Abnormal activation of the Wnt3a/β-catenin signaling pathway promotes the expression of TBX3 and the EMT pathway to mediate the occurrence of adenomyosis
Abnormal Wnt3a/β-catenin signaling activates TBX3 and ERα, promoting epithelial-to-mesenchymal transition, cell proliferation, and invasion in a mouse model of adenomyosis.
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This preprint investigated whether the transcription factor TBX3 contributes to adenomyosis and whether TBX3 is regulated by the Wnt3a/β-catenin signaling pathway. Using a tamoxifen-induced ICR mouse adenomyosis model, the authors assessed protein expression (western blotting and immunohistochemistry) and measured proliferation and apoptosis (PCNA and TUNEL), while testing the role of Wnt signaling with the intraperitoneal inhibitor XAV-939. They found TBX3 overexpression and epithelial-to-mesenchymal transition (EMT) in adenomyosis were associated with activation of the Wnt3a/β-catenin pathway, and that XAV-939 reduced TBX3 and EMT, suppressed proliferation, limited endometrial invasion depth, and decreased ERα expression. The paper does not explicitly state a limitation in the provided excerpt, but it is based on an animal model and protein-level assays rather than direct mechanistic confirmation beyond pathway inhibition. This paper is centrally about endometriosis and/or adenomyosis—specifically adenomyosis—because it uses an adenomyosis mouse model to link Wnt3a/β-catenin signaling and TBX3-driven EMT with adenomyosis development.
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