Promoter Methylation Levels of Progesterone Receptor-B (PR-B) and Expression of mRNA DNA Methyltransferase-1 (DNMT-1) In Menstrual Blood Patients with Endometriosis
Endometriosis patients exhibited significantly higher progesterone receptor-B promoter methylation and a positive correlation with DNA methyltransferase-1 mRNA expression compared to controls.
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This study compared PR-B promoter DNA methylation and DNMT-1 mRNA expression in menstrual blood collected on days 1–2 of the cycle from 20 women with histopathology-confirmed endometriosis and 20 controls without endometriosis, using methylation-specific high-resolution melting for PR-B and qRT-PCR for DNMT-1 mRNA. PR-B promoter methylation levels were significantly higher in the endometriosis group than in non-endometriosis controls (79.129% ± 4.719 vs 28.716% ± 4.732, p 0.05). Correlation analysis within the endometriosis group showed a positive relationship between PR-B methylation and DNMT-1 mRNA expression (r = 0.526, p < 0.05). The paper notes key caveats including its preprint status and the limited scope of assessing eutopic menstrual blood rather than direct tissue-based functional outcomes. This paper is centrally about endometriosis — it investigates PR-B promoter methylation and DNMT-1 expression in menstrual blood as potential markers of progesterone receptor–related epigenetic dysregulation in endometriosis.
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