Endometriosis Model

Endometriosis Model

The induced endometriosis model was established in female cynomolgus monkeys. Animals received intraperitoneal inoculation of endometrium. Induced on the first day of menstruation;Transplanted at the pouch of Douglas through laparotomy
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Product Introduction

Endometriosis is a chronic, often painful condition where tissue similar to the lining inside the uterus, known as the endometrium, grows outside the uterus in areas such as the ovaries, fallopian tubes, and the pelvis. This ectopic endometrial tissue behaves like normal endometrial tissue-thickening, breaking down, and bleeding with each menstrual cycle. However, because this tissue has no way to exit the body, it becomes trapped, leading to the formation of cysts, adhesions, and scar tissue. Endometriosis can result in severe pain, particularly during menstrual periods, and is associated with infertility and other complications.

 

 

 

Cause: The exact cause of Endometriosis is not fully understood. However, several factors are believed to play a role in its development. These include retrograde menstruation, where menstrual blood flows backward through the fallopian tubes into the pelvic cavity instead of leaving the body, genetic predisposition, immune system disorders, and hormonal influences. Additionally, some researchers suggest that embryonic cell transformation, where cells lining the abdominal and pelvic cavities transform into endometrial-like cells, may contribute to the condition. Environmental factors, such as exposure to certain chemicals, may also play a role. The underlying mechanism involves the growth of endometrial-like tissue outside the uterus, which responds to hormonal changes in the menstrual cycle, leading to inflammation, pain, and the formation of scar tissue.

 

Diagnosing Endometriosis typically involves a combination of clinical evaluation, pelvic examination, imaging tests (such as ultrasound or MRI), and sometimes laparoscopy, which is a surgical procedure that allows direct visualization and biopsy of endometrial lesions. It's crucial to differentiate Endometriosis from other conditions that may cause similar symptoms, such as pelvic inflammatory disease or ovarian cysts, before confirming a diagnosis.

 

Advantages of Non-Human Primate (NHP) Models for Endometriosis Research:

 

 

1.Anatomical and Physiological Similarities: NHPs have reproductive systems that are anatomically and physiologically more similar to humans compared to other animal models. This makes them highly relevant for studying diseases like endometriosis that involve complex interactions within the reproductive system.
2.Menstrual Cycle: Like humans, NHPs have a menstrual cycle, which allows for the investigation of endometrial tissue changes in a manner similar to that in human females. This feature is critical for studying the progression and effects of endometriosis over time.
3.Immunological Similarity: The immune systems of NHPs closely resemble that of humans, making it easier to study the inflammatory responses and immune interactions involved in endometriosis.
4.Gene Expression: There is a higher degree of genetic homology between NHPs and humans, facilitating more accurate studies of gene expression profiles and genetic factors that may be involved in the disease.
5.Behavioral Studies: NHPs exhibit behaviors that can better approximate human symptoms, such as those related to pain and discomfort, providing a more comprehensive understanding of the disease's impact on quality of life.

Advantages of NHP Models Compared to Mouse Models for Endometriosis Research:

 

1.Reproductive Cycle Similarity: Unlike mice, which have an estrous cycle, NHPs have a menstrual cycle similar to humans. This make NHPs a more accurate model for studying the hormonal fluctuations and menstrual-related aspects of endometriosis.
2.Complexity of Disease Manifestation: Endometriosis in NHPs more closely mimics the complex and varied manifestations of the disease seen in humans. This includes the formation of lesions, adhesions, and ovarian cysts in locations similar to those found in human patients.
3.Immune Response: The immune response in NHPs is more predictive of human immune responses compared to mice, which have significant differences in their immune system functioning. This is crucial for studying the inflammatory and autoimmune components of endometriosis.
4.Pharmacokinetics and Drug Response: NHPs have pharmacokinetic profiles more similar to humans, allowing for more accurate studies of drug efficacy and safety. This is particularly important for the development of therapies for endometriosis.
5.Predictive Power: Overall, the closer anatomical, physiological, and genetic similarities of NHPs to humans provide greater predictive power for translating research findings into clinical applications. This makes NHPs a superior model for understanding the disease mechanisms and testing potential treatments.
 
 
 
 
 
 

 

Study design and clinical endpoints

 

Study design:

 

 

The induced endometriosis model was established in female cynomolgus monkeys

Animals received intraperitoneal inoculation of endometrium

  • Induced on the first day of menstruation
  • Transplanted at the pouch of Douglas through laparotomy

 

Clinical endpoints:

Histopathology

Pain Measurement

A Hierarchical 3D-motion Learning Framework for Animal Spontaneous

Behavior Mapping

EMG

Histopathology evidence confirms the endometriosis model in NHP
Histopathology evidence confirms the endometriosis model in NHP
key result and figure legend

 

Endometrium lesion biopsies performed under laparoscopy
Endometrium lesion biopsies performed under laparoscopy
 
Volume of inlfated balloom
White: Baseline
Red: Model – after transplant
Grey: Model – before treatment
Green: treatment of positive drug

 

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