A Systematic Review of Atypical Endometriosis-Associated Biomarkers

Ovarian endometriosis may increase the risk of malignancy. Several studies have suggested atypical endometriosis as the direct precursor of endometriosis-associated ovarian cancer. We performed an advanced, systematic search of the online medical databases PubMed and Medline. The search revealed <...

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Main Authors: Ludovica Bartiromo, Matteo Schimberni, Roberta Villanacci, Giorgia Mangili, Stefano Ferrari, Jessica Ottolina, Noemi Salmeri, Carolina Dolci, Iacopo Tandoi, Massimo Candiani
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/8/4425
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author Ludovica Bartiromo
Matteo Schimberni
Roberta Villanacci
Giorgia Mangili
Stefano Ferrari
Jessica Ottolina
Noemi Salmeri
Carolina Dolci
Iacopo Tandoi
Massimo Candiani
author_facet Ludovica Bartiromo
Matteo Schimberni
Roberta Villanacci
Giorgia Mangili
Stefano Ferrari
Jessica Ottolina
Noemi Salmeri
Carolina Dolci
Iacopo Tandoi
Massimo Candiani
author_sort Ludovica Bartiromo
collection DOAJ
description Ovarian endometriosis may increase the risk of malignancy. Several studies have suggested atypical endometriosis as the direct precursor of endometriosis-associated ovarian cancer. We performed an advanced, systematic search of the online medical databases PubMed and Medline. The search revealed <i>n</i> = 40 studies eligible for inclusion in this systematic review. Of these, <i>n</i> = 39 were finally included. The results from included studies are characterized by high heterogeneity, but some consistency has been found for altered expression in phosphoinositide 3-kinase (PI3K)/AKT/mTOR pathway, ARID1a, estrogen and progesterone receptors, transcriptional, nuclear, and growth factors in atypical endometriosis. Although many targets have been proposed as biomarkers for the presence of atypical endometriosis, none of them has such strong evidence to justify their systematic use in clinical practice, and they all need expensive molecular analyses. Further well-designed studies are needed to validate the evidence on available biomarkers and to investigate novel serum markers for atypical endometriosis.
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spelling doaj.art-0f2402247936459e819f91cd09bd4bb42023-12-01T21:04:52ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-04-01238442510.3390/ijms23084425A Systematic Review of Atypical Endometriosis-Associated BiomarkersLudovica Bartiromo0Matteo Schimberni1Roberta Villanacci2Giorgia Mangili3Stefano Ferrari4Jessica Ottolina5Noemi Salmeri6Carolina Dolci7Iacopo Tandoi8Massimo Candiani9Gynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyGynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyGynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyGynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyGynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyGynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyGynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyGynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyGynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyGynecology/Obstetrics Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, ItalyOvarian endometriosis may increase the risk of malignancy. Several studies have suggested atypical endometriosis as the direct precursor of endometriosis-associated ovarian cancer. We performed an advanced, systematic search of the online medical databases PubMed and Medline. The search revealed <i>n</i> = 40 studies eligible for inclusion in this systematic review. Of these, <i>n</i> = 39 were finally included. The results from included studies are characterized by high heterogeneity, but some consistency has been found for altered expression in phosphoinositide 3-kinase (PI3K)/AKT/mTOR pathway, ARID1a, estrogen and progesterone receptors, transcriptional, nuclear, and growth factors in atypical endometriosis. Although many targets have been proposed as biomarkers for the presence of atypical endometriosis, none of them has such strong evidence to justify their systematic use in clinical practice, and they all need expensive molecular analyses. Further well-designed studies are needed to validate the evidence on available biomarkers and to investigate novel serum markers for atypical endometriosis.https://www.mdpi.com/1422-0067/23/8/4425endometriosisatypicalatypical endometriosismarkerbiomarkeratypia
spellingShingle Ludovica Bartiromo
Matteo Schimberni
Roberta Villanacci
Giorgia Mangili
Stefano Ferrari
Jessica Ottolina
Noemi Salmeri
Carolina Dolci
Iacopo Tandoi
Massimo Candiani
A Systematic Review of Atypical Endometriosis-Associated Biomarkers
International Journal of Molecular Sciences
endometriosis
atypical
atypical endometriosis
marker
biomarker
atypia
title A Systematic Review of Atypical Endometriosis-Associated Biomarkers
title_full A Systematic Review of Atypical Endometriosis-Associated Biomarkers
title_fullStr A Systematic Review of Atypical Endometriosis-Associated Biomarkers
title_full_unstemmed A Systematic Review of Atypical Endometriosis-Associated Biomarkers
title_short A Systematic Review of Atypical Endometriosis-Associated Biomarkers
title_sort systematic review of atypical endometriosis associated biomarkers
topic endometriosis
atypical
atypical endometriosis
marker
biomarker
atypia
url https://www.mdpi.com/1422-0067/23/8/4425
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