Autoimmune Response in Women with Endometriosis

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AI-generated summary by claude@2026-06, 2026-06-06

This study found that the severity of endometriosis correlates with increased anti-endometrial antibodies (AEA) in serum, with lower rates of anti-sperm and anti-zona pellucida antibodies also observed in affected women.

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Abstract

PROBLEM: The aim of this study was to investigate the humoral immune response to the female reproductive tissues associated with endometriosis (grades I-III) (n = 52), compared with a group of healthy fertile women (n = 6). METHOD OF STUDY: An ELISA with cultured endometrial cell lines in monolayer was used to determine the presence of anti-endometrial antibodies (AEA). For anti-zona pellucida antibodies (AZPA) assessment a conventional ELISA was employed. The presence of antibodies to human sperm (ASA) was performed by the tray agglutination test (TAT). RESULTS: Endometriosis grade III was associated with AEA in serum in the 45.4% of patients. The presence of AEA in serum is correlated to endometriosis severity. The 8.7% of women with endometriosis showed ASA, and the 10.9% of them were positive for AZPA. Antibodies specific for endometrial cells do not show reaction to any gamete antigen (sperm or oocyte), suggesting that they are not cross reactive. CONCLUSIONS: Severity of endometriosis is correlated with high titers of AEA.

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Condition tags

endometriosis

MeSH descriptors

Autoimmunity Endometriosis Adult Agglutination Tests Antibodies Antibodies Antibodies Ascitic Fluid Ascitic Fluid Autoantibodies Autoantibodies Autoantibodies Case-Control Studies Cell Line Endometriosis Endometrium Endometrium Enzyme-Linked Immunosorbent Assay Female Humans

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References (27)

Cited by (29)

Source provenance

europepmc
last seen: 2026-06-26T06:14:25.090378+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:13:30.513821+00:00
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