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2015 ; 163
(4
): 960-74
Nephropedia Template TP
gab.com Text
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Estrogen Receptor ? Modulates Apoptosis Complexes and the Inflammasome to Drive
the Pathogenesis of Endometriosis
#MMPMID26544941
Han SJ
; Jung SY
; Wu SP
; Hawkins SM
; Park MJ
; Kyo S
; Qin J
; Lydon JP
; Tsai SY
; Tsai MJ
; DeMayo FJ
; O'Malley BW
Cell
2015[Nov]; 163
(4
): 960-74
PMID26544941
show ga
Alterations in estrogen-mediated cellular signaling play an essential role in the
pathogenesis of endometriosis. In addition to higher estrogen receptor (ER) ?
levels, enhanced ER? activity was detected in endometriotic tissues, and the
inhibition of enhanced ER? activity by an ER?-selective antagonist suppressed
mouse ectopic lesion growth. Notably, gain of ER? function stimulated the
progression of endometriosis. As a mechanism to evade endogenous immune
surveillance for cell survival, ER? interacts with cellular apoptotic machinery
in the cytoplasm to inhibit TNF-?-induced apoptosis. ER? also interacts with
components of the cytoplasmic inflammasome to increase interleukin-1? and thus
enhance its cellular adhesion and proliferation properties. Furthermore, this
gain of ER? function enhances epithelial-mesenchymal transition signaling,
thereby increasing the invasion activity of endometriotic tissues for
establishment of ectopic lesions. Collectively, we reveal how endometrial tissue
generated by retrograde menstruation can escape immune surveillance and develop
into sustained ectopic lesions via gain of ER? function.