PMID- 16997300 OWN - NLM STAT- MEDLINE DCOM- 20061219 LR - 20071115 IS - 1556-5653 (Electronic) IS - 0015-0282 (Linking) VI - 86 IP - 6 DP - 2006 Dec TI - Regulated upon activation, normal T cell expressed and secreted (RANTES) and monocyte chemotactic protein 1 in follicular fluid accumulate differentially in patients with and without endometriosis undergoing in vitro fertilization. PG - 1616-20 AB - OBJECTIVE: To compare the amount of regulated upon activation, normal T cell expressed and secreted (RANTES) and monocyte chemotactic protein 1 (MCP-1) in follicular fluid (FF) of patients with and without endometriosis and to determine their oocyte fertilization and pregnancy rates. DESIGN: Case-control study. SETTING: Department of Obstetrics and Gynecology, University Hospital Schleswig-Holstein, Campus Luebeck, Germany. PATIENT(S): Thirty-two women with endometriosis stages I-IV and 28 women without endometriosis, both groups surgically and histologically confirmed. INTERVENTION(S): Diagnostic laparoscopy, IVF-ET. MAIN OUTCOME MEASURE(S): RANTES and MCP-1 levels in follicular fluid, measured by ELISA, and oocyte fertilization and pregnancy rates. RESULT(S): Follicular response and days of gonadotropin stimulation were similar between the two groups. The levels of RANTES in FF from patients with endometriosis were significantly higher (460.4 +/- 90.3 pg/mL) compared with concentrations in patients with tubal infertility (243.8 +/- 70.9 pg/mL; P<.05). In contrast, MCP-1 concentrations in FF from women with endometriosis (330.0 +/- 29.2 pg/mL) were lower than in women with tubal infertility (420.5 +/- 46.6 pg/mL; P<.05). Oocyte fertilization rates in the endometriosis group (54%) were significantly lower than those of the tubal infertility group (73%; P<.05), as were the pregnancy rates (19% vs. 35%, respectively; P<.01). CONCLUSION(S): Women with endometriosis-associated infertility have a poor IVF outcome. Immune cell recruitment into the ovary might affect follicular function and lead to impaired oocyte quality. FAU - Xu, Hong AU - Xu H AD - Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Luebeck, Germany. FAU - Schultze-Mosgau, Askan AU - Schultze-Mosgau A FAU - Agic, Admir AU - Agic A FAU - Diedrich, Klaus AU - Diedrich K FAU - Taylor, Robert N AU - Taylor RN FAU - Hornung, Daniela AU - Hornung D LA - eng PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060925 PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CCL5) SB - IM MH - Adult MH - Chemokine CCL2/*immunology MH - Chemokine CCL5/*immunology MH - Endometriosis/complications/*immunology MH - Female MH - *Fertilization in Vitro MH - Follicular Fluid/*immunology MH - Humans MH - Infertility, Female/etiology/*immunology/*therapy MH - Lymphocyte Activation/immunology MH - Pregnancy MH - Pregnancy Outcome MH - T-Lymphocytes/immunology EDAT- 2006/09/26 09:00 MHDA- 2006/12/21 09:00 CRDT- 2006/09/26 09:00 PHST- 2005/12/27 00:00 [received] PHST- 2006/05/11 00:00 [revised] PHST- 2006/05/11 00:00 [accepted] PHST- 2006/09/26 09:00 [pubmed] PHST- 2006/12/21 09:00 [medline] PHST- 2006/09/26 09:00 [entrez] AID - S0015-0282(06)03057-3 [pii] AID - 10.1016/j.fertnstert.2006.05.043 [doi] PST - ppublish SO - Fertil Steril. 2006 Dec;86(6):1616-20. doi: 10.1016/j.fertnstert.2006.05.043. Epub 2006 Sep 25.