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Different types of small nerve fibers in eutopic endometrium and myometrium in women with endometriosis
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Objective To investigate types of nerve fibers in endometrium and myometrium in women with endometriosis. Design Laboratory study using human tissue. Setting University-based laboratory. Patient(s) Women with and without endometriosis undergoing hysterectomy. Intervention(s) Histologic sections of contiguous endometrial and myometrial tissues were prepared from hysterectomies performed on women with and without endometriosis. Main outcome measure(s) Types and density of nerve fibers in endometrium and myometrium in women with and without endometriosis were determined using a series of specific markers for neuronal structure and function: PGP9.5, NF, SP, CGRP, TH, VAChT, VIP, and NPY. Result(s) Nerve fibers stained with PGP9.5 and NF in endometrium and myometrium were significantly increased in women with endometriosis compared with women without endometriosis. Nerve fibers in the functional layer of endometrium in women with endometriosis were likely to be sensory C, a mixture of sensory A delta, sensory C, and adrenergic fibers in the basal layer of the endometrium, a mixture of sensory A delta, sensory C, adrenergic and cholinergic fibers in the myometrium. Conclusion(s) Increased nerve fiber density in endometrium and myometrium, and sensory C fibers and adrenergic nerve fibers in the endometrium in women with endometriosis may play an important role in the mechanisms of pain generation in this condition.
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“Peripheral factors associated with painful endometriosis are found in women without endometriosis, such as increased eutopic uterine innervation”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Tokushige et al., 2007
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Metadata
- Authors
- Tokushige, N., Markham, R., Russell, P., & Fraser, I. S.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Tokushige, Natsuko
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2007-10
- Volume
- 88
- Issue
- 4
- Pages
- 795-803
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W1994988244
- Cited by
- 151
- References
- 67
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 11 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 7 · 2017: 4 · 2016: 7 · 2015: 13 · 2014: 9 · 2013: 11 · 2012: 9
- FWCI
- 16.58
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Life Sciences › Agricultural and Biological Sciences › Ecology, Evolution, Behavior and Systematics › Plant and fungal interactions
- Keywords
- endometriosis, endometrium, myometrium, nerve fiber density, adrenergic nerve fibers, cholinergic fibers, PGP 9.5, neurofilaments, substance P, calcitonin gene-related peptide, tyrosine hydroxylase, vesicular acetylcholine transporter, neuropeptides, endometriosis-associated pain, eutopic endometrium
- MeSH terms
- Adult, Endometriosis, Endometrium, Female, Humans, Hysterectomy, Immunohistochemistry, Myometrium, Nerve Fibers
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