PMID- 38537321 OWN - NLM STAT- MEDLINE DCOM- 20240419 LR - 20240419 IS - 1872-7654 (Electronic) IS - 0301-2115 (Linking) VI - 296 DP - 2024 May TI - Plasma and peritoneal fluid cytokine profiles in patient with Essure(R) implant: Towards a molecular signature? PG - 349-353 LID - S0301-2115(24)00153-2 [pii] LID - 10.1016/j.ejogrb.2024.03.031 [doi] AB - OBJECTIVE(S): Many patients with Essure(R) implant may experience adverse events related to the device. Although local inflammation does not appear to be the pathophysiological mechanism underlying the symptoms, systemic inflammation could play a role. In the present study, as cytokines are involved in the inflammatory process, we proposed to investigate the profile of circulating and peritoneal cytokines. STUDY DESIGN: In this retrospective study, we evaluated the levels of cytokines in peritoneal fluid (PF) as well as in plasma sample from three different groups: Essure(R) group, endometriosis group (known to be associated with immune dysregulation), and control group. RESULTS: There were 60 symptomatic patients with Essure(R) device, 30 patients with endometriosis and a control group of 30 patients. The PF levels of Interleukin-10 (IL-10), Interleukin-6 (IL-6), and Monocyte chemoattractant protein-1 (MCP-1) were statistically higher in endometriosis group than in Essure(R) group and control group. The plasma level of MCP-1 was higher in Essure(R) group than in endometriosis group and control group. The plasma level of TNF-alpha was higher in Essure(R) group than in control group. CONCLUSIONS: The chemokine MCP-1 as well as the pro-inflammatory TNF-alpha, are known to be increased in patients with fibromyalgia and chronic fatigue syndrome. Since patients with Essure(R) may exhibit symptoms similar to fibromyalgia, MCP-1 and TNF-alpha may be relevant markers in symptomatic patients with Essure(R). Because of the lack of longitudinal data (no evaluation of postoperative cytokine profile and no assessment of the level of clinical improvement), other studies are needed to confirm these preliminary results. CI - Copyright (c) 2024 Elsevier B.V. All rights reserved. FAU - Garnier, Lorna AU - Garnier L AD - Immunology Laboratory, Hopital Lyon-Sud, Hospices Civils de Lyon, Chemin du Grand-Revoyet, University hospital of Lyon, 69495 Pierre-Benite, France. FAU - Parant, Francois AU - Parant F AD - Trace Element Analysis Laboratory, Biochemistry Department, CBAPS, Centre hospitalier Lyon-Sud, Chemin du Grand-Revoyet, University hospital of Lyon, 69495 Pierre-Benite, France. FAU - Bulteau, Claire AU - Bulteau C AD - Immunology Laboratory, Hopital Lyon-Sud, Hospices Civils de Lyon, Chemin du Grand-Revoyet, University hospital of Lyon, 69495 Pierre-Benite, France. FAU - Pescarmona, Remi AU - Pescarmona R AD - Immunology Laboratory, Hopital Lyon-Sud, Hospices Civils de Lyon, Chemin du Grand-Revoyet, University hospital of Lyon, 69495 Pierre-Benite, France. FAU - Cerruto, Emanuele AU - Cerruto E AD - Department of Gynecology, Hopital Femme Mere Enfant, HFME, 59 boulevard Pinel, University hospital of Lyon, 69500 Bron, France. FAU - Moret, Stephanie AU - Moret S AD - Department of Gynecology, Hopital Femme Mere Enfant, HFME, 59 boulevard Pinel, University hospital of Lyon, 69500 Bron, France. FAU - Miguet-Bensouda, Chloe AU - Miguet-Bensouda C AD - Department of Gynecology, Hopital Femme Mere Enfant, HFME, 59 boulevard Pinel, University hospital of Lyon, 69500 Bron, France. FAU - Nohuz, Erdogan AU - Nohuz E AD - Department of Gynecology, Hopital Femme Mere Enfant, HFME, 59 boulevard Pinel, University hospital of Lyon, 69500 Bron, France. FAU - Chene, Gautier AU - Chene G AD - Department of Gynecology, Hopital Femme Mere Enfant, HFME, 59 boulevard Pinel, University hospital of Lyon, 69500 Bron, France; University Claude Bernard of Lyon 1, EMR 3738 CICLY, 69000 Lyon, France. Electronic address: chenegautier@yahoo.fr. LA - eng PT - Journal Article DEP - 20240326 PL - Ireland TA - Eur J Obstet Gynecol Reprod Biol JT - European journal of obstetrics, gynecology, and reproductive biology JID - 0375672 RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Cytokines) RN - 0 (Interleukin-6) SB - IM MH - Female MH - Humans MH - Tumor Necrosis Factor-alpha MH - *Endometriosis MH - Retrospective Studies MH - Ascitic Fluid MH - *Fibromyalgia MH - Cytokines MH - Interleukin-6 MH - Inflammation OTO - NOTNLM OT - Cytokines OT - Essure(R) removal OT - Heavy metal OT - Inflammation OT - Metal trace element COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/03/28 00:45 MHDA- 2024/04/19 06:43 CRDT- 2024/03/27 19:00 PHST- 2024/01/13 00:00 [received] PHST- 2024/03/19 00:00 [revised] PHST- 2024/03/24 00:00 [accepted] PHST- 2024/04/19 06:43 [medline] PHST- 2024/03/28 00:45 [pubmed] PHST- 2024/03/27 19:00 [entrez] AID - S0301-2115(24)00153-2 [pii] AID - 10.1016/j.ejogrb.2024.03.031 [doi] PST - ppublish SO - Eur J Obstet Gynecol Reprod Biol. 2024 May;296:349-353. doi: 10.1016/j.ejogrb.2024.03.031. Epub 2024 Mar 26.