Dioxins in ascites and serum of women with endometriosis: A pilot study

Cai, LY; Izumi, S; Suzuki, T; Goya, K; Nakamura, E; Sugiyama, T; Kobayashi, H

HERO ID

2152226

Reference Type

Journal Article

Year

2011

Language

English

PMID

21106495

HERO ID 2152226
In Press No
Year 2011
Title Dioxins in ascites and serum of women with endometriosis: A pilot study
Authors Cai, LY; Izumi, S; Suzuki, T; Goya, K; Nakamura, E; Sugiyama, T; Kobayashi, H
Journal Human Reproduction
Volume 26
Issue 1
Page Numbers 117-126
Abstract <strong>BACKGROUND: </strong>Animal studies and laboratory experiments have demonstrated that exposure to dioxins may be involved in the pathophysiology of endometriosis. However, recent epidemiological investigations have shown conflicting results. Although peritoneal fluid is a specific microenvironment playing a pivotal role in the development of endometriosis, to our knowledge, there is no published study evaluating the concentrations of dioxins in serum and peritoneal fluid simultaneously. The present study explores the possible correlation between the local peritoneal fluid levels of dioxins and concurrent endometriosis.<br /><br /><strong>METHODS: </strong>There were 17 infertile women enrolled in the present study. After the diagnostic laparoscopic examination, the women were divided into two groups: endometriosis (n = 10) and controls (n = 7). We measured 29 dioxins simultaneously in serum and peritoneal fluid samples: 7 polychlorinated dibenzo-p-dioxins (PCDDs), 10 polychlorinated dibenzofurans (PCDFs), and 12 polychlorinated biphenyls (dioxin-like PCBs). A dioxin toxic equivalency (TEQ) system was utilized to calculate the dioxin concentration in each sample.<br /><br /><strong>RESULTS: </strong>Serum concentrations of itemized components of 29 dioxins were similar in the endometriosis patients compared with the controls. Higher concentrations of PCDFs and dioxin-like PCBs were observed in peritoneal fluid than in serum, whereas the reverse was shown for PCDDs. Statistical analysis showed that higher levels of dioxin TEQ (PCDDs and PCDFs) in peritoneal fluid were significantly associated with an increased risk of endometriosis (OR: 2.5; 95% CI: 1.17-5.34; P = 0.035).<br /><br /><strong>CONCLUSIONS: </strong>This is the first report suggesting that higher concentrations of dioxins (PCDDs and PCDFs) in peritoneal fluid are linked to endometriosis. More detail and epidemiological research is warranted to further explore this link.
Doi 10.1093/humrep/deq312
Pmid 21106495
Wosid WOS:000285627200015
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword endometriosis; peritoneal fluid; PCDDs; PCDFs; dioxin-like PCBs