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Decreased human leukocyte antigen-DR expression in the lipid raft by peritoneal macrophages from women with endometriosis.

Abstract：

OBJECTIVE:To investigate the macrophage response in endometriosis by determining the expression and localization of human leukocyte antigen (HLA)-ABC and HLA-DR by the peritoneal fluid (PF) macrophages and PF concentrations of interferon (IFN)-gamma that regulate HLA expression. DESIGN:Case-control study. SETTING:University hospital. PATIENT(S):64 Japanese endometriosis patients, and 65 women with other laparoscopic diagnoses. INTERVENTION(S):Venipuncture and laparoscopic peritoneal fluid collection. MAIN OUTCOME MEASURE(S):Expression and localization of HLA-ABC and HLA-DR in PF macrophages were determined by flow cytometry and confocal microscopy. The concentration of IFN-gamma in PF was determined by enzyme-linked immunosorbent assay. RESULT(S):In women with endometriosis, expression of HLA-ABC and HLA-DR by PF macrophages, and the IFN-gamma concentrations in PF were statistically significantly lower than in controls. Women with endometriosis showed a statistically significant positive correlation between HLA expression and IFN-gamma concentration. By confocal microscopy, HLA-ABC was distributed homogenously on the macrophage surface whereas HLA-DR expression on these cells corresponded to the lipid raft. CONCLUSION(S):In women with endometriosis, low HLA expression and particularly reduced HLA-DR in the lipid raft may be influenced by low IFN-gamma and may compromise antigen presentation, limiting the immune response to peritoneal cavity antigens such as implanted or metaplastic endometrial tissue.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Yamamoto Y,Maeda N,Izumiya C,Kusume T,Oguri H,Kawashima M,Hayashi K,Nomura A,Yamashita C,Fukaya T

doi

10.1016/j.fertnstert.2007.02.027

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

52-9

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(07)00448-7

journal_volume

89

pub_type

杂志文章

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