“…Many studies have focused on the role of natural killer (NK) cells, with the majority showing some degree of NK-cell dysfunction (Oosterlynck et al, 1991(Oosterlynck et al, , 1992Vigano et al, 1991;Tanaka et al, 1992;Garzetti et al, 1993Garzetti et al, , 1995Iwasaki et al, 1993;Wilson et al, 1994;Ho et al, 1995). Others have demonstrated increased numbers of activated macrophages in women with endometriosis (Oosterlynck et al, 1994;Becker et al, 1995). These studies suggest a role for altered cell-mediated immunity in the development of endometriosis, but the exact mechanism by which this is mediated remains unclear.…”