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钙黏蛋白 12(CDH12)在子宫内膜异位症及相关不孕患者腹腔液中的作用。

The Role of Cadherin 12 (CDH12) in the Peritoneal Fluid among Patients with Endometriosis and Endometriosis-Related Infertility.

机构信息

1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 02-015 Warsaw, Poland.

College of Inter-Faculty Individual Studies in Mathematics and Natural Sciences, University of Warsaw, 02-097 Warsaw, Poland.

出版信息

Int J Environ Res Public Health. 2022 Sep 14;19(18):11586. doi: 10.3390/ijerph191811586.

Abstract

Cadherin 12 (CDH 12) can play a role in the pathogenesis of endometriosis. The aim of this study was to compare the levels of cadherin 12 in the peritoneal fluid between women with and without endometriosis. This was a multicenter cross-sectional study. Eighty-two patients undergoing laparoscopic procedures were enrolled in the study. Cadherin 12 concentrations were determined using the enzyme-linked immunosorbent assay. The level of statistical significance was set at < 0.05. No differences in cadherin 12 concentrations between patients with and without endometriosis were observed ( = 0.4). Subgroup analyses showed that CDH 12 concentrations were significantly higher in patients with infertility or primary infertility and endometriosis in comparison with patients without endometriosis and without infertility or primary infertility ( = 0.02) and also higher in patients with stage I or II endometriosis and infertility or primary infertility than in patients without endometriosis and infertility or primary infertility ( = 0.03, = 0.048, respectively). In total, CDH 12 levels were significantly higher in patients diagnosed with infertility or primary infertility ( = 0.0092, = 0.009, respectively) than in fertile women. Cadherin 12 can possibly play a role in the pathogenesis of infertility, both in women with and without endometriosis.

摘要

钙黏蛋白 12(CDH12)在子宫内膜异位症的发病机制中可能发挥作用。本研究旨在比较子宫内膜异位症患者与非子宫内膜异位症患者腹腔液中钙黏蛋白 12 的水平。这是一项多中心横断面研究。共纳入 82 例行腹腔镜手术的患者。采用酶联免疫吸附试验测定钙黏蛋白 12 浓度。统计学意义水平设定为 < 0.05。子宫内膜异位症患者与非子宫内膜异位症患者的钙黏蛋白 12 浓度无差异( = 0.4)。亚组分析显示,与非子宫内膜异位症且无不孕或原发性不孕的患者相比,不孕或原发性不孕合并子宫内膜异位症患者的 CDH12 浓度显著升高( = 0.02),且 I 期或 II 期子宫内膜异位症合并不孕或原发性不孕患者的 CDH12 浓度也显著升高( = 0.03, = 0.048)。总的来说,不孕或原发性不孕患者的 CDH12 水平明显高于生育能力正常的女性( = 0.0092, = 0.009)。钙黏蛋白 12 可能在不孕患者和非不孕子宫内膜异位症患者的发病机制中发挥作用。

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