Exosomes from the Uterine Cavity Mediate Immune Dysregulation via Inhibiting the JNK Signal Pathway in Endometriosis
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⤵ 12 in-corpus citations
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Uterine exosomes from endometriosis patients inhibit macrophage JNK signaling, promoting immune dysregulation and endometrial cell invasion, driven by increased miR-210-3p.
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Abstract
Endometriosis is a chronic inflammatory disease with an uncertain pathogenesis. Peritoneal immune dysregulation plays an important role in the pathogenesis of endometriosis. Exosomes are messengers of intercellular communication. This study mainly investigated the role of exosomes from the uterine cavity in endometriosis. Exosomes of the uterine aspirate fluid were isolated and cocultured with macrophages for 48 h. Flow cytometry was used to detect macrophage polarization. A Human MAPK Phosphorylation Antibody Array and Western blot were used to detect the phosphorylation of the MAPK pathway. A microRNA sequencing analysis was used to detect differentially expressed miRNAs. Our research found that exosomes of the uterine aspirate fluid from endometriosis could reduce the proportion of CD80+ macrophages. Additionally, it could inhibit the expression of P-JNK in macrophages. However, the JNK activator anisomycin could increase the proportion of CD80+ macrophages. In addition, exosomes of the uterine aspirate fluid from endometriosis could promote the migration and invasion of endometrial stromal cells by acting on macrophages. The expression of miR-210-3p was increased in both exosomes and the eutopic endometrium in patients with endometriosis through miRNA sequencing, which could also reduce the proportion of CD80+ macrophages. In summary, we propose that exosomes from the uterine cavity in patients with endometriosis may affect the phenotype of macrophages by inhibiting the JNK signaling pathway, thus mediating the formation of an immunological microenvironment conducive to the development of endometriosis.
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Cited by (12)
- Extracellular Vesicles in Endometriosis: A Comprehensive Review of Biological Insights and Methodological Challenges 2026
- Endometriosis is not the endometrium: Reviewing the over-representation of eutopic endometrium in endometriosis research 2025
- Uterine-derived exosomes induce the M2 polarization of macrophages via miR-210-3p/ATP5D to promote endometriosis progression 2025
- Endometrial Receptivity in Women with Endometriosis 2024
- Extracellular vesicles in endometriosis: role and potential 2024
- The uterine secretome initiates growth of gynecologic tissues in ectopic locations 2024
- Causal association of immune cells and endometriosis: a Mendelian randomization study 2024
- Extracellular vesicles and their content in the context of polycystic ovarian syndrome and endometriosis: a review 2024
- Uterine-derived exosomes induce the M2 polarization of macrophages via miR210-3p to promote the development of endometriosis 2023
- The role of small extracellular vesicle-miRNAs in endometriosis 2023
- The Extracellular Vesicle–Macrophage Regulatory Axis: A Novel Pathogenesis for Endometriosis 2023
- Uterine secretome initiates growth of gynecologic tissues in ectopic locations 2023
Source provenance
- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-29T00:34:05.582588+00:00
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