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	<title>epithelial-mesenchymal transition mechanisms &#8211; Science</title>
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	<title>epithelial-mesenchymal transition mechanisms &#8211; Science</title>
	<link>https://scienmag.com</link>
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		<title>RHOV Links EMT Plasticity to Cancer Invasion</title>
		<link>https://scienmag.com/rhov-links-emt-plasticity-to-cancer-invasion/</link>
		
		<dc:creator><![CDATA[Nathaniel Bowman]]></dc:creator>
		<pubDate>Thu, 07 May 2026 18:41:42 +0000</pubDate>
				<category><![CDATA[Medicine]]></category>
		<category><![CDATA[cancer cell motility regulation]]></category>
		<category><![CDATA[cellular plasticity in metastatic cancer]]></category>
		<category><![CDATA[cytoskeletal reorganization in tumor invasion]]></category>
		<category><![CDATA[EMT and cancer metastasis]]></category>
		<category><![CDATA[epithelial-mesenchymal transition mechanisms]]></category>
		<category><![CDATA[metastasis-related protein signaling]]></category>
		<category><![CDATA[molecular biology of EMT]]></category>
		<category><![CDATA[molecular pathways of cancer cell migration]]></category>
		<category><![CDATA[Rho family GTPases in oncology]]></category>
		<category><![CDATA[RHOV protein function in cancer]]></category>
		<category><![CDATA[therapeutic targets for cancer metastasis]]></category>
		<category><![CDATA[tumor cell invasion processes]]></category>
		<guid isPermaLink="false">https://scienmag.com/rhov-links-emt-plasticity-to-cancer-invasion/</guid>

					<description><![CDATA[In the relentless quest to understand the mechanisms underpinning cancer metastasis, a groundbreaking study has unveiled the pivotal role of a protein named RHOV as a key molecular nexus linking epithelial-mesenchymal transition (EMT) to the cytoskeletal reorganization critical for tumor invasion and dissemination. Published recently in Cell Death Discovery, this research delineates how RHOV orchestrates [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In the relentless quest to understand the mechanisms underpinning cancer metastasis, a groundbreaking study has unveiled the pivotal role of a protein named RHOV as a key molecular nexus linking epithelial-mesenchymal transition (EMT) to the cytoskeletal reorganization critical for tumor invasion and dissemination. Published recently in <em>Cell Death Discovery</em>, this research delineates how RHOV orchestrates cellular plasticity and migration—the hallmarks of metastatic cancer cells—ushering in fresh perspectives and potential therapeutic strategies against cancer lethality.</p>
<p>Cancer metastasis remains the foremost cause of mortality in oncology, presenting a complex biological phenomenon where tumor cells dissociate from the primary site, invade adjacent tissues, migrate through the vasculature, and establish secondary tumors at distant organs. Central to this process is EMT, a dynamic cellular program that endows epithelial cells with mesenchymal traits, augmenting their motility and invasiveness. The researchers, led by Wang and colleagues, have homed in on RHOV, a member of the Rho family of small GTPases, as a molecular switch intimately involved in modulating EMT-induced plasticity and its downstream cytoskeletal execution.</p>
<p>RHOV’s involvement in cytoskeletal dynamics was hinted at in earlier studies, but its explicit connection to EMT and metastasis was uncharacterized until now. Through an array of molecular and cellular biology techniques, the study meticulously illustrates that RHOV expression is dramatically elevated in carcinoma cells undergoing EMT, acting as a linchpin that translates EMT-associated transcriptional changes into cytoskeletal reconfiguration. This reorganization is essential for the acquisition of the mesenchymal phenotype, typified by proficient migration and invasion capabilities.</p>
<p>Intriguingly, the study elucidates how RHOV functions mechanistically. Upon EMT induction, RHOV interacts with pivotal downstream effectors, coordinating actin cytoskeleton remodeling and enhancing the formation of dynamic structures such as filopodia and lamellipodia. These cellular protrusions are quintessential for probing the extracellular matrix and facilitating directional migration. By steering these cytoskeletal alterations, RHOV empowers cancer cells with the physical machinery necessary for invasive behavior.</p>
<p>Furthermore, the work illuminates the regulatory network encompassing RHOV. The authors report that EMT transcription factors, notably Snail and Twist, elevate RHOV gene expression in a tightly controlled manner. This regulation establishes a direct molecular conduit from EMT gene expression programs to the cytoskeletal apparatus. The demonstration that RHOV knockdown impairs cancer cell motility and invasiveness confirms its indispensable role in metastatic competency.</p>
<p>In addition to in vitro analyses, Wang et al. leveraged sophisticated in vivo tumor models to substantiate the functional importance of RHOV. Tumors deficient in RHOV displayed markedly diminished metastatic spread, underscoring the translational relevance of targeting this protein. Such findings spark optimism that therapeutics designed to inhibit RHOV activity could blunt metastasis without adversely affecting normal cellular functions.</p>
<p>Another striking aspect of this research is the plastic nature of EMT governed through RHOV. Cancer cells frequently oscillate between epithelial and mesenchymal states, a flexibility crucial for adapting to diverse microenvironments during metastasis. RHOV emerges as a molecular fulcrum that not only facilitates the cytoskeletal execution of EMT but also maintains this phenotypic flexibility, allowing tumor cells to efficiently toggle between invasive and proliferative modes as dictated by environmental cues.</p>
<p>Notably, the investigation delves into the biochemical properties of RHOV, tracing its activation cycles and interactions with GTP/GDP binding. The study reveals that the precise temporal regulation of RHOV’s active and inactive states is critical for orchestrating cytoskeletal dynamics. Aberrations in this regulation can amplify invasive traits, propelling the malignant progression.</p>
<p>From a therapeutic vantage point, these insights open new avenues for drug discovery focused on RHOV and its signaling partners. Small molecule inhibitors or biologics that selectively impair RHOV function could be developed to stymie EMT-driven metastasis, potentially in synergy with existing chemotherapeutic agents. Moreover, RHOV expression patterns may offer prognostic value, serving as biomarkers to stratify patients likely to exhibit aggressive disease courses.</p>
<p>Another dimension the study explores is the role of RHOV in the tumor microenvironment. By coordinating cytoskeletal remodeling, RHOV not only modulates cancer cell migration but also influences cellular interactions within the extracellular milieu, including adhesion to stromal components and evasion of immune surveillance. This multifaceted influence positions RHOV as a critical mediator of tumor-host dynamics.</p>
<p>Crucially, the researchers caution that while targeting RHOV offers promise, the pleiotropic nature of Rho GTPases necessitates a nuanced approach to avoid off-target effects. The specificity of RHOV’s interactions and its unique role in EMT-associated cytoskeletal changes make it an attractive candidate for selective intervention, but thorough preclinical studies are indispensable.</p>
<p>The study by Wang et al. constitutes a leap forward in cancer biology, detailing how RHOV interlinks EMT-induced transcriptional plasticity with mechanical execution via cytoskeletal remodeling. By delineating this axis, the research provides a conceptual framework to unravel how cellular identity changes translate into physical behaviors that drive metastasis.</p>
<p>In the broader landscape of oncology research, these findings resonate with the growing appreciation that metastasis is not merely a genetic phenomenon but a biomechanical process requiring coordinated molecular orchestration. RHOV’s centrality in this process underscores the vital interface between cell signaling, cytoskeletal architecture, and tumor progression.</p>
<p>Future investigations are anticipated to explore the potential of RHOV as a biomarker for early detection of metastatic propensity and to better define its role across diverse cancer types. Understanding how RHOV integrates with other signaling pathways and adapts to microenvironmental stressors will enrich therapeutic targeting strategies.</p>
<p>Conceptually, this work clarifies how a small GTPase can serve as a molecular switch integrating phenotypic plasticity with cytoskeletal retooling, both necessary for the colossal challenge cancer cells face in colonizing distant tissues. The nexus formed by RHOV represents a crucial point of vulnerability that could be exploited to develop the next generation of metastasis inhibitors.</p>
<p>As the scientific community advances toward personalized medicine, the identification of molecules like RHOV that bridge cellular plasticity and mechanistic execution will be instrumental. This study not only enhances our molecular understanding but propels translational efforts aimed at mitigating cancer’s deadliest attribute—its capacity to metastasize.</p>
<p><strong>Subject of Research</strong>: Cancer metastasis, epithelial-mesenchymal transition (EMT), cytoskeletal dynamics, RHOV protein function</p>
<p><strong>Article Title</strong>: RHOV couples EMT-associated plasticity to cytoskeletal execution of invasion and metastasis</p>
<p><strong>Article References</strong>:<br />
Wang, Q., Zhao, Y., Huang, S. <em>et al.</em> RHOV couples EMT-associated plasticity to cytoskeletal execution of invasion and metastasis. <em>Cell Death Discov.</em> (2026). <a href="https://doi.org/10.1038/s41420-026-03137-4">https://doi.org/10.1038/s41420-026-03137-4</a></p>
<p><strong>Image Credits</strong>: AI Generated</p>
<p><strong>DOI</strong>: <a href="https://doi.org/10.1038/s41420-026-03137-4">https://doi.org/10.1038/s41420-026-03137-4</a></p>
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		<post-id xmlns="com-wordpress:feed-additions:1">157375</post-id>	</item>
		<item>
		<title>RNF43 Targets Phosphorylated E-Cadherin Degradation</title>
		<link>https://scienmag.com/rnf43-targets-phosphorylated-e-cadherin-degradation/</link>
		
		<dc:creator><![CDATA[Nathaniel Bowman]]></dc:creator>
		<pubDate>Thu, 23 Oct 2025 10:45:36 +0000</pubDate>
				<category><![CDATA[Cancer]]></category>
		<category><![CDATA[c-Src kinase interaction]]></category>
		<category><![CDATA[cancer metastasis pathways]]></category>
		<category><![CDATA[cell adhesion molecule regulation]]></category>
		<category><![CDATA[E-cadherin loss and prognosis]]></category>
		<category><![CDATA[EMT in tumor progression]]></category>
		<category><![CDATA[epithelial-mesenchymal transition mechanisms]]></category>
		<category><![CDATA[lung adenocarcinoma research]]></category>
		<category><![CDATA[phosphorylated E-cadherin degradation]]></category>
		<category><![CDATA[proteasomal degradation of E-cadherin]]></category>
		<category><![CDATA[retracted cancer biology studies]]></category>
		<category><![CDATA[RNF43 role in lung cancer]]></category>
		<category><![CDATA[ubiquitin ligase function in cancer]]></category>
		<guid isPermaLink="false">https://scienmag.com/rnf43-targets-phosphorylated-e-cadherin-degradation/</guid>

					<description><![CDATA[In a surprising and impactful development within the lung cancer research community, a key study elucidating the mechanisms of epithelial-mesenchymal transition (EMT) in lung adenocarcinoma has recently been retracted. The original paper, published in BMC Cancer, explored the complex interplay between RNF43, a ubiquitin ligase, and phosphorylated E-cadherin mediated by c-Src kinase, proposing that this [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In a surprising and impactful development within the lung cancer research community, a key study elucidating the mechanisms of epithelial-mesenchymal transition (EMT) in lung adenocarcinoma has recently been retracted. The original paper, published in BMC Cancer, explored the complex interplay between RNF43, a ubiquitin ligase, and phosphorylated E-cadherin mediated by c-Src kinase, proposing that this interaction facilitated EMT—a critical step in cancer metastasis. This retraction raises questions and underscores the dynamic and sometimes contentious nature of cancer biology research.</p>
<p>Epithelial-mesenchymal transition is a fundamental biological process allowing epithelial cells to acquire mesenchymal, migratory characteristics. This transformation is pivotal in cancer progression, enabling tumor cells to disseminate from the primary site and establish metastatic colonies in distant organs. Central to this process is the regulation of cell adhesion molecules like E-cadherin, whose loss is commonly associated with EMT and poor prognosis in many cancers, including lung adenocarcinoma.</p>
<p>The original study highlighted RNF43&#8217;s role as an E3 ubiquitin ligase targeting phosphorylated E-cadherin. It proposed that RNF43 facilitates the ubiquitination and subsequent proteasomal degradation of E-cadherin when phosphorylated by the tyrosine kinase c-Src. This mechanism was posited to weaken cell-cell adhesion, enhancing EMT and promoting invasive phenotypes in lung cancer cells. Such findings, if robust, could have paved the way for novel therapeutic interventions aiming to halt metastasis by stabilizing E-cadherin at the cell membrane.</p>
<p>RNF43 itself has garnered significant attention in the field of oncology due to its multifaceted functions and mutations implicated in various cancers. Typically known for modulating Wnt signaling pathways, RNF43&#8217;s involvement in degrading E-cadherin revealed a previously unexplored axis potentially exploitable for targeted cancer therapies. Meanwhile, c-Src kinase, frequently overactive in multiple malignancies, acts as a regulatory switch, phosphorylating substrates that alter cell adhesion and motility.</p>
<p>Despite the initial enthusiasm, the recent retraction signals that the data or interpretations underlying these conclusions were found to be unreliable or insufficiently substantiated. Though retractions are unfortunate, they are an essential aspect of scientific self-correction, ensuring the integrity and reproducibility of research findings. The precise reasons behind the retraction, whether involving experimental inaccuracies, data inconsistencies, or other methodological concerns, underscore the challenges facing molecular oncology research.</p>
<p>For clinicians and researchers focused on lung adenocarcinoma, the retraction serves as a cautionary reminder about the complexity of cancer signaling networks. EMT regulation involves an intricate web of signaling pathways, post-translational modifications, and cross-talk between intracellular and extracellular environments. Targeting single molecules like RNF43 or phosphorylation events alone might not sufficiently disrupt these networks, necessitating a more integrated approach.</p>
<p>The significance of E-cadherin in cancer biology remains unchallenged, with its degradation frequently correlating with increased invasiveness and therapy resistance. However, the pathways leading to its loss of function are diverse, involving transcriptional repression, endocytosis, and proteolytic cleavage. Thus, therapeutic strategies aimed at maintaining or restoring E-cadherin levels require a comprehensive understanding of these overlapping mechanisms.</p>
<p>Moreover, c-Src kinase continues to be a focus of anti-cancer drug development due to its central role in cell migration and survival signaling. Drugs targeting c-Src are in various clinical trial stages, aiming to blunt tumor metastasis and improve patient outcomes. Clarifying how c-Src-mediated phosphorylation affects downstream targets like E-cadherin is crucial for optimizing such therapeutic strategies.</p>
<p>The original research attempted to integrate ubiquitination processes with kinase signaling in the EMT context, representing a novel conceptual advance. Ubiquitin-proteasome pathways have broad implications in cell cycle regulation, apoptosis, and signal transduction. Dysregulation of ubiquitination is commonly observed in cancers, making components like RNF43 attractive therapeutic targets if validated.</p>
<p>This event also highlights the importance of meticulous experimental design, comprehensive validation using multiple methodologies, and transparent data reporting. In the fast-evolving landscape of molecular oncology, reproducibility and rigorous peer review are essential safeguards against premature conclusions that could misdirect research and clinical trials.</p>
<p>Looking beyond the retraction, the scientific community must continue to dissect the multifactorial regulation of EMT and metastasis in lung adenocarcinoma. Advances in high-resolution imaging, proteomics, and genome editing techniques such as CRISPR-Cas9 offer unprecedented opportunities to unravel these complex biological processes with precision.</p>
<p>The lung adenocarcinoma field remains a critical battleground due to the disease’s high incidence and mortality worldwide. Decoding the molecular underpinnings of metastatic dissemination ultimately holds the key to improving early detection, providing more effective therapies, and enhancing patient survival rates.</p>
<p>In sum, while the retraction temporarily stalls the promising line of inquiry around RNF43, phosphorylated E-cadherin, and c-Src in lung adenocarcinoma EMT, it reinforces an essential principle of science—the ongoing pursuit of truth through iterative validation. Future studies, armed with robust methodologies and interdisciplinary approaches, are poised to build upon or refine these concepts to better combat this devastating disease.</p>
<hr />
<p><strong>Subject of Research</strong>: The molecular mechanisms underlying epithelial-mesenchymal transition in lung adenocarcinoma, focusing on the ubiquitination and degradation of phosphorylated E-cadherin mediated by RNF43 and c-Src kinase.</p>
<p><strong>Article Title</strong>: Retraction Note: RNF43 ubiquitinates and degrades phosphorylated E-cadherin by c-Src to facilitate epithelial-mesenchymal transition in lung adenocarcinoma</p>
<p><strong>Article References</strong>: Zhang, Y., Sun, L., Gao, X. <em>et al.</em> Retraction Note: RNF43 ubiquitinates and degrades phosphorylated E-cadherin by c-Src to facilitate epithelial-mesenchymal transition in lung adenocarcinoma. <em>BMC Cancer</em> <strong>25</strong>, 1637 (2025). <a href="https://doi.org/10.1186/s12885-025-15115-7">https://doi.org/10.1186/s12885-025-15115-7</a></p>
<p><strong>Image Credits</strong>: Scienmag.com</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">95729</post-id>	</item>
		<item>
		<title>miR-4669 in Adenomyosis Boosts EMT via M2 Macrophages</title>
		<link>https://scienmag.com/mir-4669-in-adenomyosis-boosts-emt-via-m2-macrophages/</link>
		
		<dc:creator><![CDATA[Ophelia Keating]]></dc:creator>
		<pubDate>Wed, 27 Aug 2025 05:12:12 +0000</pubDate>
				<category><![CDATA[Medicine]]></category>
		<category><![CDATA[endometrial mesenchymal stem cells]]></category>
		<category><![CDATA[epithelial-mesenchymal transition mechanisms]]></category>
		<category><![CDATA[exosomal microRNAs in reproductive health]]></category>
		<category><![CDATA[exosome-derived signaling pathways]]></category>
		<category><![CDATA[infertility and pelvic pain]]></category>
		<category><![CDATA[innovative research in reproductive sciences]]></category>
		<category><![CDATA[intercellular communication in adenomyosis]]></category>
		<category><![CDATA[M2 macrophages and adenomyosis]]></category>
		<category><![CDATA[miR-4669 role in adenomyosis]]></category>
		<category><![CDATA[molecular mechanisms of adenomyosis]]></category>
		<category><![CDATA[pathophysiology of adenomyosis]]></category>
		<category><![CDATA[understanding adenomyosis progression]]></category>
		<guid isPermaLink="false">https://scienmag.com/mir-4669-in-adenomyosis-boosts-emt-via-m2-macrophages/</guid>

					<description><![CDATA[In a groundbreaking study published in Reproductive Sciences, researchers have elucidated the complex relationships between endometrial mesenchymal stem cells (eMSCs), exosomes, and the pathophysiology of adenomyosis. This condition, characterized by the presence of endometrial tissue within the uterine walls, has long been linked to severe pelvic pain and infertility. However, the molecular mechanisms underpinning adenomyosis [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In a groundbreaking study published in <em>Reproductive Sciences</em>, researchers have elucidated the complex relationships between endometrial mesenchymal stem cells (eMSCs), exosomes, and the pathophysiology of adenomyosis. This condition, characterized by the presence of endometrial tissue within the uterine walls, has long been linked to severe pelvic pain and infertility. However, the molecular mechanisms underpinning adenomyosis remain poorly understood. The study led by Qiu, Wei, and Cao represents a significant stride in our understanding of how exosome-derived microRNAs can influence macrophage behavior and promote epithelial-mesenchymal transition (EMT).</p>
<p>The cornerstone of this investigation revolves around exosomes—nano-sized extracellular vesicles that act as critical mediators of intercellular communication. Emerging evidence suggests that eMSCs are prolific sources of exosomes, which convey various molecular messages, including microRNAs like miR-4669. These molecular carriers have garnered attention for their role in facilitating both physiological processes and pathological conditions. The researchers specifically focused on the functions of miR-4669, postulating that it may play a pivotal role in establishing the microenvironment conducive to adenomyosis progression.</p>
<p>In their experimental setup, the research team employed a sophisticated model to evaluate the effects of miR-4669 on epithelial-mesenchymal transition in the context of adenomyosis. The study reveals a compelling narrative whereby eMSC-derived exosomal miR-4669 promotes EMT, thereby enhancing the invasive properties of endometrial cells. This mechanism involves the activation of the DUSP6/ERK signaling pathway, a pathway essential for regulating cellular responses to environmental stress and promoting inflammatory processes.</p>
<p>One of the standout findings is the role of M2 macrophage polarization, which is notably influenced by miR-4669. M2 macrophages are known for their anti-inflammatory properties and play a significant role in tissue repair. However, in the context of adenomyosis, their accumulation can facilitate a pro-fibrotic and pro-angiogenic environment, exacerbating the disease state. The research identifies a novel mechanism by which miR-4669 encourages the recruitment and polarization of M2 macrophages, highlighting a potential target for therapeutic intervention.</p>
<p>In conjunction with the examination of macrophage behavior, the research meticulously details how the DUSP6/ERK pathway functions as a critical downstream mediator of miR-4669 activity. When activated, this pathway can lead to enhanced cell proliferation and differentiation, which are key processes driving the EMT necessary for adenomyosis progression. By demonstrating a direct link between miR-4669, macrophage polarization, and the DUSP6/ERK pathway, the researchers lay the groundwork for future studies aimed at developing targeted therapies.</p>
<p>Moreover, the potential clinical implications of this research cannot be overstated. Adenomyosis is often underdiagnosed and poorly understood; consequently, women suffering from this disorder may not receive adequate care. By unveiling the role of miR-4669, this study paves the way for novel diagnostic markers or therapeutic targets that can disrupt the progression of adenomyosis. Such advancements could significantly change the clinical landscape for affected individuals, leading to improved treatment strategies.</p>
<p>Furthermore, the implications of this research extend beyond adenomyosis alone. The findings shed light on broader themes of cell communication and interplays within the tumor microenvironment, particularly the roles of stem cells and macrophages in various pathologies. Understanding the dynamics of exosomal communication may usher in an era of innovative therapies across multiple forms of cancer and inflammation-driven diseases.</p>
<p>In summary, the work of Qiu, Wei, and Cao provides a compelling glimpse into the pathophysiology of adenomyosis by highlighting the importance of exosomal miR-4669 in mediating macrophage polarization and EMT through the DUSP6/ERK signaling pathway. By connecting these seemingly disparate elements, the study offers a coherent narrative that not only enhances our understanding of adenomyosis but also opens pathways for future research and therapeutic strategies.</p>
<p>The intricate web of intercellular communication orchestrated by exosomes presents an exciting frontier in biomedical research. As scientists continue to probe the molecular intricacies of disease progression, especially in conditions like adenomyosis, studies such as this one will be crucial. The insights gained from understanding exosomal contents and their targets could yield unparalleled advancements in personalized medicine, where treatments are tailored to individual molecular profiles rather than a one-size-fits-all approach.</p>
<p>Looking ahead, further validation of these findings in larger cohorts will be essential to solidify the clinical relevance of miR-4669 as a therapeutic target in adenomyosis. Additionally, expanding the scope of research to include other microRNAs and their roles within exosomes will provide a more comprehensive understanding of the multifaceted mechanisms at play in reproductive health and disease.</p>
<p>In conclusion, the research detailing the role of miR-4669 in adenomyosis serves as both an enlightening exploration of a specific pathological process and a broader commentary on the importance of exosomal biology in disease. It underlines the pressing need for ongoing investigations into the complex interactions that define health and disease states, particularly in conditions that profoundly affect women&#8217;s lives.</p>
<hr />
<p><strong>Subject of Research</strong>: The role of exosomal miR-4669 in promoting EMT in adenomyosis through M2 macrophage polarization and DUSP6/ERK pathway activation.</p>
<p><strong>Article Title</strong>: Endometrial Mesenchymal Stem Cell-Derived Exosomal miR-4669 Promotes EMT in Adenomyosis by Inducing M2 Macrophage Polarization via the DUSP6/ERK Pathway.</p>
<p><strong>Article References</strong>:<br />
Qiu, Y., Wei, X., Cao, J. <em>et al.</em> Endometrial Mesenchymal Stem Cell-Derived Exosomal miR-4669 Promotes EMT in Adenomyosis by Inducing M2 Macrophage Polarization via the DUSP6/ERK Pathway. <em>Reprod. Sci.</em> (2025). <a href="https://doi.org/10.1007/s43032-025-01944-1">https://doi.org/10.1007/s43032-025-01944-1</a></p>
<p><strong>Image Credits</strong>: AI Generated</p>
<p><strong>DOI</strong>:</p>
<p><strong>Keywords</strong>: Adenomyosis, exosomal miR-4669, epithelial-mesenchymal transition, macrophage polarization, DUSP6/ERK pathway, endometrial mesenchymal stem cells.</p>
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