Decreased human leukocyte antigen–DR expression in the lipid raft by peritoneal macrophages from women with endometriosis

Yamamoto Y, Yorito Yamamoto, Maeda N, Nagamasa Maeda, Chiaki Izumiya, Izumiya C, Kusume T, Tomoaki Kusume, Hiroyoshi Oguri, Oguri H, Kawashima M, Masaaki Kawashima, Hayashi K, Kazutoshi Hayashi, Nomura A, Aki Nomura, Chika Yamashita, Yamashita C, Takao Fukaya, Fukaya T
Fertility and sterility · 2007 · vol. 89(1) , pp. 52–59 · doi:10.1016/j.fertnstert.2007.02.027 · PMID:17531990 · W2094919649
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Peritoneal macrophages from women with endometriosis exhibit reduced expression of human leukocyte antigen–DR (HLA-DR) within lipid rafts.

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Abstract

ObjectiveTo investigate the macrophage response in endometriosis by determining the expression and localization of human leukocyte antigen (HLA)-ABC and HLA-DR by the peritoneal fluid (PF) macrophages and PF concentrations of interferon (IFN)-gamma that regulate HLA expression.DesignCase-control study.SettingUniversity hospital.Patient(s)64 Japanese endometriosis patients, and 65 women with other laparoscopic diagnoses.Intervention(s)Venipuncture and laparoscopic peritoneal fluid collection.Main outcome measure(s)Expression and localization of HLA-ABC and HLA-DR in PF macrophages were determined by flow cytometry and confocal microscopy. The concentration of IFN-gamma in PF was determined by enzyme-linked immunosorbent assay.Result(s)In women with endometriosis, expression of HLA-ABC and HLA-DR by PF macrophages, and the IFN-gamma concentrations in PF were statistically significantly lower than in controls. Women with endometriosis showed a statistically significant positive correlation between HLA expression and IFN-gamma concentration. By confocal microscopy, HLA-ABC was distributed homogenously on the macrophage surface whereas HLA-DR expression on these cells corresponded to the lipid raft.Conclusion(s)In women with endometriosis, low HLA expression and particularly reduced HLA-DR in the lipid raft may be influenced by low IFN-gamma and may compromise antigen presentation, limiting the immune response to peritoneal cavity antigens such as implanted or metaplastic endometrial tissue.

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Condition tags

endometriosis

MeSH descriptors

Ascitic Fluid Endometriosis Histocompatibility Antigens Class I HLA-DR Antigens Interferon-gamma Macrophages, Peritoneal Membrane Microdomains Adult Antigen Presentation Ascitic Fluid Case-Control Studies Down-Regulation Endometriosis Enzyme-Linked Immunosorbent Assay Female Flow Cytometry Histocompatibility Antigens Class I HLA-DR Antigens Humans Interferon-gamma

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References (27)

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