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Ed
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Endometriosis: Emerging Research and Intervention Strategies

April 9-10, 2001
Lister Hill Center Auditorium
National Institutes of Health
Bethesda, Maryland

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The National Institutes of Health (NIH) scientific workshop "Endometriosis:
Emerging Research and Intervention Strategies," is scheduled for April 9-10,
2001, at the Lister Hill Center Auditorium, located on the campus of the NIH
in Bethesda, Maryland. The workshop will be presented by the National
Institute of Child Health and Human Development and by several of the NIH
Institutes and Offices.

A significant percentage of American women of reproductive age are affected
by endometriosis, which represents a major cause of infertility in women.
The etiology and factors contributing to disease susceptibility remain to be
clarified for the most common disorders of female reproduction, including
endometriosis. The true incidence of endometriosis and its patterns of
initiation, maintenance and progression are not known. While investigators
believe that there may be a genetic basis for susceptibility, the genes
involved are unknown and even their mode of inheritance is debated.
Environmental factors, particularly estrogenic substances, may increase the
risk of endometriosis and other disorders of reproductive tissues. The
biochemical and molecular mechanisms underlying the postulated effects of
these factors, and others such as the immune system, on endometriosis are
poorly understood and are only now being investigated. Understanding the
interaction of these critical elements in the etiology of endometriosis will
have a major impact on women's reproductive health in general as well as
improve fertility via intervention and prevention strategies.

The purpose of the workshop is to formulate a framework for a basic science,
translational, and clinical research agenda on endometriosis. This workshop
will bring together a mutidiciplinary group of clinicians, endocrinologists,
immunologists, reproductive and developmental biology investigators and
other experts in the field to examine issues critical to endometriosis. The
meeting will feature scientific presentations that address the current state
of knowledge, summarize recent findings, identify emerging issues or
continuing gaps in knowledge, and serve as a catalyst for discussion during
the final session on future research directions. This final session and the
panel discussion sessions following the group of presentations will allow
further exploration of research opportunities.



The Program Planning Committee formulated the following objectives of this
workshop:
*       To familiarize participants with the state of the science and key
issues related to the basic biology, epidemiology, growth and development,
environmental influences, and genetic expression that characterize
endometriosis;
*       To review current intervention strategies and explore the
development of novel therapeutic agents important in optimizing clinical
outcomes; and
*       To present potential areas of future research directions and propose
opportunities for research in epidemiology, basic science, and clinical
research.

Session topics include: Overview of Endometriosis; Basic Biology of
Endometriosis; Growth Factors, Cytokines, and Angiogenic Factors; Matrix
Modification in Endometrial Tissue; Immune System and Endometriosis;
Environment and Endometriosis; Genetics and Gene Expression in
Endometriosis; In Vitro and Animal Models of Endometriosis; Intervention
Strategies; and Future Research Directions and Recommendations.

Information regarding the meeting, agenda and registration forms can be
obtained by contacting Audra M. Scott at IQ Solutions, Inc. at (301)
984-1471. You may also reach her by e-mail at [log in to unmask]

    ADDITIONAL MEETING INFORMATION

Target Audience: This workshop has been developed for those that are
interested in understanding endometriosis and its impact on the female
reproductive tract and reproductive potential. (1) Practicing physicians
involved in the management and treatment of endometriosis, especially those
in the fields of gynecology and reproductive endocrinology; (2)
Epidemiologists, basic and clinical researchers working on female hormone
biochemistry, physiology, immunology and genetics; and (3) Nurses and other
health care professionals interested in women's reproductive health.

Reasonable Accommodations: For reasonable accommodations, please contact
Audra Scott at (301) 984-1471.

Registration: There is no registration fee for this workshop. Registration
is limited to 175 and pre-registration is encouraged. Registration is on a
first come-first serve basis, so early registration is advised. To register
for the meeting, send the enclosed registration form by fax or e-mail to Ms.
Audra M. Scott.  Please indicate your special needs on the enclosed
registration form.

Meeting Venue: The workshop will be held on the campus of the National
Institutes of Health at the Lister Hill Center Auditorium (Building 38A),
8600 Rockville Pike, Building 38A, Bethesda, Maryland 20894.

Hotel Accommodations: A limited block of rooms has been reserved for
attendees at a reduced rate of $119.00 plus tax at hotels close to the NIH.
Please make your reservations directly with one of the following hotels and
reference the "NICHD Endometriosis Meeting" when making your reservations.
Reservations must be made directly with the Holiday Inn or Bethesda Marriott
by March 22, 2001; otherwise, the regular room rate will apply.

Holiday Inn Bethesda
8120 Wisconsin Avenue
Bethesda, MD 20814
Phone: (800) 465-4329 or (301) 652-2000

Bethesda Marriott
5151 Pooks Hill Road
Bethesda, MD 20814
Phone: (800) 228-9290 or (301) 897-9400






Metro Travel: The Lister Hill Center Auditorium is located within walking
distance of the Medical Center stop on the Red Line of the Metrorail subway
system. The NIH also offers shuttle bus service from the Medical Center stop
to the Lister Hill Center (Building 38A) on weekdays. A campus shuttle map
and schedules may be obtained by visiting the web site:
http://des1.od.nih.gov/nihshuttle/shuttle_map_live.asp.

Parking: Please keep in mind that visitor parking on the NIH campus is very
limited. Visitors may park in the attendant-assisted lot across Center Drive
from Lister Hill, beside the Natcher Building. Parking is $2/hour, with a
maximum of $12/day.

Airline Transportation: The NIH campus and hotels are approximately 20 miles
from Reagan National Airport, 24 miles from Dulles International Airport,
and 35 miles from the Baltimore-Washington International Airport.

Ground Transportation: Taxi service is available at all airports. Ground
transportation is also provided by Super Shuttle (phone: 800-258-3826 or
800-BLUEVAN).

Program Planning Committee:

Estella Parrott, M.D., M.P.H., Co-chair
National Institute of Child Health and Human Development

Koji Yoshinaga, Ph.D., Co-chair
National Institute of Child Health and Human Development

Linda C. Giudice, Ph.D., M.D.
Stanford University Medical Center

Jerrold Heindel, Ph.D.
National Institute of Environmental Health Sciences

Kevin G. Osteen, Ph.D.
Vanderbilt University School of Medicine

   PRELIMINARY AGENDA

Endometriosis: Emerging Research and Intervention Strategies

April 9-10, 2001

National Institute of Child Health and Human Development
Lister Hill Center Auditorium
National Institutes of Health
Bethesda, Maryland

Agenda

Monday, April 9, 2001

7:00-8:00       Registration

8:00-8:15       Welcome and Opening Remarks
                        Institute & Office Heads

SESSION I: OVERVIEW (WHAT IS ENDOMETRIOSIS?)
                        Moderator: Estella Parrott, M.D., M.P.H. (NICHD)

8:15-8:35       Clinical Aspects of Endometriosis
                        Ana A. Murphy, M.D. (Emory University)

8:35-8:55       Epidemiology of Endometriosis
                                Daniel W. Cramer, M.D., Sc.D. (Brigham &
Women's
                                Hospital)

8:55-9:15       The Relationship Between Endometriosis and Infertility
                                Robert L. Barbieri, M.D. (Harvard Medical
School)

9:15-9:30       Panel Discussion

9:30-9:45       BREAK





SESSION II: BASIC BIOLOGY OF ENDOMETRIOSIS
                                Moderator: Koji Yoshinaga, Ph.D. (NICHD)

9:45-10:05      Steroid Control of Endometrial Tissue Turnover
                        Kevin G. Osteen, Ph.D. (Vanderbilt University)

10:05-10:25     Mechanisms of Action of Estrogen and Progesterone
                        Francesco J. De Mayo, Ph.D. (Baylor College of
Medicine)

10:25-10:45     Premenstrual and Menstrual Cellular Changes in the Primate
Endometrium: Relevance to Endometriosis
                                Robert M. Brenner, Ph.D. (Oregon Regional
Primate Research Center)

10:45-11:05     Biosynthesis and Action of Estrogen and Progesterone in
Endometriosis
                        Serdar E. Bulun, M.D. (University of Illinois at
Chicago)

11:05-11:20     Panel Discussion

SESSION III: GROWTH FACTORS, CYTOKINES, AND ANGIOGENIC FACTORS
                                Moderator: Robert N. Taylor, M.D., Ph.D.
(University of California, San Francisco)

11:20-11:40     Angiogenic Factors in Endometriosis
                                Robert N. Taylor, M.D., Ph.D. (University of
California, San Francisco)

11:40-12:00     Local Cytokines in Endometrial Tissue
                                Aydin M. Arici, M.D. (Yale University)

12:00-12:20     Control of Growth and Differentiation of Endometrium
                        Robert M. Bigsby, Ph.D. (Indiana University)

12:20-12:35     Panel Discussion

12:35-1:35      LUNCH

SESSION IV: MATRIX MODIFICATION IN ENDOMETRIAL TISSUE
                                Moderator: Kevin G. Osteen, Ph.D.
(Vanderbilt University)

1:35-1:55       Circulating Sex Hormones and Endometrial Matrix
Metalloproteinases
                                Etienne Marbaix, M.D., Ph.D. (Université
Catholique de Louvain Bruxelles, Belgium)

1:55-2:15       Paracrine Regulation of Matrix Metalloproteinase Expression
in the Normal Human Endometrium
                        Kevin G. Osteen, Ph.D. (Vanderbilt University)

2:15-2:35       Paracrine Regulation of Matrix Metalloproteinase Expression
in Endometriosis
                        Kathy L. Sharpe-Timms, Ph.D. (University of
Missouri)

2:35-2:50       Panel Discussion

2:50-3:05       BREAK

SESSION V: IMMUNE SYSTEM AND ENDOMETRIOSIS
                                Moderator: Phyllis Leppert, M.D., Ph.D.
(NICHD)

3:05-3:25       Immune System in Eutopic and Ectopic Human Endometrium: An
Overview
                        Joseph A. Hill, M.D. (Harvard Medical School)

3:25-3:45       Regulation and Modulation of Abnormal Immune Responses in
Endometriosis
                        Neil Sidell, Ph.D. (Emory University)

3:45-4:05       Autoantibody Responses to Carbohydrate Epitopes in
Endometriosis
                        Grant R. Yeaman, Ph.D. (Dartmouth Medical School)

4:05-4:25       Macrophages, Oxidation, and Endometriosis
                        Sampath Parthasarathy, Ph.D. (Emory University)

4:25-4:40       Panel Discussion

SESSION VI: ENVIRONMENT AND ENDOMETRIOSIS
                                Moderator: Jerrold Heindel, Ph.D. (NIEHS)

4:40-5:00       Environmental Effects on Endometriosis: An Overview
                        John A. McLachlan, Ph.D. (Tulane University)

5:00-5:20       The Potential Role of Environmental Toxins in the
Pathophysiology of Endometriosis
                                Sherry E. Rier, Ph.D. (Vanderbilt
University)

5:20-5:40       Environmental Contaminants and Dietary Factors in
Endometriosis
                                Warren G. Foster, Ph.D. (Department of
Health, Government
                                of Canada)

5:40-6:00       Panel Discussion

6:00            ADJOURN


Tuesday, April 10, 2001

7:00-8:00       Registration

SESSION VII: GENETICS AND GENE EXPRESSION IN ENDOMETRIOSIS
                                Moderator: Linda C. Giudice, Ph.D., M.D.
(Stanford University)

8:00-8:20       Genetic Epidemiology of Endometriosis in the Rhesus Macaque
Monkey
                        Steven H. Kennedy, M.D. (Oxford University)

8:20-8:40       Heritability and Molecular Genetic Studies of Endometriosis
                        Joe Leigh Simpson, M.D. (Baylor College of Medicine)

8:40-9:00       Gene Expression in Endometrium From Women With and Without
Endometriosis
                        Linda C. Giudice, M.D., Ph.D. (Stanford University)

9:00-9:20       Expression of Genes Relevant to Uterine Receptivity in
Patients With Endometriosis
                        Bruce A. Lessey, M.D., Ph.D. (University of North
Carolina)

9:20-9:40       Role of Endometriosis in Cancer and Tumor Development
                        Lillian Swiersz, M.D. (Stanford University)

9:40-10:00      Panel Discussion

10:00-10:15     BREAK

SESSION VIII: IN VITRO AND ANIMAL MODELS OF ENDOMETRIOSIS
                                Moderator: C. Richard Lyttle, Ph.D.
(Wyeth-Ayerst)

10:15-10:35     An In Vitro Model of Implantation and Invasion of Eutopic
Endometrium
                                Robert Schenken, M.D. (University of Texas
Health Science
                                Center at San Antonio)

10:35-10:55     Endometriosis in the Baboon
                        Asgerally T. Fazleabas, Ph.D. (University of
Illinois at
                                Chicago)

10:55-11:15     A Rat Model for the Study of Endometriosis
                        Kathy L. Sharpe-Timms, Ph.D. (University of
Missouri)

11:15-11:35     The Establishment of Human Endometrial Tissues in a Nude
Mouse Model of Endometriosis
                                Kaylon Bruner-Tran, Ph.D. (Vanderbilt
University)

11:35-11:55     Panel Discussion

11:55-1:00      LUNCH

SESSION IX: INTERVENTION STRATEGIES
                Moderator: James Segars, M.D. (NICHD)

1:00-1:20       Conventional Medical Therapies for Endometriosis
                        Valerie Montgomery-Rice, M.D. (University of Kansas)

1:20-1:40       Surgical Management of Endometriosis
                        Dan C. Martin, M.D. (Memphis, Tennessee)

1:40-2:00       An Evidence-Based Review of Treatment Strategies
                                David Olive, M.D. (University of Texas
Southwestern School of Medicine)

2:00-2:20       Novel Therapeutic Concepts
                                Kristof Chwalisz, M.D., Ph.D. (TAP)

2:20-2:40       Panel Discussion

2:40-3:00       BREAK

SESSION X: FUTURE RESEARCH DIRECTIONS AND RECOMMENDATIONS
                                Moderators: Koji Yoshinaga, Ph.D. (NICHD),
Estella Parrott, M.D., M.P.H. (NICHD)

3:00-5:00       Jerrold Heindel, Ph.D. (NIEHS), Linda C. Giudice, Ph.D.,
M.D.,
                                (Stanford University), Kevin G. Osteen,
Ph.D. (Vanderbilt University), Speakers and Participants

5:00            ADJOURN

Meeting Registration Form

National Institute of Child Health and Human Development

NIH Scientific Workshop  Endometriosis: Emerging Research and Intervention
Strategies Lister Hill Center Auditorium (Building 38A) National Institutes
of Health Bethesda, Maryland April 9-10, 2001

Please print for legibility:

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Title:                                                   Degree(s):


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Special needs (e.g., Sign Language)

*****************************************************

PLEASE FAX THIS FORM OR E-MAIL THIS INFORMATION
BY MARCH 22, 2001 TO:
AUDRA M. SCOTT
IQ SOLUTIONS, INC.
FAX: (301) 984-1473 or E-MAIL: [log in to unmask]


Audrey L. Burwell
National Center for Health Statistics, CDC
6525 Belcrest Road, Room 1100
Hyattsville, MD  20782
Phone:  301.458.4129
Fax:  301.458.4022
Email:  [log in to unmask]



Edward E. Rylander, M.D.
D.A.B.F.P and D.A.B.P.M.