Effect of danazol on the immunocompetent cells in the eutopic endometrium in patients with endometriosis: a multicenter cooperative study
Non-randomised trial
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⤵ 37 in-corpus citations
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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
OBJECTIVE: To assess the effects of danazol on immunocompetent cells, human leukocyte antigen (HLA) expression, and adhesion molecules in the eutopic endometrium of patients with endometriosis.
DESIGN: Antigens were localized immunohistochemically in the endometria, before treatment and during treatment (2 months later).
PARTICIPANTS: Ten 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.
RESULTS: Immunohistochemical 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.
CONCLUSIONS: Danazol had an immunomodulatory effect on the autoimmune response in endometrium associated with endometriosis.
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- Expression of macrophage migration inhibitory factor in human endometriosis: relation to disease stage, menstrual cycle and infertility 2010
- Microanatomy and function of the eutopic endometrium in women with endometriosis 2008
- Medical Management of Endometriosis 2008
- Effect of danazol on NK cells and cytokines in the mouse uterus 2007
- Paracrine regulation of endometriotic tissue 2007
- Imbalance in the expression of the activating type I and the inhibitory type II interleukin 1 receptors in endometriosis 2007
- Increased expression of matrix metalloproteinase-9 in the eutopic endometrial tissue of women with endometriosis 2006
- Macrophage migration inhibitory factor expression in the intrauterine endometrium of women with endometriosis varies with disease stage, infertility status, and pelvic pain 2006
- Biologia della cellula endometriosica 2005
- The relevancy of the matrix metalloproteinase system to the pathophysiology of endometriosis 2005
- Evidence for an increased release of proteolytic activity by the eutopic endometrial tissue in women with endometriosis and for involvement of matrix metalloproteinase-9 2004
- Novel targets for the treatment of endometriosis 2004
- Medical Therapy for Endometriosis 2003
- Medical management of endometriosis: novel targets and approaches towards the development of future treatment regimes 2003
- Suppression of natural killer cell activity by splenocyte transplantation in a rat model of endometriosis 2002
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- Use of intraperitoneal interferon alpha-2b therapy after conservative surgery for endometriosis and postoperative medical treatment with depot gonadotropin-releasing hormone analog: a randomized clinical trial 2002
- Decreased expression of the decoy interleukin-1 receptor type II in human endometriosis 2001
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- Endometriosis and free radicals 1999
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- Immunohistochemical assessment of superoxide dismutase expression in the endometrium in endometriosis and adenomyosis 1999
- Expression of secretory leukocyte protease inhibitor in women with endometriosis 1999
- Is adenomyosis an immune disease? 1998
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- Endometriosis: a dysfunction and disease of the archimetra 1998
- Morphometric evaluation of stromal vascularization in the endometrium in adenomyosis 1998
- Endometriosis-associated infertility 1997
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- Integrin adhesion molecules in the endometrial glandular epithelium in patients with endometriosis or adenomyosis 1997
- Distribution of heat shock proteins in eutopic and ectopic endometrium in endometriosis and adenomyosis 1997
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