Endometrial alterations in endometriosis: a systematic review of putative biomarkers

Endometriosis is usually diagnosed by an invasive procedure such as a laparoscopy. Great interest therefore lies in the potential to identify biomarkers which may be surrogates of disease presence or activity, especially relating to the effects of therapy. We have reviewed the existing literature on...

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Bibliographic Details
Published inHuman reproduction update Vol. 17; no. 5; pp. 637 - 653
Main Authors May, K.E., Villar, J., Kirtley, S., Kennedy, S.H., Becker, C.M.
Format Journal Article
LanguageEnglish
Published England 01.09.2011
Subjects
Apoptosis
Biomarkers - blood
Biomarkers - metabolism
Biomarkers - urine
Cell Adhesion
Cell Cycle
Cytokines - metabolism
Endometriosis - genetics
Endometriosis - immunology
Endometriosis - metabolism
Endometriosis - pathology
Endometrium - metabolism
Endometrium - pathology
Extracellular Matrix - metabolism
Extracellular Matrix - pathology
Female
Gonadal Steroid Hormones - metabolism
Humans
Intercellular Signaling Peptides and Proteins - metabolism
Neovascularization, Pathologic
Proteomics
Reactive Nitrogen Species - metabolism
Reactive Oxygen Species - metabolism
Online AccessGet full text
ISSN1355-4786
1460-2369
1460-2369
DOI10.1093/humupd/dmr013

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Abstract Endometriosis is usually diagnosed by an invasive procedure such as a laparoscopy. Great interest therefore lies in the potential to identify biomarkers which may be surrogates of disease presence or activity, especially relating to the effects of therapy. We have reviewed the existing literature on endometrial differences in women with endometriosis, and assess their potential use as disease biomarkers. We used QUADAS (Quality Assessment of Diagnostic Accuracy Studies) criteria to conduct a systematic review of published papers over the past 25 years on the subject of endometrial differences in endometriosis. We searched for all studies assessing differences between eutopic endometrium of women with and without endometriosis. We identified 182 relevant articles that are summarized in the review. These studies assess over 200 potential biomarkers, including hormones and their receptors (n = 29), cytokines (n = 25), factors identified using proteomics (n = 8) and histological analysis (n = 10) of endometrial tissue. Sensitivity and specificity were reported or could be calculated for only 32 articles, and ranged from 0 to 100%. Of the nine highest quality studies, six identified putative biomarkers related to nerve fibre growth or cell cycle control, highlighting these areas as promising candidates for future biomarker research. This systematic review identified several reports of endometrial differences which have the potential to be biomarkers of endometriosis. However, larger studies in well-defined populations are clearly required to determine their true usefulness.
AbstractList Endometriosis is usually diagnosed by an invasive procedure such as a laparoscopy. Great interest therefore lies in the potential to identify biomarkers which may be surrogates of disease presence or activity, especially relating to the effects of therapy. We have reviewed the existing literature on endometrial differences in women with endometriosis, and assess their potential use as disease biomarkers. We used QUADAS (Quality Assessment of Diagnostic Accuracy Studies) criteria to conduct a systematic review of published papers over the past 25 years on the subject of endometrial differences in endometriosis. We searched for all studies assessing differences between eutopic endometrium of women with and without endometriosis. We identified 182 relevant articles that are summarized in the review. These studies assess over 200 potential biomarkers, including hormones and their receptors (n = 29), cytokines (n = 25), factors identified using proteomics (n = 8) and histological analysis (n = 10) of endometrial tissue. Sensitivity and specificity were reported or could be calculated for only 32 articles, and ranged from 0 to 100%. Of the nine highest quality studies, six identified putative biomarkers related to nerve fibre growth or cell cycle control, highlighting these areas as promising candidates for future biomarker research. This systematic review identified several reports of endometrial differences which have the potential to be biomarkers of endometriosis. However, larger studies in well-defined populations are clearly required to determine their true usefulness.
Endometriosis is usually diagnosed by an invasive procedure such as a laparoscopy. Great interest therefore lies in the potential to identify biomarkers which may be surrogates of disease presence or activity, especially relating to the effects of therapy. We have reviewed the existing literature on endometrial differences in women with endometriosis, and assess their potential use as disease biomarkers.BACKGROUNDEndometriosis is usually diagnosed by an invasive procedure such as a laparoscopy. Great interest therefore lies in the potential to identify biomarkers which may be surrogates of disease presence or activity, especially relating to the effects of therapy. We have reviewed the existing literature on endometrial differences in women with endometriosis, and assess their potential use as disease biomarkers.We used QUADAS (Quality Assessment of Diagnostic Accuracy Studies) criteria to conduct a systematic review of published papers over the past 25 years on the subject of endometrial differences in endometriosis. We searched for all studies assessing differences between eutopic endometrium of women with and without endometriosis.METHODSWe used QUADAS (Quality Assessment of Diagnostic Accuracy Studies) criteria to conduct a systematic review of published papers over the past 25 years on the subject of endometrial differences in endometriosis. We searched for all studies assessing differences between eutopic endometrium of women with and without endometriosis.We identified 182 relevant articles that are summarized in the review. These studies assess over 200 potential biomarkers, including hormones and their receptors (n = 29), cytokines (n = 25), factors identified using proteomics (n = 8) and histological analysis (n = 10) of endometrial tissue. Sensitivity and specificity were reported or could be calculated for only 32 articles, and ranged from 0 to 100%. Of the nine highest quality studies, six identified putative biomarkers related to nerve fibre growth or cell cycle control, highlighting these areas as promising candidates for future biomarker research.RESULTSWe identified 182 relevant articles that are summarized in the review. These studies assess over 200 potential biomarkers, including hormones and their receptors (n = 29), cytokines (n = 25), factors identified using proteomics (n = 8) and histological analysis (n = 10) of endometrial tissue. Sensitivity and specificity were reported or could be calculated for only 32 articles, and ranged from 0 to 100%. Of the nine highest quality studies, six identified putative biomarkers related to nerve fibre growth or cell cycle control, highlighting these areas as promising candidates for future biomarker research.This systematic review identified several reports of endometrial differences which have the potential to be biomarkers of endometriosis. However, larger studies in well-defined populations are clearly required to determine their true usefulness.CONCLUSIONSThis systematic review identified several reports of endometrial differences which have the potential to be biomarkers of endometriosis. However, larger studies in well-defined populations are clearly required to determine their true usefulness.
Author May, K.E.
Villar, J.
Becker, C.M.
Kirtley, S.
Kennedy, S.H.
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  surname: Kirtley
  fullname: Kirtley, S.
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  surname: Kennedy
  fullname: Kennedy, S.H.
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  givenname: C.M.
  surname: Becker
  fullname: Becker, C.M.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/21672902$$D View this record in MEDLINE/PubMed
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Snippet Endometriosis is usually diagnosed by an invasive procedure such as a laparoscopy. Great interest therefore lies in the potential to identify biomarkers which...
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SubjectTerms Apoptosis
Biomarkers - blood
Biomarkers - metabolism
Biomarkers - urine
Cell Adhesion
Cell Cycle
Cytokines - metabolism
Endometriosis - genetics
Endometriosis - immunology
Endometriosis - metabolism
Endometriosis - pathology
Endometrium - metabolism
Endometrium - pathology
Extracellular Matrix - metabolism
Extracellular Matrix - pathology
Female
Gonadal Steroid Hormones - metabolism
Humans
Intercellular Signaling Peptides and Proteins - metabolism
Neovascularization, Pathologic
Proteomics
Reactive Nitrogen Species - metabolism
Reactive Oxygen Species - metabolism
Title Endometrial alterations in endometriosis: a systematic review of putative biomarkers
URI https://www.ncbi.nlm.nih.gov/pubmed/21672902
https://www.proquest.com/docview/884269590
Volume 17
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