The role of the Hoxa10/HOXA10 gene in the etiology of endometriosis and its related infertility: a review
HOXA10 expression is cyclical in normal endometria but absent during the implantation window in women with endometriosis, potentially explaining infertility and appearing in ectopic foci.
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This paper is a review of clinical and laboratory evidence on how HOXA10/Hoxa10 relates to endometriosis and associated infertility, focusing on HOX gene biology in uterine development, implantation, and reproductive tract regulation. It reports that HOXA10 is a transcription factor involved in embryogenesis and embryo implantation, showing cyclical mid-luteal/mid-implantation expression driven by estrogen and progesterone, and that women with endometriosis lack the expected mid-luteal rise. The review also describes studies finding HOXA10 expression in endometriotic foci outside the Müllerian tract, which could link HOXA10 dysregulation to implantation failure. As a narrative review, it summarizes multiple studies without providing a single new experimental dataset. This paper is centrally about endometriosis — it synthesizes evidence that altered HOXA10 expression may contribute to endometriosis-associated infertility.
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