Detention and mapping of iron and toxic environmental elements in human ovarian endometriosis: A suggested combined role.


Journal

The Science of the total environment
ISSN: 1879-1026
Titre abrégé: Sci Total Environ
Pays: Netherlands
ID NLM: 0330500

Informations de publication

Date de publication:
15 Mar 2023
Historique:
received: 29 08 2022
revised: 14 12 2022
accepted: 14 12 2022
pubmed: 23 12 2022
medline: 27 1 2023
entrez: 22 12 2022
Statut: ppublish

Résumé

Endometriosis is a disease affecting 10-15 % of women worldwide, consisting in the ectopic growth of endometrial cells outside the uterine cavity. Whist the pathogenetic mechanisms of endometriosis remain elusive and contemplating even environmental causes, iron deposits are common in endometrial lesions, indicating an altered iron metabolism at this level. This study was undertaken to reveal a possible relationship between iron dysmetabolism and accumulation of environmental metals. By combining histological and histochemical analysis (H&E and Perl's staining) with μ- and nano- synchrotron-based (SR-based) X-ray Fluorescence (XRF) microscopy, we investigated the distribution of iron and other elements in the ovarian endometriomas of 12 endometriosis patients and in 7 healthy endometrium samples. XRF microscopy expanded the findings obtained by Perl's staining, revealing with an exceptional sensitivity intracellular features of iron accumulation in the epithelial endometrium, stroma and macrophages of the endometriotic lesions. XRF evidenced that iron was specifically accumulated in multiple micro aggregates, reaching concentrations up to 10-20 % p/p. Moreover, by XRF analysis we revealed for the first time the retention of a number of exogenous and potentially toxic metals such as Pb, Br, Ti, Al Cr, Si and Rb partially or totally co-localizing with iron. μXRF reveals accumulation and colocalization of iron and environmental metals in human ovarian endometriosis, suggesting a role in the pathogenesis of endometriosis.

Sections du résumé

BACKGROUND BACKGROUND
Endometriosis is a disease affecting 10-15 % of women worldwide, consisting in the ectopic growth of endometrial cells outside the uterine cavity. Whist the pathogenetic mechanisms of endometriosis remain elusive and contemplating even environmental causes, iron deposits are common in endometrial lesions, indicating an altered iron metabolism at this level. This study was undertaken to reveal a possible relationship between iron dysmetabolism and accumulation of environmental metals.
METHODS METHODS
By combining histological and histochemical analysis (H&E and Perl's staining) with μ- and nano- synchrotron-based (SR-based) X-ray Fluorescence (XRF) microscopy, we investigated the distribution of iron and other elements in the ovarian endometriomas of 12 endometriosis patients and in 7 healthy endometrium samples.
RESULTS RESULTS
XRF microscopy expanded the findings obtained by Perl's staining, revealing with an exceptional sensitivity intracellular features of iron accumulation in the epithelial endometrium, stroma and macrophages of the endometriotic lesions. XRF evidenced that iron was specifically accumulated in multiple micro aggregates, reaching concentrations up to 10-20 % p/p. Moreover, by XRF analysis we revealed for the first time the retention of a number of exogenous and potentially toxic metals such as Pb, Br, Ti, Al Cr, Si and Rb partially or totally co-localizing with iron.
CONCLUSION CONCLUSIONS
μXRF reveals accumulation and colocalization of iron and environmental metals in human ovarian endometriosis, suggesting a role in the pathogenesis of endometriosis.

Identifiants

pubmed: 36549535
pii: S0048-9697(22)08131-1
doi: 10.1016/j.scitotenv.2022.161028
pii:
doi:

Substances chimiques

Iron E1UOL152H7

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

161028

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Lorella Pascolo (L)

Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy. Electronic address: lorella.pascolo@burlo.trieste.it.

Maria Pachetti (M)

Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Anna Camillo (A)

Department of Obstetrics and Gynecology, AOUI Verona, Piazzale A. Stefani 1, 37126 Verona, Italy.

Alice Cernogoraz (A)

Department of Gynecology and Obstetrics, F. Del Ponte Hospital, University of Insubria, Varese, Italy.

Clara Rizzardi (C)

Department of Medical, Surgical, and Health Sciences, University of Trieste, 34149 Trieste, Italy.

Katarina Vogel Mikus (KV)

Jožef Stefan Institute, 1000 Ljubljana, Slovenia; Slovenia Biotechnical Faculty, University of Ljubljana, 1000 Ljubljana, Slovenia.

Fabrizio Zanconati (F)

Department of Medical, Surgical, and Health Sciences, University of Trieste, 34149 Trieste, Italy.

Murielle Salomé (M)

ESRF, The European Synchrotron, 38043 Grenoble Cedex 9, France.

Vanessa Tardillo Suárez (VT)

ESRF, The European Synchrotron, 38043 Grenoble Cedex 9, France.

Federico Romano (F)

Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Gabriella Zito (G)

Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Alessandra Gianoncelli (A)

Elettra, Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, Trieste, Italy.

Giuseppe Ricci (G)

Institute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy; Department of Medical, Surgical, and Health Sciences, University of Trieste, 34149 Trieste, Italy.

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