Insights into endometriosis-associated endometrial dysfunctions: a review

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AI-generated summary by claude@2026-06, 2026-06-07

This review summarizes biochemical and molecular factors abnormally expressed in the eutopic endometrium of women with endometriosis, highlighting their role in pathogenesis.

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AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text

This paper is a narrative review describing calpain, a broadly expressed protease, and how its cleavage of protein substrates can disrupt function rather than destroy targets. Focusing on neuronal systems, it outlines evidence that calpain can dysregulate signaling by cleaving regulatory domains, with emphasis on glutamatergic synaptic transmission where calpain targets major glutamate receptors including NMDA, AMPA, and mGluR and their associated intracellular proteins. The review argues that calpain-mediated cleavage may contribute to both pathological processes such as excitotoxicity and physiological roles in synaptic signaling, while acknowledging that it can have context-dependent effects (including possible neuroprotective outcomes). The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Endometriosis is defined as the presence of ectopic endometrial-like tissue outside the uterus cavity. This disease, afflicting women during their reproductive age, is mainly associated with pelvic pain and infertility. Sampson's theory which supports the ability of endometrial fragments from retrograde menstruations to slough through fallopian tubes and reach peritoneal environment has been recognized as the most plausible explanation for endometriosis during many years. However, further studies provided evidence that fundamental abnormal changes may occur within the eutopic endometrium of women with endometriosis compared to that of women without endometriosis. These dysfunctions included genetic predisposition, genes aberrantly expressed such as matrix metalloproteinases, Hox genes, integrins, anti-apoptotic genes Bcl-2, but also steroid hormones, immuno-inflammatory factors and angiogenesis. This review aims at summarizing and emphasizing a non exhaustive panel of biochemical and molecular factors abnormally expressed in the eutopic endometrium and related to the pathogenesis of endometriosis.
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Frontiers in Bioscience-Scholar (FBS) is published by IMR Press from Volume 13 Issue 1 (2021). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with Frontiers in Bioscience. 1 Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 2 Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania *Author to whom correspondence should be addressed. Abstract Calpain is a ubiquitous protease found in different tissue types and in many organisms including mammals. It generally does not destroy its large variety of substrates, but more commonly disrupts their function. In neurons, many of its substrates become dysregulated as a result of cleavage of their regulatory domain by this protease, leading to altered signaling between cells. In glutamatergic synaptic transmission, direct targets of calpain include all of the major glutamate receptors: NMDA receptors, AMPA receptors and mGluR. By cleaving these receptors and associated intracellular proteins, calpain may regulate the physiology at glutamatergic synapses. As a result, calpain-mediated cleavage in neurons might not only be involved in pathological events like excitotoxicity, but may also have neuroprotective effects and roles in physiological synaptic transmission.

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Condition tags

endometriosisinfertility

MeSH descriptors

Apoptosis Endometriosis Endometriosis Endometrium Endometrium Gene Expression Regulation Infertility, Female Neovascularization, Pathologic Apoptosis CA-125 Antigen CA-125 Antigen Chemokine CCL2 Chemokine CCL2 Empty Spiracles Homeobox Proteins Endometriosis Endometriosis Endometrium Female Gene Expression Regulation Genes, Homeobox

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europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
pubmed
last seen: 2026-05-13T22:14:05.573375+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
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Courtesy of the U.S. National Library of Medicine