OBJECTIVE
To evaluate the expression of chemokines that regulate natural killer (NK) and T-regulatory (T-reg) cell activity in eutopic and ectopic endometrial tissue samples from endometriosis patients.
METHODS
Case-control study (Canadian Task Force classification II-2).
METHODS
Tertiary referral hospital.
METHODS
Sixty-four consecutive patients with and without endometriosis.
METHODS
After videolaparoscopy, patients were divided into three groups: bowel endometriosis (n = 22), retrocervical endometriosis (n = 10), and endometriosis-free women (n = 32).
METHODS
Gene expression of the chemokines that regulate NK (CXCL9, CXCL1XCL1XCL1XCL1, and CX3CL1) and T-reg cell activity (CCL17 and CCL21) evaluated by real-time polymerase chain reaction.
RESULTS
Of the chemokines associated with NK cells, CX3CL1 and C<em>XCL1</em>2 expression was statistically significantly greater in the foci of endometriosis compared with the eutopic endometrium in patients and controls. From the chemokines associated with T-reg cells, CCL17 expression was statistically significantly greater in the eutopic endometrium of the patients with rectosigmoid endometriosis compared with the foci of endometriosis or eutopic endometrium of the patients with retrocervical endometriosis or the disease-free women.
CONCLUSIONS
Both T-reg and NK cells mediate inflammatory response and may play a fundamental role in endometriosis by causing an impaired clearing of endometrial cells. Establishing how CCL17, C<em>XCL1</em>2, and CX3CL1 modulate this response is essential to understanding inflammatory responses in endometriosis.