Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 15 , ISSUE 1 ( January-February, 2023 ) > List of Articles

REVIEW ARTICLE

The Role of Epigenetics in Endometriosis

Ni Luh Wita Astari Widhusadi, Anak Agung Ngurah Anantasika

Keywords : Endometriosis, Epigenetics, Gene, MicroRNA

Citation Information : Widhusadi NL, Anantasika AA. The Role of Epigenetics in Endometriosis. J South Asian Feder Obs Gynae 2023; 15 (1):88-96.

DOI: 10.5005/jp-journals-10006-2183

License: CC BY-NC 4.0

Published Online: 19-04-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Epigenetics is a field that studies that study the changing in the regulation of gene activity and expression that are independent of the DNA sequence of genes and can be inherited or inherited. This refers to a change in phenotypic status that is not based on a change in genotype. Epigenetics is known to have a part in the pathogenesis of endometriosis. Epigenetics can cause endometriosis is known through mechanisms such as DNA methylation, histone modification, and microRNA (miRNA). These various mechanisms are also related to environmental, immune, and hormonal factors that trigger endometriosis. Endometriosis is a gynecological problem involving the stroma of the endometrium and glands which normally line the uterine cavity but is found outside the uterine cavity (endometrial-like tissues). Until now, the etiopathogenesis of endometriosis is still under debate. Etiopathogenesis of endometriosis is said to be related to the genetic system and epigenetic abnormalities. Reversibility is the key to epigenetic change therefore it is used as a potential epigenetic therapy option. Enzymes that control epigenetic change are the goal of studies into pharmacological interventions in endometriosis. Therefore, the role of epigenetics requires further attention in the diagnosing, management, and prognosis of endometriosis condition so that the patient's quality of life will be better.


PDF Share
  1. Tanjung T. Buku Ajar Praktis Bio Molekuler untuk Klinik [Biomolecular Practical Teaching Book for Clinic]. Medan: USUPRESS, 2017.
  2. Koninckx PR, Ussia A, Adamyan L, et al. Pathogenesis of endometriosis: The genetic/epigenetic theory. Fertil Steril 2019;111(2):327–340. DOI: 10.1016/j.fertnstert.2018.10.013.
  3. Gupta S, Harlev A, Agarwal A. Endometriosis, 1st edition. New York: Springer, 2015.
  4. Kapur K, Biswas M, Joneja GS, et al. Management of Endometriosis—A Two Years Study at a Tertiary Care Center. J South Asian Fed Obstet Gynaecol 2012;2(1):41–43.
  5. Giudice LC. Clinical practice. Endometriosis. N Engl J Med 2010; 362(25):2389–2398. DOI: 10.1056/NEJMcp1000274.
  6. Deans C, Maggert KA. What do you mean, “Epigenetic”? Genetics 2015;199(4):887–896. DOI: 10.1534/genetics.114.173492.
  7. Illum LRH, Bak ST, Lund S, et al. DNA methylation in epigenetic inheritance of metabolic diseases through the male germ line. J Mol Endocrinol 2018;60(2):R39–R56. DOI: 10.1530/JME-17-0189.
  8. Lestari SW, Rizki MD. Epigenetic: A new approach to etiology of infertility. Med J Indones 2016;25(4):255–262. DOI: 10.13181/mji.v25i4.1504.
  9. Shamsi MB, Firoz AS, Imam SN, et al. Epigenetics of human diseases and scope in future therapeutics. J Taibah Univ Medical Sci 2017;12:205–211. DOI: 10.1016/j.jtumed.2017.04.003.
  10. Ussery DW. DNA Structure: A-, B-and Z-DNA Helix Families. eLs 2002;1:e003122. DOI: 10.1038/mpg.els.0003122.
  11. Harada T, editor. Endometriosis Pathogenesis and Treatment. Tokyo: Springer Japan, 2014.
  12. Bulletti C, Coccia ME, Battistoni S, et al. Endometriosis and infertility. J Assist Reprod Genet 2010;27(8):441–447. DOI: 10.1007/s10815-010-9436-1.
  13. Yeh CC, Su FH, Tzeng CR, et al. Women with adenomyosis are at higher risks of endometrial and thyroid cancers: A population-based historical cohort study. PLoS One 2018;13(3):1–13. DOI: 10.1371/journal.pone.0194011.
  14. Alimi Y, Iwanaga J, Loukas M, et al. The clinical anatomy of endometriosis: A review. Cureus 2018;10(9):e3361. DOI: 10.7759/cureus.3361.
  15. Dubrovina SO, Berlim YD, Bezhenar VF, et al. Pharmacological management of endometriosis-related pain: The expert opinion. J South Asian Fed Obstet Gynaecol 2021;12(6):415–420. DOI: 10.5005/jp-journals-10006-1838.
  16. Raffi F, Metwally M, Amer S. The impact of excision of ovarian endometrioma on ovarian reserve: A systematic review and meta-analysis. J Clin Endocrinol Metab 2012;97:3146–3154. DOI: 10.1210/jc.2012-1558.
  17. Royal College of Obstetricians and Gynecologists (RCOG). The investigation and management of endometriosis. Green-top Guidelines 2008;24:1–14.
  18. Guo SW. Epigenetics of endometriosis. Mol Hum Reprod 2009; 15(10):587–607. DOI: 10.1093/molehr/gap064.
  19. Speroff L, Taylor HS, Pal L, et al. Clinical gynecologic endocrinology and infertility, 9th edition. Philadelphia: Wolter Kulwer, 2019.
  20. Hsiao K, Tsai MWS. Epigenetic regulation of the pathological process in endometriosis. Reprod Med Biol 2017;16(4):314–319. DOI: 10.1002/rmb2.12047.
  21. Grimstad FW, Decherney A. A review of the epigenetic contributions to endometriosis. Clin Obstet Gynecol 2017;60(3):467–476. DOI: 10.1097/GRF.0000000000000298.
  22. Laganà AS, Garzon S, Götte M, et al. The pathogenesis of endometriosis: Molecular and cell biology insights. Int J Mol Sci 2019; 20(22):1–42. DOI: 10.3390/ijms20225615.
  23. Ahn SH, Monsanto SP, Miller C, et al. Pathophysiology and immune dysfunction in endometriosis. Biomed Res Int 2015;2015:795976. DOI: 10.1155/2015/795976.
  24. Burney RO, Gludie LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril 2012;98(3):511–519. DOI: 10.1016/j.fertnstert.2012.06.029.
  25. Soenggono AI, Madjid TH, Permadi W, et al. Correlation of Progesterone Receptor B in Endometrial Tissue of Menstrual Blood in Patients with and without Endometriosis. J South Asian Fed Obstet Gynaecol 2018;10(4S1):310–315.
  26. Madjid TH, Hernowo BS. Simple immunocytochemistry from menstrual blood in diagnosis of endometriosis. J South Asian Fed Obstet Gynaecol 2019;11(5):309–314. DOI: 10.5005/jp-journals-10006-1711.
  27. Rolla E. Endometriosis: Advances and controversies in classification, pathogenesis, diagnosis, and treatment. F1000Res 2019;8:F1000 Faculty Rev-529. DOI: 10.12688/f1000research.14817.1.
  28. Li Y, Adur MK, Kannan A, et al. Progesterone alleviates endometriosis via inhibition of uterine cell proliferation, inflammation and angiogenesis in an immunocompetent mouse model. PloS One 2016;11(10):e0165347. DOI: 10.1371/journal.pone.0165347.
  29. Young CY, De S. Role of aromatase inhibitor in endometriosis. J Asian Sci Res 2018;8(2):73–85. DOI: 10.18488/journal.2.2018.82.73.85.
  30. Simsa P, Mihalyi A, Kyama CM, et al. Selective estrogen–receptor modulators and aromatase inhibitors: Promising new medical therapies for endometriosis?. Women's Health 2007;3(5):617–628. DOI: 10.2217/17455057.3.5.617.
  31. Kulak J, Fischer C, Komm B, et al. Treatment with bazedoxifene, a selective estrogen receptor modulator, causes regression of endometriosis in a mouse model. Endocrinol 2011;152(8):3226–3232. DOI: 10.1210/en.2010-1010.
  32. Whitaker LHR, Murray AA, Matthews R, et al. Selective progesterone receptor modulator (SPRM) ulipristal acetate (UPA) and its effects on the human endometrium. Hum Reprod 2017;32(3):531–543. DOI: 10.1093/humrep/dew359.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.