Potential scenarios leading to ovarian cancer arising from endometriosis

Redox Report : Communications in Free Radical Research
Hiroshi Kobayashi

Abstract

The aim of this review was to highlight recent advances in our understanding of the pathogenesis of malignant transformation of endometriosis. This study reviewed the English-language literature concerning basic science studies of the potential promotion of carcinogenesis. Repeated episodes of hemorrhage occur in endometriosis at the onset of menstruation. Extracellular hemoglobin, heme, and iron derivatives in endometriosis cause DNA damage and mutations, which create increased cellular susceptibility to oxidant-mediated cell killing. Excess DNA damage and mutations are linked to cell death, but not carcinogenesis. In response to an oxidative and inflammatory microenvironment, endometriotic cells and macrophages secrete antioxidants that control excess oxidative stress in the surrounding environment. Exposure of endometriotic cells to a sublethal level of oxidative stress may lead to carcinogenesis. Macrophages also secrete immunosuppressive factors that lead to promotion of malignant transformation. At least two potential scenarios could result in ovarian cancer arising from endometriosis. The first step: extracellular hemoglobin, heme, and iron cause cellular oxidative damage by promoting reactive oxygen species formation, w...Continue Reading

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Citations

Jan 18, 2017·Biological Chemistry·Stephanie RockfieldMeera Nanjundan
Jan 10, 2019·European Journal of Epidemiology·Frida E LundbergAnna L V Johansson
Feb 13, 2020·Reproductive Sciences·Hiroshi KobayashiChiharu Yoshimoto
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