2014, Número 11
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Ginecol Obstet Mex 2014; 82 (11)
Endometriosis: ¿por qué no la elimina el sistema inmunológico?
Barañao RI
Idioma: Español
Referencias bibliográficas: 44
Paginas: 755-763
Archivo PDF: 555.83 Kb.
RESUMEN
La endometriosis es una afección inflamatoria dependiente de estrógenos
que se caracteriza por la coexistencia de tejido endometrial fuera
de la cavidad uterina. Los síntomas más comunes de la endometriosis
son el dolor pélvico y la infertilidad. El dolor intenso puede afectar la
calidad de vida de la mujer. Aproximadamente 10% de las mujeres
en edad reproductiva tienen endometriosis. El principal objetivo de
este trabajo es exponer las alteraciones del sistema inmunológico en
pacientes con endometriosis que impiden la eliminación del tejido
endometrial ectópico. Se describen algunas de las alteraciones en los
distintos tipos de leucocitos, citocinas y factores reguladores de la
respuesta inmunológica coexistentes en pacientes con endometriosis
y los mecanismos por los que estas alteraciones no sólo favorecen la
“tolerancia inmunológica” hacia los implantes endometriósicos sino
que, por el contrario, favorecen la progresión de la enfermedad al estimular
la proliferación y angiogénesis e inhibir la apoptosis del tejido
endometrial ectópico.
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