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探讨白细胞介素-8、白细胞介素-10、患者自述疼痛及身体活动对子宫内膜异位症严重程度的影响。

Exploring the Influence of IL-8, IL-10, Patient-Reported Pain, and Physical Activity on Endometriosis Severity.

作者信息

Nati Ionel Daniel, Malutan Andrei, Ciortea Razvan, Oancea Mihaela, Bucuri Carmen, Roman Maria, Ormindean Cristina, Milon Alexandra Gabriela, Mihu Dan

机构信息

2nd Department of Obstetric and Ginecology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400610 Cluj-Napoca, Romania.

Emergency Military Clinical Hospital "Dr Constantin Papilian", 400610 Cluj-Napoca, Romania.

出版信息

Diagnostics (Basel). 2024 Aug 21;14(16):1822. doi: 10.3390/diagnostics14161822.

DOI:10.3390/diagnostics14161822
PMID:39202309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11353965/
Abstract

Endometriosis is known to be a chronic, debilitating disease. The pathophysiological mechanisms of endometriosis development include local chronic inflammation and a certain degree of local immune deficit. We investigated the relationship between the endometriosis severity, IL-8, IL-10, BDNF, VEGF-A serum and tissue levels, patient-related pain, and physical activity in a cohort of 46 patients diagnosed with endometriosis who underwent surgery. The same panel of biomarkers was investigated in a control group of 44 reproductive-aged patients with non-endometriotic gynecological pathology who underwent surgical intervention. Our data show a high statistical significance between tissue expression of IL-8, IL-10, patient-related pain, and the severity of endometriosis. No relationship was identified between serum or tissue levels of VEGF-A and BDNF and the severity of endometriosis. These results validate the presence of local chronic inflammation and immune deficit, thereby creating, alongside other studies in the field, an opportunity for the development of innovative and personalized treatment approaches in endometriosis.

摘要

子宫内膜异位症是一种慢性、使人衰弱的疾病。子宫内膜异位症发生发展的病理生理机制包括局部慢性炎症和一定程度的局部免疫缺陷。我们在46例接受手术的诊断为子宫内膜异位症的患者队列中,研究了子宫内膜异位症严重程度、白细胞介素-8(IL-8)、白细胞介素-10(IL-10)、脑源性神经营养因子(BDNF)、血管内皮生长因子-A(VEGF-A)血清和组织水平、患者相关疼痛及身体活动之间的关系。在44例接受手术干预的患有非子宫内膜异位症妇科疾病的育龄期对照患者中,对同一组生物标志物进行了研究。我们的数据显示,IL-8、IL-10的组织表达、患者相关疼痛与子宫内膜异位症严重程度之间具有高度统计学意义。未发现VEGF-A和BDNF的血清或组织水平与子宫内膜异位症严重程度之间存在关联。这些结果证实了局部慢性炎症和免疫缺陷的存在,从而与该领域的其他研究一起,为子宫内膜异位症创新和个性化治疗方法的开发创造了机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/1236e45b5c4c/diagnostics-14-01822-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/cd0dc2886e68/diagnostics-14-01822-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/1654150a8313/diagnostics-14-01822-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/23ac2fe3eda7/diagnostics-14-01822-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/bb2f5ae6dbd0/diagnostics-14-01822-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/0a479ed9bb9a/diagnostics-14-01822-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/1236e45b5c4c/diagnostics-14-01822-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/cd0dc2886e68/diagnostics-14-01822-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/1654150a8313/diagnostics-14-01822-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/23ac2fe3eda7/diagnostics-14-01822-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/bb2f5ae6dbd0/diagnostics-14-01822-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/0a479ed9bb9a/diagnostics-14-01822-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bde/11353965/1236e45b5c4c/diagnostics-14-01822-g006.jpg

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Front Endocrinol (Lausanne). 2023 Dec 13;14:1324429. doi: 10.3389/fendo.2023.1324429. eCollection 2023.
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Endometriosis and Adolescence: The Impact of Dysmenorrhea.子宫内膜异位症与青春期:痛经的影响
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