PMID- 19321495 OWN - NLM STAT- MEDLINE DCOM- 20090826 LR - 20231213 IS - 1460-2350 (Electronic) IS - 0268-1161 (Linking) VI - 24 IP - 7 DP - 2009 Jul TI - Dendritic cell populations in the eutopic and ectopic endometrium of women with endometriosis. PG - 1695-703 LID - 10.1093/humrep/dep071 [doi] AB - BACKGROUND: Immune alterations may be involved in the pathogenesis and progression of endometriosis. Dendritic cells (DCs) are potent antigen presenting cells that are highly involved in the initiation of the immune response. The aim of this study was to investigate DC populations in the eutopic and ectopic endometrium of women with endometriosis compared with controls. METHODS: Hysterectomy samples were obtained from premenopausal women with (n = 33) and without (n = 28) endometriosis. In addition, paired peritoneal endometriotic lesions and uterine curettings were collected from 32 women with endometriosis. Specimen sections were stained immunohistochemically using antibodies for monoclonal mouse antibodies directed against human CD1a and CD83, which are specific for immature and mature DCs, respectively. RESULTS: The mean density of endometrial CD1a+ DCs in the basal layer was significantly increased in women with endometriosis compared with controls during the proliferative phase only (P = 0.001). There was a highly significant decrease in the density of endometrial CD83+ DCs in women with endometriosis compared with controls in both layers of the endometrium across all phases of the menstrual cycle (P = 0.001). The density of CD1a+ DCs was significantly increased in peritoneal endometriotic lesions (P = 0.003) and in the surrounding peritoneum (P = 0.001) compared with paired uterine curettings and peritoneum distant from the lesion. CONCLUSIONS: Both CD1a+ and CD83+ DC populations were altered in the eutopic and ectopic endometrium of women with endometriosis compared with controls. Alterations in these cells, which play a crucial role in the coordination of the immune response, may be involved in pain generation and the pathogenesis of endometriosis. FAU - Schulke, Lauren AU - Schulke L AD - Department of Obstetrics and Gynaecology, Queen Elizabeth II Research Institute for Mothers and Infants, University of Sydney, Sydney 2006, Australia. FAU - Berbic, Marina AU - Berbic M FAU - Manconi, Frank AU - Manconi F FAU - Tokushige, Natsuko AU - Tokushige N FAU - Markham, Robert AU - Markham R FAU - Fraser, Ian S AU - Fraser IS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090324 PL - England TA - Hum Reprod JT - Human reproduction (Oxford, England) JID - 8701199 RN - 0 (Antigens, CD) RN - 0 (Antigens, CD1) RN - 0 (CD1a antigen) RN - 0 (Immunoglobulins) RN - 0 (Membrane Glycoproteins) SB - IM MH - Adult MH - Animals MH - Antigens, CD/biosynthesis MH - Antigens, CD1/biosynthesis MH - Cell Proliferation MH - Dendritic Cells/*cytology/*metabolism MH - Endometriosis/*pathology MH - Endometrium/metabolism/*pathology MH - Female MH - Humans MH - Hysterectomy MH - Immunoglobulins/biosynthesis MH - Immunohistochemistry/methods MH - Membrane Glycoproteins/biosynthesis MH - Menstrual Cycle MH - Mice MH - Middle Aged MH - Peritoneum/pathology MH - CD83 Antigen EDAT- 2009/03/27 09:00 MHDA- 2009/08/27 09:00 CRDT- 2009/03/27 09:00 PHST- 2009/03/27 09:00 [entrez] PHST- 2009/03/27 09:00 [pubmed] PHST- 2009/08/27 09:00 [medline] AID - dep071 [pii] AID - 10.1093/humrep/dep071 [doi] PST - ppublish SO - Hum Reprod. 2009 Jul;24(7):1695-703. doi: 10.1093/humrep/dep071. Epub 2009 Mar 24.