The role of laser capture microdissection in the molecular-genetic investigation of endometriosis (Literature review and own experience)

In: Russian Journal of Human Reproduction · 2026 · vol. 32(3) , pp. 15 · doi:10.17116/repro20263203115 · W7167243102
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This review analyzes laser capture microdissection's utility in isolating specific cell populations from heterogeneous endometriosis tissues for molecular-genetic investigation, detailing methods, applications, and future prospects.

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This paper is a literature review with authors’ experience on how laser capture microdissection is used for molecular-genetic investigations in endometriosis, with attention to collecting specific tissue compartments for downstream analyses such as gene-expression profiling, and to methodological validation. It synthesizes prior studies that applied laser capture microdissection to eutopic versus ectopic endometrium and highlights technical considerations raised in the literature and the authors’ own practical work, while emphasizing that sample handling and protocol performance are major determinants of results. A key caveat explicitly noted across such work is that differences in method and tissue quality can affect molecular readouts from limited, precious specimens. Relevance to endometriosis: the entire review is centered on endometriosis and specifically discusses the use of laser capture microdissection in endometriosis molecular-genetic studies, including gene-expression profiling of endometriotic tissue.

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Abstract

Endometriosis is a gynecological disease affecting more than 190 million women of reproductive age worldwide, characterized by a complex molecular pathophysiology encompassing genetic, epigenetic, inflammatory, and immunological components. A fundamental methodological challenge in the study of endometriosis is the cellular heterogeneity of ectopic lesions: conventional analysis of bulk tissue specimens reflects averaged molecular profiles of mixed cell populations comprising glandular epithelium, stroma, fibrous and muscular tissue, and immune microenvironmental cells, substantially impeding the identification of cell-specific molecular alterations. This article presents an analysis of the capabilities of laser capture microdissection as a technology for the selective isolation of cell populations from heterogeneous tissues, enabling researchers to overcome this limitation. The methodological principles of the technology are described in detail, including critical parameters of biological material preparation, integration with downstream molecular analysis platforms, and the specificities of protocol standardization and validation across different tissue types. The broad applicability of laser capture microdissection in contemporary biomedical research is reviewed. Particular emphasis is placed on its application in endometriosis research specifically: data on transcriptomic profiling and differential gene expression analysis in the epithelial and stromal components of ectopic lesions are described; studies employing next-generation sequencing aimed at investigating somatic mutations, clonality, and mutational profiles of endometriotic cell populations are reviewed; and work in the field of multi-omics profiling across different disease forms is examined. The review also addresses existing methodological limitations of the technology and prospects for its further development, including integration with spatial transcriptomics, single-cell sequencing, and artificial intelligence-based approaches. Laser capture microdissection constitutes an instrument that opens fundamentally new avenues for investigating the molecular heterogeneity of endometriosis and establishing the foundation for the development of targeted, pathogenetically justified approaches to its diagnosis and treatment. This article also presents the authors’ own experience with the application of laser capture microdissection in endometriosis research. At the time of manuscript preparation, laser capture microdissection had been performed on 15 endometriotic lesion specimens obtained from patients with various forms of endometriosis, with separate isolation of epithelial and stromal components intended for subsequent molecular-genetic analysis.
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Сайт издательства «Медиа Сфера» содержит материалы, предназначенные исключительно для работников здравоохранения. Закрывая это сообщение, Вы подтверждаете, что являетесь дипломированным медицинским работником или студентом медицинского образовательного учреждения. Результаты поиска: 0 Роль лазерной микродиссекции в молекулярно-генетическом исследовании эндометриоза (обзор литературы и собственный опыт) Журнал: Проблемы репродукции. 2026;32(3): 15‑31 Прочитано: 118 раз Как цитировать: Литература / References: - Эндометриоз. Клинические рекомендации. 2024. Одобрено Научно-практическим Советом Министерства здравоохранения Российской Федерации. Ссылка активна на 06.04.26. https://cr.minzdrav.gov.ru/view-cr/259_2 - Эндометриоз. Информационный бюллетень ВОЗ. 2024. Всемирная организация здравоохранения. Ссылка активна на 06.04.26. https://www.who.int/ru/news-room/fact-sheets/detail/endometriosis - Адамян Л.В., Алясова А.В., Пивазян Л.Г., Степанян А.А. 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