Correlation Between Altered Central Pain Processing and Concentration of Peritoneal Fluid Inflammatory Cytokines in Endometriosis Patients With Chronic Pelvic Pain

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Endometriosis patients with chronic pain showed correlations between peritoneal fluid inflammatory cytokines and amplified central pain processing, suggesting cytokines may mediate peripheral inflammation's central effects.

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Abstract

Translational research has not yet elucidated whether alterations in central pain processes are related to peripheral inflammatory processes in chronic pain patients. We tested the hypothesis that the concentration of cytokines in the peritoneal fluid of endometriosis patients with chronic pain correlate with parameters of hyperexcitability of the nociceptive system. The concentrations of 15 peritoneal fluid cytokines were measured in 11 patients with chronic pelvic pain and a diagnosis of endometriosis. Six parameters assessing central pain processes were recorded. Positive correlations between concentration of some cytokines in the peritoneal fluid and amplification of central pain processing were found. The results suggest that inflammatory mechanisms may be important in the pathophysiology of altered central pain processes and that cytokines produced in the environment of endometriosis could act as mediators between the peripheral lesion and changes in central nociceptive processes.

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Condition tags

mesh:D004715mesh:D017699endometriosischronic_pelvic_pain

MeSH descriptors

Ascitic Fluid Chronic Pain Cytokines Endometriosis Pain Pelvic Pain Adolescent Adult Ascitic Fluid Chronic Pain Chronic Pain Cytokines Endometriosis Endometriosis Female Humans Nociception Pain Pelvic Pain Pelvic Pain

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europepmc
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openalex
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