Molecular mechanism of aberrant decidualization in adenomyosis leading to reduced endometrial receptivity

Patients with adenomyosis not only experience a decrease in quality of life as a result of dysmenorrhea and severe monthly flow but they are also rendered infertile. Pregnancy rates are still low among women with adenomyosis, even with assisted reproduction. According to the current study, endometri...

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Main Authors: Yuanquan Dai, Zheng Yuan, Weisen Fan, Zhiheng Lin
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2024.1435177/full
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author Yuanquan Dai
Zheng Yuan
Weisen Fan
Zhiheng Lin
author_facet Yuanquan Dai
Zheng Yuan
Weisen Fan
Zhiheng Lin
author_sort Yuanquan Dai
collection DOAJ
description Patients with adenomyosis not only experience a decrease in quality of life as a result of dysmenorrhea and severe monthly flow but they are also rendered infertile. Pregnancy rates are still low among women with adenomyosis, even with assisted reproduction. According to the current study, endometrial receptivity is primarily responsible for the lower conception rate among patients with adenomyosis. Decidualization of endometrial stromal cells is the fundamental requirement for endometrial receptivity and the maintenance of a normal pregnancy, even though endometrial receptivity is made up of a variety of cells, including immune cells, endometrial epithelial cells, and endometrial stromal cells. Our overview reveals that endometriosis deficiencies are present in patients with adenomyosis. These flaws may be linked to aberrant pathways in endometrial stromal cells, such as PI3K/Akt, JAK2/STAT3, and hedgehog. Correcting the abnormal expression of molecules in endometrial stromal cells in the endometrium of patients with adenomyosis may become the focus of research to improve endometrial receptivity and increase the pregnancy rate.
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institution Kabale University
issn 1664-2392
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Endocrinology
spelling doaj-art-46f35a8318784b0996e0a8bf476891a42025-01-16T05:10:17ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-01-011510.3389/fendo.2024.14351771435177Molecular mechanism of aberrant decidualization in adenomyosis leading to reduced endometrial receptivityYuanquan Dai0Zheng Yuan1Weisen Fan2Zhiheng Lin3Department of Gynecology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Gynecology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Gynecology, Guang anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Gynecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaPatients with adenomyosis not only experience a decrease in quality of life as a result of dysmenorrhea and severe monthly flow but they are also rendered infertile. Pregnancy rates are still low among women with adenomyosis, even with assisted reproduction. According to the current study, endometrial receptivity is primarily responsible for the lower conception rate among patients with adenomyosis. Decidualization of endometrial stromal cells is the fundamental requirement for endometrial receptivity and the maintenance of a normal pregnancy, even though endometrial receptivity is made up of a variety of cells, including immune cells, endometrial epithelial cells, and endometrial stromal cells. Our overview reveals that endometriosis deficiencies are present in patients with adenomyosis. These flaws may be linked to aberrant pathways in endometrial stromal cells, such as PI3K/Akt, JAK2/STAT3, and hedgehog. Correcting the abnormal expression of molecules in endometrial stromal cells in the endometrium of patients with adenomyosis may become the focus of research to improve endometrial receptivity and increase the pregnancy rate.https://www.frontiersin.org/articles/10.3389/fendo.2024.1435177/fulladenomyosisdecidualizationstromal cellsendometrial receptivitymolecular mechanism
spellingShingle Yuanquan Dai
Zheng Yuan
Weisen Fan
Zhiheng Lin
Molecular mechanism of aberrant decidualization in adenomyosis leading to reduced endometrial receptivity
Frontiers in Endocrinology
adenomyosis
decidualization
stromal cells
endometrial receptivity
molecular mechanism
title Molecular mechanism of aberrant decidualization in adenomyosis leading to reduced endometrial receptivity
title_full Molecular mechanism of aberrant decidualization in adenomyosis leading to reduced endometrial receptivity
title_fullStr Molecular mechanism of aberrant decidualization in adenomyosis leading to reduced endometrial receptivity
title_full_unstemmed Molecular mechanism of aberrant decidualization in adenomyosis leading to reduced endometrial receptivity
title_short Molecular mechanism of aberrant decidualization in adenomyosis leading to reduced endometrial receptivity
title_sort molecular mechanism of aberrant decidualization in adenomyosis leading to reduced endometrial receptivity
topic adenomyosis
decidualization
stromal cells
endometrial receptivity
molecular mechanism
url https://www.frontiersin.org/articles/10.3389/fendo.2024.1435177/full
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AT weisenfan molecularmechanismofaberrantdecidualizationinadenomyosisleadingtoreducedendometrialreceptivity
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