Department of Clinical Medicine, Jining Medical University, Jining, Shandong 272000, P.R. China.
Department of Gynecology, Affiliated Hospital of Jining Medical University, Jining, Shandong 272029, P.R. China.
Mol Med Rep. 2024 Mar;29(3). doi: 10.3892/mmr.2024.13167. Epub 2024 Jan 19.
Endometriosis (EM) is one of the most common diseases among women of reproductive age. The etiology and pathogenesis of EM remain unclear and therefore there is a lack of effective treatment measures, which affects physical and mental health, as well as the quality of life of patients with EM. Angiogenesis has become a hotspot for research on the pathogenesis of EM; the role of angiogenesis‑related serological markers and anti‑angiogenic therapy in the diagnosis and treatment of EM is promising for early diagnosis and treatment of EM. Angiogenesis in EM is subject to complex regulation by hormones, immunity and associated cytokines. Therefore, novel targets for angiogenesis therapy are also being discovered and developed. The present review summarized the pathological mechanisms of angiogenesis and the value of relevant markers in pathogenesis and diagnosis of EM, along with the status of research on anti‑angiogenic drugs in the treatment of EM. The role of angiogenesis in EM provides an important reference for treatment and diagnosis, but there is no uniform non‑invasive diagnostic marker and proven strategy for anti‑angiogenesis.
子宫内膜异位症(EM)是生育期妇女最常见的疾病之一。EM 的病因和发病机制尚不清楚,因此缺乏有效的治疗措施,这会影响 EM 患者的身心健康和生活质量。血管生成已成为 EM 发病机制研究的热点;血管生成相关血清标志物和抗血管生成治疗在 EM 的诊断和治疗中的作用,为 EM 的早期诊断和治疗提供了有希望的方法。EM 中的血管生成受到激素、免疫和相关细胞因子的复杂调节。因此,也在发现和开发新的血管生成治疗靶点。本文就血管生成的病理机制以及相关标志物在 EM 发病机制和诊断中的价值,以及抗血管生成药物在 EM 治疗中的研究现状进行综述。血管生成在 EM 中的作用为治疗和诊断提供了重要参考,但目前仍没有统一的非侵入性诊断标志物和经过验证的抗血管生成策略。