Altered expression of interleukin-18 in the peritoneal fluid of women with endometriosis
Non-randomised trial
OA: bronze
CC0
⤵ 39 in-corpus citations
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This study investigated the expression of interleukin-18 in peritoneal fluid from women with endometriosis and found it to be altered.
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Abstract
OBJECTIVE: Peritoneal fluid (PF) inflammatory factors may participate in the pathogenesis of endometriosis. The aim of this study was to investigate PF interleukin (IL)-18 levels in women with and without endometriosis.
DESIGN: Controlled clinical study.
SETTING: Women undergoing laparoscopy at a university hospital.
PATIENT(S): Fifty women with previously untreated endometriosis, 8 women on GnRH agonists for endometriosis, and 18 control women with normal pelvic anatomy who were undergoing tubal ligation.
INTERVENTION(S): Peritoneal fluid IL-18 levels as measured by ELISA.
MAIN OUTCOME MEASURE(S): Peritoneal fluid IL-18 levels.
RESULT(S): Peritoneal fluid IL-18 levels were significantly higher in women with previously untreated endometriosis (mean +/- SEM, 91.1 +/- 6.5 pg/mL) than in control women (59.4 +/- 2.0 pg/mL). Interestingly, women with superficial (100.0 +/- 10.2 pg/mL) and deep peritoneal implants (94.0 +/- 10.8 pg/mL) had significantly higher PF IL-18 levels than did women with endometriomas (57.8 +/- 1.8 pg/mL). Similarly, women with stage I-II endometriosis (97.3 +/- 8.0 pg/mL), but not women with stage III-IV endometriosis (74.9 +/- 9.9 pg/mL), had significantly higher PF IL-18 levels than did control women. Peritoneal fluid IL-18 levels were significantly higher in the luteal phase than in the follicular phase but did not discriminate between women with pelvic pain or infertility.
CONCLUSION(S): Peritoneal fluid IL-18 is elevated in women with peritoneal, minimal- to mild-stage endometriosis.
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- Interleukin-1/-33 Signaling Pathways as Therapeutic Targets for Endometriosis 2019
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- Intrafollicular inflammatory cytokines but not steroid hormone concentrations are increased in naturally matured follicles of women with proven endometriosis 2017
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- Biomarkers for Endometriosis in Saliva, Urine, and Peritoneal Fluid 2017
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- Eutopic endometrial interleukin-18 system mRNA and protein expression at the level of endometrial-myometrial interface in adenomyosis patients 2009
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- Immunohistochemical expression of p53, MDM2, and p21Waf1 oncoproteins in endometriomas but not adenomyosis 2005
- The role of immunology in the etiopathogenesis, diagnosis and treatment of endometriosis O papel da imunologia na etiopatogenia, diagnóstico e tratamento da endometriose 2005
- Increased numbers of activated mast cells in endometriosis lesions positive for corticotropin-releasing hormone and urocortin 2004
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