A2 Refereed review article in a scientific journal

Estrogen biosynthesis and signaling in endometriosis




AuthorsHuhtinen K, Ståhle M, Perheentupa A, Poutanen M

Publication year2012

JournalMolecular and Cellular Endocrinology

Journal name in sourceMolecular and cellular endocrinology

Journal acronymMol Cell Endocrinol

Volume358

Issue2

First page 146

Last page54

Number of pages9

ISSN0303-7207

eISSN1872-8057

DOIhttps://doi.org/10.1016/j.mce.2011.08.022(external)


Abstract
Endometriosis is an estrogen-dependent gynecological disease where endometrium-like tissue grows outside uterine cavity. Endometriotic cell proliferation is stimulated by estrogens acting predominantly via their nuclear receptors. Estrogen receptors (ESR1, ESR2) are ligand activated transcription factors whose activation is dependent on the cell-specific dynamic expression of the receptors, on the interacting proteins and on the ligand availability. The different types of endometriotic lesions, peritoneal, deep, and ovarian endometriosis, may respond to estrogens differentially due to differences in the expression of the receptors and interacting proteins, and due to potential differences in the ligand availability regulated by the local estrogen synthesis. This review summarizes the current knowledge of estrogen synthesizing enzymes and estrogen receptors in different types of endometriosis lesions. Further studies are still needed to define the possible differences in steroid metabolism in different types of endometriotic lesions.



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