Pro-endometriotic niche in endometriosis

Reprod Biomed Online. 2019 Apr;38(4):549-559. doi: 10.1016/j.rbmo.2018.12.025. Epub 2018 Dec 23.

Abstract

Endometriosis is a complex and heterogeneous disorder of unknown aetiology. This benign disease possesses special biological behaviours that mimic those of malignant tumours. A pro-endometriotic niche established by an existing lesion is a supportive micro-environment for the progression of endometriosis. After the accumulation of cells by an existing lesion, these components display distinct characteristics that impair immune surveillance. Subsequent retrograde menstruation of endometrial stromal cells into the pro-endometriotic niche facilitates endometriotic progression from early initiation to an advanced lesion. This study aimed to highlight the innovative role of the pro-endometriotic niche in endometriosis, and to provide valuable treatment targets for endometriosis.

Keywords: Endometrial stromal cell; Endometriosis; Immunosuppression; Micro-environment; Pro-endometriotic niche.

Publication types

  • Review

MeSH terms

  • Cell Adhesion
  • Cell Proliferation
  • Cells, Cultured
  • Chemokines / immunology*
  • Cytokines / immunology*
  • Dendritic Cells / cytology
  • Disease Progression
  • Endometriosis / blood
  • Endometriosis / diagnosis
  • Endometriosis / physiopathology*
  • Endometriosis / therapy
  • Endometrium / pathology
  • Endometrium / physiopathology*
  • Epithelial Cells / cytology
  • Extracellular Matrix / metabolism
  • Female
  • Humans
  • Hypoxia
  • Immunosuppressive Agents
  • Inflammation
  • Killer Cells, Natural / cytology
  • Menstruation
  • Menstruation Disturbances / physiopathology*
  • Monitoring, Immunologic
  • Neoplasm Invasiveness
  • Neovascularization, Pathologic / pathology
  • Stromal Cells / cytology
  • Th17 Cells / cytology

Substances

  • Chemokines
  • Cytokines
  • Immunosuppressive Agents