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微小RNA失调作为子宫内膜异位症早期诊断的潜在生物标志物

MicroRNAs Dysregulation as Potential Biomarkers for Early Diagnosis of Endometriosis.

作者信息

Ghasemi Fahimeh, Alemzadeh Effat, Allahqoli Leila, Alemzadeh Esmat, Mazidimoradi Afrooz, Salehiniya Hamid, Alkatout Ibrahim

机构信息

Cellular and Molecular Research Center, Birjand University of Medical Sciences, Birjand 9717853577, Iran.

Department of Biotechnology, Faculty of Medicine, Birjand University of Medical Sciences, Birjand 9717853577, Iran.

出版信息

Biomedicines. 2022 Oct 13;10(10):2558. doi: 10.3390/biomedicines10102558.

Abstract

Endometriosis is a benign chronic disease in women that is characterized by the presence of active foci of the endometrium or endometrial tissue occurring outside of the uterus. The disease causes disabling symptoms such as pelvic pain and infertility, which negatively affect a patient's quality of life. In addition, endometriosis imposes an immense financial burden on the healthcare system. At present, laparoscopy is the gold standard for diagnosing the disease because other non-invasive diagnostic tests have less accuracy. In addition, other diagnostic tests have low accuracy. Therefore, there is an urgent need for the development of a highly sensitive, more specific, and non-invasive test for the early diagnosis of endometriosis. Numerous researchers have suggested miRNAs as potential biomarkers for endometriosis diagnosis due to their specificity and stability. However, the greatest prognostic force is the determination of several miRNAs, the expression of which varies in a given disease. Despite the identification of several miRNAs, the studies are investigatory in nature, and there is no consensus on them. In the present review, we first provide an introduction to the dysregulation of miRNAs in patients with endometriosis and the potential use of miRNAs as biomarkers in the detection of endometriosis. Then we will describe the role of the mir-200 family in endometriosis. Several studies have shown that the expression of the mir-200 family changes in endometriosis patients, suggesting that they could be used as a diagnostic biomarker and therapeutic target for endometriosis.

摘要

子宫内膜异位症是一种女性良性慢性疾病,其特征是子宫内膜或子宫内膜组织的活性病灶出现在子宫外。该疾病会导致诸如盆腔疼痛和不孕等使人衰弱的症状,对患者的生活质量产生负面影响。此外,子宫内膜异位症给医疗系统带来了巨大的经济负担。目前,腹腔镜检查是诊断该疾病的金标准,因为其他非侵入性诊断测试的准确性较低。此外,其他诊断测试的准确性也很低。因此,迫切需要开发一种高度敏感、更具特异性且非侵入性的测试方法来早期诊断子宫内膜异位症。许多研究人员认为,由于miRNA具有特异性和稳定性,它们有可能作为子宫内膜异位症诊断的生物标志物。然而,最大的预后影响力在于确定几种miRNA,它们在特定疾病中的表达会有所不同。尽管已经鉴定出了几种miRNA,但这些研究本质上仍处于探索阶段,尚未达成共识。在本综述中,我们首先介绍子宫内膜异位症患者中miRNA的失调情况以及miRNA作为生物标志物在子宫内膜异位症检测中的潜在用途。然后我们将描述mir-200家族在子宫内膜异位症中的作用。几项研究表明,mir-200家族在子宫内膜异位症患者中的表达发生了变化,这表明它们可用作子宫内膜异位症的诊断生物标志物和治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f775/9599310/d24d0a7a6aeb/biomedicines-10-02558-g001.jpg

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