Interleukin-6, interleukin-1ß, and tumor necrosis factor a in menstrual effluents as biomarkers of chronic endometritis  

Oleh:

Tortorella, Cosimo ; Piazzolla, Giuseppina ; Matteo, Maria ; Pinto, Vincenzo ; Tinelli,, Raffaele

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 101 no. 01 (Jan. 2014), page 242-247.
Topik: Chronic endometritis; menstrual effluents; cytokines; IL-6; IL-1ß; TNF-a

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2014.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To assess the relationship between chronic endometritis (CE) and proinflammatory cytokine levels in menstrual effluents and to develop a simple noninvasive test for screening CE. Design Case-control study. Setting Academic center. Patient(s) Sixty-four women referred to our center for infertility. Intervention(s) Office hysteroscopy; endometrial biopsy; collection of menstrual blood at subsequent cycle. Main Outcome Measure(s) Interleukin (IL) 6, IL-1ß, and tumor necrosis factor (TNF) a concentrations in menstrual effluents. Result(s) Thirty-six out of 64 infertile women had histologically proven CE. The remaining 28 women were included as controls. IL-6, IL-1ß, and TNF-a levels were markedly higher in menstrual effluents of women with CE compared with control subjects. Receiver operating characteristic curve analysis revealed a good CE screening capacity for all of the cytokines. The combined evaluation of either IL-6/TNF-a or IL-6/IL-1ß increased the diagnostic capacity of the test, which reached a 100% sensitivity and a negative predictive value of 100 when at least one cytokine was found to exceed its cutoff value; it also reached a 100% specificity and a positive predictive value of 100 in cases of positivity of both cytokines. Logistic regression analysis confirmed the IL-6/TNF-a–based model as a significant predictor of CE. Conclusion(s) Proinflammatory cytokine levels are increased in menstrual effluents of women with CE. A test dosing IL-6 and TNF-a seems to have a high screening capacity for CE.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali