Pathological functions of hypoxia in endometriosis
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Endometriosis is one of the most common gynecological diseases that significantly reduce the life quality of affected women. Research results from the past decade clearly demonstrated that aberrant production of estrogen and cyclooxygenase-2-derived prostaglandin E2 play indispensable roles in the pathogenesis of this disease. However, the etiology of endometriosis remains obscure. Recent evidence reveals a new facet of endometriotic pathogenesis by showing that hypoxia induces the expression of many important downstream genes to regulate the implantation, survival, and maintenance of ectopic endometriotic lesions. These new findings shed lights on future investigations of delineating the etiology of endometriosis and designing new therapeutic strategy for endometriosis.
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Hypoxic conditions alone can dramatically change the behavior of normal endometrial cells, manifesting in increased estrogen production and other abnormal phenotypes.
“Remarkably, hypoxic conditions alone can dramatically change the behavior of endometrial cells that are otherwise “normal”, manifesting in increased estrogen production and other “abnormal” phenotypes [96].”
From The Pathogenesis of Adenomyosis vis-à-vis Endometriosis (2020) · cites this paper as [96]
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- Authors
- Hsiao, K.-Y.
- Affiliations
- National Cheng Kung University (TW)
- Corresponding author
- Hsiao, Kuei-Yang
- ORCID
- Hsiao, Kuei-Yang
- Venue
- Frontiers in Bioscience
- Publisher
- IMR Press
- Published
- 2015
- Volume
- 7
- Issue
- 2
- Pages
- 352-366
- ISSN
- 1944-7892 (ISSN-L)
- 1945-0494
- 1945-0508
- DOI
- 10.2741/e736
- OpenAlex
- W2317119877
- Cited by
- 61
- References
- 88
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 6 · 2020: 19 · 2019: 7 · 2018: 7 · 2017: 3 · 2016: 3 · 2015: 1
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Frontiers in Bioscience-Elite (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Council (101-2314-B-006-043-MY2, NSC 100, NSC100-2314-B-006-012, NSC101-2320-B-006-030-MY3)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- endometriosis, hypoxia, endometriotic lesions, estrogen, cyclooxygenase-2, prostaglandin E2, ectopic endometrium, endometriosis pathogenesis, therapeutic target
- MeSH terms
- Hypoxia, Endometriosis, Estrogens, Female, Humans, Neovascularization, Pathologic, Prostaglandins, Leptin, Cyclooxygenase 2
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