NR4A1 is Involved in Fibrogenesis in Ovarian Endometriosis

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Phosphorylated NR4A1 levels are elevated in ovarian endometriosis, and NR4A1 inhibition promotes fibrosis, suggesting it regulates fibrogenesis and is a potential therapeutic target.

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Abstract

BACKGROUND/AIMS: Excess fibrosis may lead to chronic pain, scarring, and infertility as endometriosis develops and progresses. The pathogenesis of endometriosis has been linked to transforming growth factor-β (TGF-β), the most potent promoter of fibrosis. METHODS: Levels of NR4A1 and P-NR4A1 protein in human endometrial and endometriotic tissue were assessed by western blotting and immunohistochemistry. The expression levels of fibrotic markers in stromal cells were evaluated by real-time PCR. The degree of fibrosis in mouse endometriotic lesions was detected by Masson trichrome and Sirius red staining. RESULTS: The level of phosphorylated-NR4A1 was higher in ovarian endometriotic tissue than in normal endometrium, and long-term TGF-β1 stimulation phosphorylated NR4A1 in an AKT-dependent manner and then promoted the expression of fibrotic markers. Furthermore, inhibition of NR4A1 in stromal cells increased the TGF-β1-dependent elevated expression of fibrotic markers, and loss of NR4A1 stimulated fibrogenesis in mice with endometriosis. Additionally, Cytosporone B (Csn-B), an NR4A1 agonist, effectively decreased the TGF-β1-dependent elevated expression of fibrotic markers in vitro and significantly inhibited fibrogenesis in vivo. CONCLUSION: NR4A1 can regulate fibrosis in endometriosis and may serve as a new target for the treatment of endometriosis.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Nuclear Receptor Subfamily 4, Group A, Member 1 Adult Animals Cells, Cultured Collagen Type I Collagen Type I Collagen Type I Collagen Type I, alpha 1 Chain Connective Tissue Growth Factor Connective Tissue Growth Factor Connective Tissue Growth Factor Disease Models, Animal Endometriosis Endometriosis Endometrium Endometrium Endometrium Endometrium Endometrium

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europepmc
last seen: 2026-08-23T06:15:12.370321+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:19:49.066213+00:00
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