Unviling the role of PD-1-PD-L1 Pathway in Endometriosis Progression and Therapy

Unviling the role of PD-1-PD-L1 Pathway in Endometriosis Progression and Therapy By Hakan Kula

The role of immune system in Endometriosis, a chronic inflammatory disease is complex, involving both protective and harmful effects. A key player in this process is PD-1 (programmed cell death protein 1), a protein found on T cells that regulates immune responses by inhibiting…

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New horizons in endometriosis and immunity

New horizons in endometriosis and immunity By Nasuhi Engin Aydin

Academicians led by Dorota Suszczyk from Lublin, Poland have published their recent comprehensive narrative review on immunity and endometriosis in International Journal of Molecular Sciences. Recent evidence points to the importance of co-inhibitory immune checkpoints which could be related to endometriosis mechanisms…

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Regulatory T cells influence on endometriosis development

Regulatory T cells influence on endometriosis development By Eylül GÜN

While the exact cause of endometriosis is still debated, various theories are being investigated. One approach focuses on the immune system. Regulatory T-cells (Tregs) are crucial in suppressing inflammatory immune responses and preventing autoimmune diseases, allergies, infections, and cancer. Knez…

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Chronic stress may be involved both in the pathogenesis and progression of endometriosis

Chronic stress may be involved both in the pathogenesis and progression of endometriosis By Nasuhi Engin Aydin

Chong Lu and associates from Shangai, China have published their novel research on chronic stress and endometriosis in a recent issue of International Journal of Molecular Sciences. During the natural course of endometriosis many patients are under chronic stress, which…

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Exploring the role of thyroid function in endometriosis and polycystic ovary syndrome

Exploring the role of thyroid function in endometriosis and polycystic ovary syndrome By Eylül GÜN

Endometriosis, polycystic ovary syndrome (PCOS), and thyroid disorders are prevalent among women of reproductive age, yet their exact impacts on reproductive health and underlying mechanisms remain unclear. Given the close association of these conditions through the endocrine system, Kirkegaard et…

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Vicious cycle: The promoting role of previous endometriosis foci for new lesions

Vicious cycle:  The promoting role of previous endometriosis foci for new lesions By Nasuhi Engin Aydin

An experimental animal study on the pathogenesis of endometriosis from the Institute for Clinical and Experimental Surgery, Saarland University, Hamburg has been published in a recent issue of International Journal of Molecular Sciences. Endometriosis is a well-known common gynecological ailment…

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Peritoneal endometriosis and Peritoneal Immunity

Peritoneal endometriosis and Peritoneal Immunity By Selma Oransay

The peritoneum is an important immune barrier where, under normal conditions, it is balanced. External stimuli cause pro-inflammatory responses. To bring balance to this undesired situation, anti-inflammatory factors come into play. However, in patients with endometriosis, cytotoxicity of T lymphocytes,…

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Autoimmune Disorders in Women with Endometriosis May Impair Embryo Implantation

Autoimmune Disorders in Women with Endometriosis May Impair Embryo Implantation By Bahar Yuksel

The retrospective study by Noemi Salmeri reports the effect of concomitant autoimmune disorders on the ability of the endometrium to support embryo implantation in women with endometriosis who underwent assisted reproductive technology (ART) treatments. The study involved 600 women with…

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Endometriosis disease modelling via induced pluripotent stem cells has been successful

Endometriosis disease modelling via induced pluripotent stem cells has been successful By Nasuhi Engin Aydin

J. Julie Kim, S. Y. Hung Research Professor and Professor of ObGyn, Reproductive Science in Medicine, Northwestern University, Chicago, Illinois, has delivered a conference at the  Annual International Medical Conference of the Endometriosis Foundation of America held in New York on April 1-2,…

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Antiinflammatory lactoferrin molecule and antibody levels in endometriosis patients

Antiinflammatory lactoferrin molecule and antibody levels in endometriosis patients By Nasuhi Engin Aydin

A Japanese clinical research team led by Dr. Kaya Mori-Yamanaka from Shiga University of Medical Science Hospital, Otsu, Shiga, Japan, published their pioneering study on the role of serum lactoferrin and anti-lactoferrin antibody levels in endometriosis in a recent issue of…

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From Finland : How to increase health issues in endometriosis patients

From Finland : How to increase health issues in endometriosis patients By Nasuhi Engin Aydin

Dr. Henna-Riikka Rossi and associates from the University of Oulu, Oulu, Finland have published their recent prospective cohort study on possible existing comorbidities of endometriosis patients in the journal Fertility and Sterility. Endometriosis is an estrogen-dependent chronic ailment affecting about…

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Is the pathogenesis of endometriosis hidden in immune-related gene profiles ?

Is the pathogenesis of endometriosis hidden in immune-related gene profiles ? By Nasuhi Engin Aydin

Yanan He and colleagues from the Department of Gynecology, Harbin Medical University, China  have published their manuscript on potential immune markers in endometriosis in a recent issue of  “Journal of Immunology Research” Pathophysiologic mechanisms involving endometriosis are complicated and have…

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Machine learning based potential biomarkers

Machine learning based potential biomarkers               By Bahar Yuksel

To explore potential biomarkers for an accurate diagnosis and treatment, and to elucidate the mechanism of endometriosis, Yi Huang et al, analyzed gene differences between eutopic and ectopic endometrium and the status of the immune microenvironment., and published their results in the…

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What causes pelvic pain? Androgens or estrogens?

What causes pelvic pain? Androgens or estrogens? By Selma Oransay

A comparison between women and men reveals that women suffer more pelvic pain. This reality raises the possibility of the pain-relieving effect of testosterone or androgens. It would be a wise solution to investigate how androgens affect pain at different…

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T-cell-targeted immunotherapy and immune checkpoint inhibitors for the treatment of endometriosis

T-cell-targeted immunotherapy and immune checkpoint inhibitors for the treatment of endometriosis By Nasuhi Engin Aydin

Dr. Monika Abraimuk and colleagues from Poland published their review on "the importance of immunity in endometriosis" in a recent issue of the medical journal “Cellular Signaling”. A great challenge in contemporary medical issues is endometriosis which still lacks a…

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A call for mast cells from endometriotic lesions

A call for mast cells from endometriotic lesions By Bahar Yuksel

Endometriosis is a well-known hormonal-dependent inflammatory disease. But what type of inflammatory cells is responsible, and when does estrogen take part, are questions that have not been answered yet. In the study conducted by Alison McCallion et al, the role…

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An important matter to revise: Immune system changes in endometriosis

An important matter to revise: Immune system changes in endometriosis By Eylül GÜN

Endometriosis is a multifactorial disease with unclear and obscure pathogenetic mechanisms. In their review, Chopyak et al. revised the immunopathogenic pathways that are proven and/or thought to be responsible for disease development and progression. The article was published in the…

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Immune cells in peritoneal endometriosis

Immune cells in peritoneal endometriosis By Nasuhi Engin Aydin

Dr. Burcu Ersoy and associates from The University of Sydney, Australia, published their interesting study on surgically removed peritoneal endometriosis tissues in the journal named "F&S Science". It is still a dilemma how ectopic endometrial tissues attach to the peritoneum, persist…

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Ankylosing Spondylitis and Endometriosis

Ankylosing Spondylitis and Endometriosis By Hale Goksever Celik

There are several theories contributing the development of endometriosis: one of the proposed pathophysiological mechanisms is the abnormality in immune and inflammatory system. Several immunologic diseases coexist with endometriosis depending on the common immunologic characteristics such as Tumor necrosis Factor…

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An important enigmatic promoter of endometriosis: immune dendritic cells

An important enigmatic promoter of endometriosis: immune dendritic cells By Nasuhi Engin Aydin

Dr. Larinha and associates from a Brasilian academic center have published their comprehensive review on the role of immune dendritic cells in the pathogenesis of endometriosis in a recent issue of the "Journal of Reproductive Immunology". Antigen-presenting dendritic cells of…

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Full understanding the role of nervous system in endometriosis could yield new gateways to novel therapeutic approaches

Full understanding the role of nervous system in endometriosis could yield new gateways to novel therapeutic approaches By Nasuhi Engin Aydin

Dr. Velho and associates from Berlin, Germany have recently published their comprehensive review on the role of the nervous system in endometriosis in a recent issue of “International Journal of Molecular Sciences”. Understanding the role of the peripheral nervous system…

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Herbicide Alters Immune System on the Route to Endometriosis

Herbicide Alters Immune System on the Route to Endometriosis By Bahar Yuksel

A popular environmental pollutant and herbicide named 2, 3, 7, 8-Tetrachlorodibenzo-p-dioxin (TCDD) and its receptor named aryl hydrocarbon receptor (AHR) have been suggested for causing endometriosis, but the mechanism was not clear. In the study conducted by  Mahsa Tanha et…

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Endometriosis and Rheumatoid Arthritis, Could There Be a Link?

Endometriosis and Rheumatoid Arthritis, Could There Be a Link? By Özge Özkaya

Patients with endometriosis have a higher risk of rheumatoid arthritis according to a study published in the journal Rheumatology. This finding suggests that rheumatologists should be especially mindful of the possibility of underlying endometriosis when treating women with rheumatoid arthritis.…

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Combined contraceptive pills and immune system cells in the endometriotic cyst wall

Combined contraceptive pills and immune system cells in the endometriotic cyst wall By Nasuhi Engin Aydin

Dr. Wanwisa Waiyaput and associates from Mahidol University, Bangkok, Thailand, have published their results on the immune regulatory cells of the surgically resected endometriotic cyst walls in the “Journal of Ovarian Research”. The defective immune response is believed to have…

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Immune-mediated conditions and endometriosis in adolescents and adults

Immune-mediated conditions and endometriosis in adolescents and adults By Hale Goksever Celik

The most common presenting complaints of endometriosis are mainly pelvic pain and infertility, commonly in relation to the menstrual period. Affected women demand therapy for these symptoms. Immunologic diseases such as autoimmune and/or inflammatory diseases, allergies, asthma, previous mononucleosis infection,…

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Endometriosis and the risk of Systemic lupus Erythematosus: A report from Taiwan

Endometriosis and the risk of Systemic lupus Erythematosus: A report from Taiwan By Selma Oransay

Systemic Lupus Erythematosus (SLE) is an autoimmune disease in which the immune system attacks its own tissues, causing widespread inflammation and tissue damage that affects mostly women, with an M:F ratio of 1:9. Recent evidence has also shown that endometriosis is…

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"Complement" of immune system and endometriosis therapeutics

By Yu Yu

The complement system is part of the body’s immune system, and plays integral roles in the recognition and clearance of pathogens, apoptotic and necrotic cells. It is composed of over 50 proteins with soluble activation precursor components, regulators and cell…

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The origin of macrophages determines the fate of endometriosis

The origin of macrophages determines the fate of endometriosis By Yu Yu

Macrophages are diverse cells. They can present in all tissues of the body to perform crucial functions in immunity, homeostasis, repair and many more. Macrophages change their role depending on signals from their environment, and can therefore have a variety…

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Endometriosis and Inflammation: How to Treat it?

Endometriosis and Inflammation: How to Treat it? By Özge Özkaya

Women with endometriosis have systemic and localized inflammation within eutopic and ectopic endometrial tissues found in a study published in the "American Journal of Reproductive Immunology". More importantly, the study also found that the inflammation caused by the disease could…

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Enhanced local and systemic inflammatory cytokine mRNA expression in women with endometriosis 

Enhanced local and systemic inflammatory cytokine mRNA expression in women with endometriosis  By Ellen Tumimbang

Endometriosis is not only characterized by the implantation of endometriotic tissue outside of the uterine cavity but also necessitates an impaired immune response. It is suggested that abnormal immunological mechanisms causing the dysfunction of immune cells and their mediators are…

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Immune System, Cytokines and Endometriosis

Immune System, Cytokines and Endometriosis By Dr. Youngran Park

Endometriosis is an estrogen-dependent chronic disease. Diagnosing endometriosis is difficult because the signs and symptoms vary considerably. Therefore, the discovery of a reliable non-invasive diagnostic biomarker would represent a major advance for the clinical diagnosis of endometriosis.  It has been…

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White blood cell neutrophils link to immunosuppressive environment in ovarian endometrioma

White blood cell neutrophils link to immunosuppressive environment in ovarian endometrioma By Yu Yu

Recently the contribution of neutrophils to the pathogenesis of endometriosis has been suggested. Several observations fuelled this suggestion, such as the accumulation of neutrophils in the peritoneal fluid of ovarian endometriosis; neutrophil extracellular traps were found in the peritoneal fluid of…

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New Insights on Infertility and Low Success Rates of Assisted Reproduction in Women with Endometriosis

New Insights on Infertility and Low Success Rates of Assisted Reproduction in Women with Endometriosis By Özge Özkaya

The fluid surrounding immature eggs waiting to mature and be fertilized by a sperm to lead to pregnancy is different in women with endometriosis compared to those without, according to a study published in Molecular Biology Reports. This could explain,…

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The role of microbiota in the etiopathogenesis of endometriosis

The role of microbiota in the etiopathogenesis of endometriosis By Hale Goksever Celik

Endometriosis is an estrogen-dependent disease that is commonly diagnosed in reproductive-aged women. Although many advanced types of research about the etiology, differential diagnosis and treatment have been performed, it still remains an enigmatic disease. Dr. Bedaiwy, a scientist and physician…

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Endometriosis signaling: the role of IL-34

Endometriosis signaling: the role of IL-34 By Yu Yu

An increasing number of studies have suggested that the pathogenesis of endometriosis is mediated by cytokines, such as interleukin (IL)−17, which promoted the formation and progression of endometriosis by up-regulating angiogenesis and pro-inflammatory cytokines secretion. IL-34 is a newly described…

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Natural killer cells receptor expression in endometriosis

Natural killer cells receptor expression in endometriosis By Yu Yu

Increasingly, studies have reported that endometriosis pathogenesis is related to defect in immune functions. The data also points to the impaired function of natural killer (NK) cells, leading to less cytotoxic NK cell activity in endometriosis. Similar to B and…

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Immune environment of endometriosis

Immune environment of endometriosis By Yu Yu

The results from the past decade of research have shown that an altered pro-inflammatory immune environment in endometriosis is believed to contribute to the pathophysiology of the disease. Because of changes in the immune microenvironment in the disease state, the…

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M1 and M2 macrophages in ovarian endometriomas

M1 and M2 macrophages in ovarian endometriomas By Yu Yu

Macrophages play an essential role in the immune response during inflammation and have been implicated in diseases such as inflammatory conditions and cancers. Broadly, macrophages are classified into M1 and M2. The M1 macrophages are pro-inflammatory, and in contrast, the…

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Endometriosis is linked with the most common autoimmune diseases

Endometriosis is linked with the most common autoimmune diseases By Demet Candaş Green

How endometriosis develops is not completely clear, but the involvement of the immune system has been heavily suggested. Women with endometriosis share some common autoimmune disorders, therefore, a potential link between autoimmune diseases and endometriosis has been investigated over the…

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Heme impairs macrophage phagocytosis

Heme impairs macrophage phagocytosis By Yu Yu

Heme is an iron-containing molecule that carries oxygen in the blood and also serves many essential biological proteins. It is released from ruptured erythrocytes during hemolysis. If not chelated, heme can cause harmful oxidative damage and inflammation. Thus, heme is…

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Association between endometriosis and autoimmune disorders is not clear yet

Association between endometriosis and autoimmune disorders is not clear yet By Nasuhi Engin Aydin

Endometriosis is a common disorder that may affect up to 10% of women of reproductive age. The causes of endometriosis are largely unknown but abnormalities in immunity have been suggested to explain the origin of ectopic endometrial tissues. Evaluation of…

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Control on endometriosis progression by a "tyrosine kinase inhibitor"

Control on endometriosis progression by a By Irem Onur

B cells, which are important players of the immune system, are increased in the blood and peritoneal cavity of endometriosis patients. Activation of B cells and the presence of anti-endometrial autoantibodies have been also been described in women with endometriosis,…

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"Endometriosis", "Fibromyalgia" and "Autoimmune diseases"

By Irem Onur

Greenbaum et al. from Israel, investigated the prevalence of and the association between endometriosis, fibromyalgia and autoimmune diseases in a large population database and described healthcare resource utilization in affected women. Their study has been published in the "American Journal…

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The link between autoimmunity and endometriosis

The link between autoimmunity and endometriosis By Yu Yu

A popular model to explain the etiology of endometriosis is Sampson’s theory of retrograde menstruation. In this model, the viable endometrial tissue is spread and attached to the peritoneal cavity through the fallopian tubes during menstruation, resulting in an inflammatory…

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Could a defect in phagocytosis cause endometriosis?

Could a defect in phagocytosis cause endometriosis? By Yu Yu

The macrophages are important immune cells in the peritoneal cavity because they function to remove aberrant cells or tissues by the process of phagocytosis. In endometriosis, there is an increased number of peritoneal macrophages and heightened production of inflammation molecules…

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Correlation between Treg cells and peritoneal lesions in women with ovarian endometrioma

Correlation between Treg cells and peritoneal lesions in women with ovarian endometrioma By Yu Yu

It is increasingly suggested that defective immune response is responsible for the survival and development of ectopic endometrial cells into endometriosis. In women with endometriosis, the immune system fails to create an inflammatory process that destroys endometrial cells at the…

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A newly found relationship between estrogen signalling and immune dysregulation in endometriosis

A newly found relationship between estrogen signalling and immune dysregulation in endometriosis By Yu Yu

It is believed that endometriosis progression is "at least partly" due to dysregulation of immune cells resulting in the poor clearance of ectopic endometrial debris. In particular, aberrant macrophage function was found to be important in the establishment of endometriosis, since…

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Anti-inflammatory cytokines: a new horizon in endometriosis with possible clinical relevance

Anti-inflammatory cytokines: a new horizon in endometriosis with possible clinical relevance By Nasuhi Engin Aydin

Scientists led by Dr. Li from Shangai PRC, have made a comprehensive review of anti-inflammatory cytokines related to the pathogenesis of endometriosis in a recent issue of Cellular and Molecular Life Sciences.    Inflammation is important in the pathogenesis of endometriosis,…

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The relationship between periodontal disease and endometriosis

The relationship between periodontal disease and endometriosis By Irem Onur

Thomas et al. have recently studied the association between endometriosis and periodontal disease which may share a common pathogenesis, and have published it in the Journal of Human Reproductive Sciences. The authors screened a total of50 women; 25 with and 25…

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Local inflammation and disease severity in endometriosis

Local inflammation and disease severity in endometriosis   By Yu Yu

During inflammation, immune cell receptors recognize endogenous molecules called danger-associated molecular patterns (DAMPs) or ‘alarmins’. This process reflects tissue damage and is mediated upon cell death in the condition of strong inflammation. HMGB1 and IL-33 are important DAMP molecules. Recently,…

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Immune dysregulation in endometriosis

Immune dysregulation in endometriosis By Yu Yu

The connection between endometriosis and the immune system has long been proposed. However, to date, there is no real consensus on whether immune adaptations actually facilitate endometriotric lesion progression or they are a consequence of endometriosis re-occurrence. Thus, this article…

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Programmed-cell death pathway and immune dysfunction in endometriosis

Programmed-cell death pathway and immune dysfunction in endometriosis By Irem Onur

Endometriosis is an estrogen-dependent, immune-associated disease. Women with endometriosis have different proportions of the activated forms of immunocompetent cells, such as T cells and macrophages compared to those from women without. Immune cell dysfunction in the uterine and abdominal cavity…

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Another Study Suggesting That Endometriosis May Be a Disease Associated With Immune System Dysfunction

Another Study Suggesting That Endometriosis May Be a Disease Associated With Immune System Dysfunction By Özge Özkaya

An immune system protein called TGF-β in the peritoneal fluid or fluid that lubricates the lining of the abdominal wall and pelvic cavity may be creating an environment favorable for the formation of endometrial lesions. This is according to a…

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Detecting endometriosis using peripheral blood

Detecting endometriosis using peripheral blood By Yu Yu

Laparoscopic visualization of endometriotic lesions with histological confirmation is the gold standard for the diagnosis of endometriosis. However, this diagnostic procedure, due to the need for laparoscopy and variability of disease/symptoms, can have a major delay up to 8-10 years…

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Inflammatory molecules promote the migration and invasion of endometriosis cells

Inflammatory molecules promote the migration and invasion of endometriosis cells By Yu Yu

Increasing scientific evidence has shown that the immune and inflammatory mechanisms play a central role in the progression of endometriosis by allowing a permissive environment that allows migration, adhesion, proliferation, and invasion of endometrial cells in ectopic regions of the…

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Altered Immunity in Endometriosis

Altered Immunity in Endometriosis By Yu Yu

In recent years, there has been increased attention on the role of immune system in endometriosis development. Normally, immune reactions are supposed to destroy endometrial cells seeding in the peritoneal cavity. Nonetheless, in endometriosis, these cells are able to evade,…

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Endometriosis in a Man as a Rare Source of Abdominal Pain

Endometriosis in a Man as a Rare Source of Abdominal Pain By Dr. Youngran Park

Endometriosis occurs when a tissue resembling endometrial glands and stroma grows in ectopic sites, commonly causing infertility and pain. Endometriosis has largely been found in women of reproductive age. However, in extremely rare cases, it is also found in men…

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Endocrine and inflammatory factors in current understanding of endometriosis

Endocrine and inflammatory factors in current understanding of endometriosis By Yu Yu

There are three forms of endometriosis: peritoneal, ovarian, and deep infiltrating. All three forms consist of endometriotic lesions containing endometrial glands, stroma, nerves, blood vessels, and inflammatory cells. Endometriosis symptoms can be accounted by these elements and the involving organs.…

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A review on the role of immune cells on the pathogenesis of endometriosis

A review on the role of immune cells on the pathogenesis of endometriosis By Murat Osman

Immune cells play a vital role in the homeostasis against infectious pathogens but also in the pathogenesis of endometriosis. Recent research has suggested that different immune cells have unique roles in this pathogenesis. Neutrophils, which are typically the primary acute…

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Elevated Neutrophil Traps in Deep Infiltrating Endometriosis

Elevated Neutrophil Traps in Deep Infiltrating Endometriosis By Yu Yu

Neutrophils are a part of the innate immune system and act as a first-line host defense system by phagocytosis, intracellular killing and more recently describes mechanism involving extracellular killing by means of neutrophil extracellular traps (NETs). These traps are defined…

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The effect of anti-rheumatic drugs on endometriosis therapeutic outcomes

The effect of anti-rheumatic drugs on endometriosis therapeutic outcomes By Yu Yu

Endometriosis can be described as an autoimmune disease because the abnormalities associated with T and B cell function and various autoantibodies. Although endometriosis has not been found to associate with some severe autoimmune disorders such as systemic lupus erythematosus, it…

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EFA Medical Conference 2017: "Cells Are the New Cure" Presentation by Dr. Max Gomez

EFA Medical Conference 2017: By Kasthuri Nair

Dr. Max Gomez is an award-winning broadcast journalist, CBS News Medical Correspondent, and a presenter at the EFA 2017 Medical Conference. Dr. Gomez’s presentation was titled “Cells Are the New Cure: The Cutting-Edge Medical Breakthroughs That Are Transforming Our Health.”…

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The role of the B lymphocytes in endometriosis: A systematic review

The role of the B lymphocytes in endometriosis: A systematic review By Murat Osman

Insight into the role of an inflammatory response in endometriosis has sparked further study into the role of different immune cells and their causal relationship to the pathogenesis of endometriosis. Several recent studies have found an association between aberrant immune…

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Endometriosis : A Whole Body Disease

Endometriosis : A Whole Body Disease By Kasthuri Nair

Endometriosis is a disease that impacts multiple parts of an individual’s body. Seminars in Reproductive Medicine recently published a paper by Alderman III et al. entitled “The Systemic Effects of Endometriosis” explores the various comorbidities that can affect individuals suffering…

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Immune Response in Endometriosis and Regulatory T cells

Immune Response in Endometriosis and Regulatory T cells By Yu Yu

The adaptive immune system is crucial for many diseases. Lymphocytes, including T cells, are particularly important in the adaptive immune system. Previous research suggested that defective immune response could play a role in endometriosis. The hypothesis proposes that the immune…

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T-Cell Dysfunction May Worsen Endometriosis

T-Cell Dysfunction May Worsen Endometriosis By Murat Osman

Researchers from the Kyoto Prefectural University of Medicine, Japan, have found that T regulatory lymphocytes (Treg) may be the reason for the formation of the chronic inflammatory environment involved in endometriosis, a study published in The Journal of Clinical Endocrinology &…

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