国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (5): 532-535.

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免疫功能障碍与子宫内膜异位症发生发展的研究现状

姜雪,张宗峰   

  1. 150000 哈尔滨医科大学附属第二医院妇科
  • 收稿日期:2019-05-15 修回日期:2019-05-24 出版日期:2019-10-15 发布日期:2019-10-21
  • 通讯作者: 张宗峰,E-mail:viaac1973@163.com E-mail:Yonosweet@qq.com
  • 基金资助:
     

Research Status of Immune Dysfunction and Development of Endometriosis

JIANG Xue, ZHANG Zong-feng   

  1. Department of Gynecology, The Second Affiliated Hospital of Harbin Medical University,Harbin 150000,China
  • Received:2019-05-15 Revised:2019-05-24 Published:2019-10-15 Online:2019-10-21
  • Contact: ZHANG Zong-feng,E-mail:viaac1973@163.com E-mail:Yonosweet@qq.com
  • Supported by:
     

摘要: 子宫内膜异位症(endometriosis,EMs)是一种雌激素依赖性疾病,通常与慢性盆腔疼痛及不孕症有关,影响约10%~15%的育龄期妇女。近年免疫功能障碍已证明是子宫内膜碎片逆行后促进异位病灶生长的关键因素。EMs患者几乎所有的免疫细胞功能都发生了变化,例如T细胞反应性和NK细胞毒性降低;B细胞多克隆激活、抗体产生增加;腹腔单核细胞活化数量增加等。此外,EMs中存在的高雌激素环境以及雌激素受体亚型的异常分布也会影响免疫细胞的募集及功能。但是免疫功能异常是造成EMs的初始原因还是由于该疾病导致的结局尚存争议。

关键词: 子宫内膜异位症, 免疫系统, 免疫, 先天, 适应性免疫, 免疫, 细胞

Abstract: Endometriosis (EMs) is an estrogen-dependent disease, usually associated with chronic pelvic pain and infertility, affecting approximately 10% to 15% of women of childbearing age. In recent years, immune dysfunction has been shown to be a key factor in promoting the growth of ectopic lesions after endometrial debris retrograded. Almost all the immune cell functions in patients with EMs have changed, such as T cell reactivity and NK cell toxicity decrease, B cell polyclonal activation and antibody production increase, and the number of peritoneal monocytes increase. In addition, the high estrogen environment in EMs and the abnormal distribution of estrogen receptor subtypes have also been shown to affect the recruitment and function of immune cells. However, it is controversial whether immune dysfunction is the initial cause of EMs or the consequence of the disease.

Key words: Endometriosis, Immune system, Immunity, innate, Adaptive immunity, Immunity, cellular

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