Decrease in interferon gamma production and impairment of T-lymphocyte proliferation in peritoneal fluid of women with endometriosis

H. N. Ho, M. Y. Wu, K. H. Chao, C. D. Chen, S. U. Chen, H. F. Chen, S. Yang

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Abstract

OBJECTIVE: Our purpose was to verify regional immune modulations and to test the effect of gonadotropin-releasing hormone agonist in women with endometriosis. STUDY DESIGN: Concentrations of peritoneal cytokines, including interleukin-1β interleukin-2, soluble interleukin-2 receptor, interleukin-6, granulocyte-monocyte colony-stimulating factor, interferon gamma, and tumor necrosis factor-α were compared in women with and without endometriosis. Peritoneal cytokine and interleukin-2 production were examined by adding various mitogens to peritoneal fluid mononuclear cells of women with advanced endometriosis before and after gonadotropin-releasing hormone agonist treatment. RESULTS: A significant increase in peritoneal interleukin- 1β interleukin-6, and tumor necrosis factor-α and a decrease in interferon gamma were noted in women with endometriosis. After gonadotropin-releasing hormone agonist treatment interleukin-6 decreased and interferon gamma increased. A significant impairment of interleukin-2 production of peritoneal fluid mononuclear cells by phytohemagglutinin and pokeweed mitogen stimulation was demonstrated in endometriosis, and production could be restored after gonadotropin-releasing hormone agonist treatment. CONCLUSION: These results indicate that regional immunologic dysfunction might be invoked in the disease process of endometriosis.

Original languageEnglish
Pages (from-to)1236-1241
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Volume175
Issue number5
DOIs
Publication statusPublished - Jan 1 1996
Externally publishedYes

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Keywords

  • Endometriosis
  • gonadotropin-releasing hormone agonist
  • interferon gamma
  • interleukin-6
  • T-cell activation

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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