Ovarian endometrioma infiltrating neutrophils orchestrate immunosuppressive microenvironment

Hua Xu, Jing Zhao, Jiaqi Lu, Xiaoxi Sun
Journal of ovarian research · 2020 · vol. 13(1) , pp. 44 · doi:10.1186/s13048-020-00642-7 · PMID:32334621 · PMC7183111 · W3019070900
article OA: gold CC0 ⤵ 12 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Neutrophils infiltrating ovarian endometrioma lesions promote neutrophil survival and PD-L1 expression, creating an immunosuppressive microenvironment that inhibits T cell proliferation and activity via the PD-1/PD-L1 axis.

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Abstract

BACKGROUND: Ovarian endometrioma (EM) lesions not only have overwhelmed the amount of infiltrating immune cells but also display immunosuppressive phenotype. The close relationship between neutrophils and the pathogenesis of endometriosis has been demonstrated. The present study aims to elucidate whether or not neutrophils are involved in the regulation of immunosuppressive microenvironment in ovarian endometrioma. METHODS: Immunochemistry (IHC) and flow cytometry analysis (FACS) were conducted to measure CD66b expression in ovarian endometrioma samples from EM patients. The correlation between percentage of CD66b and PD1 + CD8+, TIM3 + CD8+, CTLA4 + CD8+, IFN-γ + CD8+ of CD45+ cells were analyzed. Neutrophil survival and PD-L1 expression were determined under the stimulations of ovarian endometrioma conditional supernatants (OECS). Finally, CD8+ T cell's proliferation and IFN-γ expression were detected under co-cultured with OECS cultured neutrophils stimulated with the α-CD3/α-CD28 antibody. RESULTS: IHC and FACS results revealed correlation between the counts of neutrophils and the severity of ovarian endometrioma. The percentage of CD66b + cells was positively correlated with PD1 + CD8+, TIM3 + CD8+ and CTLA4 + CD8+ of CD45+ cells in ovarian endometrioma. OECS promoted neutrophils' survival and enhanced PD-L1 expression. OECS cultured neutrophils inhibited proliferation and activity of autologous T cells. CONCLUSIONS: Neutrophils play a crucial role in the progression of ovarian endometrioma by orchestrated the immunosuppressive microenvironment under the PD-1/PD-L1 axis.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Neutrophils Ovarian Diseases Adult B7-H1 Antigen B7-H1 Antigen CD8-Positive T-Lymphocytes CD8-Positive T-Lymphocytes Endometriosis Endometrium Endometrium Female Humans Interferon-gamma Interferon-gamma Middle Aged Neutrophils Ovarian Diseases Ovary Ovary

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References (36)

Cited by (13)

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