Human Reproduction, Vol 12, 146-152, Copyright © 1997 by Oxford University Press
J McLaren, A Prentice, DS Charnock-Jones, AM Sharkey and SK Smith
Endometriosis, a debilitating disease associated with infertility, is
characterized by the prolonged presence of ectopic endometrial tissue and
the involvement of activated peritoneal fluid macrophages. Apoptosis, which
occurs in both endometrium and peritoneal fluid macrophages, is controlled
in part by members of the Bcl-2/Bax family of proteins. Here, through
immunohistochemical staining, we investigated the Bcl-2/Bax status in
endometrium and peritoneal fluid macrophages in endometriosis. Bcl-2/Bax
immunoreactivity was found predominantly in the glandular epithelial cells,
mainly during the proliferative phase of the menstrual cycle for Bcl-2 but
throughout the entire menstrual cycle for Bax. Ectopic endometrium
contained a population of Bcl-2 positive. Bax negative tissue macrophages.
Fluorescence-activated cell sorting of isolated peritoneal fluid
macrophages showed that women with endometriosis had a significantly higher
proportion of Bcl-2 positive macrophages than the non- endometriotic group.
The proportion of Bax positive peritoneal fluid macrophages was
significantly elevated in women without endometriosis. The increased
proportion of Bcl-2 positive macrophages found in women with endometriosis
may predispose these cells to resist apoptosis. The continued survival of
these active cells could have important consequences for the survival and
proliferation of the ectopic endometrial tissue.
ARTICLES
Immunolocalization of the apoptosis regulating proteins Bcl-2 and Bax in human endometrium and isolated peritoneal fluid macrophages in endometriosis
Department of Obstetrics and Gynaecology, University of Cambridge, Rosie Maternity Hospital, UK.
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