Avtor/Urednik     Lanišnik-Rižner, Tea
Naslov     Estrogen metabolism and action in endometriosis
Tip     članek
Vir     Mol Cell Endocrinol
Vol. in št.     Letnik 307, št. 1'2
Leto izdaje     2009
Obseg     str. 8-18
Jezik     eng
Abstrakt     Endometriosis is a complex estrogen-dependent disease that is defined as the presence of endometrial glands and stroma outside the uterine cavity. The etiology of endometriosis is multifactorial and includes complex interactions of genetic, immunological, hormonal and environmental factors. Many theories have been proposed, but no single theory can explain all aspects of endometriosis, suggesting that endometriosis is a heterogeneous disease. This review presents the current theories on the pathogenesis of endometriosis, followed by an overview on estrogen metabolism in normal endometrium and diseased endometrium of endometriosis patients. The potential role of aberrant expression of individual estrogen-metabolizing enzymes is discussed, and a model mechanism for increased formation of estradiol is presented separately for different types of endometriosis. The disturbed expression of estrogen receptors in endometriosis is detailed, and the estrogen biosynthetic enzymes and receptors are discussed as novel therapeutic targets for the treatment of endometriosis.
Deskriptorji     ENDOMETRIOSIS
ESTROGENS
RECEPTORS, ESTROGEN
AROMATASE
17-HYDROXYSTEROID DEHYDROGENASES
SULFATASES
SULFOTRANSFERASES