Age at Menarche and Oxidative Stress Markers in Women with Endometriosis

In: SN Comprehensive Clinical Medicine · 2020 · vol. 2(1) , pp. 69–74 · doi:10.1007/s42399-019-00214-x · W2998171178
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Women with endometriosis reported earlier age at menarche compared to controls, but serum levels of six oxidative stress markers did not differ between groups.

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This laparoscopic case-control study evaluated six serum oxidative stress-related markers (ADMA, MCP1, MMP2, MMP9, RANTES, and VEGF-A) in 46 women undergoing laparoscopy, comparing 31 women with visually and histopathologically confirmed endometriosis to 15 without. No significant differences were detected between groups for any of the measured markers, and disease stage was not associated with marker levels. Women with endometriosis reported earlier age at menarche than controls (11.7 vs 12.6 years, p = 0.04). The paper’s caveat is that oxidative stress marker differences were not observed in this relatively small sample. This paper is centrally about endometriosis — it tests whether serum oxidative stress markers differ in women with endometriosis and reports an associated difference in age at menarche.

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Abstract

Endometriosis is one of the most frequent gynecological disorders defined as the existence and growth of endometrial tissue outside the uterine cavity. Aim of this study was to evaluate the level of six oxidative stress markers in the serum of patients with and without endometriosis. This study included 46 women who were undergoing laparoscopy. The participants were divided into two groups based on their laparoscopic results. Thirty-one women had visually and histopathologically confirmed endometriosis, whereas 15 did not. The serum level of ADMA (asymmetric dimethylarginine), MCP1 (monocyte chemoattractant protein 1), MMP2 (matrix metalloproteinases 2), MMP9 (matrix metalloproteinases 9), RANTES (regulated upon activation, normal T cell expressed and presumably secreted), and VEGF-A (vascular endothelial growth factor) as oxidative stress markers were measured and compared between the two groups. No significant difference in the ADMA, MCP1, MMP2, MMP9, RANTES, and VEGF-A serum levels was detected between the entometriosis patients and controls. The disease stage did not affect any of the markers’ level either. Women with endometriosis had menarche at an earlier age compared to controls [11.7 (SD 1.09) vs 12.6 (SD 1.4), p = 0.04)]. These results suggest that there is no association between endometriosis and increased oxidative stress. The elevation and possible role of oxidative stress markers in the diagnosis and pathogenesis of endometriosis should be evaluated in more extended studies. Access this article We’re sorry, something doesn't seem to be working properly. Please try refreshing the page. If that doesn't work, please contact support so we can address the problem. Similar content being viewed by others

References

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Author information Authors and Affiliations Contributions Augoulea A: Manuscript writing/editing Kindis A: Project development Karopoulou E: Data collection Tsoltos N: Data analysis Kaparos G: Laboratory results Tsakonas E: Data management Panoulis K: Protocol Corresponding author Ethics declarations Conflict of Interest The authors declare that they have no conflict of interest. Ethical Approval All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed Consent Informed consent was obtained from all individual participants included in the study. Additional information Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This article is part of the Topical Collection on Surgery Rights and permissions About this article Cite this article Augoulea, A., Kindis, A., Karopoulou, E. et al. Age at Menarche and Oxidative Stress Markers in Women with Endometriosis. SN Compr. Clin. Med. 2, 69–74 (2020). https://doi.org/10.1007/s42399-019-00214-x Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s42399-019-00214-x

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