Evaluation of elevated urinary enolase I levels in patients with endometriosis

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Urinary enolase I levels, corrected for creatinine, were significantly elevated in endometriosis patients, suggesting its potential as a biomarker when combined with serum CA-125.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 · read from full text ⓘ

This case-control study evaluated urinary enolase I as a potential biomarker in 39 women with histologically confirmed endometriosis versus 20 women without endometriosis, using western blot and enzyme-linked immunosorbent assay. The urinary non-neuronal enolase (NNE)-creatinine ratio was significantly higher in endometriosis patients, and combining NNE-Cr with serum CA-125 yielded an area under the ROC curve of 0.821, with reported sensitivity and specificity of 76.9% and 85.0%, respectively. A key limitation is the relatively small sample size and lack of discussion of broader external validation in the provided text. This paper is centrally about endometriosis — it tests and validates elevated urinary enolase I (NNE-Cr) alone and combined with CA-125 for diagnostic performance.

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Abstract

OBJECTIVE: The aim of this study is to validate and investigate the clinical value of urinary enolase I in patients with endometriosis. METHODS: Urine samples of 39 patients with histologically confirmed endometriosis and 20 patients without endometriosis were collected. Western blot analysis and enzyme-linked immunosorbent assay were used to detect the increase of enolase I in patients' urine. RESULTS: Urinary enolase I expression corrected for creatinine ratio (non neuronal enolase (NNE)-Cr) was significantly greater in patients with endometriosis (p = 0.026). When the diagnostic performance of NNE-Cr was evaluated with serum CA-125 combination, the area under the curve was 0.821 (95% confidence interval 0.713-0.928) with sensitivity and specificity of 76.9% and 85.0%, respectively. CONCLUSION: Elevated urinary enolase I, in conjunction with serum CA-125, may be used as a potential biomarker for endometriosis.
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Methods

Urine samples of 39 patients with histologically confirmed endometriosis and 20 patients without endometriosis were collected. Western blot analysis and enzyme-linked immunosorbent assay were used to detect the increase of enolase I in patients' urine.

Results

Urinary enolase I expression corrected for creatinine ratio (non neuronal enolase (NNE)-Cr) was significantly greater in patients with endometriosis (p = 0.026). When the diagnostic performance of NNE-Cr was evaluated with serum CA-125 combination, the area under the curve was 0.821 (95% confidence interval 0.713-0.928) with sensitivity and specificity of 76.9% and 85.0%, respectively.

Conclusion

Elevated urinary enolase I, in conjunction with serum CA-125, may be used as a potential biomarker for endometriosis. - Appears in Collections: - 1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers 1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers - Yonsei Authors - Kim, Hye Yeon(김혜연) Park, Joo Hyun(박주현) Seo, Seok Kyo(서석교) https://orcid.org/0000-0003-3404-0484 Yun, Bo Hyon(윤보현) https://orcid.org/0000-0001-5703-797X Lee, Byung Seok(이병석) https://orcid.org/0000-0001-6001-2079 Yim, Su Youn(임수연) Chon, Seung Joo(전승주) Cho, Si Hyun(조시현) https://orcid.org/0000-0003-2718-6645 Choi, Young Sik(최영식) https://orcid.org/0000-0002-1157-4822 Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

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Condition tags

endometriosis

MeSH descriptors

Biomarkers, Tumor DNA-Binding Proteins Endometriosis Phosphopyruvate Hydratase Tumor Suppressor Proteins Adult Adult Biomarkers Biomarkers Biomarkers Biomarkers, Tumor Biomarkers, Tumor CA-125 Antigen CA-125 Antigen CA-125 Antigen Case-Control Studies Case-Control Studies Creatinine Creatinine Creatinine

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (41)

Cited by (17)

Source provenance

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