Abstract
Iron can accumulate in the peritoneal fluid, macrophages, and endometrial lesions in women with endometriosis. The process begins as erythrocytes are phagocytized by macrophages, releasing hemoglobin into the peritoneal fluid where it can form a complex with haptoglobin or be catalyzed by hemeoxygenase-1 to produce free iron. The free iron can be taken up by iron storage and transporting proteins such as ferritin and transferrin, which can lead to iron accumulation within macrophages or lesions. Iron overload can lead to the dysregulation of genes that code for molecules specific to endometriosis and oxidative stress.
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Gupta, S., Harlev, A., Agarwal, A., Gokul, S., Kumaresan, D. (2015). Role of Iron in the Pathogenesis of Endometriosis. In: Endometriosis. SpringerBriefs in Reproductive Biology. Springer, Cham. https://doi.org/10.1007/978-3-319-18308-4_5
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DOI: https://doi.org/10.1007/978-3-319-18308-4_5
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