Menstrual blood multiomics analysis to better diagnose, understand and treat endometriosis

The MensEndoDiag project seeks to identify diagnostic and prognostic biomarkers for endometriosis using menstrual fluid, while exploring new therapeutic approaches to improve patient outcomes.

Subsidie
€ 1.479.399
2023

Projectdetails

Introduction

The MensEndoDiag project aims at finding diagnostic biomarkers and prognostic biomarker candidates, as well as investigating new therapeutic approaches for endometriosis using menstrual fluid, an easily accessible yet overlooked biological fluid.

Background

Endometriosis is a common gynecological disorder affecting 6-10% of women of childbearing age. It is associated with pelvic pain and infertility, leading to a reduced quality of life and an economic burden. It is defined by the presence of endometrial tissue outside the uterus. Endometriotic lesions form from retrograde menstruation (menstrual fluid reflux through the fallopian tubes), but the precise pathogenesis remains unclear.

Current Challenges

There are no noninvasive biomarkers currently used in clinical care, but they are essential to improve the diagnosis delay, currently estimated at 8 years. There is no specific treatment, and pharmacological options are contraceptive. Here, I propose to use menstrual fluid as a relevant biological fluid for endometriosis.

Project Aims

  1. Aim 1: Single-cell transcriptomics and soluble protein multiplex assays on 64 menstrual fluid samples will be used to identify candidate diagnostic biomarkers that differentiate endometriosis-affected women from healthy controls. Validation of these biomarkers will be carried out in menstrual fluid samples from 250 women.

  2. Aim 2: Menstrual fluid-derived organoids cultured with or without immune cells will be used to assess endometriosis-associated functional changes and to test new immunomodulatory treatments.

  3. Aim 3: Longitudinal cohorts will be established to identify prognostic candidate biomarkers for response to surgery and in vitro fertilization.

Importance of the Project

Diagnostic and prognostic biomarkers are essential to assess disease establishment, evolution, and to choose the most appropriate treatment. This project will enhance our understanding of endometriosis pathophysiology as well as allow the study of a new biological fluid, relevant to gynecologic and reproductive disorders.

Financiële details & Tijdlijn

Financiële details

Subsidiebedrag€ 1.479.399
Totale projectbegroting€ 1.479.399

Tijdlijn

Startdatum1-5-2023
Einddatum30-4-2028
Subsidiejaar2023

Partners & Locaties

Projectpartners

  • UNIVERSITE PARIS CITEpenvoerder
  • INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE

Land(en)

France

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