Co-expression of activating and inhibitory receptors on peritoneal fluid NK cells in women with endometriosis
Observational
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CC0
⤵ 7 in-corpus citations
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This study examined the co-expression of activating and inhibitory receptors on natural killer (NK) cells found in peritoneal fluid of women diagnosed with endometriosis.
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Abstract
The detailed mechanism underlying endometriosis development remains unclear; few reports have suggested the involvement of immune and genetic factors. This study aims to investigate the role of NK cells in endometriosis by analyzing the co-expression of activating (NKp46, NKG2C, and NKG2D) and inhibitory receptors (NKG2A and CD158a) on NK cells and their subsequent cytokine production in the peritoneal fluid (PF). Sixty-two patients were enrolled for this study from Hyogo Medical University between February 2018 and April 2022. Results showed that the proportions of CD56+/NKp46+, CD56dim/NKp46+, NKG2C+/NKp46+, and NKG2D+/NKp46+ NK cells were significantly lower in the endometriosis group than those in the control group. Meanwhile, within the peritoneal endometriosis (n = 21) and deep infiltrating endometriosis (n = 11) groups, the co-expression of NKG2D+/NKp46+ and CD16+/NKp46+. Additionally, the abundance of IFN-γ-producing NK cells was significantly increased in the endometriosis group compared to controls, and a significant negative correlation was noted between NKp46 expression on NK cells and type 1 cytokine (IFN-γ and TNF-α) production. Taken together, the findings of this study indicate that NK cell cytotoxicity in endometriosis is reduced due to changes in NKp46 expression, as well as activating receptors co-expressed with NKp46. Consequently, NK cells do not eliminate endometrial cells in the abdominal cavity, resulting in the production of TNF-α and IFN-γ.
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Cited by (10)
- Immune-nutritional interactions in endometriosis: current evidence and future perspectives in disease management 2026
- Metabolic remodeling of endometriosis microenvironment: Energy stress and immune evasion 2026
- Effectiveness of combined therapy with dienogest and a protein-peptide complex in women with deep endometriosis 2026
- The connection between endometriosis and secondary dysmenorrhea 2025
- N-acetylcysteine stimulates organelle malfunction in endometriotic cells via IFN-gamma signaling 2025
- Combined with bioinformatics and machine learning, the diagnostic model, Immunological features and subtypes of stage IV endometriosis with infertility were analyzed 2024
- An Estrogen-NK Cells Regulatory Axis in Endometriosis, Related Infertility, and Miscarriage 2024
- Evaluation of the natural killer cell subsets and their relationship with serum interferon gamma and vitamin D levels in women with stages III and IV endometriosis: A case-control study 2024
- Synergy between Th1 and Th2 responses during endometriosis: A review of current understanding 2023
- Natural Killer Cell Receptors and Endometriosis: A Systematic Review 2022
Source provenance
- europepmc
- last seen: 2026-10-11T09:27:45.537177+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-11T06:14:11.772062+00:00
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