Pathogenèse de l'endométriose

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Endometriosis development involves estrogen-dependent endometrial cell growth, angiogenesis, and lymphangiogenesis, requiring identification of factors involved in these processes for new therapeutic strategies.

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This paper reviews the pathogenesis of endometriosis, focusing on how ectopic endometrial tissue develops through interactions between host tissues and endometrial epithelial cells in an estrogen-dependent manner. It highlights key processes including induction of angiogenesis and lymphangiogenesis, and it frames fibrosis-related cellular and molecular factors as important targets for identifying to enable new therapeutic strategies. A stated caveat is that diagnosis and appropriate management depend on detailed gynecological history and careful clinical examination, and the authors note that medical treatment is not appropriate for all cases while surgical morbidity relates to lesion severity. This paper is centrally about endometriosis — it specifically outlines estrogen-dependent growth and the roles of angiogenesis, lymphangiogenesis, and fibrosis in endometriosis pathogenesis.

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Abstract

Endometriosis, defined by the development of endometrial tissue outside the uterus, is a benign disease responsible for infertility and pelvic pain. The diagnosis based on a detailed gynecological history and a careful clinical examination should be done as early as possible in order to treat patients correctly. Medical treatment is not appropriate in all cases and surgical treatment should be proposed but morbidity is related to the severity of the lesion. Ectopic implantation of endometrial cells needs complex interactions between host tissue and epithelial endometrial cells. The conditions for the development of endometriosis are estrogeno-dependent growth of endometrial cells, induction of angiogenesis and lymphangiogenesis. Principal cellular and molecular factors of angiogenesis, lymphangiogenesis and fibrosis should be identified in order to develop new therapeutic strategies of endometriosis.
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Keywords

Endometriosis; Angiogenesis; Lymphangiogenesis; Inflammation; Fibrosis

Abstract

[en] Endometriosis, defined by the development of endometrial tissue outside the uterus, is a benign disease responsible for infertility and pelvic pain. The diagnosis based on a detailed gynecological history and a careful clinical examination should be done as early as possible in order to treat patients correctly. Medical treatment is not appropriate in all cases and surgical treatment should be proposed but morbidity is related to the severity of the lesion. Ectopic implantation of endometrial cells needs complex interactions between host tissue and epithelial endometrial cells. The conditions for the development of endometriosis are estrogeno-dependent growth of endometrial cells, induction of angiogenesis and lymphangiogenesis. Principal cellular and molecular factors of angiogenesis, lymphangiogenesis and fibrosis should be identified in order to develop new therapeutic strategies of endometriosis. Disciplines : Reproductive medicine (gynecology, andrology, obstetrics) Nisolle, Michelle ; Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique CHR Alvarez Gonzalez, Maria-Luz ; Université de Liège - ULiège > Département des sciences cliniques > Labo de biologie des tumeurs et du développement Colombo, M. Foidart, Jean-Michel ; Université de Liège - ULiège > Département des sciences cliniques > Gynécologie - Obstétrique Language : French Title : Pathogenèse de l'endométriose Alternative titles : [en] Pathogenesis of Endometriosis Publication date : September 2007 Journal title : Gynécologie Obstétrique et Fertilité ISSN : 1297-9589 Publisher : Elsevier Science Volume : 35 Issue : 9 Pages : 898-903 Peer reviewed : Peer Reviewed verified by ORBi Available on ORBi : since 22 June 2009 Scopus citations® 32 Scopus citations® without self-citations without self-citations 25 OpenAlex citations 24 - Sampson J.A. 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Non malignant epithelial cells, potentially invasive in human endometriosis, lack the tumor suppressor molecule E-cadherin. Am. J. Pathol. 150 (1997) 461-467 - Bulun S.E., Zeitoun K.M., Takayama K., and Sasano H. Molecular basis for treating endometriosis with aromatase inhibitors. Hum. Reprod. Update 6 (2000) 413-418 - Fang Z., Yang S., Gurates B., Tamura M., Simpson E., Evans D., et al. Genetic or enzymatic disruption of aromatase inhibits the growth of ectopic uterine tissue. J. Clin. Endocrinol. Metab. 87 (2002) 3460-3466 - Oosterlynck D.J., Meuleman C., Sobis H., Vandeputte M., and Koninckx P.R. Angiogenic activity of peritoneal fluid from women with endometriosis. Fertil. Steril. 59 (1993) 778-782 - Ravet S., Labied S., Blacher S., Frankenne F., Munaut C., Fridman V., et al. Endometrial vessel maturation in women exposed to levonorgestrel-releasing intrauterine system for short or prolonged period of time. 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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometrium Endometrium Female Humans Infertility, Female Infertility, Female Inflammation Neovascularization, Pathologic

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