Abstract
The MYC family has been the subject of extensive research in the field of cancer, yet the mechanisms by which these factors operate in the context of endometriosis remain unclear. Considering the existing studies on the MYC family and diseases of the female reproductive system, this review examines the role of MYC family members in regulating cell proliferation and metabolic activity in endometriosis. Furthermore, the study explores the potential association between the MYC family and endometriosis, drawing parallels with its established role in cancer and findings from other gynecological diseases. The primary areas of discussion include cell proliferation and invasion, hormone dependence, and epigenetic regulation. The review also considers inhibitors of the MYC family and other related molecules that may affect MYC expression. The findings of this study suggest significant potential for the MYC family to play a pivotal role in the context of endometriosis. It is anticipated that advancements in technology will stimulate further research in this area and facilitate the development of clinically applicable therapeutic strategies.
Similar content being viewed by others
Data availability
No datasets were generated or analysed during the current study.
Abbreviations
- AMPK:
-
AMP-activated protein kinase
- BET:
-
Bromodomain and extra terminal domain
- BTG1:
-
B-cell translocation gene 1
- CTNNB1:
-
Catenin beta 1
- EMT:
-
Epithelial-mesenchymal transition
- ERα:
-
Estrogen receptor alpha
- ERβ:
-
Estrogen receptor beta
- ESR1:
-
Estrogen receptor 1
- IFN:
-
Interferon
- IGFBP1:
-
Insulin-like growth factor binding protein 1
- Ki-67:
-
Marker of cellular proliferation
- MAPK:
-
Mitogen-activated protein kinase
- MAX:
-
MYC-associated factor X
- miRNA:
-
MicroRNA
- mTOR:
-
Mammalian target of rapamycin
- NDRG1:
-
N-MYC downstream regulated gene 1
- NMI:
-
N-MYC and STAT interactor
- NR4A1:
-
Nuclear receptor subfamily 4 group A member 1
- PR:
-
Progesterone receptor
- PR-A/B:
-
Progesterone receptor isoforms A and B
- SPARC:
-
Secreted protein acidic and rich in cysteine
- TF:
-
Transcription factor
- TWIST1:
-
Twist family BHLH transcription factor 1
- WNT:
-
Wingless-type signaling pathway
References
Tsamantioti ES, Mahdy H (2025) Endometriosis, in StatPearls. StatPearls Publishing Copyright © 2025, StatPearls Publishing LLC.: Treasure Island (FL)
Parasar P, Ozcan P, Terry KL (2017) Endometriosis: epidemiology, diagnosis and clinical management. Curr Obstet Gynecol Rep 6(1):34–41
Zondervan KT, Becker CM, Missmer SA (2020) Endometriosis N Engl J Med 382(13):1244–1256
Jenkins S, Olive DL, Haney AF (1986) Endometriosis: pathogenetic implications of the anatomic distribution. Obstet Gynecol 67(3):335–338
Koninckx PR, Barlow D, Kennedy S (1999) Implantation versus infiltration: the Sampson versus the endometriotic disease theory. Gynecol Obstet Invest 47(Suppl 1):3–9 discussion 9-10
Vercellini P et al (2014) Endometriosis: pathogenesis and treatment. Nat Rev Endocrinol 10(5):261–275
Bulun SE et al (2019) Endometriosis Endocr Rev 40(4):1048–1079
Barlow DH, Kennedy S (2005) Endometriosis: new genetic approaches and therapy. Annu Rev Med 56:345–356
Horne AW, Missmer SA (2022) Pathophysiology, diagnosis, and management of endometriosis. BMJ 379:e070750
Duffy MJ et al (2021) MYC as a target for cancer treatment. Cancer Treat Rev 94:102154
Sklar MD et al (1985) Transformation of mouse bone marrow cells by transfection with a human oncogene related to c-myc is associated with the endogenous production of macrophage colony stimulating factor 1. J Cell Physiol 125(3):403–412
Lee CM, Reddy EP (1999) The v-myc oncogene. Oncogene 18(19):2997–3003
Stine ZE et al (2015) MYC, Metabolism, and Cancer. Cancer Discov 5(10):1024–1039
Conacci-Sorrell M, McFerrin L, Eisenman RN (2014) An overview of MYC and its interactome. Cold Spring Harb Perspect Med 4(1):a014357
Dang CV (2012) MYC on the path to cancer. Cell 149(1):22–35
Ping S et al (2016) Molecular mechanisms underlying endometriosis pathogenesis revealed by bioinformatics analysis of microarray data. Arch Gynecol Obstet 293(4):797–804
Arend RC et al (2013) The Wnt/β-catenin pathway in ovarian cancer: a review. Gynecol Oncol 131(3):772–779
Blagden SP (2022) Targeting MAPK in recurrent, low-grade serous ovarian cancer. Lancet 399(10324):499–501
Dhanasekaran R et al (2022) The MYC oncogene - the grand orchestrator of cancer growth and immune evasion. Nat Rev Clin Oncol 19(1):23–36
Pellegrini C et al (2012) The expression of estrogen receptors as well as GREB1, c-MYC, and cyclin D1, estrogen-regulated genes implicated in proliferation, is increased in peritoneal endometriosis. Fertil Steril 98(5):1200–1208
Nothnick WB et al (2023) Targeting c-MYC: a potential non-hormonal therapeutic approach for endometriosis treatment. Front Cell Dev Biol 11:1225055
Schenken RS, Johnson JV, Riehl RM (1991) c-myc protooncogene polypeptide expression in endometriosis. Am J Obstet Gynecol, 164(4): pp. 1031-6; discussion 1036-7
Schneider J et al (1998) c-myc, c-erb-B2, nm23 and p53 expression in human endometriosis. Oncol Rep 5(1):49–52
Johnson MC et al (2005) Augmented cell survival in eutopic endometrium from women with endometriosis: expression of c-myc, TGF-beta1 and bax genes. Reprod Biol Endocrinol 3:45
Meola J et al (2010) Differentially expressed genes in eutopic and ectopic endometrium of women with endometriosis. Fertil Steril 93(6):1750–1773
Khan MA et al (2012) Genome-wide expressions in autologous eutopic and ectopic endometrium of fertile women with endometriosis. Reprod Biol Endocrinol 10:84
Proestling K et al (2015) Enhanced epithelial to mesenchymal transition (EMT) and upregulated MYC in ectopic lesions contribute independently to endometriosis. Reprod Biol Endocrinol 13:75
Lou T, Liu C, Zhang Z (2017) N-myc Downstream-Regulated Gene 1 and Endometriosis: A Minireview. Crit Rev Eukaryot Gene Expr 27(4):341–345
Park Y, Guan X, Han SJ (2024) N-Myc and STAT interactor is an endometriosis suppressor. Int J Mol Sci, 25(15)
Nakamura A et al (2024) mTOR inhibitors as potential therapeutics for endometriosis: a narrative review. Mol Hum Reprod, 30(12)
Assaf L, Eid AA, Nassif J (2022) Role of AMPK/mTOR, mitochondria, and ROS in the pathogenesis of endometriosis. Life Sci 306:120805
Zhang L et al (2023) Flavonoids quercetin and kaempferol are nr4a1 antagonists and suppress endometriosis in female mice. Endocrinology, 164(10)
Raj WW, A.S. and, Manoharan R (2025) NUAKs promote mTOR/c-Myc-induced glucose and glutamine reprogramming for cell growth and metastasis in breast cancer cells. Biochim Biophys Acta Mol Basis Dis 1871(1):167508
Bhin J et al (2023) MYC is a clinically significant driver of mTOR inhibitor resistance in breast cancer. J Exp Med, 220(11)
Ge L et al (2025) Ovarian endometriosis accelerates premature ovarian failure and contributes to osteoporosis and cognitive decline in aging mice. Int J Mol Sci, 26(7)
Massó-Vallés D, Soucek L (2020) Blocking Myc to treat cancer: reflecting on two decades of omomyc. Cells, 9(4)
Garralda E et al (2024) MYC targeting by OMO-103 in solid tumors: a phase 1 trial. Nat Med 30(3):762–771
Vanhie A et al (2019) Plasma miRNAs as biomarkers for endometriosis. Hum Reprod 34(9):1650–1660
Zhuo Z, Wang C, Yu H (2022) Plasma microRNAs can be a potential diagnostic biomarker for endometriosis. Ginekol Pol 93(6):450–459
Abe W et al (2013) miR-196b targets c-myc and Bcl-2 expression, inhibits proliferation and induces apoptosis in endometriotic stromal cells. Hum Reprod 28(3):750–761
Zhang Y et al (2024) Interactions between miRNAs and the Wnt/β-catenin signaling pathway in endometriosis. Biomed Pharmacother 171:116182
Zhu H et al (2019) MicroRNA-488 inhibits endometrial glandular epithelial cell proliferation, migration, and invasion in endometriosis mice via Wnt by inhibiting FZD7. J Cell Mol Med 23(4):2419–2430
De Santis C, Götte M (2021) The role of microrna let-7d in female malignancies and diseases of the female reproductive tract. Int J Mol Sci, 22(14)
Marquardt RM et al (2023) Epigenetic dysregulation in endometriosis: implications for pathophysiology and therapeutics. Endocr Rev 44(6):1074–1095
Teague EM, Print CG, Hull ML (2010) The role of microRNAs in endometriosis and associated reproductive conditions. Hum Reprod Update 16(2):142–165
Abramiuk M et al (2022) The role of the immune system in the development of endometriosis. Cells, 11(13)
Wilson TR et al (2025) Neutrophils initiate proinflammatory immune responses in early endometriosis lesion development. JCI Insight, 10(5)
Chen S et al (2023) Peritoneal immune microenvironment of endometriosis: Role and therapeutic perspectives. Front Immunol 14:1134663
Vallvé-Juanico J, Houshdaran S, Giudice LC (2019) The endometrial immune environment of women with endometriosis. Hum Reprod Update 25(5):564–591
Liu S et al (2025) Single-cell and spatial transcriptomic profiling revealed niche interactions sustaining growth of endometriotic lesions. Cell Genom 5(1):100737
Zhu X et al (2018) Knockdown of E-cadherin expression of endometrial epithelial cells may activate Wnt/β-catenin pathway in vitro. Arch Gynecol Obstet 297(1):117–123
Butt AJ et al (2005) Downstream targets of growth factor and oestrogen signalling and endocrine resistance: the potential roles of c-Myc, cyclin D1 and cyclin E. Endocr Relat Cancer, 12 Suppl 1: p. S47–59
Vinci G et al (2016) Correlation between the clinical parameters and tissue phenotype in patients affected by deep-infiltrating endometriosis. Reprod Sci 23(9):1258–1268
Han SJ et al (2019) Genomic function of estrogen receptor β in endometriosis. Endocrinology 160(11):2495–2516
Kim JS et al (2019) Role of B-Cell translocation gene 1 in the pathogenesis of endometriosis. Int J Mol Sci, 20(13)
Vercellini P et al (2003) Progestogens for endometriosis: forward to the past. Hum Reprod Update 9(4):387–396
Bulun SE et al (2010) Estrogen receptor-beta, estrogen receptor-alpha, and progesterone resistance in endometriosis. Semin Reprod Med 28(1):36–43
Ducreux B et al (2025) Systematic review on the DNA methylation role in endometriosis: current evidence and perspectives. Clin Epigenetics 17(1):32
Bedrick BS et al (2024) A Systematic Review of Epigenetics of Endometriosis, vol 5. F S Rev, 1
Kumari P et al (2022) Promoter methylation status of key genes and its implications in the pathogenesis of endometriosis, endometrioid carcinoma of ovary and endometrioid endometrial cancer. J Cancer Res Ther 18(Supplement):S328–s334
Wan S et al (2023) METTL3-dependent m(6)A methylation facilitates uterine receptivity and female fertility via balancing estrogen and progesterone signaling. Cell Death Dis 14(6):349
Szukiewicz D (2023) Aberrant epigenetic regulation of estrogen and progesterone signaling at the level of endometrial/endometriotic tissue in the pathomechanism of endometriosis. Vitam Horm 122:193–235
Koninckx PR et al (2019) Pathogenesis of endometriosis: the genetic/epigenetic theory. Fertil Steril 111(2):327–340
Zhang M et al (2023) Research advances in endometriosis-related signaling pathways: A review. Biomed Pharmacother 164:114909
Louwen F et al (2022) BCL6, a key oncogene, in the placenta, pre-eclampsia and endometriosis. Hum Reprod Update 28(6):890–909
Qi Y et al (2025) Single-cell and spatially resolved omics reveal transcriptional and metabolic signatures of ovarian endometriomas. Nat Commun 16(1):11539
Marečková M et al (2024) An integrated single-cell reference atlas of the human endometrium. Nat Genet 56(9):1925–1937
Ochoa Bernal MA, Fazleabas AT (2024) The known, the unknown and the future of the pathophysiology of endometriosis. Int J Mol Sci, 25(11)
Zachaki S et al (2021) Cytogenetic findings of ectopic endometriotic tissue in women with endometriosis and review of the literature. Eur J Obstet Gynecol Reprod Biol 264:212–218
Chen F, Zhu M, Li W (2024) Advances in research on malignant transformation of endometriosis-associated ovarian cancer. Front Oncol 14:1475231
Ioannidou A et al (2025) New evidence about malignant transformation of endometriosis-a systematic review. J Clin Med, 14(9)
Sohel HI et al (2025) Establishment of a novel in vitro and in vivo model to understand molecular carcinogenesis of endometriosis-related ovarian neoplasms. Int J Mol Sci, 26(5)
Acknowledgements
Not applicable.
Funding
The study was supported by research grants from National Natural Science Foundation of China (Grant no. 81972489).
Author information
Authors and Affiliations
Contributions
ZY, and XG conceived the review. ZY, AJ, XG, CY, MZ, MW and JL collected the related papers. ZY, and XG contributed to all tables and figures and were responsible for drafting the manuscript. ZY, AJ, CY, MZ, MW, and JL participated in the revision of the manuscript. All authors have thoroughly reviewed and approved the final version of the manuscript.
Corresponding authors
Ethics declarations
Consent for publication
Not applicable.
Competing interests
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval and consent to participate
Not applicable.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ge, X., Yue, C., Zhang, M. et al. MYC: unveiling novel therapeutic avenues for endometriosis. Mol Biol Rep 53, 535 (2026). https://doi.org/10.1007/s11033-026-11716-y
Received:
Accepted:
Published:
Version of record:
DOI: https://doi.org/10.1007/s11033-026-11716-y