The role of peroxisome proliferator-activated receptors in endometriosis
This literature review found that PPARs, particularly PPARγ, are involved in endometriosis pathophysiology and that targeting the PPAR system offers potential therapeutic options for the disease.
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This paper is a narrative literature review examining the role of peroxisome proliferator-activated receptors (PPARs) in endometriosis pathophysiology, using MEDLINE and LIVIVO searches (2001–2022) and selecting 36 relevant original research articles/abstracts after full-text screening, while excluding studies focused on uterine fibroids or endometrial cancer. It summarizes evidence that PPAR signaling—especially PPARγ—has been linked to pathways involved in disease onset and progression, and discusses mechanistic findings including PPARα and PPARγ expression in peritoneal macrophages and stage-dependent changes in PPARα reporter activation by endometriosis patient peritoneal fluid; one stated limitation is that the paper is a literature review rather than new experimental work. It also highlights data implicating PPARα in processes such as cholesterol accumulation/estrogen production, as well as mouse findings in surgically induced endometriosis where PPARα deficiency was associated with impaired angiogenesis and altered inflammation. This paper is centrally about endometriosis—specifically how PPAR signaling (PPARα/γ and related pathways) may contribute to endometriosis pathophysiology and potential therapeutic targeting.
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