[Expression of vascular endothelial growth factor in the peritoneal fluid and eutopic endometrium of patients with endometriosis].

Xiao-ling Fang, Xiao-meng Xia, Qiu-hua Lin
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Abstract

Objective: To investigate the significance of vascular endothelial growth factor (VEGF) on the etiology of endometriosis.

Methods: The level of VEGF in the peritoneal fluid from women with endometriosis (n = 19) and non-endometriosis (n = 21) was studied by ELISA. The expression of VEGF of eutopic endometrium collected from women with endometriosis (n = 15) and non-endometriosis (n = 12) was determined by relative quantity RT-PCR.

Results: The level of VEGF in the peritoneal fluid in the endometriosis was higher than that of the controls (P < 0.05). Cyclic variation in VEGF concentration was seen in the peritoneal fluid from patients with endometriosis, and the VEGF concentration in the proliferative phase was significantly higher than that in the secretory phase (P < 0.05). No cyclic variation in VEGF was seen in the control group (P > 0.05). The expression of VEGF in the eutopic endometrium with endometriosis was significantly higher than that of the controls (P < 0.001). There was no significant difference between the proliferative and secretory phase in endometriosis (P > 0.05).

Conclusion: The increase of VEGF in the peritoneal fluid and eutopic endometrium with endometriosis may be important to the occurrence and development of endometriosis.

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[血管内皮生长因子在子宫内膜异位症患者腹膜液和异位子宫内膜中的表达]
目的:探讨血管内皮生长因子(VEGF)在子宫内膜异位症发病中的意义。方法:采用ELISA法检测19例子宫内膜异位症患者和21例非子宫内膜异位症患者腹膜液中VEGF水平。采用相对定量RT-PCR法检测子宫内膜异位症(n = 15)和非子宫内膜异位症(n = 12)患者异位子宫内膜中VEGF的表达。结果:子宫内膜异位症患者腹膜液中VEGF水平明显高于对照组(P < 0.05)。子宫内膜异位症患者腹膜液中VEGF浓度呈周期性变化,且增生期VEGF浓度显著高于分泌期(P < 0.05)。对照组VEGF无周期变化(P > 0.05)。VEGF在异位子宫内膜中的表达明显高于正常子宫内膜异位症(P < 0.001)。子宫内膜异位症的增殖期与分泌期差异无统计学意义(P > 0.05)。结论:子宫内膜异位症患者腹膜液及异位子宫内膜中VEGF的升高可能与子宫内膜异位症的发生发展有关。
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