Elevated levels of interleukin-6 in ascites and serum from women with ovarian hyperstimulation syndrome

Friedlander MA, M A Friedlander, Miriam A. Friedlander, J. Ricardo Loret de Mola, J R Loret de Mola, Loret de Mola JR, J M Goldfarb, Goldfarb JM, J. Goldfarb
Fertility and sterility · 1993 · vol. 60(5) , pp. 826–833 · doi:10.1016/s0015-0282(16)56283-9 · PMID:8224268 · W2406707431
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This paper investigated the presence of elevated interleukin-6 levels in ascites and serum samples collected from women diagnosed with ovarian hyperstimulation syndrome.

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Abstract

ObjectiveTo examine the role of pro-inflammatory cytokines in ovarian hyperstimulation syndrome (OHSS).DesignIn vitro laboratory study of serum, peritoneal cells isolated and fluid obtained from ascites removed in the therapeutic management of four patients with OHSS.SettingTertiary care referral teaching hospital.PatientsFour patients with OHSS comprised the study population. Five healthy women at the time of elective laparoscopic tubal ligation served as controls. Control serum was also obtained from healthy adult volunteers, and control peritoneal fluid (PF) was obtained from patients on peritoneal dialysis.InterventionsTherapeutic paracentesis was performed on four patients with OHSS.ResultsPeritoneal cells were isolated and fluid obtained from ascites removed in the therapeutic management of the women with OHSS. Peritoneal cells were obtained by intraoperative lavage from the control women. The cells were incubated with various concentrations of Escherichia coli lipopolysaccharide (LPS) for 20 and 48 hours. Interleukin-1 beta (IL-1 beta), tumor necrosis factor (TNF), interleukin-6 (IL-6), and prostaglandin E2 (PGE2) were assayed in the incubation supernatants. The release of the three cytokines and PGE2 in response to LPS by peritoneal cells from women with OHSS was not different from the controls. However, both serum and ascitic fluid from women with OHSS contained significantly greater levels of IL-6 than control serum and PF. No significant differences in TNF levels in serum, ascitic fluid, or PF could be found by ELISA or bioassay.ConclusionsIncreased production of IL-6, released into the peritoneal cavity and the circulation, may mediate OHSS.

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Condition tags

endometriosis

MeSH descriptors

Ascites Interleukin-6 Ovarian Hyperstimulation Syndrome Adult Ascites Biomarkers Biomarkers Biomarkers Danazol Danazol Endometriosis Endometriosis Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Interleukin-6

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