Neurotrophins and Cytokines in Endometriosis Pain
Endometriosis is a common gynecological syndrome characterized by pelvic pain and infertility, with ectopic endometrial tissue found in various locations including the peritoneum, ovaries, and deeper connective tissues.
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This chapter reviews how neurotrophins and cytokines are implicated in endometriosis pain, focusing on relationships among nerve infiltration, nerve growth factors (including neurotrophins such as NGF/BDNF), and inflammatory signaling (including cytokine-mediated regulation of neuroangiogenesis) across ectopic and eutopic endometrial tissues and relevant in vitro or animal models. It integrates evidence from studies reporting altered neurotrophin/proteomic findings, cytokine–neurotrophin interactions in endometriosis stromal cell cultures, and animal/lesion-location data linking peritoneal fluid cytokines and nerve fibers to pain. A stated limitation is that much of the presented work is mechanistic and may rely on heterogeneous lesion types and experimental models rather than uniform clinical endpoints. This paper is centrally about endometriosis — it summarizes neurotrophin and cytokine mechanisms relevant to endometriosis-associated pain.
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