Role of Stem Cells in the Pathogenesis of Endometriosis

In: Endometriosis · 2014 · pp. 33–48 · doi:10.1007/978-4-431-54421-0_4 · W173420663
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This article reviews and discusses the stem cell model for endometriosis, suggesting it originates from endometrial stem/progenitor cells in various locations.

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This paper is a review that examines evidence for a “stem cell model” of endometriosis, proposing that the disorder arises from endometrial stem/progenitor cells located in eutopic and ectopic sites. It discusses molecular similarities between endometriosis and cancer, including concepts such as clonality and stemness-related markers (e.g., side-population–type populations) and how these may relate to persistence and lesion formation. The review also considers related mechanistic themes like epithelial-to-mesenchymal transition-like processes and the potential contribution of bone marrow–derived cells, while acknowledging that the overall framework depends on accumulating but heterogeneous experimental findings. This paper is centrally about endometriosis — it specifically reviews the role of stem/progenitor cells in endometriosis pathogenesis.

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Abstract

Endometriosis can be defined as a benign estrogen-dependent disorder in which endometrium-like tissues reside outside of the uterine cavity. Studies now indicate that multiple genetic and epigenetic changes (reminiscent of neoplastic processes) are involved in the pathophysiology of endometriosis. Given the molecular similarities between endometriosis and cancer, it is reasonable to apply the “cancer stem cell model” concept to the pathogenesis of endometriosis. In this article, I review and discuss “the stem cell model for endometriosis” in which endometriosis originates from endometrial stem/progenitor cells within eutopic and ectopic sites. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Acknowledgements

I thank Hirotaka Masuda, Masanori Ono, Kaoru Miyazaki, Takashi Kajitani, Hiroshi Uchida, and the other members of my research group for their generous assistance and discussion and Hideyuki Okano and Yumi Matsuzaki for their collaboration with the endometrial and endometriotic stem cell project. We acknowledge the secretarial assistance of Rika Shibata. This work was partly supported by Grant-in-Aid from the Japan Society for the Promotion of Science (to T.M and Y.Y.), Grant-in-Aid from Keio University Sakaguchi-Memorial Medical Science Fund (to T.M.), and Grant-in-Aid from the Japan Medical Association (to T.M.). Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2014 Springer Japan About this chapter Cite this chapter Maruyama, T. (2014). Role of Stem Cells in the Pathogenesis of Endometriosis. In: Harada, T. (eds) Endometriosis. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54421-0_4 Download citation DOI: https://doi.org/10.1007/978-4-431-54421-0_4 Published: Publisher Name: Springer, Tokyo Print ISBN: 978-4-431-54420-3 Online ISBN: 978-4-431-54421-0 eBook Packages: MedicineMedicine (R0)

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