Inverse correlation between peritoneal fluid leptin concentrations and the extent of endometriosis.
BACKGROUND
The role of leptin in reproductive processes has received increasing attention. Because leptin has intrinsic angiogenic properties, may be induced by inflammatory cytokines and induces matrix metalloproteinases, we examined peritoneal fluid (PF) leptin concentrations in women with endometriosis.


METHODS
PF samples were collected from 60 women undergoing laparoscopy for endometriosis, and 18 controls undergoing tubal sterilization. Fifty of the women with endometriosis had received no prior hormonal treatment, while 10 with moderate- severe endometriosis were using GnRH agonists.


RESULTS
Women with untreated endometriosis had significantly higher (mean +/- SD) PF leptin levels (34.9 +/- 7.9 ng/ml) than controls (17.9 +/- 4.1 ng/ml; P < 0.001). However, PF leptin levels were inversely correlated with the stage of disease (r = -0.62; P < 0.001). Nevertheless, women with stage III-IV endometriosis maintained significantly higher PF leptin levels (26.3 +/- 4.8 ng/ml; P < 0.001) than controls. Although PF leptin levels were significantly higher in the secretory versus proliferative phase of the menstrual cycle, they remained higher in both phases in women with untreated endometriosis. PF leptin levels in women on GnRH agonists were similar to controls.


CONCLUSIONS
PF leptin levels are elevated in women with endometriosis, but inversely correlated with extent of disease. These findings suggest a potential role for leptin in the pathogenesis of peritoneal endometriosis.
Mahutte
Neal G
NG
Yale University School of Medicine, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, New Haven, CT 06520-8063, USA.
Matalliotakis
Ioannis M
IM
Goumenou
Anastasia G
AG
Vassiliadis
Simon
S
Koumantakis
Georgios E
GE
Arici
Aydin
A
D000328:Adult; D001202:Ascitic Fluid / Q000737:chemistry*; D004715:Endometriosis / Q000378:metabolism* / Q000473:pathology*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000378:metabolism; D010535:Laparoscopy; D020738:Leptin / Q000032:analysis*; D008597:Menstrual Cycle; D017699:Pelvic Pain
D020738:Leptin