It was suggested that PGE 1 confers protection against endometriosis by attenuating the secretion of TNF-, IFN- and interleukins (IL-2, IL-4 and IL-6), while PGE 2 induces cytokine release and thus endometriosis through its apoptotic and inflammatory functions [19, 46]
These changes result from disrupted signaling between dermal papilla cells and matrix keratinocytes, decreased growth factor expression, and reduced proliferation in the follicular bulb [2, 27]
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