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Submitted on June 6, 2007
Accepted on December 3, 2007
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Tokyo, Japan (T.H., Y.O., K.H., O.Y., A.H., Y.Takem., Y.H., E.N., C.M., M.H., K.K., T.T., T.Y., Y.Taket.), Department of Obstetrics and Gynecology, University of Toyama, Toyama, Japan (M.I., S.S.)
* To whom correspondence should be addressed. E-mail: yutakaos-tky{at}umin.ac.jp.
IL-17A is secreted from Th17 cells, a discovery leading to revision of the mechanism underlying the role of Th1/Th2 in the immune response. Strong evidence suggests that immune responses associated with inflammation are involved in the pathogenesis of endometriosis. In the present study, we first demonstrated that the presence of Th17 cells in peritoneal fluid of endometriotic women by flow cytometric analysis and IL-17A positive cells in endometriotic tissues by immunohistochemistry. To investigate the role of IL-17A in the development of endometriosis, we then studied the effect of IL-17A on IL-8 production, cyclooxygensase2 (COX2) expression and cell proliferation of cultured endometriotic stromal cells (ESCs). IL-17A enhanced IL-8 secretion from ESCs in a dose-dependent manner. The IL-17A-induced secretion of IL-8 from ESCs was suppressed by anti IL-17 receptor A antibodies or inhibitors of p38 mitogen-activated protein kinase (MAPK), p42/44 MAP kinase and SAPK/JNK. Addition of TNF
synergistically increased IL-17A-induced IL-8 secretion from ESCs. IL-17A also enhanced the expression of COX2 mRNA and proliferation of ESCs. IL-17A may play a role in the development of endometriosis by stimulating inflammatory responses and proliferation of ESCs.
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