A polymorphism in a let‐7 microRNA binding site of KRAS in women with endometriosis

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A polymorphism in a let-7 microRNA binding site of KRAS was found in 31% of women with endometriosis, leading to increased KRAS expression, endometrial cell proliferation, and invasion.

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Abstract

Endometriosis is found in 5-15% of women of reproductive age and is more frequent in relatives of women with the disease. Activation of KRAS results in de novo endometriosis in mice, however, activating KRAS mutations have not been identified in women. We screened 150 women with endometriosis for a polymorphism in a let-7 microRNA (miRNA) binding site in the 3'-UTR of KRAS and detected a KRAS variant allele in 31% of women with endometriosis as opposed to 5% of a large diverse control population. KRAS mRNA and protein expression were increased in cultured endometrial stromal cells of women with the KRAS variant. Increased KRAS protein was due to altered miRNA binding as demonstrated in reporter assays. Endometrial stromal cells from women with the KRAS variant showed increased proliferation and invasion. In a murine model, endometrial xenografts containing the KRAS variant demonstrated increased proliferation and decreased progesterone receptor levels. These findings suggest that an inherited polymorphism of a let-7 miRNA binding site in KRAS leads to abnormal endometrial growth and endometriosis. The LCS6 polymorphism is the first described genetic marker of endometriosis risk.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis MicroRNAs Polymorphism, Single Nucleotide Proto-Oncogene Proteins ras Proteins Adult Alleles Animals Binding Sites Endometriosis Endometriosis Female Humans Mice Mice, SCID MicroRNAs MicroRNAs Mutation Proto-Oncogene Proteins Proto-Oncogene Proteins

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europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:16:23.388809+00:00
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