1991
DOI: 10.1016/s0015-0282(16)54414-8
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Women with endometriosis show a defect in natural killer activity resulting in a decreased cytotoxicity to autologous endometrium

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Cited by 405 publications
(220 citation statements)
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“…It is well known that women with endometriosis have a decreased cellular immunity and a decreased NK activity in peripheral blood and in peritoneal fluid (8)(9)(10). Stress, which is followed by increased cortisol levels, inhibits NK cell activity.…”
Section: Parameters Analyzedmentioning
confidence: 99%
See 1 more Smart Citation
“…It is well known that women with endometriosis have a decreased cellular immunity and a decreased NK activity in peripheral blood and in peritoneal fluid (8)(9)(10). Stress, which is followed by increased cortisol levels, inhibits NK cell activity.…”
Section: Parameters Analyzedmentioning
confidence: 99%
“…The main conclusions of these studies indicate an increased number of activated macrophages and their immune mediators, which may substantially interfere with reproduction at various levels, including gamete function, fertilization, embryo development, and embryo implantation. Furthermore, women with endometriosis have reduced cellular immunity and more specifically a decreased natural killer (NK) activity in peripheral blood and in peritoneal fluid (8)(9)(10). It is also well known that parameters associated with stress can significantly alter several immunological parameters, including the number of cells as well as their function (for a review, see Ref.…”
Section: Introductionmentioning
confidence: 99%
“…In peritoneal fluid of women with endometriosis, decreased natural killer (NK) cell activity (Oosterlynck et al 1991;Ho et al 1995), dysfunction of T lymphocytes (Ho et al 1996;Szyllo et al 2003), infiltrating macrophage (Bacci et al 2009) as well as aberrant concentrations of immune-related cytokines (Ho et al 1997) have been reported in the past two decades. Thus, it has been proposed that an impaired immunological clearance of endometrial fragments shed into the peritoneal cavity may facilitate the implantation of endometrial cells in ectopic locations and result in endometriosis.…”
Section: Introductionmentioning
confidence: 99%
“…Deficient cellular immunity may result in the inability to recognize endometrial tissue in abnormal locations (Steele et al 1984). A low level of natural killer cell activity may result in decreased cytotoxicity for autologous endometrium (Oosterlynck et al 1991). It has been reported that there is an increase of leukocytes and macrophages in the peritoneal cavity and ectopic endometrium of women with endometriosis (Dmowski et al 1994).…”
Section: Pathogenesis Of Endometriosismentioning
confidence: 99%