Genetics may explain why people with endometriosis may also be at risk of gut issues

Publicly released:
Australia; QLD
Image by Saranya7 from Pixabay
Image by Saranya7 from Pixabay

People with endometriosis, a painful condition where tissue similar to the lining of the uterus (womb) grows outside of the uterus, also often report having gut issues, and now Australian researcher suggest genetics might help explain this link.  The researchers found that the genes that put people at higher risk of endometriosis are also involved in irritable bowel syndrome (IBS) and other gut diseases. They say identifying the genes involved in both diseases also highlights possible new drug targets and opportunities for repurposing existing drugs.

Media release

From: The University of Queensland

University of Queensland researchers have shown that endometriosis and irritable bowel syndrome (IBS) share genetic risk factors, explaining why patients with one condition may also have the other.

Professor Grant Montgomery and Dr Sally Mortlock at UQ’s Institute for Molecular Bioscience found a significant relationship between the risks for endometriosis and common gastrointestinal disorders such as IBS, peptic ulcer disease (PUD) and gastro-oesophageal reflux disease (GORD).

“This genetic finding supports the clinical observation of an increased incidence of gastrointestinal disorders in women with endometriosis,” Professor Montgomery said.

“We hope that this study will raise more awareness about the overlap of these conditions.”

Endometriosis is a severe condition affecting 1 in 7 women caused by tissue that resembles the uterus lining growing outside the uterus.

Women with endometriosis are twice as likely to have an IBS diagnosis compared to women without the disease and 1.4 times more likely to have a diagnosis of GORD.

“Sufferers can find it difficult to distinguish the source of their pain leading to confusion or misdiagnosis and years of delay in treatment during which time the endometriosis can progress to more severe disease,” Professor Montgomery said.

“Endometriosis should be considered as a possible cause if a woman presents to her GP with abdominal pain and gastrointestinal symptoms.

“As our knowledge of risk factors for endometriosis increases, we hope to move closer to understanding how the disease develops and improve treatments and diagnosis,” he said.

Professor Montgomery and Dr Mortlock worked with Dr Fei Yang from IMB and colleagues at UQ’s School of Public Health on the genetic studies.

The research was published in Cell Reports Medicine.

This study included data from the UK Biobank – a large-scale biomedical database and research resource containing anonymised genetic, lifestyle and health information from half a million UK participants. UK Biobank’s database, which includes blood samples, heart and brain scans and genetic data of the volunteer participants, is globally accessible to approved researchers who are undertaking health-related research in the public interest.

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Cell Reports Medicine
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Organisation/s: The University of Queensland
Funder: This work was supported by the National Health and Medical Research Council of Australia [Project Grants GNT1147846, GNT1105321 and GNT1049472, Investigator Grant 1177194 to G.W.M and Medical Research Future Fund Research Grant MRF1199785 to G.D.M and S.M]. For funding details of the endometriosis meta-analysis please see Sapkota et al., (2017).
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