PMID- 36354688 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230308 IS - 1467-3045 (Electronic) IS - 1467-3037 (Print) IS - 1467-3037 (Linking) VI - 44 IP - 11 DP - 2022 Nov 9 TI - Altered Expression of Interleukin-18 System mRNA at the Level of Endometrial Myometrial Interface in Women with Adenomyosis. PG - 5550-5561 LID - 10.3390/cimb44110376 [doi] AB - Adenomyosis is a uterine pathology characterized by a deep invasion of endometrial glands and stroma, disrupting the endometrial-myometrial interface (EMI). Interleukin-18 (IL-18) system is a dominant cytokine involved in the menstrual cycle of human endometrium. IL-18 may play a defensive role against maternal immune response in the uterine cavity. The present study was designed to determine IL-18-mediated immune response at the level of EMI. We uncovered that mRNA of IL-18 system, including IL-18, IL-18 receptor (IL-18R), and its antagonist, IL-18 binding protein (IL-18BP), expressed in eutopic, ectopic endometrium, and corresponding myometrium in patients with adenomyosis. IL-18 system was demonstrated in paired tissue samples by immunochemistry and immunofluorescence study. According to RT-PCR with CT value quantification and 2-∆∆Ct method, a significant down-regulation of IL-18BP in corresponding myometrium in comparison to eutopic endometrium (p < 0.05) indicates that the IL-18 system acts as a local immune modulator at the level of EMI and regulating cytokine networks in the pathogenesis of adenomyosis. Furthermore, an increased IL-18 antagonist to agonist ratio was noted in ectopic endometrium compared with corresponding myometrium. We suggest that altered IL-18 system expression contributes to immunological dysfunction and junctional zone disturbance in women with adenomyosis. FAU - Chen, Liang-Hsuan AU - Chen LH AUID- ORCID: 0000-0002-5749-6962 AD - Department of Obstetrics and Gynecology, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan. AD - Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan. FAU - Chan, She-Hung AU - Chan SH AD - Department of Obstetrics and Gynecology, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan. AD - Department of Cosmetic Science, Providence University, No. 200, Sec. 7, Taiwan Boulevard, Shalu Dist., Taichung 43301, Taiwan. FAU - Li, Chin-Jung AU - Li CJ AD - Department of Obstetrics and Gynecology, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan. FAU - Wu, Hsien-Ming AU - Wu HM AD - Department of Obstetrics and Gynecology, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan. AD - Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan. FAU - Huang, Hong-Yuan AU - Huang HY AD - Department of Obstetrics and Gynecology, Linkou Medical Center, Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan. AD - Department of Obstetrics and Gynecology, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan. LA - eng PT - Journal Article DEP - 20221109 PL - Switzerland TA - Curr Issues Mol Biol JT - Current issues in molecular biology JID - 100931761 PMC - PMC9689074 OTO - NOTNLM OT - PCR OT - adenomyosis OT - cytokine OT - endometrium OT - interleukin-18 COIS- The authors declare no conflict of interest. EDAT- 2022/11/11 06:00 MHDA- 2022/11/11 06:01 PMCR- 2022/11/09 CRDT- 2022/11/10 09:43 PHST- 2022/09/24 00:00 [received] PHST- 2022/11/05 00:00 [revised] PHST- 2022/11/06 00:00 [accepted] PHST- 2022/11/10 09:43 [entrez] PHST- 2022/11/11 06:00 [pubmed] PHST- 2022/11/11 06:01 [medline] PHST- 2022/11/09 00:00 [pmc-release] AID - cimb44110376 [pii] AID - cimb-44-00376 [pii] AID - 10.3390/cimb44110376 [doi] PST - epublish SO - Curr Issues Mol Biol. 2022 Nov 9;44(11):5550-5561. doi: 10.3390/cimb44110376.