Cited by 44Endometriosis Research and TreatmentLymphatic System and DiseasesEndometrial and Cervical Cancer Treatments

Lymphangiogenesis in deep infiltrating endometriosis

Keichel, S., Barcena de Arellano, M.- L., Reichelt, U., Riedlinger, W. F. J., Schneider, A., Kohler, C., Mechsner, S.·2011·Human Reproduction

Abstract

BACKGROUND: In patients diagnosed with deep infiltrating endometriosis (DIE), foci of endometriosis are detected in mesorectal lymph nodes (LNs) after segmental bowel resection and in pelvic sentinel LNs. Lymph vessels (LVs) seem to be the possible routes for the dissemination of endometriotic cells from DIE-lesions to LN. Therefore, we conducted a study to investigate the occurrence and density of LV and lymphangiogenic growth factors in DIE. METHODS: Included in this study were 38 premenopausal women who underwent surgery due to symptomatic rectovaginal DIE. In order to identify LV, immunohistochemical analysis with anti-Podoplanin (D2-40), LYVE-1 and Prox-1 was performed. Furthermore, the expression of VEGF-C and VEGF-D in endometriotic tissue was investigated. RESULTS: LV density (LVD) of DIE lesions was significantly higher compared with healthy corresponding tissue. All LV makers could be detected, and the density of LYVE-1- or Prox-1-positive LV was significantly higher than that of D2-40-positive LV. Endometriotic epithelial cells and stromal cells showed a moderate to strong VEGF-C and VEDF-D expression. CONCLUSIONS: DIE lesions have lymphangiogenic properties, probably leading to endometriosis-like cells in lymphatic vessels and LNs featuring a loco-regional disease.

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Crossref · 10.1093/humrep/der230

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Authors
Keichel, S., Barcena de Arellano, M. L., Reichelt, U., Riedlinger, W. F. J., Schneider, A., Kohler, C., & Mechsner, S.
Affiliations
  • Stiftung Charité (DE)
  • Charité – Universitätsmedizin Berlin (DE)
Corresponding author
Mechsner, S.
Venue
Human Reproduction
Published
2011-07-25
Volume
26
Issue
10
Pages
2713-2720
ISSN
  • 0268-1161 (ISSN-L)
  • 1460-2350
OpenAlex
W2101766472
Cited by
44
References
44
Citations by year
2025: 2 · 2024: 3 · 2023: 5 · 2022: 1 · 2021: 2 · 2020: 5 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 5 · 2013: 7 · 2012: 3
FWCI
5.36
Type
journal article
Language
en
Open access
closed
Locations
  • Human Reproduction (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Oncology › Lymphatic System and Diseases
  • Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
Keywords
deep infiltrating endometriosis, lymphangiogenesis, lymphatic vessels, lymph node metastasis, VEGF-C, VEGF-D, LYVE-1, Prox1, D2-40, podoplanin, rectovaginal endometriosis, lymphatic vessel density
MeSH terms
Prospero-Related Homeobox 1 Protein, Adult, Endometriosis, Female, Gene Expression Regulation, Humans, Immunohistochemistry, Lymph Nodes, Lymphatic Metastasis, Stromal Cells, Premenopause, Homeodomain Proteins, Sentinel Lymph Node Biopsy, Tumor Suppressor Proteins, Vesicular Transport Proteins, Vascular Endothelial Growth Factor C, Lymphangiogenesis, Vascular Endothelial Growth Factor D

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