The Relationship of Oxidative Stress and Inflammatory Response in Females Associated with Endometriosis
DOI:
https://doi.org/10.31580/pjmls.v5i2.2523Keywords:
Endometriosis, Hematocrit, Hemoglobin, Oxidative stress, Platelets, RBCs, WBCsAbstract
Endometriosis is considered as debilitating condition that characterized by formation of endometrial tissue outside the uterus that consequently adversely impact the female fertility. Number of factors are involved that mediates the gynecological pathology of endometriosis, however the relationship of endometriosis with oxidative stress and inflammatory need to investigate. In this study, we selected female of age 21-27 years associated with endometriosis and performed detailed hematological profile. Our data indicated that the hematological profile of patients associated with endometriosis was highly disrupted compared to healthy control females. Number of hematological parameters including RBCs, WBCs, HB, platelets and overall bilirubin level was abnormal in endometritis patients. In addition, we also determined the level of oxidative stress by using the expression profile of different oxidant and anti-oxidant genes through spectrophotometric examination. We found elevated level of MDA and reduced expressions of SOD, GSH, and CAT in patients associated with endometriosis relative to healthy patients that suggest the increased oxidative stress level. Furthermore, different vitamins including, VIT A, VIT C, VIT E, and VIT D level was also reduced in patients of endometriosis. Collectively, our data suggest that hematological profile and oxidative stress of patients associated with endometriosis was highly disruptive and these differential biomarkers may be the useful to diagnose the endometriosis patients and also beneficial for developing treatment strategies.
References
Wee-Stekly WW, Kew CC, Chern BSM. Endometriosis: a review of the diagnosis and pain management. Gynecology and minimally invasive therapy. 2015;4(4):106-9.
Scutiero G, Iannone P, Bernardi G, Bonaccorsi G, Spadaro S, Volta CA, et al. Oxidative stress and endometriosis: a systematic review of the literature. Oxidative medicine and cellular longevity. 2017;2017.
Parasar P, Ozcan P, Terry KL. Endometriosis: epidemiology, diagnosis and clinical management. Current obstetrics and gynecology reports. 2017;6(1):34-41.
Anderson G. Endometriosis pathoetiology and pathophysiology: roles of vitamin A, estrogen, immunity, adipocytes, gut microbiome and melatonergic pathway on mitochondria regulation. Biomolecular Concepts. 2019;10(1):133-49.
Tanbo T, Fedorcsak P. Endometriosis‐associated infertility: aspects of pathophysiological mechanisms and treatment options. Acta obstetricia et gynecologica Scandinavica. 2017;96(6):659-67.
Medicine PCotASfR. Diagnostic evaluation of the infertile female: a committee opinion. Fertility and sterility. 2015;103(6):e44-e50.
Vitale SG, Capriglione S, Peterlunger I, La Rosa VL, Vitagliano A, Noventa M, et al. The role of oxidative stress and membrane transport systems during endometriosis: a fresh look at a busy corner. Oxidative medicine and cellular longevity. 2018;2018.
Muhammad T, Wan Y, Sha Q, Wang J, Huang T, Cao Y, et al. IGF2 improves the developmental competency and meiotic structure of oocytes from aged mice. Aging (Albany NY). 2021;13(2):2118.
Rafique S, Decherney AH. Medical management of endometriosis. Clinical obstetrics and gynecology. 2017;60(3):485.
Yamamoto A, Johnstone EB, Bloom MS, Huddleston HG, Fujimoto VY. A higher prevalence of endometriosis among Asian women does not contribute to poorer IVF outcomes. Journal of assisted reproduction and genetics. 2017;34(6):765-74.
Facchin F, Barbara G, Dridi D, Alberico D, Buggio L, Somigliana E, et al. Mental health in women with endometriosis: searching for predictors of psychological distress. Human Reproduction. 2017;32(9):1855-61.
Liu HB, Muhammad T, Guo Y, Li MJ, Sha QQ, Zhang CX, et al. RNA‐binding protein IGF2BP2/IMP2 is a critical maternal activator in early zygotic genome activation. Advanced Science. 2019;6(15):1900295.
Falcone T, Flyckt R. Clinical management of endometriosis. Obstetrics & Gynecology. 2018;131(3):557-71.
Falcone T, Lebovic DI. Clinical management of endometriosis. Obstetrics & Gynecology. 2011;118(3):691-705.
Harlev A, Gupta S, Agarwal A. Targeting oxidative stress to treat endometriosis. Expert Opinion on Therapeutic Targets. 2015;19(11):1447-64.
Laganà AS, Garzon S, Götte M, Viganò P, Franchi M, Ghezzi F, et al. The pathogenesis of endometriosis: molecular and cell biology insights. International journal of molecular sciences. 2019;20(22):5615.
Zolbin MM, Mamillapalli R, Nematian SE, Goetz TG, Taylor HS. Adipocyte alterations in endometriosis: reduced numbers of stem cells and microRNA induced alterations in adipocyte metabolic gene expression. Reproductive Biology and Endocrinology. 2019;17(1):1-10.
Miller JE, Ahn SH, Monsanto SP, Khalaj K, Koti M, Tayade C. Implications of immune dysfunction on endometriosis associated infertility. Oncotarget. 2017;8(4):7138.
Ito F, Yamada Y, Shigemitsu A, Akinishi M, Kaniwa H, Miyake R, et al. Role of oxidative stress in epigenetic modification in endometriosis. Reproductive Sciences. 2017;24(11):1493-502.
Liguori I, Russo G, Curcio F, Bulli G, Aran L, Della-Morte D, et al. Oxidative stress, aging, and diseases. Clinical interventions in aging. 2018;13:757.
Pisoschi AM, Pop A. The role of antioxidants in the chemistry of oxidative stress: A review. European journal of medicinal chemistry. 2015;97:55-74.
Kakkar P, Das B, Viswanathan P. A modified spectrophotometric assay of superoxide dismutase. 1984.
Aotsuka S, Okawa M, Ikebe K, Yokohari R. Measurement of anti-double-stranded DNA antibodies in major immunoglobulin classes. Journal of immunological methods. 1979;28(1-2):149-62.
Aebi H. [13] Catalase in vitro. Methods in enzymology. 105: Elsevier; 1984. p. 121-6.
Bulut Y, Aydın H. A kinetics and thermodynamics study of methylene blue adsorption on wheat shells. Desalination. 2006;194(1-3):259-67.
Kalaitzopoulos DR, Lempesis IG, Athanasaki F, Schizas D, Samartzis EP, Kolibianakis EM, et al. Association between vitamin D and endometriosis: a systematic review. Hormones. 2020;19(2):109-21.
Da Broi MG, Ferriani RA, Navarro PA. Ethiopathogenic mechanisms of endometriosis-related infertility. JBRA Assisted Reproduction. 2019;23(3):273.
Máté G, Bernstein LR, Török AL. Endometriosis is a cause of infertility. Does reactive oxygen damage to gametes and embryos play a key role in the pathogenesis of infertility caused by endometriosis? Frontiers in endocrinology. 2018;9:725.
Anglesio MS, Papadopoulos N, Ayhan A, Nazeran TM, Noë M, Horlings HM, et al. Cancer-associated mutations in endometriosis without cancer. New England Journal of Medicine. 2017;376(19):1835-48.
Jackson L, Schisterman E, Dey-Rao R, Browne R, Armstrong D. Oxidative stress and endometriosis. Human reproduction. 2005;20(7):2014-20.
Nasiri N, Moini A, Eftekhari-Yazdi P, Karimian L, Salman-Yazdi R, Arabipoor A. Oxidative stress statues in serum and follicular fluid of women with endometriosis. Cell Journal (Yakhteh). 2017;18(4):582.
Ciavattini A, Serri M, Delli Carpini G, Morini S, Clemente N. Ovarian endometriosis and vitamin D serum levels. Gynecological endocrinology. 2017;33(2):164-7.
Erten OU, Ensari TA, Dilbaz B, Cakiroglu H, Altinbas SK, Çaydere M, et al. Vitamin C is effective for the prevention and regression of endometriotic implants in an experimentally induced rat model of endometriosis. Taiwanese Journal of Obstetrics and Gynecology. 2016;55(2):251-7.
Giampaolino P, Corte LD, Foreste V, Bifulco G. Is there a relationship between vitamin D and endometriosis? An overview of the literature. Current pharmaceutical design. 2019;25(22):2421-7.
Lu X, Wu Z, Wang M, Cheng W. Effects of vitamin C on the outcome of in vitro fertilization–embryo transfer in endometriosis: A randomized controlled study. Journal of International Medical Research. 2018;46(11):4624-33.
Sinha A, Gupta S. The role of antioxidant supplementation in endometriosis therapy. J Gynecol Women’s Health. 2017;3.




