Ultrastructure of Ectopic Peritoneal Lesions From Women With Endometriosis, Including Observations on the Contribution of Coelomic Mesothelium
Ultrastructural analysis of ectopic endometriotic lesions revealed glandular morphologies indicating delayed maturation and evidence of mesothelial invasion potentially contributing to gland development.
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The study examined ectopic peritoneal lesions in 17 women with endometriosis using electron microscopy, with some biopsies also assessed for intermediate filaments by immunohistochemistry, building on observations from a baboon endometriosis model. Lesions displayed multiple glandular ultrastructural morphologies and showed indications of delayed maturation compared with normal endometrium, and some were covered by mesothelium with evidence of mesothelial invasion into the stroma. The authors report ultrastructural differences between ectopic endometriotic lesions and eutopic endometrium, suggesting that mesothelial invasion may contribute to gland development in some lesions. The paper’s main limitation is that it is observational and based on fixed biopsy material rather than directly testing causality or functional outcomes of mesothelial invasion. This paper is centrally about endometriosis — it uses ultrastructural analysis of ectopic peritoneal endometriotic lesions and specifically examines how coelomic/mesothelial invasion may contribute to gland development.
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Cited by (14)
- The Known, the Unknown and the Future of the Pathophysiology of Endometriosis 2024
- Semi-Automated and Manual Methods for Counting Cells Expressing P75 Receptor in Endometriotic Lesions 2018
- Adult Stem Cells in the Pathogenesis and Treatment of Endometriosis 2017
- Enhanced epithelial to mesenchymal transition (EMT) and upregulated MYC in ectopic lesions contribute independently to endometriosis 2015
- TNF&lt;i&gt;α&lt;/i&gt; and IL1&lt;i&gt;β&lt;/i&gt; Stimulate Differential Gene Expression in Endometrial Stromal Cells 2015
- Inflammatory cytokine expression following the use of bipolar electrocoagulation, ultracision harmonic scalpel and cold knife biopsy 2015
- Ultrastructural Features of Eutopic Endometrium in a Rat Model of Endometriosis 2015
- Transforming Growth Factor-β Induced Warburg-Like Metabolic Reprogramming May Underpin the Development of Peritoneal Endometriosis 2014
- The role of the peritoneum in the pathogenesis of endometriosis 2013
- Study of ultrastructure and apoptosis in the endometrium of women with or without endometriosis. 2013
- A Critical Review of Endometriosis Pathology 2013
- Expression of phosphoinositide-specific phospholipase C enzymes in normal endometrium and in endometriosis 2012
- Aberrant expression of regulators of cell-fate found in eutopic endometrium is found in matched ectopic endometrium among women and in a baboon model of endometriosis 2010
- Peritoneal ectopic lesions from women with endometriosis show abnormalities in progesterone-dependent glycan expression 2009
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