Cited by 183Endometriosis Research and TreatmentEstrogen and related hormone effectsReproductive System and Pregnancy

Mechanisms of endometrial progesterone resistance

Al-Sabbagh, Marwa, Lam, Eric W.-F., Brosens, Jan J.·2012·Molecular and Cellular Endocrinology

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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Crossref · 10.1016/j.mce.2011.10.035

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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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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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