Changes of cytokines levels in peritoneal fluids of patients with endometriosis and its effect on reproductive activity
Endometriosis patients showed elevated peritoneal fluid TNF and IL-6 levels, reduced sperm motility, and impaired embryo development compared to controls.
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This study measured tumor necrosis factor (TNF) and interleukin 6 (IL-6) levels in peritoneal fluid and in peritoneal macrophage culture supernatants from 14 infertile patients with endometriosis and 11 infertile women with a normal pelvis, using ELISA. TNF and IL-6 were significantly elevated in the endometriosis group, and peritoneal fluid from these patients inhibited sperm motility parameters in vitro and reduced mouse embryo development from 2-cell to 16-cell stage after 48 hours of co-culture. The key limitation is the small sample size and the use of in vitro sperm and mouse embryo assays rather than direct confirmation of reproductive effects in humans. This paper is centrally about endometriosis — it links elevated peritoneal TNF/IL-6 to impaired fertility-related outcomes in experimental co-culture systems.
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References (17)
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Cited by (9)
- Epidemiology of infertility in women with endometriosis 2024
- Interleukin-6 as A Useful Predictor of Endometriosis-Associated Infertility: A Systematic Review. 2023
- The Pathological Role of miRNAs in Endometriosis 2023
- Endometriosis-associated infertility: From pathophysiology to tailored treatment 2022
- Mast Cells in Peritoneal Fluid From Women With Endometriosis and Their Possible Role in Modulating Sperm Function 2020
- Endometriosis & Infertility 2020
- Interleukin in endometriosis-associated infertility-pelvic pain: systematic review and meta-analysis 2019
- Increased c-Jun N-terminal kinase activation in human endometriotic endothelial cells 2010
- The effect of interleukin-6 on ciliary beat frequency in the human fallopian tube 2007
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