Publications by authors named "Julio C Rosa-E-Silva"

Choosing appropriate reference genes or internal controls to normalize RT-qPCR data is mandatory for the interexperimental reproducibility of gene expression data obtained by RT-qPCR in most studies, including those on endometriosis. Particularly for miRNAs, the choice for reference genes is challenging because of their physicochemical and biological characteristics. Moreover, the retrograde menstruation theory, mesenchymal stem cells in menstrual blood (MenSCs), and changes in post-transcriptional regulatory processes through miRNAs have gained prominence in the scientific community as important players in endometriosis.

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Article Synopsis
  • Chronic pelvic pain affects around 4% of reproductive-age women in developed countries, with likely higher prevalence in developing nations, significantly impacting personal and socioeconomic conditions, especially for vulnerable populations like indigenous women.
  • *The study aimed to assess the prevalence of chronic pelvic pain types (dysmenorrhea, dyspareunia, non-cyclical pain) in indigenous women from Otavalo, Ecuador, using a cross-sectional survey of 2,429 participants.
  • *Results showed that the prevalence rates were 26.6% for dysmenorrhea, 8.9% for non-cyclic pelvic pain, and 3.9% for dyspareunia, with various social and health factors linked to these conditions,
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Endometriosis is a complex disease that affects 10-15% of women of reproductive age. Familial studies show that relatives of affected patients have a higher risk of developing the disease, implicating a genetic role for this disorder. Little is known about the impact of germline genomic copy number variant (CNV) polymorphisms on the heredity of the disease.

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  • Menstrual blood mesenchymal stem cells (MenSCs) are being studied for their potential in regenerative medicine, particularly in endometriosis, due to their noninvasive nature.
  • Research has shown that changes in miRNA regulation affect key cellular processes such as growth and differentiation in endometriotic MenSCs.
  • A study revealed that the expression of a crucial gene related to miRNA biosynthesis, DROSHA, is significantly reduced in endometriotic MenSCs, suggesting altered miRNA profiles that could influence disease progression.
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We aim to investigate the expression of genes ( and ) and microRNAs (miR-30a-5p, miR-7-5p, miR-143-3p, and miR-93-5p) involved in adhesion and apoptosis pathways in superficial peritoneal endometriosis (SE), deep infiltrating endometriosis (DE), and ovarian endometrioma (OE), and to evaluate whether these lesions share the same pathophysiological mechanisms. We used samples of SE ( = 10), DE ( = 10), and OE ( = 10), and endometrial biopsies of these respective patients affected with endometriosis under treatment at a tertiary University Hospital. Endometrial biopsies collected in the tubal ligation procedure from women without endometriosis comprised the control group ( = 10).

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Objective: To study the effect of intrauterine injection of C-X-C motif chemokine ligand 12 (CXCL12), also known as a stem cell chemoattractant (stromal cell-derived factor 1), on fertility and endometrial receptivity in mice with endometriosis.

Design: Laboratory study.

Setting: Academic Medical Center.

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Article Synopsis
  • The significance of menstrual blood and menstrual mesenchymal stem cells (MenSCs) in understanding and treating endometriosis is increasingly recognized, especially with advances in multi-omics approaches.
  • Recent findings indicate specific proteins and genes, like MT2A and COL1A1, play roles in endometriosis, emphasizing the importance of signaling pathways such as epithelial-mesenchymal transition and various cytokine signaling pathways.
  • The study indicates that the chronic inflammatory environment in endometriosis can alter MenSCs, presenting potential avenues for future research in regenerative and precision medicine.
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  • Chronic pelvic pain (CPP) and primary dysmenorrhoea significantly affect women's quality of life but are often overlooked, leading to delays in diagnosis and treatment in Ecuador.
  • A survey of 2,397 women aged 14-49 in Quito revealed a prevalence of 9.8% for CPP and 8.9% for primary dysmenorrhoea, with various associated factors identified for each condition.
  • The study emphasizes the need for targeted healthcare interventions, as many affected women are not receiving treatment, and highlights the role of primary dysmenorrhoea as a risk factor for CPP.
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Background: Chronic pelvic pain (CPP) is defined as recurrent or continuous pain in the lower abdomen or pelvis, either non-menstrual or noncyclical, lasting for at least 6 months. There is strong evidence that up to 85% of patients with CPP have serious dysfunctions of the musculoskeletal system, including abdominal myofascial pain syndrome (AMPS). AMPS is characterized by intense and deep abdominal pain, originating from hyperirritable trigger points, usually located within a musculoskeletal band or its lining fascia.

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  • * The understanding of CPP's complex mechanisms has improved, yet many cases remain without a clear organic cause despite thorough clinical assessments.
  • * The review aims to enhance existing literature on CPP by discussing its characteristics, gaps in research, and current challenges in diagnosis and treatment.
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The key relationship between Sampson's theory and the presence of mesenchymal stem cells in the menstrual flow (MenSCs), as well as the changes in post-transcriptional regulatory processes as actors in the etiopathogenesis of endometriosis, are poorly understood. No study to date has investigated the imbalance of miRNAs in MenSCs related to the disease. Thus, through literature and in silico analyses, we selected four predicted miRNAs as regulators of EGR1, SNAI1, NR4A1, NR4A2, ID1, LAMC3, and FOSB involved in pathways of apoptosis, angiogenesis, response to steroid hormones, migration, differentiation, and cell proliferation.

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The aim of this study was to identify the key similarities between the eutopic endometrium of women with endometriosis and chlamydia-induced endometritis taking into account tissue microenvironment heterogeneity, transcript gene profile, and enriched pathways. A meta-analysis of whole transcriptome microarrays was performed using publicly available data, including samples containing both glandular and stromal endometrial components. Control samples were obtained from women without any reported pathological condition.

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It has been suggested that menstrual blood-derived mesenchymal stem/stromal cells (MenMSCs) are associated with the etiopathogenesis of endometriosis and considerable effort has been invested in searching for target genes and deciphering associated molecular pathways. However, reference gene stability for proper reproducible normalization in the analyses of the expression data validation is still unexplored in this experimental context. Therefore, in this exploratory study, we used stringent case and control selection criteria and collected menstrual blood from women with a laparoscopic diagnosis of advanced endometriosis and from fertile women without endometriosis.

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Purpose: To compare the operative outcomes of laparoscopic surgical treatment for bowel endometriosis in a public teaching hospital versus in a private referral hospital.

Methods: The indications for surgery, type and time of operation, length of hospital stay, need for a temporary stoma, rate of conversion to open surgery, and postoperative complications were evaluated.

Results: One hundred eighty-one patients were included (150 patients, 82.

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Background: Chronic pelvic pain (CPP) is defined as recurrent or continuous pain in the lower abdomen or pelvis, non-menstrual or non-cyclic, lasting at least 6 months. There is strong evidence that up to 85% of patients with CPP have serious dysfunction of the musculoskeletal system, including abdominal myofascial syndrome (AMPS). AMPS is characterized as deep abdominal pain, originating from hyperirritable trigger points, usually located within a musculoskeletal range or its fascia of coating.

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Objective: How a woman copes with the pain might play a significant role in the management of chronic pelvic pain. This study aimed to understand the attitudes adopted by women with chronic pelvic pain (CPP) to deal with daily life problems caused by the illness.

Study Design: We conducted a qualitative study including 58 women diagnosed with chronic pelvic pain regardless of the cause.

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Article Synopsis
  • - An estimated 28 million surgeries worldwide have been postponed or canceled due to the pandemic, affecting the diagnosis and treatment of over 2 million cancer cases.
  • - In Brazil, health agencies recommended delaying elective and non-essential surgeries, resulting in a 33.4% decrease in procedures during this time.
  • - The article aims to provide guidelines for surgical treatment of urgent gynecological conditions that cannot be delayed during the COVID-19 pandemic.
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Endometriosis is responsible for pain symptoms with great impact on the patient's quality of life. Several medication lines have been studied aiming at its definitive treatment. Among them, angiogenesis inhibitor factors may be effective given that angiogenesis has fundamental role in the establishment and growth of endometriotic lesions.

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Eutopic endometrium appears to be crucial for endometriosis development. Despite of the evident importance, data regarding the cellular microenvironment remain unclear. Our objective was to explore the tissue microenvironment heterogeneity, transcripts, and pathways that are enriched in all phases of the menstrual cycle by analysing publicly deposited data derived from whole transcriptome microarrays of eutopic endometria of women with and without endometriosis.

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Objective:  To analyze the effect of thalidomide on the progression of endometriotic lesions experimentally induced in rats and to characterize the pattern of cell proliferation by immunohistochemical Proliferating Cell Nuclear Antigen (PCNA) labeling of eutopic and ectopic endometrium.

Methods:  Fifteen female Wistar rats underwent laparotomy for endometriosis induction by resection of one uterine horn, isolation of the endometrium and fixation of a tissue segment to the pelvic peritoneum. Four weeks after, the animals were divided into 3 groups: control (I), 10mg/kg/day (II) and 1mg/kg/day (III) intraperitoneal thalidomide for 10 days.

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Endometriosis is a gynecological disease caused by the growth of endometrial cells outside the uterus leading to inflammation, pelvic pain, and infertility. The relationship between the amount of ectopic uterine tissue growth and the severity of symptoms is still unclear. The presence or degree of pain and infertility does not correlate with the stage of disease as currently defined.

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