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PMID |
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TITLE |
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Neuropeptide S receptor 1 is a nonhormonal treatment target in endometriosis. |
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ABSTRACT |
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Endometriosis is a common chronic inflammatory condition causing pelvic pain and infertility in women, with limited treatment options and 50% heritability. We leveraged genetic analyses in two species with spontaneous endometriosis, humans and the rhesus macaque, to uncover treatment targets. We sequenced DNA from 32 human families contributing to a genetic linkage signal on chromosome 7p13-15 and observed significant overrepresentation of predicted deleterious low-frequency coding variants in , the gene encoding neuropeptide S receptor 1, in cases (predominantly stage III/IV) versus controls ( = 7.8 × 10 ). Significant linkage to the region orthologous to human 7p13-15 was replicated in a pedigree of 849 rhesus macaques ( = 0.0095). Targeted association analyses in 3194 surgically confirmed, unrelated cases and 7060 controls revealed that a common insertion/deletion variant, rs142885915, was significantly associated with stage III/IV endometriosis ( = 5.2 × 10 ; odds ratio, 1.23; 95% CI, 1.09 to 1.39). Immunohistochemistry, qRT-PCR, and flow cytometry experiments demonstrated that NPSR1 was expressed in glandular epithelium from eutopic and ectopic endometrium, and on monocytes in peritoneal fluid. The NPSR1 inhibitor SHA 68R blocked NPSR1-mediated signaling, proinflammatory TNF-α release, and monocyte chemotaxis in vitro ( < 0.01), and led to a significant reduction of inflammatory cell infiltrate and abdominal pain ( < 0.05) in a mouse model of peritoneal inflammation as well as in a mouse model of endometriosis. We conclude that the NPSR1/NPS system is a genetically validated, nonhormonal target for the treatment of endometriosis with likely increased relevance to stage III/IV disease. |
Copyright © 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. |
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DATE PUBLISHED |
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HISTORY |
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PUBSTATUS |
PUBSTATUSDATE |
received |
2020/07/03 |
revised |
2021/02/25 |
accepted |
2021/08/06 |
entrez |
2021/08/26 05:37 |
pubmed |
2021/08/27 06:00 |
medline |
2021/11/03 06:00 |
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AUTHORS |
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NAME |
COLLECTIVENAME |
LASTNAME |
FORENAME |
INITIALS |
AFFILIATION |
AFFILIATIONINFO |
Tapmeier TT |
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Tapmeier |
Thomas T |
TT |
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Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria 3168, Australia. |
Rahmioglu N |
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Rahmioglu |
Nilufer |
N |
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Wellcome Centre for Human Genetics, University of Oxford, Oxford OX3 7BN, UK. |
Lin J |
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Lin |
Jianghai |
J |
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Institute of Life and Health Engineering, College of Life Science and Technology, Jinan University, Guangzhou, Guangdong 510632, PR China. |
De Leo B |
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De Leo |
Bianca |
B |
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Bayer AG Pharmaceuticals, Research & Development, Building S107, 13342 Berlin, Germany. |
Obendorf M |
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Obendorf |
Maik |
M |
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Bayer AG Pharmaceuticals, Research & Development, Building S107, 13342 Berlin, Germany. |
Raveendran M |
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Raveendran |
Muthuswamy |
M |
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Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA. |
Fischer OM |
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Fischer |
Oliver M |
OM |
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Bayer AG Pharmaceuticals, Research & Development, Building S107, 13342 Berlin, Germany. |
Bafligil C |
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Bafligil |
Cemsel |
C |
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Nuffield Department of Orthopedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Oxford OX3 7LD, UK. |
Guo M |
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Guo |
Manman |
M |
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Nuffield Department of Orthopedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Oxford OX3 7LD, UK. |
Harris RA |
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Harris |
Ronald Alan |
RA |
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Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA. |
Hess-Stumpp H |
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Hess-Stumpp |
Holger |
H |
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Bayer AG Pharmaceuticals, Research & Development, Building S107, 13342 Berlin, Germany. |
Laux-Biehlmann A |
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Laux-Biehlmann |
Alexis |
A |
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Bayer AG Pharmaceuticals, Research & Development, Building S107, 13342 Berlin, Germany. |
Lowy E |
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Lowy |
Ernesto |
E |
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Wellcome Centre for Human Genetics, University of Oxford, Oxford OX3 7BN, UK. |
Lunter G |
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Lunter |
Gerton |
G |
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MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DS, UK. |
Malzahn J |
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Malzahn |
Jessica |
J |
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Nuffield Department of Orthopedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Oxford OX3 7LD, UK. |
Martin NG |
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Martin |
Nicholas G |
NG |
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QIMR Berghofer Medical Research Institute, Brisbane, Queensland 4006, Australia. |
Martinez FO |
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Martinez |
Fernando O |
FO |
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Faculty of Health and Medical Sciences, University of Surrey, Guildford GU2 7YH, UK. |
Manek S |
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Manek |
Sanjiv |
S |
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Department of Pathology, Oxford University Hospitals Foundation Trust, Oxford OX3 9DU, UK. |
Mesch S |
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Mesch |
Stefanie |
S |
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Bayer AG Pharmaceuticals, Research & Development, Building S107, 13342 Berlin, Germany. |
Montgomery GW |
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Montgomery |
Grant W |
GW |
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Institute for Molecular Bioscience, University of Queensland, Brisbane, Queensland 4072, Australia. |
Morris AP |
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Morris |
Andrew P |
AP |
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Division of Musculoskeletal and Dermatological Sciences, University of Manchester, Manchester M13 9PL, UK. |
Nagel J |
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Nagel |
Jens |
J |
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Bayer AG Pharmaceuticals, Research & Development, Building S107, 13342 Berlin, Germany. |
Simmons HA |
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Simmons |
Heather A |
HA |
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Wisconsin National Primate Research Center, University of Wisconsin-Madison, Madison, WI 53715, USA. |
Brocklebank D |
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Brocklebank |
Denise |
D |
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Wellcome Centre for Human Genetics, University of Oxford, Oxford OX3 7BN, UK. |
Shang C |
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Shang |
Catherine |
C |
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Oxford Endometriosis CaRe Centre, Nuffield Department of Women's & Reproductive Health, University of Oxford, Women's Centre, John Radcliffe Hospital, Oxford OX3 9DU, UK. |
Treloar S |
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Treloar |
Susan |
S |
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QIMR Berghofer Medical Research Institute, Brisbane, Queensland 4006, Australia. |
Wells G |
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Wells |
Graham |
G |
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Nuffield Department of Orthopedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Oxford OX3 7LD, UK. |
Becker CM |
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Becker |
Christian M |
CM |
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Oxford Endometriosis CaRe Centre, Nuffield Department of Women's & Reproductive Health, University of Oxford, Women's Centre, John Radcliffe Hospital, Oxford OX3 9DU, UK. |
Oppermann U |
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Oppermann |
Udo |
U |
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Nuffield Department of Orthopedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Oxford OX3 7LD, UK. |
Zollner TM |
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Zollner |
Thomas M |
TM |
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Bayer AG Pharmaceuticals, Research & Development, Building S107, 13342 Berlin, Germany. |
Kennedy SH |
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Kennedy |
Stephen H |
SH |
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Oxford Endometriosis CaRe Centre, Nuffield Department of Women's & Reproductive Health, University of Oxford, Women's Centre, John Radcliffe Hospital, Oxford OX3 9DU, UK. |
Kemnitz JW |
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Kemnitz |
Joseph W |
JW |
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Department of Cell & Regenerative Biology and Wisconsin National Primate Research Center, University of Wisconsin-Madison, Madison, WI 53706, USA. |
Rogers J |
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Rogers |
Jeffrey |
J |
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Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA. |
Zondervan KT |
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Zondervan |
Krina T |
KT |
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Wellcome Centre for Human Genetics, University of Oxford, Oxford OX3 7BN, UK. |
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INVESTIGATORS |
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JOURNAL |
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VOLUME: 13 |
ISSUE: 608 |
TITLE: Science translational medicine |
ISOABBREVIATION: Sci Transl Med |
YEAR: 2021 |
MONTH: 08 |
DAY: 25 |
MEDLINEDATE: |
SEASON: |
CITEDMEDIUM: Internet |
ISSN: 1946-6242 |
ISSNTYPE: Electronic |
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MEDLINE JOURNAL |
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MEDLINETA: Sci Transl Med |
COUNTRY: United States |
ISSNLINKING: 1946-6234 |
NLMUNIQUEID: 101505086 |
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PUBLICATION TYPE |
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PUBLICATIONTYPE TEXT |
Journal Article |
Research Support, N.I.H., Extramural |
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COMMENTS AND CORRECTIONS |
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REFTYPE |
REFSOURCE |
REFPMID |
NOTE |
CommentIn |
Nat Rev Endocrinol. 2021 Nov;17(11):639 |
34508252 |
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GRANTS |
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GRANTID |
AGENCY |
COUNTRY |
084766/Z/08/Z |
Wellcome Trust |
United Kingdom |
085235/Z/08/Z |
Wellcome Trust |
United Kingdom |
085235/Z/08/A |
Wellcome Trust |
United Kingdom |
R24 OD011173 |
NIH HHS |
United States |
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GENERAL NOTE |
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KEYWORDS |
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MESH HEADINGS |
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DESCRIPTORNAME |
QUALIFIERNAME |
Animals |
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Endometriosis |
genetics |
Endometrium |
genetics |
Female |
genetics |
Humans |
genetics |
Macaca mulatta |
genetics |
Mice |
genetics |
Receptors, G-Protein-Coupled |
genetics |
Tumor Necrosis Factor-alpha |
genetics |
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SUPPLEMENTARY MESH |
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GENE SYMBOLS |
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CHEMICALS |
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REGISTRYNUMBER |
NAMEOFSUBSTANCE |
0 |
NPSR1 protein, human |
0 |
Receptors, G-Protein-Coupled |
0 |
Tumor Necrosis Factor-alpha |
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OTHER ID's |
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