Expression of transforming growth factor β1 in nerve fibers is related to dysmenorrhea and laparoscopic appearance of endometriotic implants
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Objective To quantify the expression of transforming growth factor beta1 in nerve fibers in endometriotic lesions and to correlate it with dysmenorrhea and appearance of endometriotic implants. Design Prospective comparative study. Setting University hospital. Patient(s) Peritoneal endometriotic specimens obtained from 35 patients diagnosed with endometriosis were compared with biopsies of normal peritoneum from 10 patients without endometriosis. Intervention(s) Endometriosis-associated dysmenorrhea for each patient was evaluated before surgery using a 10-point visual analog scale, which was followed by a laparoscopic staging of the patient's endometriosis. Main outcome measure(s) Immunohistochemical analysis of the peritoneal endometriotic specimens evaluated the maximal intensity of staining (INTMMAX) of TGFbeta1, defined as higher staining intensity found within a selected structure. Result(s) When the nerve fibers of endometriotic lesions were compared with those of normal peritoneum, statistically significant differences were found in the INTMMAX of TGFbeta1. Greater TGFbeta1 INTMMAX was found in red lesions and deep endometriotic foci than in black lesions and normal peritoneum. A statistically significant relationship was found between the TGFbeta1 INTMMAX score and dysmenorrhea; a relationship also was found to the color of the lesions. Conclusion(s) The physical appearance of endometriotic implants and the severity of dysmenorrhea appear to be related to the expression of TGFbeta1 in nerve fibers.
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Dysmenorrhea severity is associated with transforming growth factor beta1 in nerve fiber bundles adjacent to endometriotic lesions, and TGFb1 is higher in deeply infiltrating or red lesions than in black lesions or healthy peritoneum.
“Tamburro et al. (2003) report an association between dysmenorrhea severity and transforming growth factor beta1 (TGFb1) in nerve fiber bundles adjacent to endometriotic lesions; more TGFb1 is found in lesions that are either DIE or red compared with black lesions or healthy peritoneum.”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Tamburro et al., 2003
Nerve fibers were first detected in peritoneal endometriotic lesions and these were thought to contribute to associated dysmenorrhea.
“Nerve fibers were first detected in peritoneal endometriotic lesions and these were thought to contribute to associated dysmenorrhea [137].”
From Update on biomarkers for the detection of endometriosis (2015) · cites this paper as [137]
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- Authors
- Tamburro, S., Canis, M., Albuisson, E., Dechelotte, P., Darcha, C., & Mage, G.
- Affiliations
- Centre Hospitalier Universitaire de Clermont-Ferrand (FR)
- Corresponding author
- Canis, Michel
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2003-11
- Volume
- 80
- Issue
- 5
- Pages
- 1131-1136
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2146589244
- Cited by
- 79
- References
- 39
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 1 · 2019: 4 · 2018: 5 · 2017: 3 · 2016: 1 · 2015: 7 · 2014: 4 · 2013: 1 · 2012: 2
- FWCI
- 1.23
- 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 › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Health Sciences › Medicine › Surgery › Diagnosis and treatment of tuberculosis
- Keywords
- endometriosis, TGF-β1, nerve fibers, dysmenorrhea, endometriotic implants, peritoneal endometriosis, lesion color, deep infiltrating endometriosis
- MeSH terms
- Adult, Biopsy, Color, Dysmenorrhea, Endometriosis, Endometrium, Female, Humans, Immunohistochemistry, Infertility, Female, Nerve Fibers, Peritoneum, Prospective Studies, ROC Curve, Severity of Illness Index, Staining and Labeling, Hysteroscopy, Multivariate Analysis, Transforming Growth Factor beta, Pelvic Pain, Transforming Growth Factor beta1
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