PMID- 15831297 OWN - NLM STAT- MEDLINE DCOM- 20050607 LR - 20171116 IS - 0015-0282 (Print) IS - 0015-0282 (Linking) VI - 83 Suppl 1 DP - 2005 Apr TI - Human leukocyte antigen expression by peritoneal macrophages from women with pelvic endometriosis is depressed but coordinated with costimulatory molecule expression. PG - 1232-40 AB - OBJECTIVE: To investigate the macrophage response in endometriosis, we determined expression of human leukocyte antigen (HLA)-ABC, HLA-DR, and their costimulatory molecules by peritoneal fluid (PF) macrophages. DESIGN: Case-control study of immunologic markers. SETTING: University hospital. PATIENT(S): We compared 38 Japanese women with endometriosis with 59 control subjects who were given other laparoscopic diagnoses. INTERVENTION(S): Venipuncture and laparoscopic peritoneal fluid collection. MAIN OUTCOME MEASURE(S): Expression of HLA-ABC, HLA-DR, CD54, CD40, CD58, CD80, and CD86 by peripheral blood (PB) monocytes and PF macrophages was 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-ABC and other costimulatory molecules and also between HLA-DR and their costimulatory molecules. However, expression of HLA-ABC and DR by PF macrophages, and also their activation ratios, were significantly lower than in controls. CONCLUSION(S): Coordination with costimulatory molecules but relatively low expression of HLA-ABC and HLA-DR indicates a positive but limited immune response (antigen presentation) to events in the peritoneal cavity in women with endometriosis. This may induce immune tolerance to implanted or metaplastic endometrial tissue. FAU - Kusume, Tomoaki AU - Kusume T AD - Department of Obstetrics and Gynecology, Kochi Medical School, Kohasu, Oko, Nankoku, Kochi 783-8505, Japan. kusumet@pop07.odn.ne.jp FAU - Maeda, Nagamasa AU - Maeda N FAU - Izumiya, Chiaki AU - Izumiya C FAU - Yamamoto, Yorito AU - Yamamoto Y FAU - Hayashi, Kazutoshi AU - Hayashi K FAU - Oguri, Hiroyoshi AU - Oguri H FAU - Nishimori, Yoshiko AU - Nishimori Y 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 (Antigens, CD) RN - 0 (B7-1 Antigen) RN - 0 (B7-2 Antigen) RN - 0 (Biomarkers) RN - 0 (CD40 Antigens) RN - 0 (CD58 Antigens) RN - 0 (CD86 protein, human) RN - 0 (HLA Antigens) RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-C Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (Membrane Glycoproteins) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) SB - IM MH - Adult MH - Antigen Presentation/immunology MH - Antigens, CD/metabolism MH - B7-1 Antigen/metabolism MH - B7-2 Antigen MH - Biomarkers/*metabolism MH - CD40 Antigens/metabolism MH - CD58 Antigens/metabolism MH - Case-Control Studies MH - Endometriosis/*immunology/*metabolism MH - Female MH - Flow Cytometry MH - HLA Antigens/*metabolism MH - HLA-A Antigens/metabolism MH - HLA-B Antigens/metabolism MH - HLA-C Antigens/metabolism MH - HLA-DR Antigens/metabolism MH - Humans MH - Intercellular Adhesion Molecule-1/metabolism MH - Macrophages, Peritoneal/*metabolism MH - Membrane Glycoproteins/metabolism EDAT- 2005/04/16 09:00 MHDA- 2005/06/09 09:00 CRDT- 2005/04/16 09:00 PHST- 2004/07/02 00:00 [received] PHST- 2004/11/30 00:00 [revised] PHST- 2004/11/30 00:00 [accepted] PHST- 2005/04/16 09:00 [pubmed] PHST- 2005/06/09 09:00 [medline] PHST- 2005/04/16 09:00 [entrez] AID - S0015-0282(04)03249-2 [pii] AID - 10.1016/j.fertnstert.2004.11.039 [doi] PST - ppublish SO - Fertil Steril. 2005 Apr;83 Suppl 1:1232-40. doi: 10.1016/j.fertnstert.2004.11.039.