Epigenetic background of the most common non-oncologic gynecological diseases
This review discusses the epigenetic mechanisms potentially involved in the etiology of uterine fibroids, endometriosis, and polycystic ovary syndrome, highlighting their role as future therapeutic targets.
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This narrative review discusses how epigenetic mechanisms, particularly chromatin-related processes such as DNA methylation, histone modifications, and non-coding RNAs, regulate gene activity under environmental influences. It links aberrant epigenetic regulation to the etiologies of several common non-oncologic gynecological conditions, highlighting that uterine fibroids likely involve complex epigenetic control, endometriosis has a multifactorial origin with immunological and hormonal contributors that are influenced by epigenetics, and polycystic ovary syndrome may have an in utero origin shaping research directions. The paper explicitly describes a caveat in that most of its content is mechanistic and integrative rather than based on a single original experimental study. This paper is centrally about endometriosis — it summarizes the multifactorial origins of endometriosis and frames immunological and hormonal mechanisms as being influenced by epigenetic factors.
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