Environmental Manipulations as an Effective Alternative Treatment to Reduce Endometriosis Progression
Environmental enrichment in rats reduced endometriosis vesicle size and number and dampened stress-related gene expression in vesicles compared to non-enriched rats.
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The study investigated whether environmental enrichment (EE) alters endometriosis progression and stress-related neuroendocrine signaling in a rat autotransplantation model, comparing enriched versus non-enriched housing conditions before and during growth of surgically induced endometriotic lesions. After 8 weeks and a further 60 days of lesion progression, the authors measured anxiety-like behaviors and vesicle size/number, and assessed corticotropin-releasing hormone (CRH), urocortin-1, CRH receptor (CRHR1/CRHR2), and glucocorticoid receptor (GR) expression by quantitative real-time PCR in vesicles. Endometriosis itself did not change anxiety-like behavior, but EE reduced basal anxiety-like behavior and was associated with fewer (28% reduction) and smaller endometriotic vesicles, alongside dampened CRH and GR increases observed in non-enriched vesicles; urocortin-1 increased in enriched vesicles, indicating different pathway activation. A limitation explicitly implied by the design is that outcomes are based on animal model endpoints without confirming causal relevance to human disease mechanisms beyond these measured markers. This paper is centrally about endometriosis — it tests environmental enrichment as a stress-reducing strategy to reduce endometriosis lesion progression in rats.
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Cited by (13)
- The Role of Lifestyle and Diet in the Treatment of Endometriosis: A Review 2026
- WERF Endometriosis Phenome and Biobanking Harmonisation Project for Experimental Models in Endometriosis Research (EPHect-EM-Pain): methods to assess pain behaviour in rodent models of endometriosis 2025
- Neuroendocrine–Immune Axis in Endometriosis: A Review on How the Nervous System Goes Beyond Pain Perception 2025
- Efficacy of an environmental enrichment intervention for endometriosis: a pilot study 2023
- Feasibility and acceptability of an adapted environmental enrichment intervention for endometriosis: A pilot study 2023
- Impact of the early COVID-19 era on endometriosis patients: Symptoms, stress, and access to care 2021
- Short treatment with antalarmin alters adrenal gland receptors in the rat model of endometriosis 2020
- The Link Between Stress and Endometriosis: from Animal Models to the Clinical Scenario 2020
- Evidence in Support for the Progressive Nature of Ovarian Endometriomas 2020
- Endometriosis and pain in the adolescent- striking early to limit suffering: A narrative review 2019
- The Role of the Glucocorticoid Receptor Signalling Pathway within the Human Endometrium 2019
- Antagonizing the corticotropin releasing hormone receptor 1 with antalarmin reduces the progression of endometriosis 2018
- Novel Strategies to Fight Endometriosis 2018
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