Inflammatory cytokines differentially up-regulate human endometrial haptoglobin production in women with endometriosis
Open accessAbstract
BACKGROUND: Evidence suggests that eutopic endometrium from women with endometriosis (US-E) has intrinsic functional anomalies compared with women without endometriosis (US-C). We hypothesized that differences in endometrial haptoglobin (eHp) mRNA and protein levels exist between eutopic endometrium from US-E and US-C and that inflammatory mediators may be involved. METHODS: Endometrial stromal cells and tissue explants from US-E (n = 18) and US-C (n = 18) were cultured (24 h/48 h for cells/explants) with interleukin (IL)-1alpha, -1beta, -6, -8 or tumor necrosis factor-alpha (TNF-alpha) at 0-100 ng/ml. eHp protein in media and mRNA levels were quantified by enzyme-linked immunosorbent assay and quantitative PCR. RESULTS: In eutopic endometrial stromal cells from US-E, IL-1beta, IL-6 and TNF-alpha (10 ng/ml) increased eHp mRNA levels (P = 0.002, P < 0.001 and P < 0.001, respectively) and eHp protein (P = 0.023, 0.031 and 0.006, respectively) versus control. In endometrial tissues from US-E, IL-1beta, IL-6 and TNF-alpha increased eHp mRNA (P < 0.001, P = 0.017 and P < 0.001, respectively) and eHp protein (P < 0.001, P = 0.007 and 0.039, respectively) versus control. IL-1alpha and IL-8 had small or no effects on isolated endometrial cells or tissues. In US-C, IL-1beta, IL-8 and TNF-alpha each reduced eHp mRNA in endometrial stromal cells (all P < 0.001) versus control; IL-1alpha and IL-6 had no effect. eHp mRNA increased in endometrial tissues from US-C in response to IL-1beta (P = 0.008), IL-6 (P = 0.015) and TNF-alpha (P = 0.031) versus control; IL-1alpha or IL-8 had no effect. CONCLUSIONS: Endometrium from US-E differentially responds to specific inflammatory cytokines by production of eHp. We propose that up-regulation of endometrial eHp by inflammatory mediators disrupts normal endometrial function and may facilitate the pathogenesis of endometriosis.
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IL-6, IL-10, IFN, and TGF-b are implicated in immune and inflammatory responses in the pathogenesis of endometriosis.
“Interleukin (IL)-6, IL-10, interferon (IFN), and transforming growth factor (TGF-b) are implicated in the immune and inflammatory responses in the pathogenesis of endometriosis.61,64”
From Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France (2013) · cites this paper as [64]
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- Authors
- Sharpe-Timms, K. L., Nabli, H., Zimmer, R. L., Birt, J. A., & Davis, J. W.
- Affiliations
- University of Missouri (US)
- Corresponding author
- Sharpe-Timms, K. L.
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-02-22
- Volume
- 25
- Issue
- 5
- Pages
- 1241-1250
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- PMC
- PMC2902841
- OpenAlex
- W2149000495
- Cited by
- 43
- References
- 66
- Citations by year
- 2026: 4 · 2025: 2 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 4 · 2015: 3 · 2014: 1 · 2013: 5 · 2012: 1
- FWCI
- 4.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Human Reproduction (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01hd040849-04)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD040849)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Keywords
- endometriosis, inflammatory cytokines, endometrial stromal cells, IL-1β, interleukin-6, TNF-α, interleukin-8, interleukin-1 alpha, eutopic endometrium, gene expression regulation, endometritis
- MeSH terms
- Endometriosis, Endometrium, Female, Haptoglobins, Humans, RNA, Messenger, Tumor Necrosis Factor-alpha, Interleukin-6, Up-Regulation, Cytokines, Interleukin-8, Stromal Cells, Inflammation Mediators, Interleukin-1alpha, Interleukin-1beta, In Vitro Techniques
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