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Peripheral Blood Biomarkers for Endometriosis

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Biomarkers for Endometriosis

Abstract

Endometriosis is a complex disease to study and diagnose. Ultrasound can be used to diagnose cysts and endometrioma but cannot rule out peritoneal endometriosis. Endometriosis is defined as endometrium outside of uterus. It is associated with infertility and pain. If we find a diagnostic test to diagnose endometriosis in blood it would be a convenient, most probably cheap test that would discriminate women who are suffering from endometriosis from those who do not. Till today, we do not have a diagnostic test for endometriosis. For women it is a heavy psychological burden, and quick diagnosis would help reduce this burden. Studies have shown that endometriosis cost arises predominantly from productivity loss and is predicted by decreased quality of life. In this chapter we describe and discuss the current status of biomarkers (miRNAs, glycoproteins, immunological, angiogenic, cell adhesion/invasion factors) of endometriosis in peripheral blood.

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Abbreviations

AUC:

Area under the curve

CA-125:

Cancer antigen

EDTA:

Ethylenediaminetetraacetic acid

EGF:

Soluble epidermal growth factor

ELISAs:

Enzyme-linked immunosorbent assays

HGF:

Hepatocyte growth factor

HIF-1 alpha:

Hypoxia-inducible factor-1 alpha

ICAM-1:

Intercellular adhesion molecule 1

IFN-Îł:

Interferon gamma

IL:

Interleukin

miRNAs:

microRNAs

MMPs:

Matrix metalloproteinase

MRI:

Magnetic resonance imaging

NPV:

Negative predictive value

PEDF:

Pigment epithelium-derived factor

PDGF:

Platelet-derived growth factor

PGF or PLGF:

Placental growth factor

SOPs:

Standard operating procedures

TNF-α:

Tumor necrosis factor

VEGF:

Vascular endothelial growth factor

VEGFR1:

Vascular endothelial growth factor receptor 1

VEGFR2:

Vascular endothelial growth factor receptor 2

WERF:

World Endometriosis Research Foundation

References

  1. Giudice LC, Kao LC. Endometriosis. Lancet. 2004;364(9447):1789–99. PubMed PMID: 15541453. Epub 2004/11/16.eng.

    Article  PubMed  Google Scholar 

  2. Meuleman C, Vandenabeele B, Fieuws S, Spiessens C, Timmerman D, D’Hooghe T. High prevalence of endometriosis in infertile women with normal ovulation and normospermic partners. Fertil Steril. 2009;92(1):68–74. PubMed PMID: 18684448. Epub 2008/08/08.eng.

    Article  PubMed  Google Scholar 

  3. Sampson JA. Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity. Am J Obstet Gynecol. 1927;14:422–69.

    Article  Google Scholar 

  4. Simoens S, Dunselman G, Dirksen C, Hummelshoj L, Bokor A, Brandes I, et al. The burden of endometriosis: costs and quality of life of women with endometriosis and treated in referral centres. Hum Reprod. 2012;27(5):1292–9. PubMed PMID: 22422778.

    Article  PubMed  Google Scholar 

  5. Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R, et al. ESHRE guideline for the diagnosis and treatment of endometriosis. Hum Reprod. 2005;20(10):2698–704. PubMed PMID: 15980014.

    Article  PubMed  Google Scholar 

  6. Moore J, Copley S, Morris J, Lindsell D, Golding S, Kennedy S. A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis. Ultrasound Obstet Gynecol. 2002;20(6):630–4. PubMed PMID: 12493057. Epub 2002/12/21.eng.

    Article  CAS  PubMed  Google Scholar 

  7. ASRM. Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertil Steril. 1997;67(5):817–21. PubMed PMID: 9130884. Epub 1997/05/01.eng.

    Article  Google Scholar 

  8. Rogers PA, D’Hooghe TM, Fazleabas A, Giudice LC, Montgomery GW, Petraglia F, et al. Defining future directions for endometriosis research: workshop report from the 2011 World Congress of Endometriosis In Montpellier, France. Reprod Sci. 2013;20(5):483–99. PubMed PMID: 23427182. Pubmed Central PMCID: 3635070.

    Article  PubMed  PubMed Central  Google Scholar 

  9. D’Hooghe TM, Mihalyi AM, Simsa P, Kyama CK, Peeraer K, De Loecker P, et al. Why we need a noninvasive diagnostic test for minimal to mild endometriosis with a high sensitivity. Gynecol Obstet Invest. 2006;62(3):136–8. PubMed PMID: 16679771. Epub 2006/05/09.eng.

    Article  PubMed  Google Scholar 

  10. May KE, Conduit-Hulbert SA, Villar J, Kirtley S, Kennedy SH, Becker CM. Peripheral biomarkers of endometriosis: a systematic review. Hum Reprod Update. 2010;16(6):651–74. PubMed PMID: 20462942. Pubmed Central PMCID: 2953938.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Signorile PG, Baldi A. Serum biomarker for diagnosis of endometriosis. J Cell Physiol. 2014;229(11):1731–5. PubMed PMID: 24648304.

    Article  CAS  PubMed  Google Scholar 

  12. Dunselman GA, Vermeulen N, Becker C, Calhaz-Jorge C, D’Hooghe T, De Bie B, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29(3):400–12. PubMed PMID: 24435778.

    Article  CAS  PubMed  Google Scholar 

  13. Fassbender A, Vodolazkaia A, Saunders P, Lebovic D, Waelkens E, De Moor B, et al. Biomarkers of endometriosis. Fertil Steril. 2013;99(4):1135–45. PubMed PMID: 23414923.

    Article  CAS  PubMed  Google Scholar 

  14. Stratton P, Winkel C, Premkumar A, Chow C, Wilson J, Hearns-Stokes R, et al. Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopathologic examination for the detection of endometriosis. Fertil Steril. 2003;79(5):1078–85. PubMed PMID: 12738499.

    Article  PubMed  Google Scholar 

  15. Hsu AL, Khachikyan I, Stratton P. Invasive and noninvasive methods for the diagnosis of endometriosis. Clin Obstet Gynecol. 2010;53(2):413–9. PubMed PMID: 20436318. Pubmed Central PMCID: 2880548.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Nnoaham KE, Hummelshoj L, Webster P, d’Hooghe T, de Cicco Nardone F, de Cicco Nardone C, et al. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil Steril. 2011;96(2):366–73.e8. PubMed PMID: 21718982. Pubmed Central PMCID: 3679489.

  17. Husby GK, Haugen RS, Moen MH. Diagnostic delay in women with pain and endometriosis. Acta Obstet Gynecol Scand. 2003;82(7):649–53. PubMed PMID: 12790847. Epub 2003/06/07.eng.

    Article  PubMed  Google Scholar 

  18. Rogers PA, D’Hooghe TM, Fazleabas A, Gargett CE, Giudice LC, Montgomery GW, et al. Priorities for endometriosis research: recommendations from an international consensus workshop. Reprod Sci. 2009;16(4):335–46. PubMed PMID: 19196878. Epub 2009/02/07.eng.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Palmer SS, Barnhart KT. Biomarkers in reproductive medicine: the promise, and can it be fulfilled? Fertil Steril. 2013;99(4):954–62. PubMed PMID: 23246448. Pubmed Central PMCID: 3602311.

    Article  PubMed  Google Scholar 

  20. Puntmann VO. How-to guide on biomarkers: biomarker definitions, validation and applications with examples from cardiovascular disease. Postgrad Med J. 2009;85(1008):538–45. PubMed PMID: 19789193.

    Article  CAS  PubMed  Google Scholar 

  21. Thambisetty M, Lovestone S. Blood-based biomarkers of Alzheimer’s disease: challenging but feasible. Biomark Med. 2010;4(1):65–79. PubMed PMID: 20387303. Pubmed Central PMCID: 2863057.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Fassbender A, Rahmioglu N, Vitonis AF, Vigano P, Giudice LC, D’Hooghe TM, et al. World Endometriosis Research Foundation Endometriosis Phenome and Biobanking Harmonisation Project: IV. Tissue collection, processing, and storage in endometriosis research. Fertil Steril. 2014;102(5):1244–53. PubMed PMID: 25256928. Pubmed Central PMCID: 4230778.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Rahmioglu N, Fassbender A, Vitonis AF, Tworoger SS, Hummelshoj L, D’Hooghe TM, et al. World Endometriosis Research Foundation Endometriosis Phenome and Biobanking Harmonization Project: III. Fluid biospecimen collection, processing, and storage in endometriosis research. Fertil Steril. 2014;102(5):1233–43. PubMed PMID: 25256929. Pubmed Central PMCID: 4230639.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Kyama CM, Debrock S, Mwenda JM, D’Hooghe TM. Potential involvement of the immune system in the development of endometriosis. Reprod Biol Endocrinol. 2003;1:123. PubMed PMID: 14651748. Pubmed Central PMCID: 305339. Epub 2003/12/04.eng.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Kabut J, Kondera-Anasz Z, Sikora J, Mielczarek-Palacz A. Levels of complement components iC3b, C3c, C4, and SC5b-9 in peritoneal fluid and serum of infertile women with endometriosis. Fertil Steril. 2007;88(5):1298–303. PubMed PMID: 17482181. Epub 2007/05/08.eng.

    Article  CAS  PubMed  Google Scholar 

  26. Meek SC, Hodge DD, Musich JR. Autoimmunity in infertile patients with endometriosis. Am J Obstet Gynecol. 1988;158(6 Pt 1):1365–73. PubMed PMID: 3132855. Epub 1988/06/01.eng.

    Article  CAS  PubMed  Google Scholar 

  27. Fassbender A, D’Hooghe T, Mihalyi A, Kyama C, Simsa P, Lessey BA. Plasma C3a-des-Arg levels in women with and without endometriosis. Am J Reprod Immunol. 2009;62(3):187–95. PubMed PMID: 19694644. Epub 2009/08/22.eng.

    Article  CAS  PubMed  Google Scholar 

  28. Borrelli GM, Abrao MS, Mechsner S. Can chemokines be used as biomarkers for endometriosis? A systematic review. Hum Reprod. 2014;29(2):253–66. PubMed PMID: 24287816.

    Article  CAS  PubMed  Google Scholar 

  29. Mihalyi A, Gevaert O, Kyama CM, Simsa P, Pochet N, De Smet F, et al. Non-invasive diagnosis of endometriosis based on a combined analysis of six plasma biomarkers. Hum Reprod. 2010;25(3):654–64. PubMed PMID: 20007161. Epub 2009/12/17.eng.

    Article  CAS  PubMed  Google Scholar 

  30. Vodolazkaia A, El-Aalamat Y, Popovic D, Mihalyi A, Bossuyt X, Kyama CM, et al. Evaluation of a panel of 28 biomarkers for the non-invasive diagnosis of endometriosis. Hum Reprod. 2012;27(9):2698–711. PubMed PMID: 22736326. Epub 2012/06/28.eng.

    Article  CAS  PubMed  Google Scholar 

  31. Pizzo A, Salmeri FM, Ardita FV, Sofo V, Tripepi M, Marsico S. Behaviour of cytokine levels in serum and peritoneal fluid of women with endometriosis. Gynecol Obstet Invest. 2002;54(2):82–7. PubMed PMID: 12566749. Epub 2003/02/05.eng.

    Article  CAS  PubMed  Google Scholar 

  32. Othman EEDR, Homung D, Salem HT, Khalifa EA, El-Metwally TH, Al-Hendy A. Serum cytokines as biomarkers for nonsurgical prediction of endometriosis. Eur J Obstet Gynecol Reprod Biol. 2008;137(2):240–6. PubMed PMID: ISI:000255626000022. English.

    Article  CAS  Google Scholar 

  33. Kalu E, Sumar N, Giannopoulos T, Patel P, Croucher C, Sherriff E, et al. Cytokine profiles in serum and peritoneal fluid from infertile women with and without endometriosis. J Obstet Gynaecol Res. 2007;33(4):490–5. PubMed PMID: 17688616. Epub 2007/08/11.eng.

    Article  CAS  PubMed  Google Scholar 

  34. Panoulis K, Nieri E, Kaparos G, Augoulea A, Logothetis E, Creatsa M, et al. The presence of CD40, CD40L and ADAM8 among endometriotic patients. Minerva Ginecol. 2011;63(2):195–201. PubMed PMID: 21508908.

    CAS  PubMed  Google Scholar 

  35. Andreoli CG, Genro VK, Souza CA, Michelon T, Bilibio JP, Scheffel C, et al. T helper (Th)1, Th2, and Th17 interleukin pathways in infertile patients with minimal/mild endometriosis. Fertil Steril. 2011;95(8):2477–80. PubMed PMID: 21392744.

    Article  CAS  PubMed  Google Scholar 

  36. He J, Liu Y, Wu J, Lubman DM. Analysis of glycoproteins for biomarker discovery. Methods Mol Biol. 2013;1002:115–22. PubMed PMID: 23625399. Pubmed Central PMCID: 4141656.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Patacchiola F, D’Alfonso A, Di Fonso A, Di Febbo G, Di Giovanni S, Carta A, et al. New horizons in the non-invasive diagnosis of endometriosis. Clin Exp Obstet Gynecol. 2013;40(4):524–30. PubMed PMID: 24597248.

    CAS  PubMed  Google Scholar 

  38. Mol BW, Bayram N, Lijmer JG, Wiegerinck MA, Bongers MY, van der Veen F, et al. The performance of CA-125 measurement in the detection of endometriosis: a meta-analysis. Fertil Steril. 1998;70(6):1101–8. PubMed PMID: 9848302. Epub 1998/12/16.eng.

    Article  CAS  PubMed  Google Scholar 

  39. Ortiz-Munoz B, Aznar-Oroval E, Garcia Garcia A, Covisa Peris A, Perez Ballestero P, Sanchez Yepes M, et al. HE4, Ca125 and ROMA algorithm for differential diagnosis between benign gynaecological diseases and ovarian cancer. Tumour Biol. 2014;35(7):7249–58. PubMed PMID: 24771264.

    Article  CAS  PubMed  Google Scholar 

  40. Barbosa CP, Souza AM, Bianco B, Christofolini D, Bach FA, Lima GR. Frequency of endometriotic lesions in peritoneum samples from asymptomatic fertile women and correlation with CA125 values. Sao Paulo Med J. 2009;127(6):342–5. PubMed PMID: 20512287.

    Article  PubMed  Google Scholar 

  41. Tokmak A, Ugur M, Tonguc E, Var T, Moraloglu O, Ozaksit G. The value of urocortin and Ca-125 in the diagnosis of endometrioma. Arch Gynecol Obstet. 2011;283(5):1075–9. PubMed PMID: 20480172.

    Article  CAS  PubMed  Google Scholar 

  42. Penninx J, Brandes M, de Bruin JP, Schneeberger PM, Hamilton CJ. Prediction of pelvic pathology in subfertile women with combined Chlamydia antibody and CA-125 tests. Eur J Obstet Gynecol Reprod Biol. 2009;147(2):178–82. PubMed PMID: 19733956.

    Article  CAS  PubMed  Google Scholar 

  43. Ramos IM, Podgaec S, Abrao MS, Oliveira R, Baracat EC. Evaluation of CA-125 and soluble CD-23 in patients with pelvic endometriosis: a case-control study. Rev Assoc Med Bras. 2012;58(1):26–32. PubMed PMID: 22392313.

    Article  PubMed  Google Scholar 

  44. Socolov R, Butureanu S, Angioni S, Sindilar A, Boiculese L, Cozma L, et al. The value of serological markers in the diagnosis and prognosis of endometriosis: a prospective case-control study. Eur J Obstet Gynecol Reprod Biol. 2011;154(2):215–7. PubMed PMID: 21075501. Epub 2010/11/16.eng.

    Article  PubMed  Google Scholar 

  45. Szubert M, Suzin J, Wierzbowski T, Kowalczyk-Amico K. CA-125 concentration in serum and peritoneal fluid in patients with endometriosis – preliminary results. Arch Med Sci. 2012;8(3):504–8. PubMed PMID: 22852007. Pubmed Central PMCID: 3400917.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Mabrouk M, Elmakky A, Caramelli E, Farina A, Mignemi G, Venturoli S, et al. Performance of peripheral (serum and molecular) blood markers for diagnosis of endometriosis. Arch Gynecol Obstet. 2012;285(5):1307–12. PubMed PMID: 22065163.

    Article  CAS  PubMed  Google Scholar 

  47. Agic A, Djalali S, Wolfler MM, Halis G, Diedrich K, Hornung D. Combination of CCR1 mRNA, MCP1, and CA125 measurements in peripheral blood as a diagnostic test for endometriosis. Reprod Sci. 2008;15(9):906–11. PubMed PMID: 19050323. Epub 2008/12/04.eng.

    Article  PubMed  Google Scholar 

  48. Ozhan E, Kokcu A, Yanik K, Gunaydin M. Investigation of diagnostic potentials of nine different biomarkers in endometriosis. Eur J Obstet Gynecol Reprod Biol. 2014;178:128–33. PubMed PMID: 24813083.

    Article  PubMed  Google Scholar 

  49. Harada T, Kubota T, Aso T. Usefulness of CA19-9 versus CA125 for the diagnosis of endometriosis. Fertil Steril. 2002;78(4):733–9. PubMed PMID: 12372448. Epub 2002/10/10.eng.

    Article  PubMed  Google Scholar 

  50. Szubert M, Suzin J, Duechler M, Szulawska A, Czyz M, Kowalczyk-Amico K. Evaluation of selected angiogenic and inflammatory markers in endometriosis before and after danazol treatment. Reprod Fertil Dev. 2014;26(3):414–20. PubMed PMID: 23544741.

    Article  CAS  PubMed  Google Scholar 

  51. Cohen JG, White M, Cruz A, Farias-Eisner R. In 2014, can we do better than CA125 in the early detection of ovarian cancer? World J Biol Chem. 2014;5(3):286–300. PubMed PMID: 25225597. Pubmed Central PMCID: 4160523.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Kitawaki J, Ishihara H, Koshiba H, Kiyomizu M, Teramoto M, Kitaoka Y, et al. Usefulness and limits of CA-125 in diagnosis of endometriosis without associated ovarian endometriomas. Hum Reprod. 2005;20(7):1999–2003. PubMed PMID: 15890727.

    Article  CAS  PubMed  Google Scholar 

  53. Xavier P, Beires J, Belo L, Rebelo I, Martinez-de-Oliveira J, Lunet N, et al. Are we employing the most effective CA 125 and CA 19-9 cut-off values to detect endometriosis? Eur J Obstet Gynecol Reprod Biol. 2005;123(2):254–5. PubMed PMID: 15893865.

    Article  PubMed  Google Scholar 

  54. Tuten A, Kucur M, Imamoglu M, Kaya B, Acikgoz AS, Yilmaz N, et al. Copeptin is associated with the severity of endometriosis. Arch Gynecol Obstet. 2014;290:75–82. PubMed PMID: 24488583.

    Article  CAS  PubMed  Google Scholar 

  55. Kocbek V, Vouk K, Mueller MD, Rizner TL, Bersinger NA. Elevated glycodelin-A concentrations in serum and peritoneal fluid of women with ovarian endometriosis. Gynecol Endocrinol. 2013;29(5):455–9. PubMed PMID: 23461865.

    Article  CAS  PubMed  Google Scholar 

  56. Seppala M, Koistinen H, Koistinen R, Dell A, Morris HR, Oehninger S, et al. Glycodelins as regulators of early events of reproduction. Clin Endocrinol (Oxf). 1997;46(4):381–6. PubMed PMID: 9196597.

    Article  CAS  Google Scholar 

  57. D’Amico F, Skarmoutsou E, Quaderno G, Malaponte G, La Corte C, Scibilia G, et al. Expression and localisation of osteopontin and prominin-1 (CD133) in patients with endometriosis. Int J Mol Med. 2013;31(5):1011–6. PubMed PMID: 23545719. Pubmed Central PMCID: 3658602.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  58. Cho S, Ahn YS, Choi YS, Seo SK, Nam A, Kim HY, et al. Endometrial osteopontin mRNA expression and plasma osteopontin levels are increased in patients with endometriosis. Am J Reprod Immunol. 2009;61(4):286–93. PubMed PMID: 19260859.

    Article  CAS  PubMed  Google Scholar 

  59. Mathur SP, Lee JH, Jiang H, Arnaud P, Rust PF. Levels of transferrin and alpha 2-HS glycoprotein in women with and without endometriosis. Autoimmunity. 1999;29(2):121–7. PubMed PMID: 10433073.

    Article  CAS  PubMed  Google Scholar 

  60. Sha G, Zhang Y, Zhang C, Wan Y, Zhao Z, Li C, et al. Elevated levels of gremlin-1 in eutopic endometrium and peripheral serum in patients with endometriosis. Fertil Steril. 2009;91(2):350–8. PubMed PMID: 18314105.

    Article  CAS  PubMed  Google Scholar 

  61. Chen L, Fan R, Huang X, Xu H, Zhang X. Reduced levels of serum pigment epithelium-derived factor in women with endometriosis. Reprod Sci. 2012;19(1):64–9. PubMed PMID: 22051848.

    Article  CAS  PubMed  Google Scholar 

  62. Florio P, Reis FM, Torres PB, Calonaci F, Abrao MS, Nascimento LL, et al. High serum follistatin levels in women with ovarian endometriosis. Hum Reprod. 2009;24(10):2600–6. PubMed PMID: 19549703.

    Article  CAS  PubMed  Google Scholar 

  63. Reis FM, Luisi S, Abrao MS, Rocha AL, Vigano P, Rezende CP, et al. Diagnostic value of serum activin A and follistatin levels in women with peritoneal, ovarian and deep infiltrating endometriosis. Hum Reprod. 2012;27(5):1445–50. PubMed PMID: 22416010.

    Article  CAS  PubMed  Google Scholar 

  64. Ferrero S, Gillott DJ, Remorgida V, Anserini P, Price K, Ragni N, et al. Haptoglobin beta chain isoforms in the plasma and peritoneal fluid of women with endometriosis. Fertil Steril. 2005;83(5):1536–43. PubMed PMID: 15866595.

    Article  CAS  PubMed  Google Scholar 

  65. Hwang JH, Lee KS, Joo JK, Wang T, Son JB, Park JH, et al. Identification of biomarkers for endometriosis in plasma from patients with endometriosis using a proteomics approach. Mol Med Rep. 2014;10(2):725–30. PubMed PMID: 24889313.

    Article  CAS  PubMed  Google Scholar 

  66. Dutta M, Subramani E, Taunk K, Gajbhiye A, Seal S, Pendharkar N, et al. Investigation of serum proteome alterations in human endometriosis. J Proteomics. 2015;114:182–96. PubMed PMID: 25449831.

    Article  CAS  PubMed  Google Scholar 

  67. Matarese G, De Placido G, Nikas Y, Alviggi C. Pathogenesis of endometriosis: natural immunity dysfunction or autoimmune disease? Trends Mol Med. 2003s;9(5):223–8. PubMed PMID: 12763528.

    Article  CAS  PubMed  Google Scholar 

  68. Huang HF, Hong LH, Tan Y, Sheng JZ. Matrix metalloproteinase 2 is associated with changes in steroid hormones in the sera and peritoneal fluid of patients with endometriosis. Fertil Steril. 2004;81(5):1235–9. PubMed PMID: 15136083.

    Article  CAS  PubMed  Google Scholar 

  69. Singh AK, Chattopadhyay R, Chakravarty B, Chaudhury K. Altered circulating levels of matrix metalloproteinases 2 and 9 and their inhibitors and effect of progesterone supplementation in women with endometriosis undergoing in vitro fertilization. Fertil Steril. 2013;100(1):127–34.e1. PubMed PMID: 23557756.

    Article  CAS  PubMed  Google Scholar 

  70. De Sanctis P, Elmakky A, Farina A, Caramelli E, Seracchioli R, Mabrouk M, et al. Matrix metalloproteinase-3 mRNA: a promising peripheral blood marker for diagnosis of endometriosis. Gynecol Obstet Invest. 2011;71(2):118–23. PubMed PMID: 21150162.

    Article  PubMed  CAS  Google Scholar 

  71. Clark DE, Smith SK, He Y, Day KA, Licence DR, Corps AN, et al. A vascular endothelial growth factor antagonist is produced by the human placenta and released into the maternal circulation. Biol Reprod. 1998;59(6):1540–8. PubMed PMID: 9828203.

    Article  CAS  PubMed  Google Scholar 

  72. Barleon B, Reusch P, Totzke F, Herzog C, Keck C, Martiny-Baron G, et al. Soluble VEGFR-1 secreted by endothelial cells and monocytes is present in human serum and plasma from healthy donors. Angiogenesis. 2001;4(2):143–54. PubMed PMID: 11806246.

    Article  CAS  PubMed  Google Scholar 

  73. Carmeliet P, Moons L, Luttun A, Vincenti V, Compernolle V, De Mol M, et al. Synergism between vascular endothelial growth factor and placental growth factor contributes to angiogenesis and plasma extravasation in pathological conditions. Nat Med. 2001;7(5):575–83. PubMed PMID: 11329059.

    Article  CAS  PubMed  Google Scholar 

  74. Gupta S, Agarwal A, Sekhon L, Krajcir N, Cocuzza M, Falcone T. Serum and peritoneal abnormalities in endometriosis: potential use as diagnostic markers. Minerva Ginecol. 2006;58(6):527–51. PubMed PMID: 17108882. Epub 2006/11/17.eng.

    CAS  PubMed  Google Scholar 

  75. Becker CM, Rohwer N, Funakoshi T, Cramer T, Bernhardt W, Birsner A, et al. 2-methoxyestradiol inhibits hypoxia-inducible factor-1{alpha} and suppresses growth of lesions in a mouse model of endometriosis. Am J Pathol. 2008;172(2):534–44. PubMed PMID: 18202195. Pubmed Central PMCID: 2312351.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Ryan HE, Lo J, Johnson RS. HIF-1 alpha is required for solid tumor formation and embryonic vascularization. EMBO J. 1998;17(11):3005–15. PubMed PMID: 9606183. Pubmed Central PMCID: 1170640.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  77. Ferrara N, Gerber HP, LeCouter J. The biology of VEGF and its receptors. Nat Med. 2003;9(6):669–76. PubMed PMID: 12778165.

    Article  CAS  PubMed  Google Scholar 

  78. Ferrara N. Vascular endothelial growth factor: basic science and clinical progress. Endocr Rev. 2004;25(4):581–611. PubMed PMID: 15294883.

    Article  CAS  PubMed  Google Scholar 

  79. Santolaya-Forgas J, Edwin S, Zeiter K, Pitt A, Pineles B, Tarca AL, et al. The timed-pregnant baboon animal model can be used for determining the role of soluble vascular endothelial growth factor receptors 1 and 2 during development. J Med Primatol. 2007;36(6):370–4. PubMed PMID: 17976042.

    Article  CAS  PubMed  Google Scholar 

  80. Matalliotakis IM, Goumenou AG, Koumantakis GE, Neonaki MA, Koumantakis EE, Dionyssopoulou E, et al. Serum concentrations of growth factors in women with and without endometriosis: the action of anti-endometriosis medicines. Int Immunopharmacol. 2003;3(1):81–9. PubMed PMID: 12538037. Epub 2003/01/23.eng.

    Article  CAS  PubMed  Google Scholar 

  81. Xavier P, Belo L, Beires J, Rebelo I, Martinez-de-Oliveira J, Lunet N, et al. Serum levels of VEGF and TNF-alpha and their association with C-reactive protein in patients with endometriosis. Arch Gynecol Obstet. 2006;273(4):227–31. PubMed PMID: 16208475. Epub 2005/10/07.eng.

    Article  CAS  PubMed  Google Scholar 

  82. Bourlev V, Iljasova N, Adamyan L, Larsson A, Olovsson M. Signs of reduced angiogenic activity after surgical removal of deeply infiltrating endometriosis. Fertil Steril. 2010;94(1):52–7. PubMed PMID: 19324337. Epub 2009/03/28.eng.

    Article  CAS  PubMed  Google Scholar 

  83. Oliveira VA, Abreu LG, Ferriani RA, Reis RM, Moura MD. Vascular endothelial growth factor in the plasma, follicular fluid and granulosa cells of women with endometriosis submitted to in vitro fertilization—a pilot study. Gynecol Endocrinol. 2005;20(5):284–8. PubMed PMID: 16019375.

    Article  CAS  PubMed  Google Scholar 

  84. Gagne D, Rivard M, Page M, Lepine M, Platon C, Shazand K, et al. Development of a nonsurgical diagnostic tool for endometriosis based on the detection of endometrial leukocyte subsets and serum CA-125 levels. Fertil Steril. 2003;80(4):876–85. PubMed PMID: 14556806. Epub 2003/10/15.eng.

    Article  PubMed  Google Scholar 

  85. Pupo-Nogueira A, de Oliveira RM, Petta CA, Podgaec S, Dias JA Jr, Abrao MS. Vascular endothelial growth factor concentrations in the serum and peritoneal fluid of women with endometriosis. Int J Gynaecol Obstet. 2007;99(1):33–7. PubMed PMID: 17602688. Epub 2007/07/03.eng.

    Article  CAS  PubMed  Google Scholar 

  86. Mohamed ML, El Behery MM, Mansour SA. Comparative study between VEGF-A and CA-125 in diagnosis and follow-up of advanced endometriosis after conservative laparoscopic surgery. Arch Gynecol Obstet. 2013;287(1):77–82. PubMed PMID: 22930151.

    Article  CAS  PubMed  Google Scholar 

  87. Zong LL, Li YL, Ha XQ. Determination of HGF concentration in serum and peritoneal fluid in women with endometriosis. Acad J First Med Coll PLA. 2003;23(8):757–60. PubMed PMID: 12919890.

    CAS  Google Scholar 

  88. Khan KN, Masuzaki H, Fujishita A, Kitajima M, Hiraki K, Miura S, et al. Peritoneal fluid and serum levels of hepatocyte growth factor may predict the activity of endometriosis. Acta Obstet Gynecol Scand. 2006;85(4):458–66. PubMed PMID: 16612709.

    Article  CAS  PubMed  Google Scholar 

  89. Baranov VS, Ivaschenko TE, Liehr T, Yarmolinskaya MI. Systems genetics view of endometriosis: a common complex disorder. Eur J Obstet Gynecol Reprod Biol. 2014;185C:59–65. PubMed PMID: 25528731.

    Google Scholar 

  90. Ohlsson Teague EM, Van der Hoek KH, Van der Hoek MB, Perry N, Wagaarachchi P, Robertson SA, et al. MicroRNA-regulated pathways associated with endometriosis. Mol Endocrinol. 2009;23(2):265–75. PubMed PMID: 19074548.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  91. Santamaria X, Taylor H. MicroRNA and gynecological reproductive diseases. Fertil Steril. 2014;101(6):1545–51. PubMed PMID: 24882618.

    Article  CAS  PubMed  Google Scholar 

  92. Jia SZ, Yang Y, Lang J, Sun P, Leng J. Plasma miR-17-5p, miR-20a and miR-22 are down-regulated in women with endometriosis. Hum Reprod. 2013;28(2):322–30. PubMed PMID: 23203215.

    Article  CAS  PubMed  Google Scholar 

  93. de Planell-Saguer M, Rodicio MC. Analytical aspects of microRNA in diagnostics: a review. Anal Chim Acta. 2011;699(2):134–52. PubMed PMID: 21704768.

    Article  PubMed  CAS  Google Scholar 

  94. Aznaurova YB, Zhumataev MB, Roberts TK, Aliper AM, Zhavoronkov AA. Molecular aspects of development and regulation of endometriosis. Reprod Biol Endocrinol. 2014;12:50. PubMed PMID: 24927773. Pubmed Central PMCID: 4067518.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  95. Hull ML, Nisenblat V. Tissue and circulating microRNA influence reproductive function in endometrial disease. Reprod Biomed Online. 2013;27(5):515–29. PubMed PMID: 24055529.

    Article  PubMed  CAS  Google Scholar 

  96. Wang WT, Zhao YN, Han BW, Hong SJ, Chen YQ. Circulating microRNAs identified in a genome-wide serum microRNA expression analysis as noninvasive biomarkers for endometriosis. J Clin Endocrinol Metab. 2013;98(1):281–9. PubMed PMID: 23118427.

    Article  CAS  PubMed  Google Scholar 

  97. Suryawanshi S, Vlad AM, Lin HM, Mantia-Smaldone G, Laskey R, Lee M, et al. Plasma microRNAs as novel biomarkers for endometriosis and endometriosis-associated ovarian cancer. Clin Cancer Res. 2013;19(5):1213–24. PubMed PMID: 23362326. Pubmed Central PMCID: 3596045.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  98. McDonald JS, Milosevic D, Reddi HV, Grebe SK, Algeciras-Schimnich A. Analysis of circulating microRNA: preanalytical and analytical challenges. Clin Chem. 2011;57(6):833–40. PubMed PMID: 21487102.

    Article  CAS  PubMed  Google Scholar 

  99. Mitchell PS, Parkin RK, Kroh EM, Fritz BR, Wyman SK, Pogosova-Agadjanyan EL, et al. Circulating microRNAs as stable blood-based markers for cancer detection. Proc Natl Acad Sci U S A. 2008;105(30):10513–8. PubMed PMID: 18663219. Pubmed Central PMCID: 2492472.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  100. Wang K, Yuan Y, Cho JH, McClarty S, Baxter D, Galas DJ. Comparing the MicroRNA spectrum between serum and plasma. PLoS One. 2012;7(7):e41561. PubMed PMID: 22859996. Pubmed Central PMCID: 3409228.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  101. Kuokkanen S, Chen B, Ojalvo L, Benard L, Santoro N, Pollard JW. Genomic profiling of microRNAs and messenger RNAs reveals hormonal regulation in microRNA expression in human endometrium. Biol Reprod. 2010;82(4):791–801. PubMed PMID: 19864316. Pubmed Central PMCID: 2842492.

    Article  CAS  PubMed  Google Scholar 

  102. Wallace M, Hashim YZ, Wingfield M, Culliton M, McAuliffe F, Gibney MJ, et al. Effects of menstrual cycle phase on metabolomic profiles in premenopausal women. Hum Reprod. 2010;25(4):949–56. PubMed PMID: 20150174. Epub 2010/02/13.eng.

    Article  CAS  PubMed  Google Scholar 

  103. Khanaki K, Nouri M, Ardekani AM, Ghassemzadeh A, Shahnazi V, Sadeghi MR, et al. Evaluation of the relationship between endometriosis and omega-3 and omega-6 polyunsaturated fatty acids. Iran Biomed J. 2012;16(1):38–43. PubMed PMID: 22562031. Pubmed Central PMCID: 3614254.

    CAS  PubMed  PubMed Central  Google Scholar 

  104. Vouk K, Hevir N, Ribic-Pucelj M, Haarpaintner G, Scherb H, Osredkar J, et al. Discovery of phosphatidylcholines and sphingomyelins as biomarkers for ovarian endometriosis. Hum Reprod. 2012;27(10):2955–65. PubMed PMID: 22859507.

    Article  CAS  PubMed  Google Scholar 

  105. Dutta M, Joshi M, Srivastava S, Lodh I, Chakravarty B, Chaudhury K. A metabonomics approach as a means for identification of potential biomarkers for early diagnosis of endometriosis. Mol Biosyst. 2012;8(12):3281–7. PubMed PMID: 23079773.

    Article  CAS  PubMed  Google Scholar 

  106. Ballard KD, Seaman HE, de Vries CS, Wright JT. Can symptomatology help in the diagnosis of endometriosis? Findings from a national case-control study—part 1. BJOG. 2008;115(11):1382–91. PubMed PMID: 18715240.

    Article  CAS  PubMed  Google Scholar 

  107. Fraser IS, Critchley HO, Munro MG, Broder M, Writing Group for this Menstrual Agreement Process. A process designed to lead to international agreement on terminologies and definitions used to describe abnormalities of menstrual bleeding. Fertil Steril. 2007;87(3):466–76. PubMed PMID: 17362717.

    Article  PubMed  Google Scholar 

  108. Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am. 1997;24(2):235–58. PubMed PMID: 9163765. Epub 1997/06/01.eng.

    Article  CAS  PubMed  Google Scholar 

  109. Barbieri RL. Stenosis of the external cervical os: an association with endometriosis in women with chronic pelvic pain. Fertil Steril. 1998;70(3):571–3. PubMed PMID: 9757894.

    Article  CAS  PubMed  Google Scholar 

  110. Eskenazi B, Warner M, Bonsignore L, Olive D, Samuels S, Vercellini P. Validation study of nonsurgical diagnosis of endometriosis. Fertil Steril. 2001;76(5):929–35. PubMed PMID: 11704113.

    Article  CAS  PubMed  Google Scholar 

  111. Nnoaham KE, Hummelshoj L, Kennedy SH, Jenkinson C, Zondervan KT, World Endometriosis Research Foundation Women’s Health Symptom Survey Consortium. Developing symptom-based predictive models of endometriosis as a clinical screening tool: results from a multicenter study. Fertil Steril. 2012;98(3):692–701.e5. PubMed PMID: 22657249.

    Article  PubMed  PubMed Central  Google Scholar 

  112. Fassbender A, O D DMB, Waelkens E, Meuleman C, Tomassetti C, et al. Biomarkers of endometriosis. In: Harada TE, editor. Pathogenesis and treatment. Berlin: Springer; 2014.

    Google Scholar 

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Fassbender, A., O, D., Becker, C.M., D’Hooghe, T. (2017). Peripheral Blood Biomarkers for Endometriosis. In: D'Hooghe, T. (eds) Biomarkers for Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-319-59856-7_7

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