Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Biomolecules. 2024 Jan 23;14(2):142. doi: 10.3390/biom14020142.
Regulated cell death (RCD) represents a distinct mode of cell demise, differing from accidental cell death (ACD), characterized by specific signaling cascades orchestrated by diverse biomolecules. The regular process of cell death plays a crucial role in upholding internal homeostasis, acting as a safeguard against biological or chemical damage. Nonetheless, specific programmed cell deaths have the potential to activate an immune-inflammatory response, potentially contributing to diseases by enlisting immune cells and releasing pro-inflammatory factors. Endometriosis, a prevalent gynecological ailment, remains incompletely understood despite substantial progress in unraveling associated signaling pathways. Its complexity is intricately tied to the dysregulation of inflammatory immune responses, with various RCD processes such as apoptosis, autophagic cell death, pyroptosis, and ferroptosis implicated in its development. Notably, limited research explores the association between endometriosis and specific RCD pathways like pyroptosis and cuproptosis. The exploration of regulated cell death in the context of endometriosis holds tremendous potential for further advancements. This article thoroughly reviews the molecular mechanisms governed by regulated cell death and their implications for endometriosis. A comprehensive understanding of the regulated cell death mechanism in endometriosis has the potential to catalyze the development of promising therapeutic strategies and chart the course for future research directions in the field.
受调控的细胞死亡(RCD)代表了一种独特的细胞死亡模式,与意外细胞死亡(ACD)不同,其特征是由各种生物分子协调的特定信号级联反应。细胞死亡的正常过程在维持内部平衡方面起着至关重要的作用,是防止生物或化学损伤的保障。然而,特定的程序性细胞死亡有可能激活免疫炎症反应,通过招募免疫细胞和释放促炎因子,对疾病产生影响。子宫内膜异位症是一种常见的妇科疾病,尽管在揭示相关信号通路方面取得了重大进展,但仍未得到充分理解。其复杂性与炎症免疫反应的失调密切相关,涉及多种 RCD 过程,如细胞凋亡、自噬性细胞死亡、细胞焦亡和铁死亡等,这些过程都与它的发生发展有关。值得注意的是,目前的研究有限,仅探讨了子宫内膜异位症与特定的 RCD 途径(如细胞焦亡和铜死亡)之间的关联。在子宫内膜异位症的背景下探索受调控的细胞死亡具有巨大的潜力,可以进一步推进相关研究。本文全面综述了受调控的细胞死亡的分子机制及其在子宫内膜异位症中的意义。深入了解子宫内膜异位症中受调控的细胞死亡机制,有可能推动有前途的治疗策略的发展,并为该领域的未来研究方向指明道路。