Neurotrophins and Cytokines in Endometriosis Pain

In: ISGE Series · 2020 · pp. 27–39 · doi:10.1007/978-3-030-57866-4_4 · W3112980377
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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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Abstract

Endometriosis is a common gynecological syndrome associated with pain and infertility and characterized by the growth of hormone-responsive endometrial tissue outside the uterine cavity. Three major subtypes of ectopic endometriotic implants are currently recognized, based on their anatomic location: (1) attached to the peritoneal surface, (2) encapsulated within the ovary, or (3) infiltrating the connective tissues of the rectovaginal septum. However, more widely dispersed lesions have been described in the pleura, the cutaneous skin, and even the lacrimal duct [1]. The high prevalence of endometriosis is broadly recognized, and recent population-based estimates put its overall frequency among reproductive-age women at around 11% [2]. This disease is accompanied by pelvic pain in millions of women worldwide, resulting in work absenteeism, social isolation, and high costs of medical and surgical therapies. In the United States, endometriosis is the third commonest indication for hysterectomy, a procedure that can be particularly devastating in women under age 30, because they are likely to experience residual somatic symptoms and a severe psychological sense of loss. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2021 International Society of Gynecological Endocrinology About this chapter Cite this chapter Taylor, R.N., Yu, J., Francisco, A.M.C., Berga, S.L., Lebovic, D.I. (2021). Neurotrophins and Cytokines in Endometriosis Pain. In: Genazzani, A.R., Nisolle, M., Petraglia, F., Taylor, R.N. (eds) Endometriosis Pathogenesis, Clinical Impact and Management. ISGE Series. Springer, Cham. https://doi.org/10.1007/978-3-030-57866-4_4 Download citation DOI: https://doi.org/10.1007/978-3-030-57866-4_4 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-57865-7 Online ISBN: 978-3-030-57866-4 eBook Packages: MedicineMedicine (R0)

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