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女性生殖系统疾病——子宫内膜异位症:从炎症到不孕不育

Female reproductive disease, endometriosis: From inflammation to infertility.

作者信息

Park Wonhyoung, Lim Whasun, Kim Miji, Jang Hyewon, Park Soo Jin, Song Gwonhwa, Park Sunwoo

机构信息

Department of Animal Science, Chungbuk National University, Cheongju 28644, Republic of Korea.

Department of Biological Sciences, College of Science, Sungkyunkwan University, Suwon 16419, Republic of Korea.

出版信息

Mol Cells. 2025 Jan;48(1):100164. doi: 10.1016/j.mocell.2024.100164. Epub 2024 Nov 29.

DOI:10.1016/j.mocell.2024.100164
PMID:39617101
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11760828/
Abstract

Despite the fact that endometriosis is a common gynecological disease that occurs in 10% of women of reproductive age, the pathogenesis and treatment strategy are not clear to date. Endometriosis patients are commonly characterized by adhesions in the pelvis or ovaries, which leads to prolonged inflammation in the abdominal cavity. To handle the chronic inflammation, changes of immune cells, including T cells, NK cells, and macrophage, are accompanied. Therefore, diverse cytokines and adhesions of the abdominal cavity lead to poor quality of ovarian follicles, inappropriate response to the hormone, and infertility. This review will guide researchers to summarize the molecular changes and identify new treatment strategies for endometriosis-mediated inflammation and pregnancy failure.

摘要

尽管子宫内膜异位症是一种常见的妇科疾病,在10%的育龄女性中发病,但迄今为止其发病机制和治疗策略仍不明确。子宫内膜异位症患者通常表现为盆腔或卵巢粘连,这会导致腹腔内长期炎症。为应对慢性炎症,免疫细胞(包括T细胞、NK细胞和巨噬细胞)会发生变化。因此,多种细胞因子和腹腔粘连会导致卵巢卵泡质量差、对激素反应不当以及不孕。本综述将指导研究人员总结分子变化,并确定针对子宫内膜异位症介导的炎症和妊娠失败的新治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87b/11760828/703144d41522/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87b/11760828/5e172816aa2a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87b/11760828/ba1254b4faa6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87b/11760828/703144d41522/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87b/11760828/5e172816aa2a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87b/11760828/ba1254b4faa6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d87b/11760828/703144d41522/gr3.jpg

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本文引用的文献

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Reprod Biomed Online. 2024 Apr;48(4):103649. doi: 10.1016/j.rbmo.2023.103649. Epub 2023 Oct 31.
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Inflammation in recurrent miscarriage - a comprehensive perspective from uterine microenvironment and immune cell imbalance to therapeutic strategies.复发性流产中的炎症——从子宫微环境和免疫细胞失衡到治疗策略的全面视角。
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The Prevalence of Endometriosis in Patients with Unexplained Infertility.
子宫内膜异位症中的细胞因子谱与代谢失调:对诊断和治疗靶点的见解
Mol Biol Rep. 2025 Jun 26;52(1):641. doi: 10.1007/s11033-025-10766-y.
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Association of Sleep, Inflammation and Female Infertility: A Cross-Sectional Survey and Genetic Approach.睡眠、炎症与女性不孕症的关联:一项横断面调查及遗传学研究方法
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Endometriosis: An Immunologist's Perspective.子宫内膜异位症:免疫学家的观点。
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bioRxiv. 2025 May 14:2025.05.09.653038. doi: 10.1101/2025.05.09.653038.
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Mol Med. 2025 Apr 11;31(1):134. doi: 10.1186/s10020-025-01178-6.
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