PMID- 14505752 OWN - NLM STAT- MEDLINE DCOM- 20031104 LR - 20190707 IS - 0015-0282 (Print) IS - 0015-0282 (Linking) VI - 80 Suppl 2 DP - 2003 Sep TI - Coordinated but depressed expression of human leukocyte antigen-DR, intercellular adhesion molecule-1, and CD14 on peritoneal macrophages in women with pelvic endometriosis. PG - 768-75 AB - OBJECTIVE: To investigate the macrophage response in endometriosis, we determined the expression of human leukocyte antigen (HLA)-DR, intercellular adhesion molecule (ICAM)-1, and CD14 on peritoneal macrophages. DESIGN: Case-control study of immunologic markers. SETTING: University hospital. PATIENT(S): Forty-five Japanese women with endometriosis were compared with 48 control subjects with other laparoscopic diagnoses. INTERVENTION(S): Venipuncture and laparoscopic peritoneal fluid (PF) collection. MAIN OUTCOME MEASURE(S): Expression of HLA-DR, ICAM-1, and CD14 on peripheral blood (PB) monocytes and PF macrophages were quantitated as mean fluorescence intensities by flow cytometry. Expression of each marker on PF macrophages was divided by that on PB monocytes, as an index of macrophage activation (macrophage activation ratio). RESULT(S): In women with endometriosis, PF macrophages showed significant positive correlations between expression of HLA-DR and ICAM-1, HLA-DR and CD14, and ICAM-1 and CD14. However, expression of individual markers on PF macrophages and their activation ratios were significantly lower than in control. CONCLUSION(S): Coordinated but relatively low expression of HLA-DR, ICAM-1, and CD14 on PF macrophages indicates a positive but limited immune response to events in the peritoneal cavity in women with endometriosis, which may induce immune tolerance to implanted or metaplastic endometrial tissue. FAU - Izumiya, Chiaki AU - Izumiya C AD - Department of Obstetrics and Gynecology, Kochi Medical School, Kohasu, Oko, Nankoku, Kochi, Japan. izumiyat@med.kochi-ms.ac.jp FAU - Maeda, Nagamasa AU - Maeda N FAU - Kusume, Tomoaki AU - Kusume T FAU - Masumoto, Takayuki AU - Masumoto T FAU - Yamashita, Chika AU - Yamashita C FAU - Yamamoto, Yorito AU - Yamamoto Y FAU - Oguri, Hiroyoshi AU - Oguri H FAU - Fukaya, Takao AU - Fukaya T LA - eng PT - Journal Article PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 RN - 0 (HLA-DR Antigens) RN - 0 (Lipopolysaccharide Receptors) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) SB - IM MH - Adult MH - Ascitic Fluid/immunology MH - Case-Control Studies MH - Endometriosis/*immunology/metabolism MH - Female MH - Flow Cytometry MH - HLA-DR Antigens/biosynthesis/blood/*immunology MH - Humans MH - Intercellular Adhesion Molecule-1/biosynthesis/blood/*immunology MH - Lipopolysaccharide Receptors/biosynthesis/blood/*immunology MH - Macrophage Activation/immunology MH - Macrophages, Peritoneal/*immunology/metabolism MH - Monocytes/immunology EDAT- 2003/09/25 05:00 MHDA- 2003/11/05 05:00 CRDT- 2003/09/25 05:00 PHST- 2003/09/25 05:00 [pubmed] PHST- 2003/11/05 05:00 [medline] PHST- 2003/09/25 05:00 [entrez] AID - S0015028203007805 [pii] AID - 10.1016/s0015-0282(03)00780-5 [doi] PST - ppublish SO - Fertil Steril. 2003 Sep;80 Suppl 2:768-75. doi: 10.1016/s0015-0282(03)00780-5.