ArticleEndocrinology2025
Polychlorinated Biphenyls Alter Estrogen Receptor β-mediated Epigenetic Regulation, Promoting Endometriosis.
Article in Endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Hormonal Dysregulation and Neuroinflammation in Endometriosis: Convergent Druggable Pathways.Current issues in molecular biology · 2026Review
- Endometrial Stromal Cells from Endometriosis Patients Reflect Lesion-Type-Specific Heterogeneity.Cells · 2025Article
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9 authors.
Funding
Abstract
Endometriosis is a pathological condition characterized by the ectopic growth of endometrial cells, leading to chronic pelvic pain and infertility. Epidemiological studies have associated exposure to dioxin-like polychlorinated biphenyls, particularly PCB126, with an increased risk of endometriosis. However, the underlying mechanisms of this association remain poorly understood. We utilized a surgically induced endometriosis mouse model and human endometrial cell lines to assess the impact of PCB126 on endometriosis progression. Mice were exposed to environmentally relevant doses of PCB126. Endometriotic lesion growth, estrogen receptor signaling, receptor tyrosine kinase activity, and gene expression changes induced by PCB126-mediated elevation of DNA methyltransferase 3A (DNMT3A) were evaluated using histology, bioluminescent imaging, immunoblotting, and RNA sequencing. Functional validation was conducted using a pharmacologic AXL inhibitor and tissue-specific Dnmt3a knockout mice. PCB126 significantly promoted the growth of ectopic lesions and humanized models of endometriosis. Mechanistically, PCB126 enhanced estrogen receptor β (ESR2) activity by upregulating AXL and its ligand, growth arrest-specific 6, and elevating DNMT3A expression. The inhibition of AXL signaling suppressed the growth of endometriotic lesions. ESR2 directly regulated Dnmt3a expression, and loss of Dnmt3a reduced lesion growth and inflammatory cytokine production, thereby reversing immune dysregulation. These findings establish a mechanistic link between PCB126 exposure and epigenetic and immune reprogramming in endometriotic lesions. Our findings establish a mechanistic connection between environmental PCB126 exposure and endometriosis progression via the AXL/ESR2/DNMT3A axis. This study provides new insight into how endocrine-disrupting chemicals promote hormone-sensitive diseases through epigenetic and immunological pathways, offering potential targets for therapeutic intervention.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.