Interleukin-9 produced by helper T cells stimulates interleukin-8 expression in endometriosis
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Helper T cell-produced IL-9 stimulates IL-8 expression in endometrial stromal cells, playing a significant role in endometriosis development.
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Abstract
PROBLEM: Inflammation and immune responses play crucial roles in the development of endometriosis. Although interleukin-9 (IL-9) has a pro-inflammatory function in chronic inflammatory diseases, its function in endometriosis remains unknown. Here, we aimed to investigate the significance of IL-9 and IL-9-producing lymphocytes in endometriosis.
METHOD OF STUDY: Specimens were obtained from patients with and without endometriosis. Peritoneal fluid (PF), peripheral blood (PB), and ovarian endometrioma (OE) tissues were analyzed for the proportion of CD4+ IL-9+ lymphocytes and IL-9 concentration using flow cytometry and enzyme-linked immunosorbent assay. OE, endometrium with endometriosis (EE), and normal endometrium (NE) were analyzed for IL-9 receptor (IL-9R) expression using immunohistochemical staining. IL-9-dependent changes in Interleukin-8 (IL-8) expression in endometrial stromal cells from OE (OESCs) were evaluated using real-time PCR.
RESULTS: The proportion of CD4+ IL-9+ lymphocytes was higher in the PF, but not the PB, of patients with endometriosis than individuals without endometriosis (p < .05). However, IL-9 levels in the PF did not differ between those with and without endometriosis. We detected CD4+ IL-9+ lymphocytes in OE tissues and IL-9R in OE tissues and OESCs. In OESC culture, IL-9 significantly elevated IL-8 expression in a dose-dependent manner (p < .05), which was nullified by the addition of the anti-IL-9 receptor antibody. Furthermore, IL-9 additively stimulated IL-8 expression in the presence of TNF-α (p < .05).
CONCLUSION: Our findings show that IL-9 produced by helper T cells induces IL-8 expression, suggesting that IL-9 plays an important role in the development of endometriosis by stimulating IL-8 expression.
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Cited by (8)
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- Contributions of T-helper 9 cells in endometriosis-associated inflammation and lesion growth 2026
- The interplay between systemic inflammatory factors and endometriosis: A bidirectional mendelian randomization study 2024
- CXC chemokines influence immune surveillance in immunological disorders: Polycystic ovary syndrome and endometriosis 2023
- Synergy between Th1 and Th2 responses during endometriosis: A review of current understanding 2023
- The effect of ENEAS application in patients with endometriosis and its influence on the level of IL-8 and MCP-1 2022
- Role of inflammation in benign gynecologic disorders: from pathogenesis to novel therapies† 2021
- Reduced innate lymphoid cells in the endometrium of women with endometriosis 2021
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