2-Methoxyestradiol in the Pathophysiology of Endometriosis: Focus on Angiogenesis and Therapeutic Potential
This review summarizes current knowledge of endometriosis pathophysiology, focusing on the balance between local 2-methoxyestradiol production and angiogenesis, and its therapeutic potential.
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This paper is a review of endometriosis pathophysiology, focusing on how local hypoxia and the hypoxia-inducible factor–vascular endothelial growth factor pathway may shift the proangiogenic/antiangiogenic balance to support development of endometriotic implants. It emphasizes 2-methoxyestradiol, an estradiol metabolite with antiangiogenic activity, and summarizes evidence that endometriosis involves altered estradiol homeostasis, which could affect local 2-methoxyestradiol production and angiogenesis. The review highlights 2-methoxyestradiol as a therapeutic candidate in light of mechanistic links between antiangiogenic signaling and lesion growth, while acknowledging the limitation inherent to a narrative summary of “current knowledge.” This paper is centrally about endometriosis — it focuses specifically on 2-methoxyestradiol’s relationship to angiogenesis and its therapeutic potential in endometriosis.
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Cited by (10)
- A cRGD-modified liposome for targeted delivery of artesunate to inhibit angiogenesis in endometriosis 2025
- Diet associations in endometriosis: a critical narrative assessment with special reference to gluten 2023
- Hypothetical roadmap towards endometriosis: prenatal endocrine-disrupting chemical pollutant exposure, anogenital distance, gut-genital microbiota and subclinical infections 2019
- Prognostic importance of atypical endometriosis with architectural hyperplasia versus cytologic atypia in endometriosis-associated ovarian cancer 2019
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