Although adenomyosis is a common and benign gynecological disease, the speci c pathogenesis of this condition has yet to be fully elucidated. It is di cult to culture primary cells of the ectopic endometrial epithelia and stroma from human adenomyosis lesions. Most previous of studies on adenomyosis were based on primary eutopic endometrium cells. However, as yet, no e cient protocols have been developed for the isolation, culture or puri cation of primary ectopic epithelial and stromal cells from human adenomyosis lesions. Therefore, the present study aimed to develop an e cient protocol for the isolation and culture of primary ectopic epithelial and stromal cells from human adenomyosis lesions.
MethodsIn the present study, we aimed to obtain ectopic endometrium tissue from human adenomyosis foci and use a simple and operable type I collagenase digestion method for primary culture. Cells were isolated by sterile cell strainer ltration and ow cytometry was performed to identify, purify and evaluate the viability of isolated ectopic endometrial cells.
ResultsUsing our method, we successfully isolated and cultured highly puri ed and active ectopic endometrial epithelial and stromal cells from human adenomyosis foci. Ep-CAM was expressed in ectopic epithelial cells of human adenomyosis with a purity of 93.74% and a viability of 80.58%. In addition, CD10 were robustly expressed by ectopic stromal cells in human adenomyosis. Cellular purity and viability were determined to be 96.37% and 93.49%, respectively.
ConclusionOur method provides a new experimental model for studying the molecular pathogenesis of human adenomyosis.