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Study of antimicrobial peptides and bacterial endotoxin in endometriosis

Research Project

Project/Area Number 24592474
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionNagasaki University

Principal Investigator

KHAN Khaleque  長崎大学, 医歯薬学総合研究科 (医学系), 助教 (60336162)

Co-Investigator(Kenkyū-buntansha) KITAJIMA Michio  長崎大学, 病院(医学系), 講師 (50380845)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywordsendometriosis / inflammation / bacterial contamination / TLR4 / human beta-defensin / SLPI / infection / defensin / Human beta-defensin / 子宮内膜症 / LPS / エストロゲン / HSP70
Outline of Final Research Achievements

Bacterial contamination hypothesis and sub-clinical uterine infection in women with endometriosis is an innovative research idea in the pathogenesis or pathopaphysiology of endometriosis. Anti-microbial peptides (AMP) such as human beta defensin (HBD) and secretory leukocyte protease inhibitor (SLPI) are found to be regulated by estrogen. Decreased expression of these AMP in endometrium during the menstrual phase could be related to intrauterine microbial colonization and may support our proposed hypothesis. Papers on our new innovative study has been published in Human Reproduction (Khan KN et al., Hum Reprod, 29(11):2446-2456,2014 and Khan KN et al., Hum Reprod 27(12):3417-3424,2012). We presented our new data on bacterial contamination has been recognized and represented in different outstanding domestic and international congresses.Our new concept will open new idea in the development of new therapeutic strategy for the prevention and management of endometriosis.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (28 results)

All 2015 2014 2013 2012

All Journal Article (9 results) (of which Peer Reviewed: 8 results,  Open Access: 2 results) Presentation (15 results) (of which Invited: 10 results) Book (4 results)

  • [Journal Article] 17β-estradiol and lipopolysaccharide additively promote pelvic inflammation and growth of endometriosis2015

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

      Reprod Sci

      Volume: 22 Issue: 5 Pages: 585-594

    • DOI

      10.1177/1933719114556487

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [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
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Intra-uterine microbial colonization and occurrence of endometritis in women with endometriosis†2014

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

      Hum Reprod

      Volume: 29 Issue: 11 Pages: 2446-2456

    • DOI

      10.1093/humrep/deu222

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Occult microscopic endometriosis: undetectable by laparoscopy in normal peritoneum.2014

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

      Human Reproduction

      Volume: 29(3) Issue: 3 Pages: 462-472

    • DOI

      10.1093/humrep/det438

    • NAID

      120006986656

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Toll-like receptor system and endometriosis.2013

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

      Journal of Obstetrics and Gynaecology Research

      Volume: 39(8) Issue: 8 Pages: 1281-1292

    • DOI

      10.1111/jog.12117

    • NAID

      120006986562

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Additive effects of inflammation and stress reaction on Toll-like receptor 4-mediated growth of endometriotic stromal cells.2013

    • Author(s)
      Khan KN, Kitajima M, Inoue T, Tateishi S, Fujishita A, Nakashima M, Masuzaki H
    • Journal Title

      Human Reproduction

      Volume: 28(10) Issue: 10 Pages: 2794-2803

    • DOI

      10.1093/humrep/det280

    • NAID

      120006986038

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Pelvic pain in women with ovarian endometrioma is mostly associated with coexisting peritoneal lesions2013

    • Author(s)
      Khan KN, Kitajima M, Fujishita A, Hiraki K, Matsumoto A, Nakashima M, Masuzaki H
    • Journal Title

      Human Reproduction

      Volume: 28(1) Issue: 1 Pages: 109-118

    • DOI

      10.1093/humrep/des364

    • NAID

      120006985796

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Role of prostaglandin E2 in bacterial growth in women with endometriosis.2013

    • Author(s)
      Khan KN, Kitajima M, Yamaguchi N, Fujishita A, Nakashima M, Ishimaru T, Masuzaki H.
    • Journal Title

      Hum Reprod

      Volume: 27(12) Issue: 12 Pages: 3417-3424

    • DOI

      10.1093/humrep/des331

    • NAID

      120006985795

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Bacterial contamination hypothesis: role of bacterial endotoxin and Toll-like receptor 4 in endometriosis2012

    • Author(s)
      Khan KN, Kitajima M, Hiraki K, Fujishita A, Nakashima M, Ishimaru T, Masuzaki H
    • Journal Title

      Journal of Japan Society of Endometriosis

      Volume: 33 Pages: 62-67

    • Related Report
      2012 Research-status Report
  • [Presentation] Khan KN, Fujishita A, Kitajima M, Hiraki K, Nakashima M, Masuzaki H.2014

    • Author(s)
      Khan KN, Fujishita A, Kitajima M, Hiraki K, Nakashima M, Masuzaki H.
    • Organizer
      12th World Congress on Endometriosis (WCE)
    • Place of Presentation
      Sao Paulo, Brazil
    • Year and Date
      2014-04-30 – 2014-05-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] Occult endometriosis: an undetectable finding by laparoscopy in normonal peritoneum2014

    • Author(s)
      Khan KN, Fujishita A, Kitajima M, Hiraki K, Nakashima M, Masuzaki H.
    • Organizer
      12th World Congress on Endometriosis (WCE)
    • Place of Presentation
      Sao Pualo, Brazil
    • Year and Date
      2014-04-30 – 2014-05-03
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Sub-clinical vaginal and intra-uterine infection in women with endometriosis.2014

    • Author(s)
      Khan KN, Kitajima M, Inoue T, Fujishita A, Nakashima M, Masuzaki H.
    • Organizer
      12th World Congress on Endometriosis (WCE)
    • Place of Presentation
      Sao Paulo, Brazil
    • Year and Date
      2014-04-30 – 2014-05-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] Bacterial contamination hypothesis:細菌性エンドトキシンとToll-like receptor 4 (TLR4)が司る子宮内膜症の増殖・進展に関する新たな病態生理2014

    • Author(s)
      カーン カレク,北島道夫,井上統夫,藤下 晃,中島正洋, 増崎英明
    • Organizer
      第66回日本産科婦人科学会学術講演会 (synposium)
    • Place of Presentation
      東京
    • Year and Date
      2014-04-18 – 2014-04-20
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Involvement of HGF-induced epithelial-mesenchymal transition in adenomyosis2014

    • Author(s)
      Khan KN, Kitajima M, Fijishita A, Masuzaki H
    • Organizer
      12th World Congress on Endometriosis
    • Place of Presentation
      World Trade Center, Sao Paulo, Brazil
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Occult endometriosis: an undetectalbel findings by laparoscopy in normal peritoneum2014

    • Author(s)
      Khan KN, Fijishita A, Kitajima M, Masuzaki H
    • Organizer
      12th World Congress on Endometriosis
    • Place of Presentation
      World Trade Center, Sao Paulo, Brazil
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Bacterial contamination hypothesis:細菌性エンドトキシンとToll-like receptor 4 (TLR4)が司る子宮内膜症の増殖・進展に関する新たな病態生理2014

    • Author(s)
      Khan KN, Kitajima M, Fijishita A, Masuzaki H
    • Organizer
      第66回日本産科婦人科学会
    • Place of Presentation
      東京国際フォーラム, 東京都千代田区
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 骨盤子宮内膜症の発生に関する新たな視点 ((New insights into peritoneal endometriosis)2014

    • Author(s)
      Khan KN, Kitajima M, Fijishita A, Masuzaki H
    • Organizer
      第35回日本エンドメトリオーシス学会教育講演抄録
    • Place of Presentation
      城山観光ホテル,鹿児島市
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Role of bacterial endotoxin in endometriosis and its effect on reproductive outcome2013

    • Author(s)
      Khan KN, Kitajima M, Fijishita A, Masuzaki H
    • Organizer
      23rd Asian Oceanic Congress of Obstetrics and Gynecology (AOCOG)
    • Place of Presentation
      Centara Grand Hotel, Bangkok, Thailand
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 子宮腺筋症の発生病理における肝細胞増殖因子 (HGF)とE-カドヘリンの関与2013

    • Author(s)
      カーン カレク,北島道夫,平木宏一,藤下 晃, 増崎英明
    • Organizer
      第 34回エンドメトリオーシス学会 (workshop)
    • Place of Presentation
      栃木
    • Related Report
      2012 Research-status Report
  • [Presentation] 子宮筋腫における炎症反応とプロスタグランジン産生―生殖に及ぼす影響につ2012

    • Author(s)
      カーン カレク,北島道夫,平木宏一,藤下 晃,中島正洋, 石丸忠之,増崎英明
    • Organizer
      第3回婦人科ホルモン依存性疾患研究会 (symposium)
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report
  • [Presentation] 腹腔鏡下に生検した腹膜組織における顕微鏡的内膜症病変に関する検討2012

    • Author(s)
      カーン カレク,北島道夫,平木宏一, 松本亜由美1, 藤下 晃,中島正洋, 増崎英明
    • Organizer
      第4回Japan Endometriosis Forum (4rd JEF) meeting (invited speaker)
    • Place of Presentation
      千葉
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 多因子疾患である子宮内膜症の真の調節因子とは?2012

    • Author(s)
      カーン カレク,北島道夫,平木宏一, 藤下 晃,中島正洋, 石丸忠之,増崎英明
    • Organizer
      第57回日本生殖医学会 (educational lecture)
    • Place of Presentation
      長崎
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Adenomyosis; a possible mechanism of gland invagination into myomterium2012

    • Author(s)
      Khan KN, Kitajima M, Hiraki K, Inoue T, Fujishita A, Nakashima M, Masuzaki H
    • Organizer
      Workshop on the current status of endometriosis (invited speaker)
    • Place of Presentation
      Shanghai, China
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Role of bacterial endotoxin in Toll-like receptor 4-mediated growth of endometriosis2012

    • Author(s)
      Khan KN, Kitajima M, Hiraki H, Inoue T, Fujishita A, Nakashima M, Masuzaki H
    • Organizer
      International Conference on Molecular Medicine and Inflammation related to Cancer (MMC)
    • Place of Presentation
      Bangkok, Thailand
    • Related Report
      2012 Research-status Report
  • [Book] Endometriosis: Pathogenesis and Treatment2014

    • Author(s)
      Khan KN.
    • Publisher
      The Springer publishing Co.,
    • Related Report
      2014 Annual Research Report
  • [Book] Endometriosis: Pathogenesis and Treatment2014

    • Author(s)
      Khan KN.
    • Publisher
      Visible and invisible (occult) endometriosis (book chapter).
    • Related Report
      2013 Research-status Report
  • [Book] Proceedings of the 4th Congress of the ASPIRE2013

    • Author(s)
      Khan KN, Kitajima M, Masuzaki H
    • Publisher
      Role of bacterial endotoxin in endometriosis and its effect on reproductive outcome.
    • Related Report
      2013 Research-status Report
  • [Book] Proceedings of the 4th Congress of the ASPIRE2012

    • Author(s)
      Khan KN, Kitajima M, Fujishita A, Masuzaki H
    • Publisher
      Role of bacterial endotoxin in endometriosis and its effect on reproductive outcome
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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