Angiogenese und Endometriose

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This paper investigates the significant role of angiogenesis in endometriosis pathogenesis and explores the potential of angiogenesis inhibitors as therapeutic agents for this chronic condition.

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The paper reviews evidence that angiogenesis—new blood vessel formation—contributes to the pathogenesis of endometriosis, drawing on findings related to angiogenic factors such as VEGF, FGF, and matrix metalloproteinases (MMPs) as well as angiogenesis inhibitors. It argues that inhibiting angiogenesis could become an additional therapeutic strategy to address endometriosis-associated pain and infertility, which are described as currently unsatisfactory and prone to recurrence after treatment cessation. The major caveat stated is that detailed investigation of the underlying pathomechanisms is necessary to assess indications, safety, and potential impacts on the female reproductive system. Relevance to endometriosis: the paper is explicitly about endometriosis and specifically focuses on angiogenesis as a key mechanistic contributor and potential target for therapy.

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Abstract

Endometriosis is considered a chronic disease of women during their reproductive phase, which resembles many signs of malignancy. So far, therapeutic options for endometriosis-associated pain and infertility are unsatisfactory and often lead to recurrence of disease after termination of treatment. Angiogenesis seems to play an important role in the pathogenesis of endometriosis. The use of angiogenesis inhibitors may add an important new tool to well-established treatment schedules. Therefore, it is very important to thoroughly investigate the role of angiogenesis in endometriosis with respect to the female reproductive system.
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Subscribe to RSS DOI: 10.1055/s-2004-822818 © Georg Thieme Verlag Stuttgart · New York Angiogenese und Endometriose Angiogenesis and EndometriosePublication History Publication Date: 27 August 2004 (online) Zusammenfassung Die Endometriose ist eine chronische Erkrankung der Frau im reproduktionsfähigen Alter, die Ähnlichkeiten zu malignen Tumorerkrankungen aufweist. Die medikamentöse Behandlung der endometrioseassoziierten Schmerzen sowie der Infertilität ist unbefriedigend. Es gibt Hinweise, dass die Neubildung von Blutgefäßen, die Angiogenese, eine wichtige Rolle bei der Endometriose spielt. Die Hemmung der Angiogenese könnte in Zukunft einen neuen viel versprechenden Therapieansatz darstellen, indem Angiogeneseinhibitoren als wirksame Ergänzungen bestehender Therapieschemata eingesetzt werden. Die detaillierte Erforschung der zugrunde liegenden Pathomechanismen ist notwendig, um eine Aussage über mögliche Indikation und Sicherheit dieser Substanzen sowie deren Auswirkung auf das reproduktive System der Frau treffen zu können. Abstract Endometriosis is considered a chronic disease of women during their reproductive phase, which resembles many signs of malignancy. So far, therapeutic options for endometriosis-associated pain and infertility are unsatisfactory and often lead to recurrence of disease after termination of treatment. Angiogenesis seems to play an important role in the pathogenesis of endometriosis. The use of angiogenesis inhibitors may add an important new tool to well-established treatment schedules. Therefore, it is very important to thoroughly investigate the role of angiogenesis in endometriosis with respect to the female reproductive system. 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Diagnosis of deep endometriosis by clinical examination during menstruation and plasma CA-125 concentration. Fertil Steril. 1996; 65 280-287 - 56 Pasqualini R, Ruoslahti E. Organ targeting in vivo using phage display peptide libraries. Nature. 1996; 380 364-366 - 57 Pasqualini R, Arap W, McDonald D M. Probing the structural and molecular diversity of tumor vasculature. Trends Mol Med. 2002; 8 563-571 Priv.-Doz. Dr. med. Dr. phil. Andreas D. Ebert Deutsches Endometriose Kompetenz- und Experten-Netzwerk (DEKEN) · Frauenklinik und Poliklinik · Charité-Universitätsmedizin Berlin Campus Benjamin Franklin Hindenburgdamm 30 12203 Berlin Email: [email protected]

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Condition tags

endometriosisinfertility

MeSH descriptors

Angiogenesis Inhibitors Endometriosis Neovascularization, Pathologic Angiogenesis Inhibitors Endometriosis Endometriosis Female Humans Matrix Metalloproteinases Matrix Metalloproteinases Neovascularization, Pathologic

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