Background: Endometriosis (EM) affects 10% of women in reproductive age and alters fertility. Its management is still debated notably the timing of surgery and ART in infertility. Kallistatin (KS) is an endogenous protein that regulates differential signaling pathways and biological functions. However, the function and the underlying molecular mechanism in endometriosis and its correlation with IVF outcome have not been determined. The purpose of this study was to evaluate KS concentrations in follicular fluid of women with EM and controls women without EM who underwent IVF with embryo transfer (IVF–ET).
Methods: Follicular fluid KS concentrations from 40 patients with EM and 40 non-EM patients were measured by ELISA.
Results: Compared with the non-EM patients, patients with EM had lower KS levels in follicular fluid (281.67±104.60 pg/ml vs. 490.70 ±216.33pg/ml). The rates of fertilization(61.64±22.42% vs. 71.00±24.39%) , available embryo (45.96±19.83% vs.50.61±26.26%) and top-quality embryo(12.71±21.01% vs.16.04±16.87%) were significantly lower in the EM group than in the control group. The KS concentrations in the follicular fluid of women who conceived consequent to the treatment were significantly higher than those from women who did not in the combined EM and control groups.
Conclusions:
The present results indicate that the KS concentration in follicular fluid could be used as a predictor for IVF–ET outcomes. This may contribute to the pathologic mechanism responsible for the poor outcome of IVF in patients with EM.

Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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Posted 09 Jan, 2021
Posted 09 Jan, 2021
Background: Endometriosis (EM) affects 10% of women in reproductive age and alters fertility. Its management is still debated notably the timing of surgery and ART in infertility. Kallistatin (KS) is an endogenous protein that regulates differential signaling pathways and biological functions. However, the function and the underlying molecular mechanism in endometriosis and its correlation with IVF outcome have not been determined. The purpose of this study was to evaluate KS concentrations in follicular fluid of women with EM and controls women without EM who underwent IVF with embryo transfer (IVF–ET).
Methods: Follicular fluid KS concentrations from 40 patients with EM and 40 non-EM patients were measured by ELISA.
Results: Compared with the non-EM patients, patients with EM had lower KS levels in follicular fluid (281.67±104.60 pg/ml vs. 490.70 ±216.33pg/ml). The rates of fertilization(61.64±22.42% vs. 71.00±24.39%) , available embryo (45.96±19.83% vs.50.61±26.26%) and top-quality embryo(12.71±21.01% vs.16.04±16.87%) were significantly lower in the EM group than in the control group. The KS concentrations in the follicular fluid of women who conceived consequent to the treatment were significantly higher than those from women who did not in the combined EM and control groups.
Conclusions:
The present results indicate that the KS concentration in follicular fluid could be used as a predictor for IVF–ET outcomes. This may contribute to the pathologic mechanism responsible for the poor outcome of IVF in patients with EM.

Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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