Paracrine regulation of endometriotic tissue
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⤵ 22 in-corpus citations
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Women with endometriosis have activated immune cells in peritoneal fluid that secrete factors to promote endometriotic cell proliferation and angiogenesis.
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Abstract
Endometriosis is a chronic estrogen-dependent gynecological disease, characterized by pelvic pain and infertility, defined as the presence of endometrial glands and stroma within the pelvic peritoneum and other extrauterine sites. In the peritoneal cavity endometrial cells adhere, proliferate and induce an inflammatory response. Despite a long history of clinical and experimental research, the pathogenesis of endometriosis is still controversial. Abnormal immunological activation, the endocrine milieu and the peritoneal environment all dramatically affect endometriotic tissue function. Recent studies suggest that the peritoneal fluid of women with endometriosis contains an increased number of activated macrophages and other immune cells that secrete various local products, such as growth factors and cytokines, which exert a paracrine action on endometriotic cells. Since the peculiar biological characteristics of eutopic endometrium from women with endometriosis differ from endometrium of normal subjects, an important role in the pathogenesis of this complex disease has been suggested. All of these factors contribute to enhanced proliferative and angiogenic activity and a number of functional and structural changes, resulting in the particular behavior of this tissue.
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Cited by (22)
- Pathophysiological Basis of Endometriosis-Linked Stress Associated with Pain and Infertility: A Conceptual Review 2020
- Possible effects of endometriosis-related immune events on reproductive function 2013
- Cytokines and Endometriosis - the Role of Immunological Alterations 2013
- Endometriosis, a disease of the macrophage 2013
- Differential Expression of CRH, UCN, CRHR1 and CRHR2 in Eutopic and Ectopic Endometrium of Women with Endometriosis 2013
- The Local Immune Mechanisms Involved in the Formation of Endometriotic Lesions 2012
- Therapeutic potential of andrographolide for treating endometriosis 2012
- Aberrant expression of metastasis-inducing proteins in ectopic and matched eutopic endometrium of women with endometriosis: implications for the pathogenesis of endometriosis 2011
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- Neuroendocrine Aspects of Endometriosis‐Associated Pain 2011
- Innate Immune Cells: Gatekeepers of Endometriotic Lesions Growth and Vascularization 2010
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