{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T14:57:26Z","timestamp":1761058646908},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2007,3,23]],"date-time":"2007-03-23T00:00:00Z","timestamp":1174608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Rep Immunol"],"published-print":{"date-parts":[[2007,5]]},"abstract":"<jats:sec><jats:title>Problem<\/jats:title><jats:p>The purpose was to identify distinct inflammatory markers in endometrial tissues of women with abnormal uterine bleeding (AUB) and <jats:italic>Chlamydia trachomatis<\/jats:italic> infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method of study<\/jats:title><jats:p>Archived endometrial specimens from 92 randomly selected premenopausal women with AUB were examined for <jats:italic>C. trachomatis<\/jats:italic> using the species\u2010specific monoclonal antibody against major outer membrane protein (MOMP) and for histopathology associated with inflammation. Statistical analyses included single and multiple logistic regression. Diagnostic accuracy was summarized using receiver operating characteristic (ROC) curves.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> <jats:italic>Chlamydia trachomatis<\/jats:italic> was detected in 44 (48%) of 92 AUB specimens. There were statistically significant correlations of positive MOMP with higher counts of plasma cells (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.01), macrophages (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.0001), and lymphocytic foci (<jats:italic>P<\/jats:italic>\u2003=\u20030.01). The ROC curve for macrophages was the strongest predictor (area under the curve\u2003=\u20030.82) for <jats:italic>C. trachomatis<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prevalence of <jats:italic>C. trachomatis<\/jats:italic> in women with AUB is under\u2010estimated. Macrophages appear to be a strong marker for the presence of <jats:italic>C. trachomatis<\/jats:italic> in the endometrium.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1600-0897.2007.00481.x","type":"journal-article","created":{"date-parts":[[2007,3,23]],"date-time":"2007-03-23T09:19:37Z","timestamp":1174641577000},"page":"361-366","source":"Crossref","is-referenced-by-count":26,"title":["Association Between <i>Chlamydia trachomatis<\/i> and Abnormal Uterine Bleeding*"],"prefix":"10.1111","volume":"57","author":[{"given":"Miklos","family":"Toth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorothy L.","family":"Patton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Esquenazi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Shevchuk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Thaler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Divon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,3,23]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1013249018847"},{"key":"e_1_2_6_3_2","first-page":"399","article-title":"Sexually transmitted diseases","volume":"21","author":"Sulak PJ","year":"2003","journal-title":"Pediatr and Adolescent Gynecol"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2004.05.076"},{"key":"e_1_2_6_5_2","first-page":"723","article-title":"The role of infection in the etiology of preterm birth","volume":"71","author":"Toth M","year":"1987","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1155\/S1064744993000043"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02118-X"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-199002000-00008"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.121728"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000154491.47682.bf"},{"issue":"1","key":"e_1_2_6_11_2","first-page":"728","article-title":"Chlamydia trachomatis in patients who used oral contraceptives and had intermenstrual spotting","volume":"81","author":"Krettek JE","year":"1993","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0378-5122(03)00068-9"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.09.024"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/75.5.734"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.5858\/2004-128-1000-RSIAIT"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(86)90473-4"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.8755-8920.2000.430406.x"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(94)70084-2"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1086\/315778"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bor.0000126150.04251.f9"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1128\/IAI.68.12.6704-6711.2000"}],"container-title":["American Journal of Reproductive Immunology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1600-0897.2007.00481.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1600-0897.2007.00481.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T14:59:27Z","timestamp":1697036367000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1600-0897.2007.00481.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,3,23]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2007,5]]}},"alternative-id":["10.1111\/j.1600-0897.2007.00481.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1600-0897.2007.00481.x","archive":["Portico"],"relation":{},"ISSN":["1046-7408","1600-0897"],"issn-type":[{"value":"1046-7408","type":"print"},{"value":"1600-0897","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,3,23]]}}}