Role of cyclooxygenases in the pathogenesis of genital endometriosis


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Abstract

Objective. To present an update on the role of cyclooxygenases (COX) in the development of endometriosis. Materials and methods. 182 literature sources on the role of COX-1 and COX-2 in the development of endometriosis in reproductive-aged women, which had been published in the Medline, Pubmed, and Scopus databases, were analyzed. 21 out of these sources were included in the present review. Results. The production of prostaglandins in the endometrial cells is one of the important pathogenetic components of genital endometriosis. Women with endometriosis were found to have specific features of the expression of COX-1 and COX-2 in the eutopic and ectopic endometrium, which correlate with the rate of cell proliferation and tissue growth and as a consequence with the progression of the disease. Conclusion. The role of cyclooxygenases in the development of endometriosis is of interest in that, on the basis of the knowledge obtained, one may plan the use of agents inhibiting the activity of cyclooxygenases (nonsteroidal anti-inflammatory drugs) to treat endometriosis as a pathogenetic treatment option. This issue has not been fully studied. There is a need for further investigations in this area.

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About the authors

Yevgeny I. Samodelkin

Academician E.A. Wagner Perm State Medical University, Ministry of Helth of Russia

Email: sei-p@mail.ru
MD, Professor of Pathological Physiology

Polina V. Kosareva

Academician E.A. Wagner Perm State Medical University, Ministry of Helth of Russia

Email: perm-bagira@narod.ru
MD, main researcher of Department of morphological and pathophysiological studies CSRL, Head of the course of clinical laboratory diagnostics, an assistant professor of microbiology, virology with the course of clinical laboratory diagnostics

Ekaterina N. Tryastsina

The Badge of Honor Order Perm Territorial Clinical Hospital

Email: prh@permonline.ru
obstetrician-gynecologist

Larisa Yu. Nesterova

Ural Branch, Russian Academy of Sciences

Email: larisa.nesterova@bk.ru
PhD, Senior Researcher, Institute of Ecology and Genetics of Microorganisms

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