The study objective was to test the hypothesis that elevated levels of tran
sferrin and alpha 2-HS glycoprotein occur in the peritoneal environment of
patients with endometriosis that may lead to the observed autoimmunity to t
hese proteins.
We set up a double sandwich enzyme-linked immunosorbent assay (ELISA) for m
easuring levels of transferrin and alpha 2-HS glycoprotein in the serum and
peritoneal fluid samples from women with (n = 24-60) and without endometri
osis (n = 35-49), Serum and peritoneal fluid levels of alpha 2-HS glycoprot
ein and peritoneal fluid levels of transferrin were significantly elevated
in patients with endometriosis, in contrast to the controls. Serum levels o
f transferrin in patients, however, were significantly less in the patients
than in controls,
We conclude that transferrin and alpha 2-HS glycoprotein are present at hig
h concentrations in the peritoneal fluids of patients with endometriosis, T
his may play a significant role in the autoimmune pathophysiology of endome
triosis.