PMID- 28954602 OWN - NLM STAT- MEDLINE DCOM- 20181106 LR - 20181106 IS - 1933-7205 (Electronic) IS - 1933-7191 (Linking) VI - 25 IP - 7 DP - 2018 Jul TI - Role of Brain-Derived Neurotrophic Factor in Endometriosis Pain. PG - 1045-1057 LID - 10.1177/1933719117732161 [doi] AB - Brain-derived neurotrophic factor (BDNF) is a regulator for the formation and maintenance of chronic pain in various chronic disorders and has been shown to increase in the serum of women with endometriosis. However, BDNF expression in the peritoneal fluid (PF) and ectopic lesions and its role in endometriosis pain remain unclear. Thus, this study aims to determine the BDNF concentrations in serum and PFs and BDNF expression levels in ectopic lesions and endometriotic stromal cells (ESCs) of women with endometriosis (n = 60). The obtained results were then compared with those of women without endometriosis (n = 38). Brain-derived neurotrophic factor concentrations in serum and PF, as well as the BDNF expression levels in ectopic lesions and endometriotic cells, were evaluated through enzyme-linked immunosorbent assay, immunohistochemical staining, quantitative real-time polymerase chain reaction, and Western blot analysis. As a result, BDNF concentrations in serum and PF were significantly higher in women with endometriosis with pain (2284.3 +/- 51.5 pg/mL, n = 23; 58.8 +/- 6.4 pg/mL, n = 16) than in women with endometriosis without pain (1999.8 +/- 61.1 pg/mL, n = 37; 31.7 +/- 2.9 pg/mL, n = 25; P < .01). Moreover, BDNF messenger RNA (mRNA) expression levels in ectopic lesions (8.97 +/- 1.44, n = 29) were significantly higher than eutopic (0.97 +/- 0.14, n = 16; P < .01) and control endometrium (1.23 +/- 0.19, n = 18; P < .01) and were correlated with endometriosis pain ( P < .05). Furthermore, increased BDNF mRNA and protein expression levels in ESCs induced by estradiol or interleukin 1beta were removed using a phosphorylated extracellular-regulated protein kinase 1/2 inhibitor. These results suggest that BDNF may play an important role in the pathogenesis of endometriosis pain. FAU - Ding, Shaojie AU - Ding S AD - 1 Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China. FAU - Zhu, Tianhong AU - Zhu T AD - 1 Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China. FAU - Tian, Yonghong AU - Tian Y AD - 1 Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China. FAU - Xu, Ping AU - Xu P AD - 1 Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China. FAU - Chen, Zhengyun AU - Chen Z AD - 1 Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China. FAU - Huang, Xiufeng AU - Huang X AD - 1 Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China. FAU - Zhang, Xinmei AU - Zhang X AD - 1 Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170927 PL - United States TA - Reprod Sci JT - Reproductive sciences (Thousand Oaks, Calif.) JID - 101291249 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (RNA, Messenger) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Adult MH - Ascitic Fluid/metabolism MH - Brain-Derived Neurotrophic Factor/blood/*metabolism MH - Cells, Cultured MH - Endometriosis/complications/*metabolism MH - Endometrium/metabolism/pathology MH - Female MH - Humans MH - Infertility, Female/complications/metabolism MH - Pain/complications/*metabolism MH - RNA, Messenger/metabolism MH - Stromal Cells/metabolism/pathology OTO - NOTNLM OT - brain-derived neurotrophic factor OT - endometriosis OT - extracellular-regulated protein kinase OT - pain OT - tyrosine receptor kinase B EDAT- 2017/09/29 06:00 MHDA- 2018/11/07 06:00 CRDT- 2017/09/29 06:00 PHST- 2017/09/29 06:00 [pubmed] PHST- 2018/11/07 06:00 [medline] PHST- 2017/09/29 06:00 [entrez] AID - 10.1177/1933719117732161 [doi] PST - ppublish SO - Reprod Sci. 2018 Jul;25(7):1045-1057. doi: 10.1177/1933719117732161. Epub 2017 Sep 27.