Obesity does not alter endometrial gene expression in women with endometriosis. Issue 1 (July 2020)

• Record Type: Journal Article
• Authors: Holdsworth-Carson, Sarah J; Chung, Jessica; Sloggett, Clare; Mortlock, Sally; Fung, Jenny N; Montgomery, Grant W; Dior, Uri P; Healey, Martin; Rogers, Peter AW; Girling, Jane E
• Is Part Of: Reproductive biomedicine online. Volume 41:Issue 1(2020)
• Page Start: 113
• Page End: 118
• Publication Date: 2020-07
• Subjects: Body mass index -- Endometriosis -- Endometrium -- Gene expression -- Obesity; Human reproductive technology -- Periodicals; Human embryo -- Periodicals; Reproduction -- Periodicals; 616.692
• DOI: 10.1016/j.rbmo.2020.03.015
• Languages: English
• ISSNs: 1472-6483

Abstract

Abstract: Research question: Does obesity affect endometrial gene expression in women with endometriosis, specifically women with stage I disease? Design: Differential gene expression analysis was conducted on endometrium from women with and without endometriosis ( n = 169). Women were diagnosed after surgical visualization and staged according to the revised American Society for Reproductive Medicine (stage I-IV). Women were grouped by body mass index (BMI) (kg/m 2 ) as underweight, normal, pre-obese or obese. After accounting for menstrual cycle stage, endometrial gene expression was analysed by BMI (continuous and grouped) in women with endometriosis, and in non-endometriosis controls. Results: No significant interaction effect was found between BMI and endometriosis status on endometrial gene expression. We have previously reported that obese women with endometriosis have a reduced incidence of stage I disease; however, stratifying our analysis into stage I endometriosis versus combined II, III and IV endometriosis failed to reveal any differentially expressed endometrial genes between normal, pre-obese and obese patients. Conclusions: Despite obesity having deleterious effects on endometrial gene expression in other gynaecological pathologies, e.g. endometrial cancer and polycystic ovary syndrome, our results do not support an association between BMI and altered endometrial gene expression in women with or without endometriosis.