β-catenin activates TGF-β-induced epithelial–mesenchymal transition in adenomyosis

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AI-generated summary by claude@2026-06, 2026-06-07

This study found that β-catenin activates TGF-β-induced epithelial-mesenchymal transition, identifying a molecular mechanism and potential therapeutic target for adenomyosis.

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AI-generated deep summary by claude@2026-06, 2026-06-07

This study investigated how aberrant β-catenin activation contributes to adenomyosis by combining transcriptomic profiling and ChIP-seq in a mouse uterine model (Pgrcre/+Ctnnb1f(ex3)/+) and by analyzing human adenomyosis tissues and matched eutopic endometrium. The authors identified TGF-β signaling activation, including direct regulation of Tgf-β2 by activated β-catenin in mice, and found a strong positive correlation between β-catenin and TGF-β2 protein levels in women with adenomyosis; in cultured Ishikawa cells with nuclear β-catenin, the TGF-β inhibitor pirfenidone increased E-cadherin and reduced invasiveness. A major caveat is that key mechanistic inference depends on associations and on a single inhibitor/cell model, with in vivo TGF-β pathway activity characterized at early time points (1 month of age) in pooled samples. This paper is centrally about endometriosis and/or adenomyosis — specifically adenomyosis, focusing on β-catenin–TGF-β2–driven epithelial–mesenchymal transition in adenomyotic lesions.

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Abstract

Adenomyosis is defined as the presence of ectopic nests of endometrial glands and stroma within the myometrium. Adenomyosis is a common cause of dysmenorrhea, menorrhagia, and chronic pelvic pain but is often underdiagnosed. Despite its prevalence and severity of symptoms, its pathogenesis and etiology are poorly understood. Our previous study showed that aberrant activation of β-catenin results in adenomyosis through epithelial-mesenchymal transition. Using transcriptomic and ChIP-seq analysis, we identified activation of TGF-β signaling in the uteri of mutant mice that expressed dominant stabilized β-catenin in the uterus. There was a strong positive correlation between β-catenin and TGF-β2 proteins in women with adenomyosis. Furthermore, treatment with pirfenidone, a TGF-β inhibitor, increased E-cadherin expression and reduced cell invasiveness in Ishikawa cells with nuclear β-catenin. Our results suggest that β-catenin activates TGF-β-induced epithelial-mesenchymal transition in adenomyosis. This finding describes the molecular pathogenesis of adenomyosis and the use of TGF-β as a potential therapeutic target for adenomyosis.

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Condition tags

adenomyosischronic_pelvic_paindysmenorrhea

MeSH descriptors

Adenomyosis beta Catenin Disease Susceptibility Epithelial-Mesenchymal Transition Epithelial-Mesenchymal Transition Transforming Growth Factor beta Adenomyosis Adenomyosis Adenomyosis Animals beta Catenin Binding Sites Cadherins Cadherins Disease Models, Animal Fluorescent Antibody Technique Gene Expression Regulation Humans Immunohistochemistry Mice

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europepmc
last seen: 2026-06-23T06:15:44.889181+00:00
openalex
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pubmed
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