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Study of intrauterine microbial colonization in women with endometriosis

Research Project

Project/Area Number 15K10675
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

Khan Khaleque  京都府立医科大学, 医学(系)研究科(研究院), 准教授 (60336162)

Co-Investigator(Kenkyū-buntansha) 北島 道夫  長崎大学, 病院(医学系), 講師 (50380845)
Research Collaborator Fujishita Akira  済生会長崎院, 婦人科, 部長 (70190030)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords子宮内膜症 / 月経血 / 腹水 / Toll様受容体4 / 細菌汚染仮説 / GnRHa / endometriosis / bacteria / peritoneal fluid / antibiotics
Outline of Final Research Achievements

We investigated microbial colonization in intrauterine environment and cystic fluid of women with and without endometriosis. 16S rDNA metagenome sequence analysis was done by Illumina Miseq system. 16S metagenome assay in endometrial swabs indicated that proportion of Lactobacillacae was significantly decreased (P<0.01) and of Streptococcaceae, Staphylococaceae, Enterobacteriaceae was significantly increased (P<0.05 for each) in GnRHa-treated women with endometriosis than in GnRHa-untreated women. A significantly higher percentage of Streptococcaceae (P<0.01) and Staphylococaceae (P<0.05) were found in the cystic fluid derived from women with ovarian endometrioma comparing to that in cystic fluid collected from non-endometrioma cysts. These findings indicate the occurrence of sub-clinical infection in intrauterine environment and in the cystic fluid of ovarian endometrioma.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (16 results)

All 2017 2016 2015

All Journal Article (5 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 5 results,  Acknowledgement Compliant: 4 results,  Open Access: 2 results) Presentation (10 results) (of which Int'l Joint Research: 2 results,  Invited: 9 results) Book (1 results)

  • [Journal Article] Molecular detection of intrauterine microbial colonization in women with endometriosis2016

    • Author(s)
      Khan KN, Fujishita A, Masumoto H, Muto H, Kitajima M, Masuzaki H, Kitawaki J
    • Journal Title

      Eur J Obstet Gynecol Reprod Biol

      Volume: 199 Pages: 69-75

    • Related Report
      2016 Research-status Report 2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Biological differences between functionalis and basalis endometria in women with and without adenomyosis2016

    • Author(s)
      Khan KN, Fujishita A, Kitajima M, Masuzaki H, Nakashima M, Kitawaki J
    • Journal Title

      Eur J Obstet Gynecol Reprod Biol

      Volume: 203 Pages: 49-55

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Biological differences between functionalis and basalis endometria in women with and without adenomyosis2016

    • Author(s)
      Khan KN, Fujishita A, Kitajima M, Masuzaki H, Nakashima M, Kitawaki J.
    • Journal Title

      Eur J Obstet GYnecol REprod Biol

      Volume: in press Pages: 49-55

    • DOI

      10.1016/j.ejogrb.2016.05.012

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Role of bacterial contamination in endometriosis2016

    • Author(s)
      Khan KN, Kitajima M, Fujishita A, Nakashima M, Masuzaki H, Kitawaki J.
    • Journal Title

      J Endo Pelvic Pain Disorder

      Volume: in press Issue: 1 Pages: 2-7

    • DOI

      10.5301/je.5000229

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Involvement of hepatocyte growth factor-induced epithelial-mesenchymal transition in human adenomyosis2015

    • Author(s)
      Khan KN, Nakashima M, et al
    • Journal Title

      Biol Reprod

      Volume: 92 Issue: 2 Pages: 35-35

    • DOI

      10.1095/biolreprod.114.124891

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Endometriosis:current and future treatment2017

    • Author(s)
      Khan KN
    • Organizer
      The 3rd AMISU International Conference
    • Place of Presentation
      Prachinburi, Thailand
    • Year and Date
      2017-03-28
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Adolescent endometriosis: current status and its problems in Asia2017

    • Author(s)
      han KN, Fujishita A, Kitajima Y, Kitawaki J
    • Organizer
      The 38th Japan Endometriosis Congress
    • Place of Presentation
      Tokyo, Japan
    • Year and Date
      2017-01-21
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] Endometriosis and adenomyosis: two enigmatic diseases still need to chase2016

    • Author(s)
      Khan KN
    • Organizer
      Educational lecture at Zhejiang University
    • Place of Presentation
      Hangzhou, PR China
    • Year and Date
      2016-11-15
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] Visible and invisible endometriosis2016

    • Author(s)
      Khan KN
    • Organizer
      The Annual Meeting of Reproductive Medicine
    • Place of Presentation
      Wenzhou, PR China
    • Year and Date
      2016-10-25
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] Subsequent treatment for the patients with endometriosis recurrence2016

    • Author(s)
      Khan KN
    • Organizer
      China-Japan Exchange Summit
    • Place of Presentation
      Beijing, PR China
    • Year and Date
      2016-10-22
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] GnRHa療法が子宮腔内への細菌コンタミネーションおよび子宮内膜炎の発生に及ぼす影響2016

    • Author(s)
      カーン カレク,北島道夫,平木宏一,藤下 晃, 増崎英明, 北脇 城
    • Organizer
      第 37回エンドメトリオーシス学会
    • Place of Presentation
      熊本
    • Year and Date
      2016-01-23
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] Role of EMT in adenomyosis2015

    • Author(s)
      Khan KN, Kitajima M, Hiraki K, Fujishita A, Nakashima M, Masuzaki H
    • Organizer
      The 1st Symposium on Reproductive Diseases
    • Place of Presentation
      Bangkok, Thailand
    • Year and Date
      2015-12-12
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 子宮内膜症腹膜病変の形成におけるFOXP3+Treg細胞の役割2015

    • Author(s)
      カーン カレク,北島道夫,井上統夫1,平木宏一、藤下 晃、増崎英明
    • Organizer
      第30回日本生殖免疫学会
    • Place of Presentation
      熊本
    • Year and Date
      2015-11-21
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 子宮腺筋症の病態とEpithelial-Mesenchymal Transition (EMT):hepatocyte growth factor (HGF)とエストロゲンの役割2015

    • Author(s)
      カーン カレク,北島道夫, 平木宏一、藤下 晃,中島正洋, 増崎英明
    • Organizer
      7th Japan Endometriosis Forum (JEF)
    • Place of Presentation
      東京
    • Year and Date
      2015-11-14
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 子宮内膜症に対するGnRHa療法が子宮腔内の細菌コンタミネーションおよび子宮内膜炎に及ぼす影響に関する検討2015

    • Author(s)
      カーン カレク,北島道夫,平木宏一,藤下 晃, 中島正洋, 増崎英明
    • Organizer
      第67回日本産科婦人科学会学術講演会
    • Place of Presentation
      横浜
    • Year and Date
      2015-04-10
    • Related Report
      2015 Research-status Report
  • [Book] Comprehensive Gynecology and Obstetrics2017

    • Author(s)
      Khan KN
    • Publisher
      Springer
    • Related Report
      2016 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2019-03-29  

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