Increased frequency of human leukocyte antigen-E inhibitory receptor CD94/NKG2A-expressing peritoneal natural killer cells in patients with endometriosis
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This study investigated the frequency of CD94/NKG2A-expressing peritoneal natural killer cells in endometriosis patients, finding an increased frequency compared to controls.
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Abstract
OBJECTIVE: To analyze the frequency of peritoneal natural killer (NK) cells expressing the human leukocyte antigen (HLA)-E receptor CD94/NKG2A in patients with endometriosis.
DESIGN: Case-control study.
SETTING: University hospital.
PATIENT(S): Stage III and stage IV endometriosis, according to the revised American Society for Reproductive Medicine classification, was laparoscopically and histologically confirmed in 11 and 9 patients, respectively; 13 subjects without endometriosis were selected for the control group.
INTERVENTION(S): Collection of peripheral venous blood, peritoneal fluid, endometriotic tissue, and normal endometrium in subjects undergoing laparoscopy.
MAIN OUTCOME MEASURE(S): Surface expression levels of CD94/NKG2A and CD94/NKG2C were detected by three-color cytofluorometric analysis. Semiquantitative HLA-E messenger RNA expression analysis was performed in endometriotic lesions and in eutopic endometrium. NK cell-mediated cytotoxic activity toward HLA-E positive target, DT360 cell line, was also determined.
RESULT(S): In women with endometriosis, the percentage of CD94/NKG2A-positive peritoneal NK cells was significantly higher than in the control group. The CD94/NKG2A ligand, HLA-E, was detected at high levels in endometriotic tissue as messenger RNA transcript. Target cells bearing HLA-E were resistant to NK cell-mediated lysis in a CD94/NKG2A-dependent manner.
CONCLUSION(S): Increased expression of CD94/NKG2A in peritoneal NK cells may mediate the resistance of endometriotic tissue to NK cell-mediated lysis, thus contributing to the progression of the disease.
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Cited by (39)
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- Immune mechanisms in the pathogenesis of endometriosis: a comprehensive analysis of the role of NK cells, cytokines, and extracellular vesicles/exosomes 2026
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- Identification and Validation of Potential Immune-Related Genes for Endometriosis 2025
- Dysfunction of natural killer cells promotes immune escape and disease progression in endometriosis 2025
- Reframing Endometriosis: Interplay of NETs, Macrophages, and Lymphocytes at the Crossroads of Disease Progression, Infertility, and Malignant Transformation 2025
- Emerging Mechanisms of NK Cell Dysfunction in Endometriosis: The Role of Autophagy, Metabolism, Cytokines, Exosomes, and Trogocytosis 2025
- Pain Severity and Depressive Symptoms in Endometriosis Patients: Mediation of Negative Body Awareness and Interoceptive Self-Regulation 2024
- Endometriosis: A Comprehensive and Concise Review of Potential Biomarkers and Treatment Therapies 2024
- Immune and endocrine regulation in endometriosis: what we know 2023
- Peritoneal immune microenvironment of endometriosis: Role and therapeutic perspectives 2023
- Efficacy of N-Acetylcysteine on Endometriosis-Related Pain, Size Reduction of Ovarian Endometriomas, and Fertility Outcomes 2023
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- A higher number of exhausted local PD1+, but not TIM3+, NK cells in advanced endometriosis 2023
- Myeloid-derived suppressor cells: A new emerging player in endometriosis 2023
- Endometriosis: A Disease with Few Direct Treatment Options 2022
- Natural Killer Cell Receptors and Endometriosis: A Systematic Review 2022
- Immunopathogenesis of endometriosis: An overview of the role of innate and adaptive immune cells and their mediators 2022
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- Recombinant IL-2: clinical efficacy and pathogenetic rationale for use in external genital endometriosis 2021
- A deep insight into pelvic pain and endometriosis: a review of the literature from pathophysiology to clinical expressions 2021
- Effect of combined contraceptive pill on immune cell of ovarian endometriotic tissue 2021
- Pelvic endometriosis and natural killer cell immunity 2020
- High prevalence of autoimmune diseases in women with endometriosis: a case-control study 2019
- NK Cells as Potential Targets for Immunotherapy in Endometriosis 2019
- Pro-endometriotic niche in endometriosis 2018
- Platelets impair natural killer cell reactivity and function in endometriosis through multiple mechanisms 2017
- Endometriosi e infertilità: impatto su sessualità, relazione di coppia, qualità della vita e benessere psicologico 2017
- Decreased Cytotoxicity of Peripheral and Peritoneal Natural Killer Cell in Endometriosis 2016
- Platelet-derived TGF-β1 mediates the down-modulation of NKG2D expression and may be responsible for impaired natural killer (NK) cytotoxicity in women with endometriosis 2016
- Quality of life and sexual satisfaction in women suffering from endometriosis: An Italian preliminary study 2015
- Increased dose single-agent gemcitabine in platinum-taxane resistant metastatic ovarian cancer 2015
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- Role of NK Cells in Endometriosis 2014
- 28. Dietary intolerance and endometriosis: an immunological link in the pathogenesis of an enigmatic disease? 2014
- 28. Dietary intolerance and endometriosis: an immunological link in the pathogenesis of an enigmatic disease? 2014
- Detecting and investigating the significance of high-frequency LOH chromosome regions for endometriosis-related candidate genes 2012
- Endometriosis and Autoimmunity 2011
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- last seen: 2026-10-24T06:12:55.650802+00:00
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