Basal and stimulated secretion of cytokines by peritoneal macrophages in women with endometriosis
Open accessAbstract
Objective To evaluate basal (constitutive) and stimulated synthesis of tumor necrosis factor alpha (TNF alpha), interleukin (IL)-8, IL-10 by peritoneal macrophages (PM) in women with endometriosis.Design Peritoneal macrophages were cultured in the presence or absence of lipopolysaccharide (LPS) for 24 hours. Peritoneal fluids (PF) and PM supernatants were assayed for cytokines using ELISA.Setting Institute for the Study and Treatment of Endometriosis and university-based research laboratories.Subjects Fertile controls undergoing tubal ligation (n = 8) and women with endometriosis (n = 17).Intervention Peritoneal fluid samples were obtained at the time of diagnostic laparoscopy (endometriosis group) or laparoscopy for tubal ligation; both were performed in the midluteal phase of the cycle.Results Both basal and LPS stimulated production of TNF alpha, IL-8, and IL-10 by the PM were elevated significantly in women with endometriosis as compared with the fertile controls.Conclusions This study demonstrated that cytokines TNF alpha, IL-8, and IL-10 are synthesized at greater than normal levels by basal and stimulated PM from women with endometriosis. The levels of TNF alpha and IL-8 correlated with the levels in the PF, suggesting that PM are the principal source of these cytokines in the PF.
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Implantation in the peritoneum is explained by a local disorder of the mechanisms that prevent adhesion, with increased production of cytokine macrophages including tumor necrosis factor α and interleukin.
“Implantation in the peritoneum is explained by a local disorder of the mechanisms that prevent adhesion. The consequence is an increased production of cytokine macrophages, including tumor necrosis factor α (TNF-α) and interleukin [55].”
From Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature) (2021) · cites this paper as [55]
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BackgroundInfluentialOutcome of IVF in Patients with Endometriosis in Comparison with Tubal-Factor Infertility
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“level of these cytokines, as well as interferon-r and transforming growth factor-B, has been shown in peritoneal fluid in women with endometriosis (20).”
Pathogenesis of Endometriosis: The Role of Peritoneal Fluid
Koninckx, P. R., Kennedy, S., & Barlow, D. (1999) · Gynecologic and Obstetric Investigation · doi:10.1159/000052856 · Cited by 85 · see citing works
Akoum, A., Kong, J., Metz, C. N., & Beaumont, M.-C. (2002) · Fertility and Sterility · doi:10.1016/s0015-0282(02)03082-0 · Cited by 84 · see citing works
Compartmentalization of Tolerance to Endotoxin
Fitting, C., Dhawan, S., & Cavaillon, J. (2004) · The Journal of Infectious Diseases · doi:10.1086/382657 · Cited by 84 · see citing works
“However, when the cells were derived from other compartments, an enhanced responsiveness was usually observed by use of peritoneal macrophages during infectious peritonitis [29], inflammatory bowel diseases [30], and endometriosis [31, 32] or by use of alveolar macrophages during acute respiratory distress syndrome [3…”
BackgroundEffect of peritoneal fluid from women with endometriosis on implantation in the mouse model
Illera, M. J., Juan, L., Stewart, C. L., Cullinan, E. B., Ruman, J. I., & Lessey, B. A. (2000) · Fertility and Sterility · doi:10.1016/s0015-0282(00)00552-5 · Cited by 83 · see citing works
Environmental Dioxins and Endometriosis
Rier, S. (2002) · Toxicological Sciences · doi:10.1093/toxsci/70.2.161 · Cited by 119 · see citing works
The biology of serous cavity macrophages
Bain, C. C., & Jenkins, S. J. (2018) · Cellular Immunology · doi:10.1016/j.cellimm.2018.01.003 · Cited by 78 · see citing works
“In addition to increases in their numbers, peritoneal macrophages obtained from women with endometriosis have heightened basal production of pro-inflammatory cytokines, including TNFa, IL-1b and IL-8, and exaggerated responses to stimulation with TLR ligands, such as LPS [109,110].”
BackgroundInfluentialTumor necrosis factor alpha secretion by peritoneal macrophages in patients with endometriosis
Richter, O. N., Dorn, C., R�sing, B., Flaskamp, C., & Ulrich, U. A. (2004) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-003-0591-9 · Cited by 79 · see citing works
“As previously noted, a large number of immunoactive and proliferation-promoting substances such as cytokines and growth factors were determined as secretion products of the macrophages in the peritoneal secretion of endometriosis patients [10, 43].”
BackgroundAkoum, A., Al-Akoum, M., Lemay, A., Maheux, R., & Leboeuf, M. (2008) · Fertility and Sterility · doi:10.1016/j.fertnstert.2007.06.019 · Cited by 78 · see citing works
Akoum, A., Metz, C. N., Al-Akoum, M., & Kats, R. (2006) · Fertility and Sterility · doi:10.1016/j.fertnstert.2005.10.073 · Cited by 78 · see citing works
Dioxin-like PCBs and Endometriosis
Bruner‐Tran, K. L., & Osteen, K. G. (2010) · Systems Biology in Reproductive Medicine · doi:10.3109/19396360903381023 · Cited by 77 · see citing works
“1994] and an enhanced activation state of monocytes and peritoneal macrophages [Braun et al. 1996; Rana et al. 1996; Zeller et al. 1987].”
Mülayim, N., Savlu, A., Guzeloglu‐Kayisli, O., Kayisli, U. A., & Arici, A. M. (2004) · Fertility and Sterility · doi:10.1016/j.fertnstert.2003.11.015 · Cited by 78 · see citing works
The gut microbiota and endometriosis: From pathogenesis to diagnosis and treatment
Qin, R., Tian, G., Liu, J., & Cao, L. (2022) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2022.1069557 · Cited by 77 · see citing works
“Other studies have shown that macrophages can promote the release of inflammatory mediators under lipopolysaccharide stimulation, thereby promoting the inflammatory infiltration, proliferation and angiogenesis observed in endometriosis (Rana et al., 1996; Jeljeli et al., 2020).”
BackgroundMAP kinases and the inflammatory signaling cascade as targets for the treatment of endometriosis?
Santulli, P., Marcellin, L., Tosti, C., Chouzenoux, S., Cerles, O., Borghese, B., Batteux, F., & Chapron, C. (2015) · Expert Opinion on Therapeutic Targets · doi:10.1517/14728222.2015.1090974 · Cited by 75 · see citing works
“Peritoneal fluids of women with endometriosis contain a large number of activated macrophages and exhibit pronounced differences in their cytokine/chemokine profiles [24].”
BackgroundAkoum, A., Jolicoeur, C., & Boucher, A. (2000) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.85.2.6348 · Cited by 75 · see citing works
Witz, C. A. (2002) · Gynecologic and Obstetric Investigation · doi:10.1159/000049425 · Cited by 73 · see citing works
Ho, H., Wu, M., Chen, S., Chao, K., Chen, C., & Yang, Y. (1997) · Human Reproduction · doi:10.1093/humrep/12.12.2810 · Cited by 73 · see citing works
“Previously we and others have reported raised concentrations of cytokines from immune cells — most likely from activated macrophages — in the peritoneal fluid of women with endometriosis (Oosterlynck et al., 1994; Sharpe-Timms et al., 1994; Keenan et al., 1995; Skrzypczak et al., 1995; Ho et al., 1996; Overton et al.,…”
BackgroundFaserl, K., Golderer, G., Kremser, L., Lindner, H. H., Sarg, B., Wildt, L., & Seeber, B. (2010) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2010-1532 · Cited by 71 · see citing works
Cao, W. G., Morin, M., Sengers, V., Metz, C. N., Roger, T., Maheux, R., & Akoum, A. (2005) · Human Reproduction · doi:10.1093/humrep/dei315 · Cited by 68 · see citing works
“Elevated concentrations of TNF-α were found in the peritoneal fluid of women with endometriosis (Rana et al., 1996; Barcz et al., 2000; Iwabe et al., 2000; Bedaiwy et al., 2002; Bullimore, 2003; Darai et al., 2003).”
BackgroundAkoum, A., Lemay, A., & Maheux, R. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2002-020106 · Cited by 67 · see citing works
Interleukin-8 stimulates the adhesion of endometrial stromal cells to fibronectin
García-Velasco, J. A., & Arici, A. M. (1999) · Fertility and Sterility · doi:10.1016/s0015-0282(99)00223-x · Cited by 65 · see citing works
Endometriosis is sustained by tumour necrosis factor-α
Bullimore, D. W. (2002) · Medical Hypotheses · doi:10.1016/s0306-9877(02)00336-5 · Cited by 63 · see citing works
Toll-like receptor 4-mediated growth of endometriosis by human heat-shock protein 70
Khan, K. N., Kitajima, M., Imamura, T., Hiraki, K., Fujishita, A., Sekine, I., Ishimaru, T., & Masuzaki, H. (2008) · Human Reproduction · doi:10.1093/humrep/den195 · Cited by 62 · see citing works
Zhang, X., Hei�, P., Deng, L., & Lin, J. (2006) · Molecular Human Reproduction · doi:10.1093/molehr/gal106 · Cited by 62 · see citing works
“Interestingly, some authors have reported that protein levels of IL-10 in PF are significantly increased in patients with endometriosis compared with controls (Punnonen et al., 1996; Ho et al., 1997b), although this has not been found in all studies (Rana et al., 1996; McLaren et al., 1997).”
BackgroundResultPathophysiology of Endometriosis-Associated Infertility
Burns, W. N., & Schenken, R. S. (1999) · Clinical Obstetrics & Gynecology · doi:10.1097/00003081-199909000-00014 · Cited by 61 · see citing works
Premenstrual and Menstrual Changes in the Macaque and Human Endometrium: Relevance to Endometriosis
BRENNER, R. M., NAYAK, N. R., SLAYDEN, O. D., CRITCHLEY, H. O. D., & KELLY, R. W. (2002) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2002.tb02766.x · Cited by 59 · see citing works
Endometriosis-Related Chronic Pelvic Pain
Song, S. Y., Jung, Y. W., Shin, W., Park, M., Lee, G. W., Jeong, S., An, S., Kim, K.-M., Ko, Y. B., Lee, K. H., et al. (2023) · Biomedicines · doi:10.3390/biomedicines11102868 · Cited by 67 · see citing works
Alpinetin ameliorates inflammatory response in LPS-induced endometritis in mice
Liang, Y., Shen, T., Qi, M., Han, G., Zhang, Y., Liang, J., & Zhu, D. (2018) · International Immunopharmacology · doi:10.1016/j.intimp.2018.07.010 · Cited by 58 · see citing works
Alborzi, S., Ghotbi, S. H., Parsanezhad, M. E., Dehbashi, S., Alborzi, S., & Alborzi, M. (2007) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2006.06.024 · Cited by 56 · see citing works
Future Perspectives in the Medical Treatment of Endometriosis
Ferrero, S., Abbamonte, L. H., Anserini, P., Remorgida, V., & Ragni, N. (2005) · Obstetrical & Gynecological Survey · doi:10.1097/01.ogx.0000189153.87365.dc · Cited by 56 · see citing works
Nothnick, W. B., & Alali, Z. (2016) · F1000Research · doi:10.12688/f1000research.7504.1 · Cited by 55 · see citing works
Impact of endometriosis on surgical outcomes and complications of total laparoscopic hysterectomy
Uccella, S., Marconi, N., Casarin, J., Ceccaroni, M., Boni, L., Sturla, D., Serati, M., Carollo, S., Alluvion, C. P., & Ghezzi, F. (2016) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-016-4115-9 · Cited by 54 · see citing works
Morin, M., Bellehumeur, C., Therriault, M., Metz, C. N., Maheux, R., & Akoum, A. (2005) · Fertility and Sterility · doi:10.1016/j.fertnstert.2004.10.039 · Cited by 53 · see citing works
Wu, M., Ho, H., Chen, S., Chao, K., Chen, C., & Yang, Y. (1999) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.1999.tb00082.x · Cited by 52 · see citing works
- Authors
- Rana, N., Braun, D. P., House, R., Gebel, H., Rotman, C., & Dmowski, W. P.
- Affiliations
- Rush University Medical Center (US)
- ORCID
- Gebel, Howard
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 1996-05
- Volume
- 65
- Issue
- 5
- Pages
- 925-930
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W98713221
- Cited by
- 264
- References
- 27
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 12 · 2023: 9 · 2022: 5 · 2021: 8 · 2020: 6 · 2019: 5 · 2018: 6 · 2017: 9 · 2016: 6 · 2015: 4 · 2014: 4 · 2013: 8 · 2012: 9
- FWCI
- 11.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01ca058922-03)
- National Cancer Institute (CA 58922)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Surgery › Diagnosis and treatment of tuberculosis
- Keywords
- endometriosis, peritoneal macrophages, cytokine production, TNF-α, interleukin-8, IL-10, lipopolysaccharide stimulation, peritoneal fluid
- MeSH terms
- Ascitic Fluid, Cells, Cultured, Endometriosis, Female, Humans, Lipopolysaccharides, Tumor Necrosis Factor-alpha, Cytokines, Interleukin-8, Interleukin-10, Macrophages, Peritoneal
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