The ferroimmunomodulatory role of ectopic endometriotic stromal cells in ovarian endometriosis
The ferroimmunomodulatory role of ectopic endometriotic stromal cells in ovarian endometriosis
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DOI:
10.1016/j.fertnstert.2012.04.047
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发表时间:
2012-08-01
影响因子:
6.7
通讯作者:
Toyokuni, Shinya
中科院分区:
文献类型:
--
作者:
Kobayashi, Hiroharu;Yamashita, Yoriko;Toyokuni, Shinya
Objective: To understand the role of ectopic endometriotic stromal cells in ovarian endometriosis (OEM) and the associated risks for infertility and carcinogenesis.Design: Analyses of secreted proteins and gene expression using immortalized eutopic/ectopic endometrial(-otic) stromal cells from OEM.Setting: University.Patient(s): Women with and without OEM.Intervention(s): Samples of endometrial(-otic) tissue from women with or without OEM.Main Outcome Measure(s): Immunohistochemical analysis of oxidative stress in OEM, gene expression profiles, and the identification of secreted proteins by mass spectrometry in immortalized endometrial(-otic) stromal cells.Result(s): 4-Hydroxy-2-nonenal-modified proteins and carboxymethyllysine were abundant in the stroma, rather than epithelia, of OEM patients, indicating the presence of oxidative stress. Immortalized ectopic endometriotic stromal cells exhibited high IRP1/IRP2/HIF-1 beta expression and contained lower amounts of iron and copper than their eutopic counterparts. Expression profiles, in combination with protein identification, revealed that complement component 3 (C3) and pentraxin-3 (PTX3) are the major proteins secreted from immortalized ectopic endometriotic stromal cells. Complement-3/PTX3 promoted the secretion of various cytokines by THP1 macrophage cells and thus supported M1 differentiation.Conclusion(s): Immortalized ectopic endometriotic stromal cells in OEM predominantly secrete C3 and PTX3 and exhibit a differential regulation of iron metabolism. (Fertil Steril (R) 2012;98:415-22. (C) 2012 by American Society for Reproductive Medicine.)