摘要
背景:子宫内膜异位症(EMS)是一种妇科疾病,是指子宫内膜组织在子宫外其他组织或器官中的移位和生长。临床表现为痛经、月经不调,甚至不孕。EMS虽然是一种良性疾病,但它具有恶性肿瘤的特点和恶性转化的潜力。近年来的研究发现,EMS可能涉及表观遗传变化,各种表观遗传异常,特别是异常的DNA甲基化可能在EMS的发病机制中发挥重要作用。先前的研究已经阐明了EMS的表观遗传调控因子,并报道了与EMS异常的激素、免疫和炎症状态相关的基因表观遗传模式的变化。随着高通量测序和其他生物分子技术的发展,我们对EMS全基因组甲基化有了更好的理解。目的:本文将讨论靶向DNA甲基化治疗EMS的可能性。 结果:本文综述了DNA甲基化在EMS病理生理学中的作用,并通过靶向DNA甲基化修饰剂为EMS提供了一种新的治疗方法。我们还回顾了目前在EMS治疗中使用DNA甲基化抑制剂的进展,以及未来潜在的前景和挑战。 结论:异常的DNA甲基化在EMS的发病机制中起着至关重要的作用,靶向DNA甲基转移酶的表观遗传药物有望成为EMS新治疗的理论基础。
关键词: 子宫内膜异位症,异常DNA甲基化,基因,通路,DNMTs
图形摘要
[http://dx.doi.org/10.1038/s41574-019-0191-9] [PMID: 30886366]
[http://dx.doi.org/10.1159/000358919] [PMID: 24853333]
[http://dx.doi.org/10.1038/s41572-018-0008-5] [PMID: 30026507]
[http://dx.doi.org/10.1016/S0140-6736(04)17403-5] [PMID: 15541453]
[http://dx.doi.org/10.1177/1933719108324893] [PMID: 19001553]
[http://dx.doi.org/10.1097/01.pgp.0000139636.94352.89] [PMID: 15381900]
[http://dx.doi.org/10.1002/ijc.21845] [PMID: 16506222]
[http://dx.doi.org/10.1111/cge.12897] [PMID: 27753067]
[http://dx.doi.org/10.1016/j.fertnstert.2018.10.013] [PMID: 30527836]
[http://dx.doi.org/10.1371/journal.pcbi.1007245] [PMID: 31356589]
[http://dx.doi.org/10.1200/JCO.2011.39.3090] [PMID: 22564988]
[http://dx.doi.org/10.1182/blood-2013-03-487884] [PMID: 23699600]
[http://dx.doi.org/10.3892/mmr.2016.4925] [PMID: 26934855]
[http://dx.doi.org/10.1155/2018/1465348] [PMID: 29780815]
[PMID: 8898232]
[http://dx.doi.org/10.1016/j.ygyno.2004.11.047] [PMID: 15721400]
[http://dx.doi.org/10.1158/0008-5472.CAN-07-6654] [PMID: 18413740]
[http://dx.doi.org/10.1101/gad.184341.111] [PMID: 22345515]
[http://dx.doi.org/10.1016/j.fertnstert.2006.05.077] [PMID: 17081533]
[http://dx.doi.org/10.1016/j.fertnstert.2011.01.031] [PMID: 21316665]
[http://dx.doi.org/10.1186/s13148-015-0168-z] [PMID: 26759613]
[http://dx.doi.org/10.1002/mrd.23127] [PMID: 30740831]
[http://dx.doi.org/10.1095/biolreprod.107.061804] [PMID: 17625110]
[http://dx.doi.org/10.1210/jc.2007-0494] [PMID: 17519303]
[http://dx.doi.org/10.1016/j.ajog.2005.01.034] [PMID: 16098858]
[http://dx.doi.org/10.1186/s13104-018-3836-1] [PMID: 30309386]
[http://dx.doi.org/10.1016/j.fertnstert.2010.06.024] [PMID: 20655525]
[http://dx.doi.org/10.1002/mrd.23139] [PMID: 30865360]
[http://dx.doi.org/10.1055/s-0031-1299596] [PMID: 22271293]
[http://dx.doi.org/10.1093/humrep/dez039] [PMID: 30989213]
[http://dx.doi.org/10.1210/en.2014-1490] [PMID: 25243856]
[http://dx.doi.org/10.1093/molehr/5.8.742] [PMID: 10421802]
[http://dx.doi.org/10.1016/j.fertnstert.2011.04.032] [PMID: 21561608]
[http://dx.doi.org/10.1016/S0015-0282(03)00982-8] [PMID: 14505759]
[http://dx.doi.org/10.1016/j.mce.2005.11.041] [PMID: 16406281]
[http://dx.doi.org/10.1177/1933719110377118] [PMID: 20697142]
[http://dx.doi.org/10.1016/j.fertnstert.2007.06.008] [PMID: 17727850]
[http://dx.doi.org/10.1016/j.fertnstert.2007.10.049] [PMID: 18249378]
[http://dx.doi.org/10.1172/JCI1597] [PMID: 9525980]
[http://dx.doi.org/10.1111/aogs.12236] [PMID: 24032603]
[http://dx.doi.org/10.1093/humrep/deu161] [PMID: 24963168]
[http://dx.doi.org/10.1177/1933719112451146] [PMID: 22915150]
[http://dx.doi.org/10.1210/mend-5-10-1552] [PMID: 1775136]
[http://dx.doi.org/10.1371/journal.pone.0083612] [PMID: 24465385]
[http://dx.doi.org/10.1177/1933719113497283] [PMID: 23899549]
[http://dx.doi.org/10.3109/09513590.2010.491925] [PMID: 20553220]
[http://dx.doi.org/10.1016/j.fertnstert.2007.03.078] [PMID: 17662285]
[http://dx.doi.org/10.1016/j.biopha.2010.09.012] [PMID: 20971605]
[http://dx.doi.org/10.1177/1933719114532841] [PMID: 24784717]
[http://dx.doi.org/10.1093/carcin/bgz046] [PMID: 30850842]
[http://dx.doi.org/10.1007/s10815-019-01508-8]
[http://dx.doi.org/10.1016/S0304-4165(02)00409-9] [PMID: 12417424]
[http://dx.doi.org/10.1007/BF03194647]
[http://dx.doi.org/10.1158/1078-0432.CCR-05-0625] [PMID: 16166426]
[http://dx.doi.org/10.1093/molehr/gap064] [PMID: 19651637]
[http://dx.doi.org/10.1080/14656566.2018.1494154] [PMID: 29975553]
[http://dx.doi.org/10.1007/s40265-018-0928-0] [PMID: 29946962]
[http://dx.doi.org/10.1016/j.ejogrb.2004.11.033] [PMID: 16054965]
[http://dx.doi.org/10.1111/j.1447-0756.2011.01663.x] [PMID: 21651673]
[http://dx.doi.org/10.1093/biolre/ioy030] [PMID: 29408993]
[http://dx.doi.org/10.1111/bph.12885] [PMID: 25134627]
[http://dx.doi.org/10.1016/j.fct.2018.10.052] [PMID: 30408543]
[http://dx.doi.org/10.1038/nature02625] [PMID: 15164071]
[http://dx.doi.org/10.4238/2013.November.18.6] [PMID: 24301926]
[http://dx.doi.org/10.1007/s10549-014-3012-9] [PMID: 24924415]
[http://dx.doi.org/10.1593/neo.07947] [PMID: 18320071]
[http://dx.doi.org/10.1177/1933719118815575] [PMID: 30522400]
[http://dx.doi.org/10.1093/molehr/gaz016] [PMID: 30869775]
[http://dx.doi.org/10.1016/j.mce.2015.03.023] [PMID: 25843056]
[http://dx.doi.org/10.1200/JCO.2011.38.9429] [PMID: 22689805]
[http://dx.doi.org/10.1189/jlb.0813435] [PMID: 24389335]