Villainous role of estrogen in macrophage-nerve interaction in endometriosis

Endometriosis is a complex and heterogeneous disorder with unknown etiology. Dysregulation of macrophages and innervation are important factors influencing the pathogenesis of endometriosis-associated pain. It is known to be an estrogen-dependent disease, estrogen can promote secretion of chemokines from peripheral nerves, enhancing the recruitment and polarization of macrophages in endometriotic tissue. Macrophages have a role in the expression of multiple nerve growth factors (NGF), which mediates the imbalance of neurogenesis in an estrogen-dependent manner. Under the influence of estrogen, co-existence of macrophages and nerves induces an innovative neuro-immune communication. Persistent stimulation by inflammatory cytokines from macrophages on nociceptors of peripheral nerves aggravates neuroinflammation through the release of inflammatory neurotransmitters. This neuro-immune interaction regulated by estrogen sensitizes peripheral nerves, leading to neuropathic pain in endometriosis. The aim of this review is to highlight the significance of estrogen in the interaction between macrophages and nerve fibers, and to suggest a potentially valuable therapeutic target for endometriosis-associated pain.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Reproductive biology and endocrinology : RB&E - 16(2018), 1 vom: 05. Dez., Seite 122

Sprache:

Englisch

Beteiligte Personen:

Liang, Yanchun [VerfasserIn]
Xie, Hongyu [VerfasserIn]
Wu, Jinjie [VerfasserIn]
Liu, Duo [VerfasserIn]
Yao, Shuzhong [VerfasserIn]

Links:

Volltext

Themen:

Cytokines
Endometriosis
Estrogen
Estrogens
Journal Article
Macrophage
Nerve fiber
Neuroinflammation
Review

Anmerkungen:

Date Completed 10.01.2019

Date Revised 10.01.2019

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12958-018-0441-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM291489427