Vitamin D significance in pathogenesis of endometriosis
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Lower vitamin D levels and altered VDR expression were observed in endometriosis patients, suggesting vitamin D's role in pathogenesis and potential therapeutic application.
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Abstract
Genital endometriosis (GE) is a widespread multifactorial disease thus making it necessary to carry on studying its pathogeny in order to work out target therapy techniques. Studying vitamin D role in GE pathogeny is a new promising research trend. PATIENTS AND TECHNIQUE: 25(ОН)D level was determined in peripheral blood (PB) of 440 patients with GE and in peritoneal fluid (PF) - in 49 GE patients; the same test in PB was performed in 30 patients of the control group with the ovulatory menstrual cycle and no gynecologic pathology. 129 patients with GE, as well as 82 women of the control, underwent examination of vitamin D receptor (VDR) polymorphism gene in BsmI, FokI, and TaqI polymorphic locus. We examined vitamin D receptor expression in the eutopic and ectopic endometrium in 32 women with GE and in the endometrium of 20 women from the control group. We also compared the efficacy of combined therapy involving colecalciferol to the standard hormone modulating therapy. RESULTS: It was established that the prevalent GE forms are characterized by lower 25(ОН)D levels both in PB and in PF. It was also found that G/G genotype of VDR BsmI gene polymorphic variant 1.9 times increases GE occurrence risk. VDR expression was authentically lower in the ectopic endometrium compared to the eutopic endometrium. Patients with GE show no VDR expression cyclic variations in the endometrium which is contrary to the control. Therapy in combination with colecalciferol promotes a more expressed decrease of endometriosis-associated pain syndrome and psycho-emotional stabilization of GE patients compared to the standard hormone modulating therapy. CONCLUSION: Vitamin D deficiency plays a significant role in the pathogenesis of GE and Vit D may be applied as its targeted therapy.
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References (11)
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- Effects of Vitamin D on Endometriosis-Related Pain: A Double-Blind Clinical Trial via openalex
- Nuclear Receptor, Coregulator Signaling, and Chromatin Remodeling Pathways Suggest Involvement of the Epigenome in the Steroid Hormone Response of Endometrium and Abnormalities in Endometriosis via openalex
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- The effectiveness of vitamin D (cholecalciferol) in the treatment of surgically induced endometriosis in rats via openalex
- The selective vitamin D receptor agonist, elocalcitol, reduces endometriosis development in a mouse model by inhibiting peritoneal inflammation via openalex
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Cited by (14)
- Analysis of Vitamin D and VDR Expression in Women with Advanced Endometriosis: A Case-Control Study in Thailand 2025
- Dietary strategies for reducing symptoms associated with endometriosis: a literature review 2024
- Vitamin D-The Iceberg in Endometriosis-Review and Meta-Analysis 2024
- Association between vitamin D and endometriosis among American women: National Health and Nutrition Examination Survey 2024
- How Can Selected Dietary Ingredients Influence the Development and Progression of Endometriosis? 2024
- Serum Vitamin D Levels, Visual Analog Scale Dysmenorrhea Score, and Endometriosis ASRM Classification: a Relationship Study 2024
- Oxidative stress, ferroptosis, somatic mutations, antioxidant therapy, and endometriosis: a new perspective on the issue 2024
- Vitamin D and Mitosis Evaluation in Endometriosis: A Step toward Discovering the Connection? 2023
- Nuclear Expression of Phosphohistone H3 and Vitamin D Receptor – New Potential Markers in Diagnosis and Treatment of Endometriosis 2023
- 25(OH)D3 improves granulosa cell proliferation and IVF pregnancy outcomes in patients with endometriosis by increasing G2M+S phase cells 2023
- Role in reproductive biology and dysfunction in women 2023
- Pathogenesis of Endometriosis: Focus on Adenogenesis-related Factors 2023
- Adenogenesis Factors FGF7, FGF10, FGF23, IFN-τ and HGF in Endometriosis Tissue Respect to Eutopic Endometrium: An Immunohistochemical Study 2023
- A systematic review of vitamin D and endometriosis: role in pathophysiology, diagnosis, treatment, and prevention 2022
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- europepmc
- last seen: 2026-06-23T06:15:44.889181+00:00
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- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:24:03.506079+00:00
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