Role of cytokines in the endometrial-peritoneal cross-talk and development of endometriosis
Abstract
A clear picture of the dynamic relationship between the endometrium and peritoneum is emerging as both tissues may participate in the spontaneous development of endometriosis. Various adhesion molecules, pro-inflammatory cytokines and chemoattractants cytokines have emerged as central coordinators of endometrial-peritoneal interactions. The peritoneal microenvironment which consists of the peritoneal fluid, normal peritoneum and peritoneal endometriotic lesions may play an active role in the pathogenesis of endometriosis, by harbouring most inflammatory responses that are triggered by the presence of endometrial cells, leading to recruitment of activated macrophages and leukocytes locally. Menstrual endometrium has the ability to bond and invade the peritoneal tissue. In baboons intrapelvic injection of menstrual endometrium permits the study of early endometrial-peritoneal interaction in an in vivo culture microenvironment and can lead to important insight in the early development of endometriotic lesions. In this review, we discuss the roles of the endometrial-peritoneal interactions, not only in disease development but also in the broader process of aetiopathogenesis.
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Pelvic endometriosis is associated with a low-grade inflammation of the peritoneal cavity with higher concentrations of activated macrophages and thus with higher concentrations of many different cytokines and angiogenic factors.
“Pelvic endometriosis is associated with a low-grade inflammation of the peritoneal cavity with higher concentrations of activated macrophages and thus with higher concentrations of the many different cytokines (68-72) and angiogenic factors (73)(74)(75)(76)(77)(78)(79)(80)(81)(82)(83)(84)(85)(86)(87)(88)(89)(90)(91).”
From Pathogenesis of deep endometriosis (2017) · cites this paper as [72]
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Burns, K. A., Rodriguez, K., Hewitt, S., Janardhan, K., Young, S., & Korach, K. (2012) · Endocrinology · doi:10.1210/en.2012-1294 · Cited by 143 · see citing works
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Burns, K. A., Thomas, S. Y., Hamilton, K. J., Young, S. L., Cook, D. N., & Korach, K. S. (2017) · Endocrinology · doi:10.1210/en.2017-00562 · Cited by 115 · see citing works
Takamura, M., Koga, K., Izumi, G., Hirata, T., Harada, M., Hirota, Y., Hiraike, O. W., Fujii, T., & Osuga, Y. (2015) · American Journal of Reproductive Immunology · doi:10.1111/aji.12426 · Cited by 85 · see citing works
Gómez, R., Abad, A., Delgado, F., Tamarit, S., Simón, C., & Pellicer, A. (2010) · Fertility and Sterility · doi:10.1016/j.fertnstert.2010.10.024 · Cited by 81 · see citing works
Yu, J., Francisco, A. M. C., Patel, B. G., Cline, J. M., Zou, E., Berga, S. L., & Taylor, R. N. (2018) · American Journal Of Pathology · doi:10.1016/j.ajpath.2018.06.011 · Cited by 72 · see citing works
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Braundmeier, A. G., Jackson, K. S., Hastings, J. M., Koehler, J., Nowak, R. A., & Fazleabas, A. T. (2012) · Human Reproduction · doi:10.1093/humrep/des083 · Cited by 58 · see citing works
Hapangama, D. K., Raju, R., Valentijn, A., Barraclough, D. L., Hart, A., Turner, M. A., Platt-Higgins, A. M., Barraclough, R., & Rudland, P. S. (2011) · Human Reproduction · doi:10.1093/humrep/der412 · Cited by 52 · see citing works
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Ono, Y., Yoshino, O., Hiraoka, T., Sato, E., Furue, A., Nawaz, A., Hatta, H., Fukushi, Y., Wada, S., Tobe, K., et al. (2021) · Scientific Reports · doi:10.1038/s41598-020-79578-3 · Cited by 48 · see citing works
Braundmeier, A. G., Dayger, C. A., Mehrotra, P., Belton, R. J., & Nowak, R. A. (2012) · Reproductive Sciences · doi:10.1177/1933719112450332 · Cited by 47 · see citing works
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Qi, X., Zhang, Y., Ji, H., Wu, X., Wang, F., Xie, M., Shu, L., Jiang, S., Mao, Y., Cui, Y., et al. (2014) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2014.09.004 · Cited by 29 · see citing works
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Guay, S., Michaud, N., Bourcier, N., Lebœuf, M., Lemyre, M., Mailloux, J. R., & Akoum, A. (2011) · Fertility and Sterility · doi:10.1016/j.fertnstert.2010.12.056 · Cited by 13 · see citing works
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Effects of TSLP on obstetrical and gynecological diseases
Zhang, Y., & Jin, L. (2016) · American Journal of Reproductive Immunology · doi:10.1111/aji.12612 · Cited by 11 · see citing works
Renner, S. P., Strissel, P. L., Beckmann, M. W., Lermann, J. H., Burghaus, S., Hackl, J., Fasching, P. A., & Strick, R. (2015) · BioMed Research International · doi:10.1155/2015/450468 · Cited by 11 · see citing works
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Zhang, Z., Hu, C., Tang, W., Gui, T., Qian, R., Xing, Y., Cao, P., & Wan, G. (2013) · Reproductive Sciences · doi:10.1177/1933719113483008 · Cited by 8 · see citing works
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Gkrozou, F., Tsonis, O., Daniilidis, A., et al. (2020) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.1177/2284026520960649 · Cited by 7 · see citing works
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Vrekoussis, T., Siafaka, V., Tsitou, A., Tsonis, O., Navrozoglou, I., Makrigiannakis, A., & Paschopoulos, M. E. (2020) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.1177/2284026519895829 · Cited by 7 · see citing works
Models of Endometriosis:In vitroandIn vivoModels
Grümmer, R. (2011) · doi:10.1002/9781444398519.ch25 · Cited by 6 · see citing works
Unique Sensitivity of Uterine Tissue and the Immune System for Endometriotic Lesion Formation
Morris, S. A., Korach, K., & Burns, K. A. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.805784 · Cited by 6 · see citing works
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Al‐Jefout, M., & Артымук, Н. В. (2019) · Fundamental and Clinical Medicine · doi:10.23946/2500-0764-2019-4-3-77-82 · Cited by 6 · see citing works
Power over Pain: A Brief Review of Current and Novel Interventions for Endometriosis-Associated Pain
Ray, K., Mitchell, B. L., & Santanam, N. (2014) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.5301/je.5000199 · Cited by 5 · see citing works
“These inflammatory chemokines and cytokines have a role in nociception and are now considered as potential targets for treating pain (87-90).”
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“We had hypothesized that factors secreted by macrophages would increase the migratory and invasive properties of T-HESC cells [1].”
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D'Hooghe, T. (2014) · Frontiers in Bioscience-Scholar · doi:10.2741/s410 · Cited by 4 · see citing works
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Uysal, G., Çağlı, F., Aksoy, H., Aksoy, Ü., Cıngıllıoğlu, B., Karakiliç, E. Ü., & Açmaz, G. (2015) · Kafkas Journal of Medical Sciences · doi:10.5505/kjms.2015.24572 · Cited by 4 · see citing works
Marianowski, P., Szymusik, I., Barcz, E., Wielgoś, M., & Hibner, M. (2013) · Ginekologia Polska · doi:10.17772/gp/1655 · Cited by 4 · see citing works
The Genetic-Epigenetic Pathophysiology of Endometriosis: A Surgeon’s View
Koninckx, P. R., Ussia, A., Adamyan, L. V., Keckstein, J., Wattiez, A., Gomel, V., & Martin, D. C. (2020) · Springer eBooks · doi:10.1007/978-3-030-52984-0_6 · Cited by 3 · see citing works
Laschke, M. W., Rudzitis‐Auth, J., & Menger, M. D. (2013) · Medical Hypotheses · doi:10.1016/j.mehy.2013.02.016 · Cited by 3 · see citing works
Biology of Eutopic and Ectopic Endometrium in Women with Endometriosis
Klemmt, P. A. B., & Starzinski‐Powitz, A. (2011) · Wiley eBooks · doi:10.1002/9781444398519.ch11 · Cited by 3 · see citing works
Beyond the norm: a systematic review of appendiceal intussusception in endometriosis cases
Al-Bdour, M., Abu-Salih, A. Q., Shakhatreh, Z., Zghoul, A., Bani-younes, M., Odat, R. M., Nguyen, D. H., & Nashwan, A. J. (2024) · International Journal of Surgery Open · doi:10.1097/io9.0000000000000055 · Cited by 1 · see citing works
The role of oxidation-sensitive nociception and epigenetics in endometriosis-associated pain
Wright, K. R. (2017) · Cited by 1 · see citing works
Lousse, J., Defrère, S., Colette, S., Langendonckt, A. V., & Donnez, J. (2011) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.5301/je.2011.8524
Olivares, C. N. (2012) · Repositorio Digital Institucional de la Universidad de Buenos Aires (Universidad de Buenos Aires)
Alieva, F. T., Bryunin, D. V., Aleksankin, A. P., et al. (2022) · Russian Bulletin of Obstetrician-Gynecologist · doi:10.17116/rosakush20222205130
Neuroimmunology of Endometriosis-Associated Pain and Its Psychological Aspects
Lin, Y., & Wang, C. C. (2024) · Integrated science · doi:10.1007/978-3-031-72079-6_30
Casein Kinase 1α Agonist Pyrvinium Promotes Autophagy to Suppress Endometriosis in Mice
Zhou, A., Cai, Q., Hong, Y., & Lv, Y. (2025) · Journal of Biochemical and Molecular Toxicology · doi:10.1002/jbt.70506
The involvement of CD206-positive M2 Macrophage(MΦ) in endometriosis
Ono, Y., Yoshino, O., Fukushi, Y., et al. (2021) · Reproductive Immunology and Biology · doi:10.3192/jsirib.36.22
Altered Biological Characteristics of Eutopic and Ectopic Endometrium
Silveira, C. G. T., Agic, A., Canny, G., & Hornung, D. (2014) · Springer eBooks · doi:10.1007/978-4-431-54421-0_17
- Authors
- Kyama, C. M.
- Affiliations
- Universitair Ziekenhuis Leuven (BE)
- Corresponding author
- Kyama, Cleophas M
- ORCID
- Kyama, Cleophas M
- Venue
- Frontiers in Bioscience
- Publisher
- IMR Press
- Published
- 2009
- Volume
- E1
- Issue
- 2
- Pages
- 444-454
- ISSN
- 1944-7892 (ISSN-L)
- 1945-0494
- 1945-0508
- DOI
- 10.2741/e40
- OpenAlex
- W33495223
- Cited by
- 64
- References
- 0
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 6 · 2016: 3 · 2015: 7 · 2014: 8 · 2013: 4 · 2012: 5
- FWCI
- 5.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Frontiers in Bioscience-Elite (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- endometriosis, inflammatory cytokines, chemokines, adhesion molecules, peritoneal microenvironment, endometrial invasion, macrophage recruitment, leukocyte recruitment, endometrium, baboon model
- MeSH terms
- Endometriosis, Endometrium, Female, Humans, Peritoneum, Signal Transduction, Integrins, Cytokines, Hyaluronan Receptors, Receptor Cross-Talk, Matrix Metalloproteinases
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