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Single-cell RNA sequencing identifies the prolactin receptor as a therapeutic target in adenomyosis
by
Cui, Qionghua
, Wang, Xuelian
, Hu, Xinli
, Xu, Shuai
, Wang, Runze
, Zhu, Lan
, Xiao, Rui-Ping
, Liu, Jinghao
, Liu, Jie
, Chen, Xin
, Shen, Hao
, Lv, Fengxiang
, Xin, Yuxuan
in
692/4017
/ 692/699/2732
/ Adenomyosis - drug therapy
/ Adenomyosis - genetics
/ Adenomyosis - metabolism
/ Adenomyosis - pathology
/ Agonists
/ Animal models
/ Animals
/ Apoptosis
/ Birth control
/ Cancer Research
/ Cell Biology
/ Cell growth
/ Cell survival
/ Drug development
/ Endometriosis
/ Endometrium
/ Estrogens
/ Female
/ Fertility
/ Fibroblasts
/ Humans
/ Hysterectomy
/ Infertility
/ Internal Medicine
/ Medicine
/ Medicine & Public Health
/ Menstruation
/ Mice
/ Monoclonal antibodies
/ Myometrium
/ Nonsteroidal anti-inflammatory drugs
/ Oncology
/ Pathogenesis
/ Pathology
/ Phenotypes
/ Pituitary
/ Prolactin
/ Prolactin - genetics
/ Receptors, Prolactin - antagonists & inhibitors
/ Receptors, Prolactin - genetics
/ Sequence Analysis, RNA
/ Signal Transduction - genetics
/ Single-Cell Analysis
/ Smooth muscle
/ Therapeutic targets
/ Transgenic animals
2025
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Single-cell RNA sequencing identifies the prolactin receptor as a therapeutic target in adenomyosis
by
Cui, Qionghua
, Wang, Xuelian
, Hu, Xinli
, Xu, Shuai
, Wang, Runze
, Zhu, Lan
, Xiao, Rui-Ping
, Liu, Jinghao
, Liu, Jie
, Chen, Xin
, Shen, Hao
, Lv, Fengxiang
, Xin, Yuxuan
in
692/4017
/ 692/699/2732
/ Adenomyosis - drug therapy
/ Adenomyosis - genetics
/ Adenomyosis - metabolism
/ Adenomyosis - pathology
/ Agonists
/ Animal models
/ Animals
/ Apoptosis
/ Birth control
/ Cancer Research
/ Cell Biology
/ Cell growth
/ Cell survival
/ Drug development
/ Endometriosis
/ Endometrium
/ Estrogens
/ Female
/ Fertility
/ Fibroblasts
/ Humans
/ Hysterectomy
/ Infertility
/ Internal Medicine
/ Medicine
/ Medicine & Public Health
/ Menstruation
/ Mice
/ Monoclonal antibodies
/ Myometrium
/ Nonsteroidal anti-inflammatory drugs
/ Oncology
/ Pathogenesis
/ Pathology
/ Phenotypes
/ Pituitary
/ Prolactin
/ Prolactin - genetics
/ Receptors, Prolactin - antagonists & inhibitors
/ Receptors, Prolactin - genetics
/ Sequence Analysis, RNA
/ Signal Transduction - genetics
/ Single-Cell Analysis
/ Smooth muscle
/ Therapeutic targets
/ Transgenic animals
2025
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Single-cell RNA sequencing identifies the prolactin receptor as a therapeutic target in adenomyosis
by
Cui, Qionghua
, Wang, Xuelian
, Hu, Xinli
, Xu, Shuai
, Wang, Runze
, Zhu, Lan
, Xiao, Rui-Ping
, Liu, Jinghao
, Liu, Jie
, Chen, Xin
, Shen, Hao
, Lv, Fengxiang
, Xin, Yuxuan
in
692/4017
/ 692/699/2732
/ Adenomyosis - drug therapy
/ Adenomyosis - genetics
/ Adenomyosis - metabolism
/ Adenomyosis - pathology
/ Agonists
/ Animal models
/ Animals
/ Apoptosis
/ Birth control
/ Cancer Research
/ Cell Biology
/ Cell growth
/ Cell survival
/ Drug development
/ Endometriosis
/ Endometrium
/ Estrogens
/ Female
/ Fertility
/ Fibroblasts
/ Humans
/ Hysterectomy
/ Infertility
/ Internal Medicine
/ Medicine
/ Medicine & Public Health
/ Menstruation
/ Mice
/ Monoclonal antibodies
/ Myometrium
/ Nonsteroidal anti-inflammatory drugs
/ Oncology
/ Pathogenesis
/ Pathology
/ Phenotypes
/ Pituitary
/ Prolactin
/ Prolactin - genetics
/ Receptors, Prolactin - antagonists & inhibitors
/ Receptors, Prolactin - genetics
/ Sequence Analysis, RNA
/ Signal Transduction - genetics
/ Single-Cell Analysis
/ Smooth muscle
/ Therapeutic targets
/ Transgenic animals
2025
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Single-cell RNA sequencing identifies the prolactin receptor as a therapeutic target in adenomyosis
Journal Article
Single-cell RNA sequencing identifies the prolactin receptor as a therapeutic target in adenomyosis
2025
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Overview
Adenomyosis is a complex gynecological disease characterized by endometrial tissue invasion into the myometrium. Current interventions, such as hormonal therapy or hysterectomy, are associated with significant side effects and compromise fertility, underscoring the urgent need for safe and effective treatments. Using single-cell RNA sequencing (scRNA-seq) of uterine samples from patients, we identified prolactin (PRL) signaling as a key pathological driver of adenomyosis. Specifically, scRNA-seq revealed a distinct epithelial subcluster with enriched PRL receptor (PRLR) expression. PRL signaling is overactivated in this epithelial subcluster, promoting cellular survival and proliferation, which contributes to lesion formation and expansion in adenomyosis. Concurrently, PRLR is also highly expressed in a fibroblast subcluster characterized by strong expression of inflammation-related genes. Pathological PRL hyperactivation was further validated in preclinical animal models, where transgenic overexpression of PRL or pituitary transplantation induced an adenomyosis phenotype. Importantly, we demonstrated that dysregulation of local PRL signaling led to the development and progression of adenomyosis, whereas inhibition of PRLR with the monoclonal antibody HMI-115 markedly ameliorated pathological manifestations. These findings establish PRL signaling as a critical driver of adenomyosis pathogenesis, highlighting PRLR inhibition as a promising therapeutic strategy and demonstrating the translational potential of HMI-115 for treating adenomyosis, a gynecological condition that has long been neglected in drug development.
Publisher
Nature Publishing Group UK,Nature Publishing Group
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