Effect of the functional balance of peritoneal macrophages on clearing retrograded endometrial cells in the mouse model

Objectives To determine the effect of functional balance of peritoneal macrophages on clearing retrograded endometrial cells,the remains and progression of which are preconditions of endometriosis.Methods Homogenous murine endometrial cells were injected into the peritoneal cavities of Swiss Webster mice and nude mice.Macrophages were measured at the 48 hours.It was followed by the administration of the isolated epithelial and stromal cells into the peritoneal cavities of mice.The numbers of recruited macrophages,gene expression of(MCP-1,)IL-1 α,IL-6 in macrophages were detected at 4,24,and 72 h.The macrophages was identified by immunostaining with CD68 antibody.The activity of the scavenger receptors(SR-A1),which are present in differentiated macrophages and are absent in monocytes,was determined by fluorescence microscopy.Results The intraper-itoneal administration of endometrial cells increased the number of peritoneal macrophages.The 24-hour point is the peak time of recruitment of macrophages and gene expressions of MCP-1/JE and IL-1α.The differentiated macrophages collected from Swiss Webster mice expressed scavenger receptors(SR-A1) stronger than cells from nude mice.Conclusion The retrograde menstruation could account for the increased presence of inflammatory mediators in the peritoneal cavity of women with endometriosis.Maintenance of the functional balance of recruited macrophages by the administration of endometrial cells between scavenger and cytokine secretion might be necessary to clear retrograded endometrial cells effectively and to further disrupt the progress of endometriosis.