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Research Article

Evaluation of elevated urinary enolase I levels in patients with endometriosis

, , , , , , , , , & show all
Pages 16-21 | Received 27 Aug 2013, Accepted 05 Nov 2013, Published online: 28 Nov 2013
 

Abstract

Objective: The aim of this study is to validate and investigate the clinical value of urinary enolase I in patients with endometriosis.

Methods: Urine samples of 39 patients with histologically confirmed endometriosis and 20 patients without endometriosis were collected. Western blot analysis and enzyme-linked immunosorbent assay were used to detect the increase of enolase I in patients’ urine.

Results: Urinary enolase I expression corrected for creatinine ratio (non neuronal enolase (NNE)-Cr) was significantly greater in patients with endometriosis (p = 0.026). When the diagnostic performance of NNE-Cr was evaluated with serum CA-125 combination, the area under the curve was 0.821 (95% confidence interval 0.713–0.928) with sensitivity and specificity of 76.9% and 85.0%, respectively.

Conclusion: Elevated urinary enolase I, in conjunction with serum CA-125, may be used as a potential biomarker for endometriosis.

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