Identification of distinct #stool metabolites in women with #endometriosis for non-invasive diagnosis and potential for microbiota-based therapies

Context and significance
Clinical management of endometriosis, a gynecological disease that is a leading cause of infertility in women, remains a challenge with no known cure. Scientists from Baylor College of Medicine combined the gut metabolomic and microbiota signatures in the stool samples from women with endometriosis to identify a gut-bacteria-derived therapeutic intervention candidate, 4-hydroxyindole. They demonstrate that 4-hydroxyindole prevents the formation of endometriotic lesions, augments their regression, and reduces disease-associated pain. Their work also identified altered bacteria-derived distinct metabolites that could potentially be used for non-invasive diagnosis of the disease.

Highlights

Women with endometriosis have a distinct stool metabolome for non-invasive diagnosis

Bacteria-derived metabolites in endometriosis are associated with those in IBD

Bacteria-derived 4-hydroxyindole level is lower in stool from women with endometriosis

4-Hydroxyindole inhibits the onset and progression of endometriosis

https://www.cell.com/med/fulltext/S2666-6340(24)00373-8