Mechanisms of endometrial progesterone resistance
Abstract
Throughout the reproductive years, the rise and fall in ovarian hormones elicit in the endometrium waves of cell proliferation, differentiation, recruitment of inflammatory cells, apoptosis, tissue breakdown and regeneration. The activated progesterone receptor, a member of the superfamily of ligand-dependent transcription factors, is the master regulator of this intense tissue remodelling process in the uterus. Its activity is tightly regulated by interaction with cell-specific transcription factors and coregulators as well as by specific posttranslational modifications that respond dynamically to a variety of environmental and inflammatory signals. Endometriosis, a chronic inflammatory disorder, disrupts coordinated progesterone responses throughout the reproductive tract, including in the endometrium. This phenomenon is increasingly referred to as 'progesterone resistance'. Emerging evidence suggests that progesterone resistance in endometriosis is not just a consequence of perturbed progesterone signal transduction caused by chronic inflammation but associated with epigenetic chromatin changes that determine the intrinsic responsiveness of endometrial cells to differentiation cues.
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Local estrogen production and progesterone resistance were demonstrated in larger endometriosis lesions.
“Local estrogen production (154) and progesterone resistance (155-162) were demonstrated in larger endometriosis lesions (154-163)”
From Pathogenesis of endometriosis: The genetic/epigenetic theory (2019) · cites this paper as [159]
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Self-citationFOXO1 and c-jun transcription factors mRNA are modulated in endometriosis
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FOXO Transcription Factors and their Role in Disorders of the Female Reproductive Tract
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Brun, J.-L., Galant, C., Delvaux, D., et al. (2008) · Human Reproduction · doi:10.1093/humrep/den392 · Cited by 10 · see citing works
Flagged first, then by citations
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“The term “Progesterone resistance” is due to the failure of endometrial tissue to properly respond to progesterone signaling [66].”
BackgroundBrosens, I., & Benagiano, G. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2015.07.021 · Cited by 31 · see citing works
Garitazelaia, A., Rueda-Martínez, A., Arauzo, R., de Miguel, J., Cilleros-Portet, A., Marí, S., Bilbao, J. R., Fernandez-Jimenez, N., & García-Santisteban, I. (2021) · Life · doi:10.3390/life11010024 · Cited by 22 · see citing works
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- Authors
- Al-Sabbagh, M., Lam, E. W.-F., & Brosens, J. J.
- Affiliations
- Hammersmith Hospital (GB)
- Cancer Research UK (GB)
- University Hospital Coventry (GB)
- Corresponding author
- Brosens, Jan J.
- Venue
- Molecular and Cellular Endocrinology
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 358
- Issue
- 2
- Pages
- 208-215
- ISSN
- 0303-7207 (ISSN-L)
- OpenAlex
- W2073612486
- Cited by
- 183
- References
- 107
- Citations by year
- 2026: 9 · 2025: 5 · 2024: 13 · 2023: 12 · 2022: 16 · 2021: 20 · 2020: 14 · 2019: 9 · 2018: 15 · 2017: 13 · 2016: 14 · 2015: 20 · 2014: 13 · 2013: 5 · 2012: 5
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular and Cellular Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Cancer Research UK (12011)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Keywords
- progesterone resistance, endometriosis, progesterone receptor, endometrium, chronic inflammation, transcriptional coregulators, post-translational modification, endometrial differentiation
- MeSH terms
- Endometrium, Female, Humans, Models, Biological, Organ Specificity, Progesterone, Receptors, Progesterone, Signal Transduction
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