Angiogenese und antiangiogene Therapien der Endometriose

In: Gyn�kologische Endokrinologie · 2004 · vol. 2(4) , pp. 201–207 · doi:10.1007/s10304-004-0084-3 · W2312309402
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This review examines the disturbed balance of proangiogenic and angiogenesis-inhibiting molecules in endometriosis and discusses potential antiangiogenic therapies.

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The paper reviews how impaired angiogenesis contributes to endometriosis, emphasizing that endometriotic implants depend on increased neovascularisation for survival and development, analogous to tumor metastases. It discusses the disturbed balance between pro-angiogenic and angiogenesis-inhibiting molecules and surveys potential antiangiogenic therapeutic approaches based on “latest research,” without presenting new experimental data. A stated limitation is that it is a brief, insight-focused contribution rather than a systematic, primary-evidence study. Relevance to endometriosis: the entire article is devoted to “Angiogenese und antiangiogene Therapien der Endometriose,” describing angiogenic factors and antiangiogenic treatment concepts specifically for endometriosis.

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Zusammenfassung Endometriose ist mit einer Prävalenzrate von 10–15% eine häufige gynäkologische Erkrankung von Frauen im reproduktionsfähigen Alter. Neben genetischen, immunologischen und Umweltfaktoren spielt auch eine gestörte Angiogenese eine entscheidende Rolle in der Ausbildung der Erkrankung. Da Endometrioseherde eine ausgeprägte Blutversorgung für ihr Überleben und ihre Entwicklung benötigen, sind sie—analog zu Tumormetastasen—von einer gesteigerten Neovaskularisation abhängig. Dieser Beitrag soll einen Einblick in die bei Endometriose gestörte Balance von angiostimulatorischen und angioinhibitorischen Faktoren sowie über potenzielle Therapien gegeben. Abstract Endometriosis is a common gynaecological disorder with a prevalence rate of 10–15% in women of reproductive age. Besides genetic, immunological and environmental factors, an impaired angiogenesis contributes to the development of the disease. As endometriotic implants need sufficient blood supply for their survival and development they are—in analogy to tumour metastases—dependent on increased neovascularisation. Based on the latest research, we elucidate in brief the disturbed balance of proangiogenic and angiogenesis-inhibiting molecules including potential therapies. Similar content being viewed by others Literatur Braun DP, Ding J, Dmowski WP (2002) Peritoneal fluid-mediated enhancement of eutopic and ectopic endometrial cell proliferation is dependent on tumor necrosis factor -α in women with endometriosis. Fertil Steril 78:727–732 Cohen T, Nahari D, Cerem LW et al. (1996) Interleukin 6 induces the expression of vascular endothelial growth factor. J Biol Chem 271:736–741 Dabrosin C, Gyorffy S, Margetts P et al. (2002) Therapeutic effect of angiostatin gene transfer in a murine model of endometriosis. Am J Pathol 161:909–918 Daniel TO, Liu H, Morrow JD et al. 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Fertil Steril 79:770–778 Interessenkonflikt: Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Huber, A.W., Mueller, M.D. Angiogenese und antiangiogene Therapien der Endometriose. Gynäkologische Endokrinologie 2, 201–207 (2004). https://doi.org/10.1007/s10304-004-0084-3 Issue date: DOI: https://doi.org/10.1007/s10304-004-0084-3

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