The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Adamyan L.V.

Moscow State Medical and Dental University named after A.I. Evdokimov

Kuznetsova M.V.

National Medical Research Center for Obstetrics, Gynecology and Perinatology Named After Academician V.I. Kulakov of the Ministry of Healthcare of Russian Federation

Pivazyan L.G.

National medical research center for obstetrics, gynecology and perinatology named after academician V.I. Kulakov

Davydova Yu.D.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Trofimov D.Yu.

National Medical Research Center for Obstetrics, Gynecology and Perinatology Named After Academician V.I. Kulakov of the Ministry of Healthcare of Russian Federation

Genetic aspects of endometriosis and adenomyosis: a modern view on the problem

Authors:

Adamyan L.V., Kuznetsova M.V., Pivazyan L.G., Davydova Yu.D., Trofimov D.Yu.

More about the authors

Journal: Russian Journal of Human Reproduction. 2023;29(4‑2): 14‑22

Read: 2386 times


To cite this article:

Adamyan LV, Kuznetsova MV, Pivazyan LG, Davydova YuD, Trofimov DYu. Genetic aspects of endometriosis and adenomyosis: a modern view on the problem. Russian Journal of Human Reproduction. 2023;29(4‑2):14‑22. (In Russ.)
https://doi.org/10.17116/repro20232904214

Recommended articles:
Use of gona­dotropic releasing hormone agonists in hype­rplastic syndrome in gyne­cology. Russian Bulletin of Obstetrician-Gynecologist. 2025;(4):51-58

References:

  1. Adamyan LV, Andreeva EN, Spycin VA. Geneticheskie aspekty ginekologicheskih zabolevanij. M.: GEOTAR-Media; 2008. (In Russ.).
  2. Adamyan LV, Aznaurova YaB. Biomarkers of endometriosis — current trends. Problemy reprodukcii. 2018;24(1):57-62. (In Russ.). https://doi.org/10.17116/repro201824157-62
  3. Adamyan LV, Osipova AA, Aznaurova YaB, Sonova MM, Petrov IV, Suntsova MV, Buzdin AA. Analysis of gene expression and activation of signalling pathways in eutopic and ectopic endometrium of patients with external genital endometriosis. Voprosy ginekologii, akusherstva i perinatologii. 2019;18(1):6-10. (In Russ.). https://doi.org/10.20953/1726-1678-2019-1-6-10
  4. Mezhlumova NA, Gamisoniya AM, El’darov ChM, Mamedov IZ, Filippova ES, Bobrov MYu, Adamyan LV. Expression of PIWI-associated RNA in endometriotic ovarian tissue. Problemy reprodukcii. 2020;26(3):61-67. (In Russ.). https://doi.org/10.17116/repro20202603161
  5. Filippova ES, Mezhlumova NA, Gamisoniya AM, El’darov ChM, Kuznetsova MV, Trofimov DYu, Pavlovich SV, Kozachenko IF, Bobrov MYu, Adamyan LV. Profiling of miRNA and mRNA in eutopic and ectopic endometrial tissues in endometrioma. Problemy reprodukcii. 2019;25(2):27-45. (In Russ.). https://doi.org/10.17116/repro20192502127
  6. Adamyan LV, Sonova MM, Arslanyan KN, Loginova ON, Kharchenko EI. Oxidative stress and endometriosis: literature review. Lechaschiy vrach. 2019;(12):20-25. (In Russ.). https://doi.org/10.26295/OS.2019.72.92.003
  7. Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertility and Sterility. 2012;98:511-519.  https://doi.org/10.1016/j.fertnstert.2012.06.029
  8. Khashchenko EP, Uvarova EV, Fatkhudinov TK, Chuprynin VD, Asaturova AV, Kulabukhova EA, Vysokikh MY, Allakhverdieva EZ, Alekseeva MN, Adamyan LV, Sukhikh GT. Endometriosis in Adolescents: Diagnostics, Clinical and Laparoscopic Features. Journal of Clinical Medicine. 2023;12(4):1678. https://doi.org/10.3390/jcm12041678
  9. Viganò P, Parazzini F, Somigliana E, Vercellini P. Endometriosis: Epidemiology and aetiological factors. Best Practice and Research Clinical Obstetrics and Gynaecology. 2004;18:177-200.  https://doi.org/10.1016/j.bpobgyn.2004.01.007
  10. Adamyan LV, Popryadukhin AYu, Arakelyan AS, Kozachenko IPh, Farkhat KN. Aplasia of the uterus and vagina (Mayer—Rokitansky—Kuster—Hauser syndrome) in combination with endometriosis: unresolved aspects of etiopathogenesis (a review). Problemy reprodukcii. 2016;22(3):8-14. (In Russ.). https://doi.org/10.17116/repro20162238-14
  11. Lindsay SF, Luciano DE, Luciano AA. Emerging therapy for endometriosis. Expert Opinion on Emerging Drugs. 2015;20:449-461.  https://doi.org/10.1517/14728214.2015.1051966
  12. Practice Committee of the American Society for Reproductive Medicine. Endometriosis and infertility: A committee opinion. Fertility and Sterility. 2012;98:591-598.  https://doi.org/10.1016/j.fertnstert.2012.05.031
  13. International Classification of Diseases, Eleventh Revision (ICD-11), World Health Organization (WHO) 2019/2021. Accessed July 14, 2023. https://www.who.int/standards/classifications/classification-of-diseases
  14. May KE, Conduit-Hulbert SA, Villar J, Kirtley S, Kennedy SH, Becker CM. Peripheral biomarkers of endometriosis: a systematic review. Human Reproduction Update. 2010;16(6):651-674.  https://doi.org/10.1093/humupd/dmq009
  15. Koninckx PR, Ussia A, Adamyan L, Wattiez A, Gomel V, Martin DC. Pathogenesis of endometriosis: the genetic/epigenetic theory. Fertility and Sterility. 2019;111(2):327-340.  https://doi.org/10.1016/j.fertnstert.2018.10.013
  16. Monnin N, Fattet AJ, Koscinski I. Endometriosis: Update of Pathophysiology, (Epi) Genetic and Environmental Involvement. Biomedicines. 2023;11(3):978.  https://doi.org/10.3390/biomedicines11030978
  17. Koninckx PR, Donnez J, Brosens I. Microscopic endometriosis: impact on our understanding of the disease and its surgery. Fertility and Sterility. 2016;105(2):305-306.  https://doi.org/10.1016/j.fertnstert.2015.10.038
  18. Donnez J, Binda MM, Donnez O, Dolmans MM. Oxidative stress in the pelvic cavity and its role in the pathogenesis of endometriosis. Fertility and Sterility. 2016;106(5):1011-1017. https://doi.org/10.1016/j.fertnstert.2016.07.1075
  19. Kobayashi H, Higashiura Y, Shigetomi H, Kajihara H. Pathogenesis of endometriosis: the role of initial infection and subsequent sterile inflammation (Review). Molecular Medicine Reports. 2014;9(1):9-15.  https://doi.org/10.3892/mmr.2013.1755
  20. Lin WC, Chang CY, Hsu YA, Chiang JH, Wan L. Increased Risk of Endometriosis in Patients With Lower Genital Tract Infection: A Nationwide Cohort Study. Medicine. 2016;95(10):e2773. https://doi.org/10.1097/MD.0000000000002773
  21. Heidarpour M, Derakhshan M, Derakhshan-Horeh M, Kheirollahi M, Dashti S. Prevalence of high-risk human papillomavirus infection in women with ovarian endometriosis. Journal of Obstetrics and Gynaecology Research. 2017;43(1):135-139.  https://doi.org/10.1111/jog.13188
  22. Adamyan L, Aznaurova Y, Stepanian A, Nikitin D, Garazha A, Suntsova M, Sorokin M, Buzdin A. Gene Expression Signature of Endometrial Samples from Women with and without Endometriosis. Journal of Minimally Invasive Gynecology. 2021;28(10):1774-1785. https://doi.org/10.1016/j.jmig.2021.03.011
  23. Fonseca M, Haro M, Wright KN, Lin X, Abbasi F, Sun J, Hernandez L, Orr NL, Hong J, Choi-Kuaea Y, Maluf H, Balzer B, Fishburn A, Hickey R, Cass I, Goodridge H, Truong M, Wang Y, Pisarska M, Dinh H, El-Naggar A, Huntsman D, Anglesio M, Goodman M, Medeiros F, Siedhoff M, Lawrenson K. Single-cell transcriptomic analysis of endometriosis. Nature Genetics. 2023;55: 255-267.  https://doi.org/10.1038/s41588-022-01254-1
  24. Bulun SE, Wan Y, Matei D. Epithelial Mutations in Endometriosis: Link to Ovarian Cancer. Endocrinology. 2019;160:626-638.  https://doi.org/10.1210/en.2018-00794
  25. Adashek JJ, Kato S, Lippman SM, Kurzrock R. The paradox of cancer genes in non-malignant conditions: Implications for precision medicine. Genome Medicine. 2020;12:16.  https://doi.org/10.1186/s13073-020-0714-y
  26. Kuznetsova MV, Pshenichnuk EYu, Burmenskaya OV, Asaturova AV, Trofimov DYu, Adamyan LV. Study of gene expression in the eutopic endometrium of women with endometrioid ovarian cysts. Akusherstvo i ginekologiya. 2017;(8):93-102. (In Russ.). https://doi.org/10.18565/aig.2017.8.93-102
  27. Thilagavathi J, Venkatesh S, Dada R. Telomere length in reproduction. Andrologia. 2013;45:289-304.  https://doi.org/10.1111/and.12008
  28. Shay JW. Telomeres and aging. Current Opinion in Cell Biology. 2018;52:1-7.  https://doi.org/10.1016/j.ceb.2017.12.001
  29. O’Donovan A, Pantell MS, Puterman E, Dhabhar FS, Blackburn EH, Yaffe K, Cawthon RM, Opresko PL, Hsueh WC, Satterfield S, Newman A, Ayonayon H, Rubin S, Harris T, Epel E. Cumulative inflammatory load is associated with short leukocyte telomere length in the Health, Aging and Body Composition Study. PLoS ONE. 2011;6:e19687. https://doi.org/10.1371/journal.pone.0019687
  30. Dracxler RC, Oh C, Kalmbach K, Wang F, Liu L, Kallas EG, Giret M, Seth-Smith ML, Antunes D, Keefe DL, Abrao MS. Peripheral blood telomere content is greater in patients with endometriosis than in controls. Reproductive Sciences. 2014;21:1465-1471. https://doi.org/10.1177/1933719114527353
  31. Sasamoto N, Yland J, Vitonis AF, Cramer DW, Titus LJ, De Vivo I, Missmer SA, Terry KL. Peripheral Blood Leukocyte Telomere Length and Endometriosis. Reproductive Sciences. 2020;27:1951-1959. https://doi.org/10.1007/s43032-020-00214-6
  32. Valentijn AJ, Saretzki G, Tempest N, Critchley H, Hapangama DK. Human endometrial epithelial telomerase is important for epithelial proliferation and glandular formation with potential implications in endometriosis. Human Reproduction. 2015;30:2816-2828. https://doi.org/10.1093/humrep/dev267
  33. Raja M, Farooqui N, Zuberi N, Ashraf M, Azhar A, Baig R, Badar B, Rehman R. Endometriosis, infertility and MicroRNA’s: A review. Journal of Gynecology Obstetrics and Human Reproduction. 2021;50:102-157.  https://doi.org/10.1016/j.jogoh.2021.102157
  34. Ghasemi F, Alemzadeh E, Allahqoli L, Alemzadeh E, Mazidimoradi A, Salehiniya H, Alkatout I. MicroRNAs Dysregulation as Potential Biomarkers for Early Diagnosis of Endometriosis. Biomedicines. 2022;10:2558. https://doi.org/10.3390/biomedicines10102558
  35. Vanhie A, Peterse D, Beckers A, Cuéllar A, Fassbender A, Meuleman C, Mestdagh P, D’Hooghe T. Plasma miRNAs as biomarkers for endometriosis. Human Reproduction. 2019;34:1650-1660. https://doi.org/10.1093/humrep/dez116
  36. Asghari S, Valizadeh A, Aghebati-Maleki L, Nouri M, Yousefi M. Endometriosis: Perspective, lights, and shadows of etiology. Biomedicine and Pharmacotherapy. 2018;106:163-174.  https://doi.org/10.1016/j.biopha.2018.06.109
  37. Koukoura O, Sifakis S, Spandidos DA. DNA methylation in endometriosis (Review). Molecular Medicine Reports. 2016;13:2939-2948. https://doi.org/10.3892/mmr.2016.4925
  38. Laganà AS, Garzon S, Götte M, Viganò P, Franchi M, Ghezzi F, Martin DC. The pathogenesis of endometriosis: Molecular and cell biology insights. International Journal of Molecular Sciences. 2019; 20:5615. https://doi.org/10.3390/ijms20225615
  39. Esfandiari F, Favaedi R, Heidari-Khoei H, Chitsazian F, Yari S, Piryaei A, Ghafari F, Baharvand H, Shahhoseini M. Insight into epigenetics of human endometriosis organoids: DNA methylation analysis of HOX genes and their cofactors. Fertility and Sterility. 2021;115:125-137.  https://doi.org/10.1016/j.fertnstert.2020.08.1398
  40. Lamceva J, Uljanovs R, Strumfa I. The Main Theories on the Pathogenesis of Endometriosis. International Journal of Molecular Sciences. 2023;24(5):4254. https://doi.org/10.3390/ijms24054254
  41. Bulun SE, Yildiz S, Adli M, Wei JJ. Adenomyosis pathogenesis: insights from next-generation sequencing. Human Reproduction Update. 2021;27(6):1086-1097. https://doi.org/10.1093/humupd/dmab017
  42. Bulun SE, Yildiz S, Adli M, Chakravarti D, Parker JB, Milad M, Yang L, Chaudhari A, Tsai S, Wei JJ, Yin P. Endometriosis and adenomyosis: shared pathophysiology. Fertility and Sterility. 2023; 119(5):746-750.  https://doi.org/10.1016/j.fertnstert.2023.03.006
  43. García-Solares J, Donnez J, Donnez O, Dolmans MM. Pathogenesis of uterine adenomyosis: invagination or metaplasia? Fertility and Sterility. 2018;109(3):371-379.  https://doi.org/10.1016/j.fertnstert.2017.12.030
  44. Zhai J, Vannuccini S, Petraglia F, Giudice LC. Adenomyosis: Mechanisms and Pathogenesis. Seminars in Reproductive Medicine. 2020; 38(2-03):129-143.  https://doi.org/10.1016/10.1055/s-0040-1716687
  45. Struble J, Reid S, Bedaiwy MA. Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition. Journal of Minimally Invasive Gynecology. 2016;23(2):164-185.  https://doi.org/10.1016/j.jmig.2015.09.018
  46. Ferenczy A. Pathophysiology of adenomyosis. Human Reproduction Update. 1998;4(4):312-322.  https://doi.org/10.1093/humupd/4.4.312
  47. Benagiano G, Brosens I. The endometrium in adenomyosis. Womens Health. 2012;8(3):301-312.  https://doi.org/10.2217/whe.12.8
  48. Huang L, Guo Z, Wang F, Fu L. KRAS mutation: from undruggable to druggable in cancer. Signal Transduction and Target Therapy. 2021;6(1):386.  https://doi.org/10.1038/s41392-021-00780-4
  49. Anglesio MS, Papadopoulos N, Ayhan A, Nazeran TM, Noë M, Horlings HM, Lum A, Jones S, Senz J, Seckin T, Ho J, Wu RC, Lac V, Ogawa H, Tessier-Cloutier B, Alhassan R, Wang A, Wang Y, Cohen JD, Wong F, Hasanovic A, Orr N, Zhang M, Popoli M, McMahon W, Wood LD, Mattox A, Allaire C, Segars J, Williams C, Tomasetti C, Boyd N, Kinzler KW, Gilks CB, Diaz L, Wang TL, Vogelstein B, Yong PJ, Huntsman DG, Shih IM. Cancer-Associated Mutations in Endometriosis without Cancer. New England Journal of Medicine. 2017;376(19):1835-1848. https://doi.org/10.1056/NEJMoa1614814
  50. Inoue S, Hirota Y, Ueno T, Fukui Y, Yoshida E, Hayashi Y, Kojima S, Takeyama R, Hashimoto T, Kiyono T, Ikemura M, Taguchi A, Tanaka T, Tanaka Y, Sakata S, Takeuchi K, Muraoka A, Osuka S, Saito T, Oda K, Osuga U, Terao Y, Kawazu M, Mano H. Uterine adenomyosis is an oligoclonal disorder associated with KRAS mutations. Nature Communications. 2019;10:5789. https://doi.org/10.1038/s41467-019-13708-y
  51. Suda K, Nakaoka H, Yoshihara K, Ishiguro T, Tamura R, Mori Y, Yamawaki K, Adachi S, Takahashi T, Kase H, Tanaka K, Yamamoto T, Motoyama T, Inoue I, Enomoto T. Clonal Expansion and Diversification of Cancer-Associated Mutations in Endometriosis and Normal Endometrium. Cell Reports. 2018;24(7):1777-1789. https://doi.org/10.1016/j.celrep.2018.07.037
  52. Mullen J, Kato S, Sicklick JK, Kurzrock R. Targeting ARID1A mutations in cancer. Cancer Treatment Review. 2021;100:102287. https://doi.org/10.1016/j.ctrv.2021.102287
  53. Reske JJ, Wilson MR, Holladay J, Wegener M, Adams M, Chandler RL. SWI/SNF inactivation in the endometrial epithelium leads to loss of epithelial integrity. Human Molecular Genetics. 2020; 29(20):3412-3430. https://doi.org/10.1093/hmg/ddaa227
  54. Oie S, Matsuzaki K, Yokoyama W, Murayama A, Yanagisawa J. HDAC3 regulates stability of estrogen receptor α mRNA. Biochemical and Biophysical Research Communication. 2013;432(2):236-241.  https://doi.org/10.1016/j.bbrc.2013.02.007
  55. Liu X, Nie J, Guo SW. Elevated immunoreactivity against class I histone deacetylases in adenomyosis. Gynecologic and Obstetric Investigation. 2012;74(1):50-55.  https://doi.org/10.1159/000336409
  56. Kobayashi H. Molecular Targets for Nonhormonal Treatment Based on a Multistep Process of Adenomyosis Development. Reproductive Sciences. 2023;30(3):743-760.  https://doi.org/10.1007/s43032-022-01036-4
  57. Dehghanian M, Yarahmadi G, Sandoghsaz RS, Khodadadian A, Shamsi F, Vahidi Mehrjardi MY. Evaluation of Rap1GAP and EPAC1 Gene Expression in Endometriosis Disease. Advances in Biomedical Research. 2023;12:101.  https://doi.org/10.4103/abr.abr_86_22
  58. Lv W, Liu S, Zhang Q, Yi Z, Bao X, Feng Y, Ren Y. Downregulation of Epac Reduces Fibrosis and Induces Apoptosis Through Akt Signaling in Human Keloid Fibroblasts. Journal of Surgical Research. 2021;257:306-316.  https://doi.org/10.1016/j.jss.2019.12.026
  59. Shah S, Brock EJ, Jackson RM, Ji K, Boerner JL, Sloane BF, Mattingly RR. Downregulation of Rap1Gap: A Switch from DCIS to Invasive Breast Carcinoma via ERK/MAPK Activation. Neoplasia. 2018;20(9):951-963.  https://doi.org/10.1016/j.neo.2018.07.002
  60. Xu M, Zhou J, Zhang Q, Le K, Xi Z, Yi P, Zhao X, Tan J, Huang T. MiR-3121-3p promotes tumor invasion and metastasis by suppressing Rap1GAP in papillary thyroid cancer in vitro. Annals of Translational Medicine. 2020;8(19):1229. https://doi.org/10.21037/atm-20-4469
  61. Li J, He Y, Qu Y, Ren C, Wang X, Cheng Y, Sun L, Zhang X, Zhang G. Promotion of BST2 expression by the transcription factor IRF6 affects the progression of endometriosis. Frontiers in Immunology. 2023;14:1115504. https://doi.org/10.3389/fimmu.2023.1115504
  62. Tokarev A, Suarez M, Kwan W, Fitzpatrick K, Singh R, Guatelli J. Stimulation of NF-κB activity by the HIV restriction factor BST2. Journal of Virology. 2013;87(4):2046-2057. https://doi.org/10.1128/JVI.02272-12
  63. Mc Cormack B, Maenhoudt N, Fincke V, Stejskalova A, Greve B, Kiesel L, Meresman GF, Vankelecom H, Götte M, Barañao RI. The ellagic acid metabolites urolithin a and b differentially affect growth, adhesion, motility, and invasion of endometriotic cells in vitro. Human Reproduction. 2021;36(6):1501-1519. https://doi.org/10.1093/humrep/deab053
  64. Li Q, Kannan A, DeMayo FJ, Lydon JP, Cooke PS, Yamagishi H, Srivastava D, Bagchi MK, Bagchi IC. The antiproliferative action of progesterone in uterine epithelium is mediated by Hand2. Science. 2011;331(6019):912-916.  https://doi.org/10.1126/science.1197454
  65. Liu L, Dong H, Guan Y, Fan T, Sun W, Bagchi IC, Miao C, Li Q. Regulation of HAND2 Expression by LncRNA HAND2-AS1 in Ovarian Endometriosis Involving DNA Methylation. Journal of the Endocrine Society. 2023;7(6):bvad049. https://doi.org/10.1210/jendso/bvad049
  66. Janša V, Pušić Novak M, Ban Frangež H, Rižner TL. TGFBI as a candidate biomarker for non-invasive diagnosis of early-stage endometriosis. Human Reproduction. 2023;dead091. https://doi.org/10.1093/humrep/dead091
  67. Ntzeros K, Mavrogianni D, Blontzos N, Soyhan N, Kathopoulis N, Papamentzelopoulou MS, Chatzipapas I, Protopapas A. Expression of ZEB1 in different forms of endometriosis: A pilot study. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2023;286:121-125.  https://doi.org/10.1016/j.ejogrb.2023.05.022

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.