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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Th1 and Th2 immune responses related to pelvic endometriosis

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Author(s):
Sergio Podgaec [1] ; João Antonio Dias Junior [2] ; Charles Chapron [3] ; Ricardo Manoel de Oliveira [4] ; Edmund Chada Baracat [5] ; Maurício Simões Abrão [6]
Total Authors: 6
Affiliation:
[1] Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas
[2] Universidade de São Paulo. Faculdade de Medicina
[3] Université Descartes Paris V. CHU Cochin- Sant Vincent de Paul. Department de Gynécologie - França
[4] RDO Diagnósticos
[5] Universidade de São Paulo. Faculdade de Medicina
[6] Universidade de São Paulo. Faculdade de Medicina. Departamento de Obstetrícia e Ginecologia
Total Affiliations: 6
Document type: Journal article
Source: Revista da Associação Médica Brasileira; v. 56, n. 1, p. 92-98, 2010-00-00.
Abstract

OBJECTIVE: This study analyzed the relationship between clinical characteristics of endometriosis and Th1/Th2 immune response patterns. METHODS: A prospective study was performed with 65 patients with endometriosis (Group A) and 33 without the disease (Group B). Measurement of IL 2, 4 and 10, TNF-alpha and IFN-gamma was carried out in peripheral blood and peritoneal fluid. RESULTS: Serum TNF-alpha was higher in patients with endometriosis who had deep dyspareunia compared to controls (mean 4.5 pg/ml and 2.3 pg/ml, p<0.05). Among these patients (n=32), 65.5% had deep endometriosis. Patients with endometriosis and infertility had higher IL-2 concentrations in peritoneal fluid than controls (mean 5.9 pg/ml and 0.2 pg/ml, p<0.05). Among these patients (n=22), 63.5% (n=14) had deep endometriosis. A higher concentration of IL-10 was also observed in patients with ovarian endometriosis when compared to those without this type of disease, as well as when compared to control group patients (mean 50pg/ml, 18.7pg/ml and 25.7pg/ml, p<0.05). CONCLUSIONS: These results suggest that when specific clinical data are associated with a higher production of certain cytokines, there is a Th1 response pattern that may be related to deep infiltrating endometriosis. (AU)

FAPESP's process: 05/01218-3 - Immunological response evaluation in patients with Endometriosis
Grantee:Maurício Simões Abrão
Support Opportunities: Regular Research Grants