Prospective explorative study.
Academic tertiary care center.
Eighty symptomatic patients scheduled for laparoscopy for the diagnosis and/or therapy of endometriosis.
Aspiration of PF samples during laparoscopy.
Hemopexin and heme concentration in PF.
At laparoscopy, 47 of 80 (58.8 % ) patients exhibited endometriosis, and 33 (41.2 % ) were proven disease-free (CO). By means of ELISA significantly lower concentrations of hemopexin in the samples from patients with endometriosis (endometriosis 0.377 ¡À 0.16 mg/mL) compared with controls (disease-free 0.479 ¡À 0.20 mg/mL) could be demonstrated. Heme levels in the samples were not significantly different between groups (endometriosis 9.130 ¡À 6.124 ¦ÌM and disease-free 9.990 ¡À 4.485 ¦ÌM). There was no significant correlation between heme and hemopexin levels (Pearson's correlation coefficient r = ?0.146). Demographic data between the groups were comparable.
These data provide further evidence that hemopexin is significantly down-regulated in PF samples from patients with endometriosis compared with controls. This study confirms recent findings in two-dimensional gel electrophoresis demonstrating a down-regulation of hemopexin in PF from patients with endometriosis in a larger series of samples.