Apoptosis and endometriosis

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This review examines the role of apoptosis in normal endometrium and its altered regulation in eutopic and ectopic endometrial tissues from women with endometriosis, as well as its therapeutic implications.

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This paper is a current literature review examining the physiological role of apoptosis in normal uterine endometrium and the altered regulation of apoptosis in eutopic and ectopic endometrial tissue from women with endometriosis. It summarizes evidence that apoptosis contributes to endometrial tissue homeostasis during the menstrual cycle by eliminating senescent cells, and discusses apoptosis-related systems such as BCL-2 family and Fas/FasL that have been studied in both human endometrium and endometriotic tissues. A key focus is reported apoptosis activity in eutopic and ectopic endometrium in endometriosis and how differences in eutopic endometrium may support survival of regurgitated cells. As a narrative review, it does not provide new experimental data or a stated quantitative limitation beyond its scope in linking apoptosis biology and potential therapeutic roles. This paper is centrally about endometriosis — it reviews apoptosis mechanisms in eutopic and ectopic endometrial tissues and connects them to endometriosis biology and treatment discussion.

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Abstract

Apoptosis plays a critical role in maintaining tissue homeostasis and represents a normal function to eliminate excess or dysfunctional cells. Accumulated evidence suggest that apoptosis helps to maintain cellular homeostasis during the menstrual cycle by eliminating senescent cells from the functional layer of the uterine endometrium during the late secretory and menstrual phase of the cycle. BCL-2 family and Fas/FasL system have been extensively studied in human endometrium and endometriotic tissues. Eutopic endometrium from women with endometriosis reportedly has some fundamental differences compared with normal endometrium of women without endometriosis. The differences could contribute to the survival of regurgitating endometrial cells into the peritoneal cavity and the development of endometriosis. One mechanism that recently gained a lot of interest is the finding that apoptosis appeared in eutopic and ectopic endometrium of patients with endometriosis. This study is a current review of the literature focused on the physiological role of apoptosis in normal endometrium and the alterations in regulation of apoptosis in eutopic and ectopic endometrium from women with endometriosis. Finally, role of apoptosis in the treatment of endometriosis is reviewed to link the basic research findings into clinical applications.
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Frontiers in Bioscience-Landmark (FBL) is published by IMR Press from Volume 26 Issue 5 (2021). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with Frontiers in Bioscience. 1 Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Japan 2 Department of Biosignalling, Tottori University School of Medicine, Yonago, Japan Abstract Apoptosis plays a critical role in maintaining tissue homeostasis and represents a normal function to eliminate excess or dysfunctional cells. Accumulated evidence suggest that apoptosis helps to maintain cellular homeostasis during the menstrual cycle by eliminating senescent cells from the functional layer of the uterine endometrium during the late secretory and menstrual phase of the cycle. BCL-2 family and Fas/FasL system have been extensively studied in human endometrium and endometriotic tissues. Eutopic endometrium from women with endometriosis reportedly has some fundamental differences compared with normal endometrium of women without endometriosis. The differences could contribute to the survival of regurgitating endometrial cells into the peritoneal cavity and the development of endometriosis. One mechanism that recently gained a lot of interest is the finding that apoptosis appeared in eutopic and ectopic endometrium of patients with endometriosis. This study is a current review of the literature focused on the physiological role of apoptosis in normal endometrium and the alterations in regulation of apoptosis in eutopic and ectopic endometrium from women with endometriosis. Finally, role of apoptosis in the treatment of endometriosis is reviewed to link the basic research findings into clinical applications.

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Condition tags

endometriosis

MeSH descriptors

Apoptosis Apoptosis Apoptosis Endometriosis Endometriosis Endometrium Endometrium Female Humans

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