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 Conclusions
• There is no single ‘gene for endometriosis’... more complex
• Stage III/IV is different in genetic heritable origin from stage I/II
(what does that mean?? Further subtype identification needed)
• Increased somatic genetic variation in endometriosis – role in pathogenesis unclear
• Functional studies in relevant tissues are required to understand the impact of
genetic variants on biology and pathogenesis - transcriptomics and epigenomics
• GWAS SNPs together currently explain only ~5% of disease risk -
Not currently suitable for diagnostic screening
 References
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Bischoff FZ et al. Somatic DNA alterations in endometriosis: high frequency of chromosome 17 and p53 loss in late-stage endometriosis. 2002;55:49-64. Easton DF et al. Genetic linkage analysis in familial breast and ovarian cancer: results from 214 families. The Breast Cancer Linkage Consortium. Am J Hum
Genet. 1993;52:678-701.
International Human Genome Sequencing Consortium. Finishing the euchromatic sequence of the human genome. Nature. 2014;431:931-45
Painter JN et al. Genome-wide association study identifies a locus at 7p15.2 associated with endometriosis. Nat. Genet. 2011;43:51-4.
Poole EM et al. Endometriosis and risk of ovarian and endometrial cancers in a large prospective cohort of U.S. nurses. Cancer Causes Control. 2017;28:437-
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Stefansson H et al. Genetic factors contribute to the risk of developing endometriosis. Hum.Reprod. 2002;17:555-59.
Suda K et al. Clonal Expansion and Diversification of Cancer-Associated Mutations in Endometriosis and Normal Endometrium. Cell. Rep. 2018;24:1777-89. The International HapMap Consortium. A haplotype map of the human genome. Nature 2005;437:1299-320.
The 1000 Genomes Project Consortium. A global reference for human genetic variation. Nature 2015;526:68-74.
Treloar SA et al. Genetic influences of endometriosis in an Australian twin sample. Fertil.Steril. 1999;71:701-10.
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