Endometriosis Knowledgebase


A repository for genes associated with endometriosis

Results


PMID 18988805
Gene Name FKBP52
Condition Endometriosis
Association Associated
Population size 124
Population details 124(40 without endometriosis, 40 with eutopic endometriosis,44 ectopic endometriosis)
Sex Female
Other associated phenotypes Endometriosis
Deficiency of immunophilin FKBP52 promotes endometriosis.

Am J Pathol. 2008 Dec;173(6):1747-57. doi: 10.2353/ajpath.2008.080527. Epub 2008

Hirota, Yasushi| Tranguch, Susanne| Daikoku, Takiko| Hasegawa, Akiko| Osuga, Yutaka| Taketani, Yuji| Dey, Sudhansu K

Department of Pediatrics, Division of Reproductive and Developmental Biology, Vanderbilt University Medical Center, Nashville, TN, USA.

Endometriosis is a common gynecological disease that affects approximately 10% of women of childbearing age. It is characterized by endometrial growth outside the uterus and often results in inflamed lesions, pain, and reduced fertility. Although heightened estrogenic activity and/or reduced progesterone responsiveness are considered to be involved in the etiology of endometriosis, neither the extent of their participation nor the underlying mechanisms are clearly understood. Heterogeneous uterine cell types differentially respond to estrogen and progesterone (P(4)). P(4), primarily acting via its nuclear receptor (PR), activates gene transcription and impacts many reproductive processes. Deletion of Fkbp52, an immunophilin cochaperone for PR, results in uterine-specific P(4) resistance in mice, creating an opportunity to study the unique aspects of P(4) signaling in endometriosis. Here we explored the roles of FKBP52 in this disease using Fkbp52(-/-) mice. We found that the loss of FKBP52 encourages the growth of endometriotic lesions with increased inflammation, cell proliferation, and angiogenesis. We also found remarkable down-regulation of FKBP52 in cases of human endometriosis. Our results provide the first evidence corroborated by genetic studies in mice for a potential role of an immunophilin cochaperone in the etiology of human endometriosis. This investigation is highly relevant for clinical application, particularly because P(4) resistance is favorably indicated in endometriosis and other gynecological diseases.

Mesh Terms: Animals| Cell Proliferation| Chemokine CCL2/genetics/metabolism| Cyclooxygenase 2/metabolism| Disease Models, Animal| Endometriosis/*metabolism/pathology/physiopathology| Endometrium/metabolism/pathology| Estrogen Receptor alpha/genetics/metabolism