Endometriosis Knowledgebase


A repository for genes associated with endometriosis

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PMID 18775079
Gene Name TLR4
Condition Endometriosis
Association Associated
Sex Female
Associated genes TLR3, TLR4
Other associated phenotypes Endometriosis, endometrial cancer
TLR3 and TLR4 expression in healthy and diseased human endometrium.

Reprod Biol Endocrinol. 2008 Sep 7;6:40. doi: 10.1186/1477-7827-6-40.

Allhorn, Svenja| Boing, Carsten| Koch, Andrea A| Kimmig, Rainer| Gashaw, Isabella

Institute of Anatomy II, University of Duisburg-Essen, Essen, Germany.

BACKGROUND: Toll-like receptors (TLRs) play an essential role in the innate immune system by initiating and directing immune response to pathogens. TLRs are expressed in the human endometrium and their regulation might be crucial for the pathogenesis of endometrial diseases. METHODS: TLR3 and TLR4 expression was investigated during the menstrual cycle and in postmenopausal endometrium considering peritoneal endometriosis, hyperplasia, and endometrial adenocarcinoma specimens (grade 1 to 3). The expression studies applied quantitative RT-PCR and immunolabelling of both proteins. RESULTS: TLR3 and TLR4 proteins were mostly localised to the glandular and luminal epithelium. In addition, TLR4 was present on endometrial dendritic cells, monocytes and macrophages. TLR3 and TLR4 mRNA levels did not show significant changes during the menstrual cycle. In patients with peritoneal endometriosis, TLR3 and TLR4 mRNA expression decreased significantly in proliferative diseased endometrium compared to controls. Interestingly, ectopic endometriotic lesions showed a significant increase of TLR3 und TLR4 mRNA expression compared to corresponding eutopic tissues, indicating a local gain of TLR expression. Endometrial hyperplasia and adenocarcinoma revealed significantly reduced receptor levels when compared with postmenopausal controls. The lowest TLR expression levels were determined in poor differentiated carcinoma (grade 3). CONCLUSION: Our data suggest an involvement of TLR3 and TLR4 in endometrial diseases as demonstrated by altered expression levels in endometriosis and endometrial cancer.

Mesh Terms: Adenocarcinoma/metabolism| Adult| Aged| Endometrial Neoplasms/metabolism| Endometriosis/metabolism| Endometrium/*metabolism| Female| Gene Expression Regulation| Humans| Menstrual Cycle/physiology| Middle Aged| Postmenopause| RNA, Messenger/met