Effect of danazol on the immunocompetent cells in the eutopic endometrium in patients with endometriosis: a multicenter cooperative study

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This multicenter study investigated the impact of danazol treatment on immunocompetent cells within the eutopic endometrium of patients diagnosed with endometriosis.

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Abstract

ObjectiveTo assess the effects of danazol on immunocompetent cells, human leukocyte antigen (HLA) expression, and adhesion molecules in the eutopic endometrium of patients with endometriosis.DesignAntigens were localized immunohistochemically in the endometria, before treatment and during treatment (2 months later).ParticipantsTen patients with laparoscopically proven endometriosis who consented to participate in this study were treated with 400 mg/d of danazol for 4 months. Forty-two infertile patients without endometriosis or adenomyosis served as controls.ResultsImmunohistochemical analysis revealed significantly increased expression of the T cell subsets, macrophages, adhesion molecules, and HLA antigens in eutopic endometrium in patients with endometriosis compared with the infertile group. Treatment with danazol reduced the number of cells in T cell subsets, adhesion molecules, or HLA antigen expression, especially of gamma delta T cells, to 39.5% of the pretreatment value in patients with endometriosis.ConclusionsDanazol had an immunomodulatory effect on the autoimmune response in endometrium associated with endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Danazol Endometriosis Endometrium T-Lymphocytes Adult Cell Adhesion Molecules Cell Adhesion Molecules Danazol Endometriosis Endometriosis Endometriosis Endometrium Endometrium Endometrium Female HLA Antigens HLA Antigens Humans Immunohistochemistry Infertility, Female

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