ligand 2 in Human Endometrial Cells 2006
- Evaluation of monocyte chemotactic protein-1 levels in peripheral blood of infertile women with endometriosis 2005
- Three Cases of Urinary-Tract Endometriosis with Different Clinical Findings 2000
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