Immunohistochemical characterization of endometrial leucocytes in endometritis
Aims: Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial leucocytes in established cases of endometritis in order to determine whether there are objective characteristics of the leucocyte infiltrate which...
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| Vydané v: | Histopathology Ročník 45; číslo 6; s. 625 - 632 |
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| Hlavní autori: | , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Oxford, UK
Blackwell Science Ltd
01.12.2004
Blackwell |
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| ISSN: | 0309-0167, 1365-2559 |
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| Abstract | Aims: Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial leucocytes in established cases of endometritis in order to determine whether there are objective characteristics of the leucocyte infiltrate which would allow its identification as part of an inflammatory process rather then the normal physiological leucocyte infiltrate.
Methods and results: We examined endometrial tissue from 79 cases of endometritis and 22 histologically normal controls. Leucocytes were characterized immunohistochemically for CD45, CD20, CD68, CD3 and CD56 and numbers were analysed semiquantitatively on a scale of 0–4. In many endometritis cases the overall number of leucocytes was increased. Furthermore, leucocytes were unusually distributed with a tendency to accumulate superficially beneath the endometrial surface. Whilst numbers of macrophages, T lymphocytes and endometrial granulated lymphocytes (uterine natural killer cells) did not differ between endometritis samples and controls, most endometritis cases contained a substantially increased number of B cells, which normally represent 1% or less of the endometrial leucocyte population. B lymphocytes were also observed in unusual locations such as intraepithelially and within glandular lumina.
Conclusions: These results suggest that immunohistochemical characterization of endometrial leucocytes may be helpful in establishing a diagnosis of endometritis in equivocal cases. |
|---|---|
| AbstractList | Aims:
Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial leucocytes in established cases of endometritis in order to determine whether there are objective characteristics of the leucocyte infiltrate which would allow its identification as part of an inflammatory process rather then the normal physiological leucocyte infiltrate.
Methods and results:
We examined endometrial tissue from 79 cases of endometritis and 22 histologically normal controls. Leucocytes were characterized immunohistochemically for CD45, CD20, CD68, CD3 and CD56 and numbers were analysed semiquantitatively on a scale of 0–4. In many endometritis cases the overall number of leucocytes was increased. Furthermore, leucocytes were unusually distributed with a tendency to accumulate superficially beneath the endometrial surface. Whilst numbers of macrophages, T lymphocytes and endometrial granulated lymphocytes (uterine natural killer cells) did not differ between endometritis samples and controls, most endometritis cases contained a substantially increased number of B cells, which normally represent 1% or less of the endometrial leucocyte population. B lymphocytes were also observed in unusual locations such as intraepithelially and within glandular lumina.
Conclusions:
These results suggest that immunohistochemical characterization of endometrial leucocytes may be helpful in establishing a diagnosis of endometritis in equivocal cases. Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial leucocytes in established cases of endometritis in order to determine whether there are objective characteristics of the leucocyte infiltrate which would allow its identification as part of an inflammatory process rather then the normal physiological leucocyte infiltrate.AIMSLeucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial leucocytes in established cases of endometritis in order to determine whether there are objective characteristics of the leucocyte infiltrate which would allow its identification as part of an inflammatory process rather then the normal physiological leucocyte infiltrate.We examined endometrial tissue from 79 cases of endometritis and 22 histologically normal controls. Leucocytes were characterized immunohistochemically for CD45, CD20, CD68, CD3 and CD56 and numbers were analysed semiquantitatively on a scale of 0-4. In many endometritis cases the overall number of leucocytes was increased. Furthermore, leucocytes were unusually distributed with a tendency to accumulate superficially beneath the endometrial surface. Whilst numbers of macrophages, T lymphocytes and endometrial granulated lymphocytes (uterine natural killer cells) did not differ between endometritis samples and controls, most endometritis cases contained a substantially increased number of B cells, which normally represent 1% or less of the endometrial leucocyte population. B lymphocytes were also observed in unusual locations such as intraepithelially and within glandular lumina.METHODS AND RESULTSWe examined endometrial tissue from 79 cases of endometritis and 22 histologically normal controls. Leucocytes were characterized immunohistochemically for CD45, CD20, CD68, CD3 and CD56 and numbers were analysed semiquantitatively on a scale of 0-4. In many endometritis cases the overall number of leucocytes was increased. Furthermore, leucocytes were unusually distributed with a tendency to accumulate superficially beneath the endometrial surface. Whilst numbers of macrophages, T lymphocytes and endometrial granulated lymphocytes (uterine natural killer cells) did not differ between endometritis samples and controls, most endometritis cases contained a substantially increased number of B cells, which normally represent 1% or less of the endometrial leucocyte population. B lymphocytes were also observed in unusual locations such as intraepithelially and within glandular lumina.These results suggest that immunohistochemical characterization of endometrial leucocytes may be helpful in establishing a diagnosis of endometritis in equivocal cases.CONCLUSIONSThese results suggest that immunohistochemical characterization of endometrial leucocytes may be helpful in establishing a diagnosis of endometritis in equivocal cases. Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial leucocytes in established cases of endometritis in order to determine whether there are objective characteristics of the leucocyte infiltrate which would allow its identification as part of an inflammatory process rather then the normal physiological leucocyte infiltrate. We examined endometrial tissue from 79 cases of endometritis and 22 histologically normal controls. Leucocytes were characterized immunohistochemically for CD45, CD20, CD68, CD3 and CD56 and numbers were analysed semiquantitatively on a scale of 0-4. In many endometritis cases the overall number of leucocytes was increased. Furthermore, leucocytes were unusually distributed with a tendency to accumulate superficially beneath the endometrial surface. Whilst numbers of macrophages, T lymphocytes and endometrial granulated lymphocytes (uterine natural killer cells) did not differ between endometritis samples and controls, most endometritis cases contained a substantially increased number of B cells, which normally represent 1% or less of the endometrial leucocyte population. B lymphocytes were also observed in unusual locations such as intraepithelially and within glandular lumina. These results suggest that immunohistochemical characterization of endometrial leucocytes may be helpful in establishing a diagnosis of endometritis in equivocal cases. Aims: Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial leucocytes in established cases of endometritis in order to determine whether there are objective characteristics of the leucocyte infiltrate which would allow its identification as part of an inflammatory process rather then the normal physiological leucocyte infiltrate. Methods and results: We examined endometrial tissue from 79 cases of endometritis and 22 histologically normal controls. Leucocytes were characterized immunohistochemically for CD45, CD20, CD68, CD3 and CD56 and numbers were analysed semiquantitatively on a scale of 0–4. In many endometritis cases the overall number of leucocytes was increased. Furthermore, leucocytes were unusually distributed with a tendency to accumulate superficially beneath the endometrial surface. Whilst numbers of macrophages, T lymphocytes and endometrial granulated lymphocytes (uterine natural killer cells) did not differ between endometritis samples and controls, most endometritis cases contained a substantially increased number of B cells, which normally represent 1% or less of the endometrial leucocyte population. B lymphocytes were also observed in unusual locations such as intraepithelially and within glandular lumina. Conclusions: These results suggest that immunohistochemical characterization of endometrial leucocytes may be helpful in establishing a diagnosis of endometritis in equivocal cases. Aims:Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial leucocytes in established cases of endometritis in order to determine whether there are objective characteristics of the leucocyte infiltrate which would allow its identification as part of an inflammatory process rather then the normal physiological leucocyte infiltrate. Methods and results:We examined endometrial tissue from 79 cases of endometritis and 22 histologically normal controls. Leucocytes were characterized immunohistochemically for CD45, CD20, CD68, CD3 and CD56 and numbers were analysed semiquantitatively on a scale of 0-4. In many endometritis cases the overall number of leucocytes was increased. Furthermore, leucocytes were unusually distributed with a tendency to accumulate superficially beneath the endometrial surface. Whilst numbers of macrophages, T lymphocytes and endometrial granulated lymphocytes (uterine natural killer cells) did not differ between endometritis samples and controls, most endometritis cases contained a substantially increased number of B cells, which normally represent 1% or less of the endometrial leucocyte population. B lymphocytes were also observed in unusual locations such as intraepithelially and within glandular lumina. Conclusions:These results suggest that immunohistochemical characterization of endometrial leucocytes may be helpful in establishing a diagnosis of endometritis in equivocal cases. |
| Author | Innes, B A Tijani, S Cochrane, H R Disep, B Bulmer, J N |
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| Keywords | Characterization Human Immunohistochemistry Anatomic pathology Leukocyte endometrial leucocytes Female genital system human endometrium Uterine diseases Endometritis Endometrium Female genital diseases |
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| References_xml | – reference: Euscher E, Nuovo GJ. Detection of kappa- and lambda- expressing cells in the endometrium by in-situ hybridization. Int. J. Gynaecol. Pathol. 2002; 21; 383-390.DOI: 10.1097/00004347-200210000-00008 – reference: Bulmer JN, Morrison L, Longfellow M et al. Granulated lymphocytes in human endometrium: histochemical and immunhistochemical studies. Hum. Reprod. 1991; 6; 791-798. – reference: Hachisuga T, Koichi F, Nakamura S et al. Local immune response in endometrial carcinomas. Brit. J. Obstet. Gynaecol. 1997; 104; 110-114. – reference: Vassilidou N, Bulmer JN. Quantitative analysis of T-lymphocyte subsets in pregnant and non-pregnant human endometrium. Biol. Reprod. 1996; 55; 1017-1022. – reference: Johnstone FD, Williams ARW, Bird GA et al. Immunhistochemical characterization of endometrial lymphoid populations in women infected with human immunodeficiency virus. Obstet. Gynaecol. 1994; 83; 586-593. – reference: King A, Wellings V, Gardner L et al. Immunohistochemical characterization of the unusual large granular lymphocytes in human endometrium throughout the menstrual cycle. Hum. Immunol. 1989; 24; 195-205.DOI: 10.1016/0198-8859(89)90060-8 – reference: Starkey PM, Clover LM, Rees MCP. Variation during menstrual cycle of immune cell populations in human endometrium. Eur. J. Obstet. Gynaecol. Reprod. Biol. 1991; 39; 203-207. – reference: Pace D, Longfellow M, Bulmer JN. Characterization of intraepithelial lymphocytes in human endometrium. Hum. Reprod. 1991; 6; 791-798. – reference: Haller H, Radillo O, Rukavina D et al. An immunhistochemical study of leucocytes in human endometrium, first and third trimester basal deciduas. J. Reprod. Immunol. 1993; 23; 41-49.DOI: 10.1016/0165-0378(93)90025-D – reference: Noyes RW, Hertig AT, Rock J. Dating the endometrial biopsy. Fertil. Steril. 1950; 1; 3-25. – reference: Morris H, Edwards J, Tiltman A et al. Endometroid lymphoid tissue: an immunhistological study. J. Clin. Pathol. 1985; 38; 644-652. – reference: Klentzeris LD, Bulmer JN, Warren A et al. Endometrial lymphoid tissue in the timed endometrial biopsy: morphometric and immunhistochemical aspects. Am. J. Obstet. Gynaecol. 1992; 167; 667-674. – reference: Kamat BR, Isaacson P. The immunhistochemical distribution of leucocyte subpopulations in human endometrium. Am. J. Pathol. 1986; 127; 66-73. – reference: Lachapelle MH, Miron P, Hemmings R et al. Endometrial T, B, and NK cells in patients with recurrent spontaneous abortion. J. Immunol. 1996; 156; 4027-4043. – reference: Yeaman GR, Guyre P, Fanger M. Unique CD8+ T cell-rich lymphoid aggregates in human endometrium. J. Leukoc. Biol. 1997; 61; 427-435. – reference: Poropatich C, Rojas M, Silverberg S. Polymorphnuclear leucocytes in the endometrium during the normal menstrual cycle. Int. J. Gynaecol. Pathol. 1987; 6; 230-234. – reference: Bulmer JN, Lunny DP, Hagin SV. 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| Snippet | Aims: Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial... Aims: Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial... Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial leucocytes in... Aims:Leucocytes are a normal and variable component of the endometrial stromal cell population. The aim of this study was to characterize endometrial... |
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| SubjectTerms | Antigens, CD - analysis Antigens, CD20 - analysis Antigens, Differentiation, Myelomonocytic - analysis Bacterial diseases Bacterial diseases of the genital system Biological and medical sciences CD3 Complex - analysis CD56 Antigen - analysis Cell Count endometrial leucocytes endometritis Endometritis - metabolism Endometritis - pathology Endometrium - pathology Female Human bacterial diseases human endometrium Humans Immunohistochemistry Infectious diseases Investigative techniques, diagnostic techniques (general aspects) Leukocyte Common Antigens - analysis Leukocytes - chemistry Leukocytes - pathology Leukosialin Macrophages - chemistry Macrophages - pathology Medical sciences Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Sialoglycoproteins - analysis T-Lymphocytes - chemistry T-Lymphocytes - pathology |
| Title | Immunohistochemical characterization of endometrial leucocytes in endometritis |
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