Evidence map›Paper›PMID 40747182›Full record

ReviewCureus2025

Exploring the Immune System's Role in Endometriosis: Insights Into Pathogenesis, Pain, and Treatment.

Rania S Ahmed, Mohamed Sherif, Majd A Alghamdi, Salah N El-Tallawy, Omar K Alzaydan, Joseph V Pergolizzi, Giustino Varrassi, Zaina Zaghra, Ziad S Abdelsalam, Mahmoud T Kamal and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Observational
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rania S AhmedCollege of Medicine, Alfaisal University College of Medicine, Riyadh, SAU.
Mohamed SherifCollege of Medicine, Alfaisal University College of Medicine, Riyadh, SAU.
Majd A AlghamdiCollege of Medicine, Alfaisal University College of Medicine, Riyadh, SAU.
Salah N El-TallawyAnesthesia and Pain Management, Faculty of Medicine, Minia University, Minia, EGY.
Omar K AlzaydanObstetrics and Gynecology, King Khalid University Hospital, Riyadh, SAU.
Joseph V PergolizziPain Medicine, NEMA Research Inc, Naples, USA.
Giustino VarrassiPain Medicine, Fondazione Paolo Procacci, Rome, ITA.
Zaina ZaghraCollege of Medicine, Bahcesehir University, Istanbul, TUR.
Ziad S AbdelsalamOtolaryngology, Minia University, Minia, EGY.
Mahmoud T KamalObstetrics and Gynecology, Minia University Hospital, Minia, EGY.
Flaminia ColuzziMedical and Surgical Sciences, Sapienza University of Rome, Rome, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endometriosis is a common gynecological condition that usually affects women during their reproductive years. The main goal of this narrative review is to understand the role of the innate and adaptive immune system in the pathogenesis of endometriosis and to explore ways to diagnose and treat endometriosis effectively. Methodology: A comprehensive literature search was conducted across PubMed, EMBASE, Cochrane, and Scopus. Full-text articles in English published between January 2019 and January 2025 were included in this review. Two independent reviewers screened titles and abstracts using preset inclusion and exclusion criteria, as well as relevant keywords related to endometriosis, immune responses, and chronic pain. Of 6,728 initially identified studies, 53 met the inclusion criteria after applying exclusion parameters. Recent papers shed light on the role of the immune system in the pathogenesis of endometriosis. The dysregulation of immune system cells, such as macrophages, natural killer cells, neutrophils, dendritic cells, T cells, and B cells, contributes to the pathogenesis of endometriosis by enhancing the development and progression of endometriosis lesions, thereby creating an inflammatory environment. The presence of the inflammatory environment not only supports the survival and growth of the ectopic endometrial lesion but also plays a vital role in the pain associated with it. Endometriosis is a disease characterized by the presence of ectopic endometrial-like tissue outside the uterine cavity. It is believed that this ectopic endometrial tissue is a result of an interplay between hormonal, immune, and environmental factors. To this day, the gold standard for diagnosing endometriosis is through laparoscopic surgery, and there is no long-lasting effective medical treatment.

Indexed as

adaptive immune systembiomarkerendometriosisendometriosis paininnate immune systemneuroinflammation

Identifiers

PMID40747182
PMCPMC12311876

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.