The Immunopathophysiology of Endometriosis
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This paper reviews current understanding of how immune dysfunction contributes to endometriosis and discusses future research directions for immune-based therapies.
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Abstract
Endometriosis is a chronic, inflammatory, estrogen-dependent disease characterized by the growth of endometrial tissue outside of the uterine cavity. Although the etiology of endometriosis remains elusive, immunological dysfunction has been proposed as a critical facilitator of ectopic lesion growth following retrograde menstruation of endometrial debris. However, it is not clear whether this immune dysfunction is a cause or consequence of endometriosis. Thus, here we provide in-depth insights into our current understanding of the immunopathophysiology of endometriosis and highlight challenges and opportunities for future research. With the explosion of successful immune-based therapies targeting various chronic inflammatory conditions, it is crucial to determine whether immune dysfunction can be therapeutically targeted in endometriosis.
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Cited by (5)
- Endothelial cell heterogeneity drives angiogenesis in endometriosis: mechanisms and emerging organoid-based models 2026
- Is exercise duration more important than intensity in endometriosis? 2025
- Effects of the gut microbiota and its metabolite short-chain fatty acids on endometriosis 2024
- Expression of mRNA-TLR-5 Gene in Patients with Endometriosis using Real-time PCR in Tehran, Iran 2024
- Exploratory Study of Serum Lactoferrin and Anti-Lactoferrin Antibody Concentrations in Patients with Endometriosis 2022
Source provenance
- europepmc
- last seen: 2026-09-25T06:10:54.854274+00:00
- pubmed
- last seen: 2026-05-13T22:19:37.156494+00:00
- unpaywall
- last seen: 2026-09-25T06:33:09.130943+00:00
License: public-domain-us
· commercial use OK
· attribution required
Courtesy of the U.S. National Library of Medicine
Courtesy of the U.S. National Library of Medicine