Abstract
To investigate the involvement of neurotrophins and nerve fibres in the pathogenesis of adenomyosis, we performed a retrospective, clinical study. Hysterectomy specimens from 40 patients with histologically proven adenomyosis and from 20 patients without adenomyosis or endometriosis were used for immunohistochemical analysis. In order to investigate neurotrophic properties in adenomyosis, the antibodies against nerve growth factor (NGF), neurotrophin 3 (NT-3), the high-affinity NGF receptor (TrkA), the low-affinity neurotrophin receptor (p75NTR), the neuronal marker S100 (for myelinated nerve fibres) and protein gene product 9.5 (PGP9.5; for intact nerve fibres) were used. There was no significant difference in the NGF, NT-3 and p75NTR expression in the myometrium or endometrium between the adenomyosis and the control group. The nerve fibre density (S100, PGP9.5 and p75NTR) did not significantly differ between the adenomyosis and control group, the nerve fibre density of the adenomyosis group was tendentially decreased when compared with the nonporous control group. The present study suggests that endometrial and uterine neurotrophin expression and endometrial innervation are not altered in adenomyosis; however, women with adenomyosis or with adenomyosis/endometriosis tendentially had less myometrial nerve fibres than the control group.
Similar content being viewed by others
References
Al-Jefout M, Andreadis N, Tokushige N et al (2007) A pilot study to evaluate the relative efficacy of endometrial biopsy and full curettage in making a diagnosis of endometriosis by the detection of endometrial nerve fibers. Am J Obstet Gynecol 197(6):578 e1–578 e4
Al-Jefout M, Dezarnaulds G, Cooper M et al (2009) Diagnosis of endometriosis by detection of nerve fibres in an endometrial biopsy: a double blind study. Hum Reprod 24(12):3019–3024
Anaf V, Simon P, El Nakadi I et al (2002) Hyperalgesia, nerve infiltration and nerve growth factor expression in deep adenomyotic nodules, peritoneal and ovarian endometriosis. Hum Reprod 17(7):1895–1900
Arnold J, Barcena de Arellano ML, Ruster C et al (2012) Imbalance between sympathetic and sensory innervation in peritoneal endometriosis. Brain Behav Immun 26:132–141
Atwal G, du Plessis D, Armstrong G et al (2005) Uterine innervation after hysterectomy for chronic pelvic pain with, and without, endometriosis. Am J Obstet Gynecol 193(5):1650–1655
Barcena de Arellano ML, Arnold J, Vercellino F et al (2011a) Overexpression of nerve growth factor in peritoneal fluid from women with endometriosis may promote neurite outgrowth in endometriotic lesions. Fertil Steril 95(3):1123–1126
Barcena de Arellano ML, Arnold J, Vercellino G et al. (2011b) Influence of nerve growth factor in endometriosis-associated symptoms. Reprod Sci: Epub 2011
Bokor A, Kyama CM, Vercruysse L et al (2009) Density of small diameter sensory nerve fibres in endometrium: a semi-invasive diagnostic test for minimal to mild endometriosis. Hum Reprod 24(12):3025–3032
Haase EB, Buchman J, Tietz AE et al (1997) Pregnancy-induced uterine neuronal degeneration in the rat. Cell Tissue Res 288(2):293–306
Kunz G, Beil D, Huppert P et al (2005) Adenomyosis in endometriosis—prevalence and impact on fertility. Evidence from magnetic resonance imaging. Hum Reprod 20(8):2309–2316
Latini C, Frontini A, Morroni M et al (2008) Remodeling of uterine innervation. Cell Tissue Res 334(1):1–6
Levgur M (2007) Diagnosis of adenomyosis: a review. J Reprod Med 52(3):177–193
Leyendecker G, Kunz G, Kissler S et al (2006) Adenomyosis and reproduction. Best Pract Res Clin Obstet Gynaecol 20(4):523–546
Leyendecker G, Wildt L, Mall G (2009) The pathophysiology of endometriosis and adenomyosis: tissue injury and repair. Arch Gynecol Obstet 280(4):529–538
Lu Z, Friess H, Graber HU et al (1997) Presence of two signaling TGF-beta receptors in human pancreatic cancer correlates with advanced tumor stage. Dig Dis Sci 42(10):2054–2063
Matalliotakis IM, Katsikis IK, Panidis DK (2005) Adenomyosis: what is the impact on fertility? Curr Opin Obstet Gynecol 17(3):261–264
Mathur BB, Shah BS, Bhende YM (1962) Adenomyosis uteri. A pathologic study of 290 cases. Am J Obstet Gynecol 84:1820–1829
Mechsner S, Schwarz J, Thode J et al (2007) Growth-associated protein 43-positive sensory nerve fibers accompanied by immature vessels are located in or near peritoneal endometriotic lesions. Fertil Steril 88(3):581–587
Ozaki T, Takahashi K, Okada M et al (1999) Live birth after conservative surgery for severe adenomyosis following magnetic resonance imaging and gonadotropin-releasing hormone agonist therapy. Int J Fertil Womens Med 44(5):260–264
Quinn M (2007) Uterine innervation in adenomyosis. J Obstet Gynaecol 27(3):287–291
Tariverdian N, Theoharides TC, Siedentopf F et al (2007) Neuroendocrine–immune disequilibrium and endometriosis: an interdisciplinary approach. Semin Immunopathol 29(2):193–210
Tokushige N, Markham R, Russell P, Fraser IS (2006) High density of small nerve fibres in the functional layer of the endometrium in women with endometriosis. Hum Reprod 21:782–787
Tokushige N, Markham R, Russell P et al (2008) Effects of hormonal treatment on nerve fibers in endometrium and myometrium in women with endometriosis. Fertil Steril 90(5):1589–1598
Vera PL, Haase EB, Schramm LP (1997) Origins of the sympathetic innervation of the cervical end of the uterus in the rat. Brain Res 747(1):140–143
Wang PH, Su WH, Sheu BC et al (2009) Adenomyosis and its variance: adenomyoma and female fertility. Taiwan J Obstet Gynecol 48(3):232–238
Weidner N, Semple JP, Welch WR et al (1991) Tumor angiogenesis and metastasis—correlation in invasive breast carcinoma. N Engl J Med 324(1):1–8
Zhang X, Lu B, Huang X et al (2009) Endometrial nerve fibers in women with endometriosis, adenomyosis, and uterine fibroids. Fertil Steril 92(5):1799–1801
Zhang X, Lu B, Huang X, Xu H, Zhou C, Lin J (2010) Innervation of endometrium and myometrium in women with painful adenomyosis and uterine fibroids. Fertil Steril 94:730–737
Zoubina EV, Smith PG (2000) Axonal degeneration and regeneration in rat uterus during the estrous cycle. Auton Neurosci 84(3):176–185
Zoubina EV, Fan Q, Smith PG (1998) Variations in uterine innervation during the estrous cycle in rat. J Comp Neurol 397(4):561–571
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Barcena de Arellano, M.L., Wagner, M.F., Oldeweme, J. et al. Neurotrophin Expression Is Not Affected in Uteri of Women with Adenomyosis. J Mol Neurosci 47, 495–504 (2012). https://doi.org/10.1007/s12031-012-9757-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12031-012-9757-x