Mitranovici Melinda-Ildiko, Costachescu Dan, Voidazan Septimiu, Munteanu Mihai, Buicu Corneliu-Florin, Oală Ioan Emilian, Ivan Viviana, Apostol Adrian, Melinte Ioana M, Crisan Andrada, Pușcașiu Lucian, Micu Romeo
Department of Obstetrics and Gynecology, Emergency County Hospital Hunedoara, 14 Victoriei Street, 331057 Hunedoara, Romania.
Department of Orthopedics-Traumatology, Urology, Radiology and Medical Imaging, University of Medicine and Pharmacy Victor Babes, 2 Eftimie Murgu Square, 300041 Timisoara, Romania.
Int J Mol Sci. 2024 Nov 27;25(23):12749. doi: 10.3390/ijms252312749.
Endometriosis is a benign disease but with malignant behavior, sharing numerous features with cancers. Endometriosis is the development of endometrial tissue outside the uterus, with the presence of both glands and stroma. Approximately 10% of women of reproductive age suffer from endometriosis; it involves high social costs and affects the patient's quality of life. In this review, we attempt to capture the pathogenesis mechanisms that are common to endometriosis and cancer based on molecular biology, focusing more on the principle of immunological changes and stemness. Clinical applicability will consist of targeted treatments that represent future directions in these diseases, which impose a burden on the healthcare system. Unlike endometriosis, cancer is a disease with fatal evolution, with conventional treatment based on chemo/radiotherapy. Here, we focus on the niche of personalized treatments that target molecular pathways. Our findings show that, in both pathologies, the resistance to treatments is due to the stemness of the stem cells, which might play a role in the appearance and evolution of both diseases. More research is needed before we can draw firm conclusions.
子宫内膜异位症是一种良性疾病,但具有恶性行为,与癌症有许多共同特征。子宫内膜异位症是子宫外子宫内膜组织的生长,同时存在腺体和间质。大约10%的育龄妇女患有子宫内膜异位症;它涉及高昂的社会成本,并影响患者的生活质量。在本综述中,我们试图基于分子生物学,捕捉子宫内膜异位症和癌症共有的发病机制,更多地关注免疫变化和干性原理。临床适用性将包括靶向治疗,这代表了这些给医疗系统带来负担的疾病的未来发展方向。与子宫内膜异位症不同,癌症是一种具有致命演变的疾病,传统治疗基于化疗/放疗。在这里,我们关注针对分子途径的个性化治疗领域。我们的研究结果表明,在这两种疾病中,对治疗的抗性都归因于干细胞的干性,这可能在两种疾病的出现和演变中起作用。在得出确凿结论之前,还需要更多的研究。