bioRxiv · 10.1101/2021.05.20.445037
A cellular and molecular portrait of endometriosis subtypes
Abstract
Endometriosis is a common, benign condition characterized by extensive heterogeneity in lesion appearance and patient symptoms. We profiled transcriptomes of 207,949 individual cells from endometriomata (n=7), extra-ovarian endometriosis (n=19), eutopic endometrium (n=4), unaffected ovary (n=1) and endometriosis-free peritoneum (n=4) to create a cellular atlas of endometrial-type epithelial cells, endometrial-type stromal cells and microenvironmental cell populations across tissue sites. Signatures of endometrial-type epithelium and stroma differed markedly across eutopic endometrium, endometrioma, superficial extra-ovarian disease and deep infiltrating endometriosis, suggesting that extensive transcriptional reprogramming is a core component of the disease process. Endometriomas were notable for the dysregulation of pro-inflammatory pathways and upregulation of complement proteins C3 and C7. Somatic ARID1A mutation in epithelial cells was associated with upregulation of pro-angiogenic factor SOX17 and remodeling of the endothelial cell compartment. Finally, signatures of endometriosis-associated endometrial-type epithelial clusters were enriched in ovarian cancers, reinforcing the epidemiologic associations between these two diseases.
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Fonseca, M. A. S., Wright, K. N., Lin, X., Abbasi, F., Haro, M., Sun, J., Hernandez, L., Orr, N. L., Hong, J., Choi-Kuaea, Y., Maluf, H. M., Balzer, B. L., Cass, I., Truong, M., Wang, Y., Pisarska, M. D., Dinh, H., EL-Naggar, A., Huntsman, D., Anglesio, M. S., Goodman, M. T., Medeiros, F., Siedhoff, M., Lawrenson, K.. 2021-05-21. A cellular and molecular portrait of endometriosis subtypes. https://doi.org/10.1101/2021.05.20.445037
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