Nerve Bundle Density and Expression of NGF and IL-1β Are Intra-Individually Heterogenous in Subtypes of Endometriosis

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Nerve bundle density and expression of NGF and IL-1β show intra-individual heterogeneity across deep, superficial peritoneal, and endometrioma subtypes of endometriosis lesions within the same patient.

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AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text

The study examined neuroproliferation-related markers in 12 patients undergoing surgery for all three anatomic subtypes of endometriosis (deep, superficial peritoneal, endometrioma), using immunohistochemistry to quantify nerve bundle density (PGP9.5) and expression of nerve growth factor (NGF) and interleukin-1β (IL-1β) in endometriosis epithelium/stroma. For patients with at least two excised subtypes, the authors assessed intra-individual heterogeneity across lesions with the coefficient of variation and compared mean scores between subtypes using percentage differences. PGP9.5 nerve bundle density varied widely across subtypes within individuals (50.0% to 173.2%), with most patients showing CV ≥ 100%, and NGF and IL-1β expression also differed between anatomic subtypes within the same patient. This paper is centrally about endometriosis — it specifically demonstrates intra-individual, subtype-dependent heterogeneity in nerve bundle density and NGF/IL-1β expression across endometriosis lesions.

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Abstract

Endometriosis is a gynecological disorder associated with local inflammation and neuroproliferation. Increased nerve bundle density has been attributed to increased expression of nerve growth factor (NGF) and interleukin–1β (IL-1β). Immunohistochemical analysis was carried out on 12 patients presenting with all three anatomic subtypes of endometriosis (deep, superficial peritoneal, endometrioma) at surgery, with at least two surgically excised subtypes available for analysis. Immunolocalization for nerve bundle density around endometriosis using protein gene product 9.5 (PGP9.5), as well as NGF and IL-1β histoscores in endometriosis epithelium/stroma, was performed to evaluate differences in scores between lesions and anatomic subtypes per patient. Intra-individual heterogeneity in scores across lesions was assessed using the coefficient of variation (CV). The degree of score variability between subtypes was evaluated using the percentage difference between mean scores from one subtype to another subtype for each marker. PGP9.5 nerve bundle density was heterogenous across multiple subtypes of endometriosis, ranging from 50.0% to 173.2%, where most patients (8/12) showed CV ≥ 100%. The percentage difference in scores showed that PGP9.5 nerve bundle density and NGF and IL-1β expression were heterogenous between anatomic subtypes within the same patient. Based on these observations of intra-individual heterogeneity, we conclude that markers of neuroproliferation in endometriosis should be stratified by anatomic subtype in future studies of clinical correlation.
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- Library Home / - Search Collections / - Open Collections / - Browse Collections / - UBC Faculty Research and Publications / - Nerve Bundle Density and Expression of NGF and IL-1β... Open Collections UBC Faculty Research and Publications Nerve Bundle Density and Expression of NGF and IL-1β Are Intra-Individually Heterogenous in Subtypes of Endometriosis Sreya, Mahfuza; Tucker, Dwayne R.; Yi, Jennifer; Alotaibi, Fahad T.; Lee, Anna F.; Noga, Heather; Yong, Paul J. Abstract Endometriosis is a gynecological disorder associated with local inflammation and neuroproliferation. Increased nerve bundle density has been attributed to increased expression of nerve growth factor (NGF) and interleukin–1β (IL-1β). Immunohistochemical analysis was carried out on 12 patients presenting with all three anatomic subtypes of endometriosis (deep, superficial peritoneal, endometrioma) at surgery, with at least two surgically excised subtypes available for analysis. Immunolocalization for nerve bundle density around endometriosis using protein gene product 9.5 (PGP9.5), as well as NGF and IL-1β histoscores in endometriosis epithelium/stroma, was performed to evaluate differences in scores between lesions and anatomic subtypes per patient. Intra-individual heterogeneity in scores across lesions was assessed using the coefficient of variation (CV). The degree of score variability between subtypes was evaluated using the percentage difference between mean scores from one subtype to another subtype for each marker. PGP9.5 nerve bundle density was heterogenous across multiple subtypes of endometriosis, ranging from 50.0% to 173.2%, where most patients (8/12) showed CV ≥ 100%. The percentage difference in scores showed that PGP9.5 nerve bundle density and NGF and IL-1β expression were heterogenous between anatomic subtypes within the same patient. Based on these observations of intra-individual heterogeneity, we conclude that markers of neuroproliferation in endometriosis should be stratified by anatomic subtype in future studies of clinical correlation. Item Metadata | Title | Nerve Bundle Density and Expression of NGF and IL-1β Are Intra-Individually Heterogenous in Subtypes of Endometriosis | | Creator | | | Contributor | | | Publisher | Multidisciplinary Digital Publishing Institute | | Date Issued | 2024-05-15 | | Description | Endometriosis is a gynecological disorder associated with local inflammation and neuroproliferation. Increased nerve bundle density has been attributed to increased expression of nerve growth factor (NGF) and interleukin–1β (IL-1β). Immunohistochemical analysis was carried out on 12 patients presenting with all three anatomic subtypes of endometriosis (deep, superficial peritoneal, endometrioma) at surgery, with at least two surgically excised subtypes available for analysis. Immunolocalization for nerve bundle density around endometriosis using protein gene product 9.5 (PGP9.5), as well as NGF and IL-1β histoscores in endometriosis epithelium/stroma, was performed to evaluate differences in scores between lesions and anatomic subtypes per patient. Intra-individual heterogeneity in scores across lesions was assessed using the coefficient of variation (CV). The degree of score variability between subtypes was evaluated using the percentage difference between mean scores from one subtype to another subtype for each marker. PGP9.5 nerve bundle density was heterogenous across multiple subtypes of endometriosis, ranging from 50.0% to 173.2%, where most patients (8/12) showed CV ≥ 100%. The percentage difference in scores showed that PGP9.5 nerve bundle density and NGF and IL-1β expression were heterogenous between anatomic subtypes within the same patient. Based on these observations of intra-individual heterogeneity, we conclude that markers of neuroproliferation in endometriosis should be stratified by anatomic subtype in future studies of clinical correlation. | | Subject | | | Genre | | | Type | | | Language | eng | | Date Available | 2024-06-07 | | Provider | Vancouver : University of British Columbia Library | | Rights | CC BY 4.0 | | DOI | 10.14288/1.0443920 | | URI | | | Affiliation | | | Citation | Biomolecules 14 (5): 583 (2024) | | Publisher DOI | 10.3390/biom14050583 | | Peer Review Status | Reviewed | | Scholarly Level | Faculty | | Rights URI | | | Aggregated Source Repository | DSpace | Item Media Item Citations and Data Rights CC BY 4.0

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