Serum levels of VEGF and TNF-α and their association with C-reactive protein in patients with endometriosis
Abstract
Objective To compare serum levels of vascular endothelial growth factor (VEGF), tumor necrosis factor-alpha (TNF-alpha), and C-reactive protein (CRP) throughout the menstrual cycle in women with and without endometriosis and to quantify the association between these serum markers. Methods Twenty five endometriosis patients (ASRM stage III-IV) and 13 controls were followed through one menstrual cycle. VEGF, TNF-alpha and CRP concentrations were measured with enzyme-linked immunosorbent assay in each of the four cycle phases (early and late proliferative and early and late secretory). Non-parametric methods and Pearson's correlation coefficients were used for statistical analysis. Results Increased serum levels of VEGF in secretory phases and of TNF-alpha in all cycle phases were observed. A positive correlation between CRP and VEGF was found in endometriosis patients but not in controls. Conclusions Our results suggest that excessive systemic angiogenic activity is a feature of patients with endometriosis.
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CRP may be an inflammatory marker independent from the menstrual cycle, and thus useful in the diagnostics of endometriosis.
“which indicates that CRP may be an inflammatory marker independent from the menstrual cycle, and thus useful in the diagnostics of endometriosis.”
From Diagnostic Significance of Selected Serum Inflammatory Markers in Women with Advanced Endometriosis (2021) · cites this paper as [37]
Using a hsCRP assay, no differences were found in serum CRP levels between women with and without endometriosis in 2 studies, including a much smaller number of patients (n = 38 and n = 82) than in our study.
“However, using a hsCRP assay, no differences were found in serum CRP levels between women with and without endometriosis in 2 studies [12,13], including a much smaller number of patients (n = 38 and n = 82, respectively) than in our study.”
From A high sensitivity assay is more accurate than a classical assay for the measurement of plasma CRP levels in endometriosis (2011) · cites this paper as [12]
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- Authors
- Xavier, P., Belo, L., Beires, J., Rebelo, I., Martinez-de-Oliveira, J., Lunet, N., & Barros, H.
- Affiliations
- Universidade do Porto (PT)
- Corresponding author
- Xavier, Pedro
- Venue
- Archives of Gynecology and Obstetrics
- Published
- 2005-10-06
- Volume
- 273
- Issue
- 4
- Pages
- 227-231
- ISSN
- 0003-9128 (ISSN-L)
- 0932-0067
- 1432-0711
- OpenAlex
- W2023851164
- Cited by
- 130
- References
- 27
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 5 · 2023: 11 · 2022: 10 · 2021: 7 · 2020: 6 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 5 · 2015: 7 · 2014: 8 · 2013: 8 · 2012: 4
- FWCI
- 6.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Gynecology and Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- endometriosis, vascular endothelial growth factor, TNF-α, C-reactive protein, menstrual cycle, luteal phase, angiogenesis, serum biomarkers, inflammatory markers
- MeSH terms
- Adult, C-Reactive Protein, Endometriosis, Female, Humans, Menstrual Cycle, Tumor Necrosis Factor-alpha, Vascular Endothelial Growth Factor A
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