Vitamin C and E supplementation effects on secretory and molecular aspects of vascular endothelial growth factor derived from peritoneal fluids of patients with endometriosis

Abstract

Endometriosis is an extremely heterogeneous disease and affects about ten percent of the female population during their reproductive years. Recent studies showed that endometriosis is an angiogenesis-dependent disease. Peritoneal macrophages are a well-characterised source of vascular endothelial growth factor (VEGF). The aim of this study was to determine the VEGF gene expression and production in peritoneal macrophages of patients with endometriosis under the effects of vitamins C and E in comparison with control. The lab trial study carried out on 50 patients undergoing laparoscopy and peritoneal fluid samples were collected from them. We compared the VEGF gene expression and production in peritoneal macrophages among groups by using real-time polymerase chain reaction and enzyme-linked immunosorbent assay methods, respectively. Our results showed that gene expressions influenced by vitamin C increased in different concentrations and incubation times, except for the incubation time after 48 h. In the case of vitamin E, this was evident with the exception of vitamin E 50 μM after 24 h and vitamin E 100 μM after 48 h. Our findings indicated that vitamin C and E in different concentrations and incubation times altered VEGF gene expression in the peritoneal macrophages but they had not affected on VEGF productions.

Impact statement

• What is already known on this subject? Previous studies showed that antioxidants play a key role in the inhibition of oxidative stress-induced damages and the reduction of pelvic pain in patients with endometriosis. Vitamin E and vitamin C are the main components in neutralising free radicals. Also, antioxidant consumption such as vitamin C and vitamin E in women with endometriosis showed an inverse correlation between antioxidant intake and endometriosis pathology.

• What do the results of this study add? Vitamin C and E in different concentrations and times of incubation altered vascular endothelial growth factor gene expression and production in peritoneal macrophages.

• What are the implications of these findings for clinical practice and/or further research? Further studies are needed to determine the effects of C and E vitamins in different concentrations on vascular endothelial growth factor gene expression and production in peritoneal macrophages and the possible roles of these vitamins in treating endometriosis.

Keywords:

• Endometriosis
• gene expression
• vascular endothelial growth factor
• vitamin C
• vitamin E

Acknowledgements

The authors are grateful to Dr. Gilda Eslami for bioinformatics consulting, Dr. Mahdi Dehghan-Manshadi for his technical assistance, Dr. Farzaneh Fesahat for editing this manuscript and Kosar’s operating room personnel.

Ethical approval

The study was approved by Ethics Committee of Shahid Sadoughi University of Medical Sciences (Code: IR.SSU.MEDICINE .REC.1395.165).

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This manuscript is a part of in the M.Sc thesis of Hossein Ansariniya. Shahid Sadoughi University of Medical Sciences provided the grant for this research project [Grant number: 5447].