REVIEW ARTICLE

Pathology

doi: 10.25005/2074-0581-2026-28-3-803-814
EXPERIMENTAL MODELS OF ENDOMETRIOSIS: FROM CLASSICAL APPROACHES TO MODERN DEVELOPMENTS

G.A. YAMANOVA1, R.A. KUDRIN2, A.A. ANTONOVA3

1Department of Normal Physiology, Astrakhan State Medical University, Astrakhan, Russian Federation
2Department of Pathophysiology and Clinical Pathophysiology, Volgograd State Medical University, Volgograd, Russian Federation
3Department of Hospital Pediatrics and Neonatology, Astrakhan State Medical University, Astrakhan, Russian Federation

Endometriosis remains one of the most significant disorders of the reproductive system, adversely affecting female fertility and quality of life. Despite its

high prevalence, affecting more than 10% of women of reproductive age, the etiopathogenesis of the disease has not yet been fully elucidated. At the

same time, existing treatments often focus primarily on alleviating symptoms. Therefore, developing appropriate experimental models of endometriosis

plays a key role in investigating the mechanisms underlying its development and identifying novel therapeutic strategies.

For this review, a literature search was conducted using PubMed, Web of Science, Google Scholar, eLibrary, MEDLINE, and CyberLeninka. Russian and foreign-language publications available as of May 2025 and meeting the predefined search criteria were considered. Search terms included combinations of terms related to “endometriosis” and “experimental models”. The review included publications in peer-reviewed scientific journals that analyzed existing experimental models of endometriosis or described novel approaches to modeling the disease. Case reports and case series, editorials, expert opinions, and conference abstracts were excluded. Publications describing in vitro models were also excluded because their analysis was beyond the scope of this review.

The article provides an overview of the evolution of experimental models of endometriosis, from the pioneering work of Jacobson VA (1922), based

on autotransplantation of endometrial tissue in rabbits, to modern approaches involving transgenic animals and bioluminescence imaging. This review

discusses classical models using rodents (rats and mice) and non-human primates (macaques and baboons), as well as modifications such as subcutaneous implantation and endoscopic monitoring. This review highlights the advantages and limitations of each approach. Despite considerable progress, many therapeutic approaches that have shown efficacy in experimental settings have failed to demonstrate comparable effectiveness in clinical practice.

Therefore, further refinement of experimental models, based on analysis of the limitations and potential of existing approaches, remains an important

area of research to improve their predictive value in preclinical studies.

Keywords: Endometriosis, experimental models, autotransplantation, xenotransplantation.

Download file:


References
  1. Sulaymanova RT. Eksperimental'nye modeli transgeneratsionnykh effektov vliyaniya estrogenov na morfologiyu reproduktivnykh organov potomstva v postnatal'nom ontogeneze [Experimental models of transgenerational effects of estrogen on the morphology of reproductive organs of offspring in postnatal ontogenesis]. Morfologicheskie vedomosti. 2019;27(1):36-44. https://doi. org/10.20340/mv-mn.19(27).01.36-44
  2. Sibirskaya EV, Adamyan LV, Koltunov IE, Korotkova SA, Polyakova EI, Gevorgyan AP, i dr. Analiz ginekologicheskoy zabolevaemosti devochek i devushek v Moskve [Analysis of gynecological morbidity among girls and young women in Moscow]. Problemy reproduktsii. 2017;23(6):60-5. https://doi.org/10.17116/ repro201723660-65
  3. Botoeva EA, Khitrikheev VE. Vliyanie sredstv rastitel'nogo proiskhozhdeniya na reproduktivnuyu sistemu v eksperimente [The effect of herbal remedies on the reproductive system in the experiment]. Vestnik Buryatskogo gosudarstvennogo universiteta. Meditsina i farmatsiya. 2015;12:141-7.
  4. Tkachenko PV, Lipatov VA, Privalova IL, Severinov DA, Khmaro NI. Etiko-pravovye aspekty eksperimental'noy praktiki [Ethical and legal aspects of experimental practice]. Innova. 2016;1(2):29-35. https://doi.org/10.21626/innova/2016.1/08
  5. França PR, Lontra ACP, Fernandes PD. Endometriosis: A disease with few direct treatment options. Molecules. 2022;27(13):4034. https://doi.org/10.3390/molecules27134034
  6. Samoylova AV, Gunin AG, Sidorov AE, Denisova TG, Chernyshov VV, Smirnova TL. Sovremennye napravleniya izucheniya etiologii i patogeneza endometrioza (obzor literatury) [Current trends in the study of the etiology and pathogenesis of endometriosis (literature review)]. Problemy reproduktsii. 2020;26(5):118-32. https://doi.org/10.17116/repro202026051118
  7. van Barneveld E, Manders J, van Osch FHM. Depression, anxiety, and correlating factors in endometriosis: A systematic review and meta‑analysis. J Womens Health (Larchmt). 2022;31(2):219‑30. https://doi.org/10.1089/jwh.2021
  8. Davenport RA, Krug I, Dang PL, Rickerby N, Kiropoulos L. Neuroticism and cognitive correlates of depression and anxiety in endometriosis: A meta‑analytic review, evidence appraisal, and future recommendations. J Psychosom Res. 2024;187:111906. https://doi.org/10.1016/j.jpsychores.2024.111906
  9. Myagchenkova KI, Khashchenko EP, Uvarova EV. Psikhoemotsional'nye osobennosti i bolevaya simptomatika u patsientok, stradayushchikh genital'nym endometriozom v rannem reproduktivnom vozraste [Psychoemotional features and pain symptoms in patients suffering from genital endometriosis in early reproductive age]. Reproduktivnoe zdorov'e detey i podrostkov. 2021;17(2):41-50.
  10. Jacobson VC. The autotransplantation of endometrial tissue in the rabbit. Arch Surg. 1922;5:281.
  11. Kanellopoulos D, Karagianni D, Pergialiotis V. The interplay between endometriosis and fertility in rats: A systematic review. J Med Life. 2022;15(6):742‑6. https:// doi.org/10.25122/jml-2021-0329
  12. Te Linde RW, Scott RB. Experimental endometriosis. Am J Obstet Gynecol. 1950;60:1147‑73.
  13. Hull ML, Gomez R, Nothnick WB. WERF endometriosis phenome and biobanking harmonisation project for experimental models in endometriosis research (EPHect‑EM‑heterologous): Heterologous rodent models. Mol Hum Reprod. 2025;31(3):22. https://doi.org/10.1093/molehr/gaaf022
  14. Schenken RS, Asch RH. Surgical induction of endometriosis in the rabbit: Effects on fertility and concentrations of peritoneal fluid prostaglandins. Fertil Steril. 1980;34(6):581-7. https://doi.org/10.1016/s0015-0282(16)45199-x
  15. Vernon MW, Wilson EA. Studies on the surgical induction of endometriosis in the rat. Fertil Steril. 1985;44(5):684‑94.
  16. Bruner‑Tran KL, Mokshagundam S, Herington JL, Ding T, Osteen KG. Rodent models of experimental endometriosis: Identifying mechanisms of disease and therapeutic targets. Curr Womens Health Rev. 2018;14(2):173‑88. https://doi.org/10 .2174/1573404813666170921162041
  17. Alborzi S, Azimirad A, Azimirad M. Experimental endometriosis: Review of the literature through a century and the Iranian experience. Arch Iran Med. 2018;21(11):536‑43.
  18. Ochoa Bernal MA, Fazleabas AT. The known, the unknown and the future of the pathophysiology of endometriosis. Int J Mol Sci. 2024;25(11):5815. https://doi. org/10.3390/ijms25115815
  19. D'Hooghe TM, Bambra CS, Raeymaekers BM, De Jonge I, Lauweryns JM, Koninckx PR. Intrapelvic injection of menstrual endometrium causes endometriosis in baboons (Papio cynocephalus and Papio anubis). Am J Obstet Gynecol. 1995;173(1):125‑34. https://doi.org/10.1016/0002-9378(95)90180-9
  20. Laganà AS, Garzon S, Franchi M, Casarin J, Gullo G, Ghezzi F. Translational animal models for endometriosis research: A long and windy road. Ann Transl Med. 2018;6(22):431. https://doi.org/10.21037/atm.2018.08.24
  21. D'Hooghe TM. Clinical relevance of the baboon as a model for the study of endometriosis. Fertil Steril. 1997;68(4):613‑25. https://doi.org/10.1016/S0015- 0282(97)00277-X
  22. Nishimoto‑Kakiuchi A, Netsu S, Okabayashi S, Taniguchi K, Tanimura H, Kato A, et al. Spontaneous endometriosis in cynomolgus monkeys as a clinically relevant experimental model. Hum Reprod. 2018;33(7):1228‑36. https://doi. org/10.1093/humrep/dey095
  23. Nishimoto‑Kakiuchi A, Sato I, Nakano K, Ohmori H, Kayukawa Y, Tanimura H, et al. A long‑acting anti‑IL‑8 antibody improves inflammation and fibrosis in endometriosis. Sci Transl Med. 2023;15(689):5858. https://doi.org/10.1126/scitranslmed.abq5858
  24. Tabibzadeh S, Miller S, Dodson WC, Satyaswaroop PG. An experimental model for the endometriosis in athymic mice. Front Biosci. 1999;4:4‑9. https://doi. org/10.2741/tabibzad
  25. Awwad JT, Sayegh RA, Tao XJ, Hassan T, Awwad ST, Isaacson K. The SCID mouse: An experimental model for endometriosis. Hum Reprod. 1999;14(12):3107‑11. https://doi.org/10.1093/humrep/14.12.3107
  26. Miao M, Masengere H, Yu G, Shan F. Reevaluation of NOD/SCID mice as NK cell‑deficient models. Biomed Res Int. 2021;2021:8851986. https://doi. org/10.1155/2021/8851986
  27. Peterse D, Binda MM, O DF. Of mice and women: A laparoscopic mouse model for endometriosis. J Minim Invasive Gynecol. 2018;25(4):578‑9. https://doi. org/10.1016/j.jmig.2017.10.008
  28. Becker CM, Wright RD, Satchi‑Fainaro R, Funakoshi T, Folkman J, Kung AL, et al. A novel noninvasive model of endometriosis for monitoring the efficacy of antiangiogenic therapy. Am J Pathol. 2006;168(6):2074‑84. https://doi.org/10.2353/ ajpath.2006.051133
  29. Fortin M, Lépine M, Merlen Y, Thibeault I, Rancourt C, Gosselin D, et al. Quantitative assessment of human endometriotic tissue maintenance and regression in a noninvasive mouse model of endometriosis. Mol Ther. 2004;9(4):540‑7. https:// doi.org/10.1016/j.ymthe.2003.12.012
  30. Asally R, Markham R, Manconi F. Animal models in endometriosis research. Journal of Endometriosis and Pelvic Pain Disorders. 2015;7(4):115-23. https://doi. org/10.5301/je.5000228
  31. Savinov PA, Niauri DA, Kovshova MV Razrabotka eksperimental'noy modeli endometrioza, adaptirovannoy k sovremennym kirurgicheskim tekhnologiyam [Development of an experimental model of endometriosis adapted to modern surgical technologies]. Vestnik Sankt-Peterburgskogo universiteta. Meditsina. 2006;3:114-9.
  32. Aylamazyan EK, Gzgzyan AM, Savinov PA, Niauri DA, Dzhemlikhanova LKh, Usoltseva EO, i dr. Osobennosti reaktsii implanta autologichnogo ehndometriya na mekhanicheskoe vozdeystvie v eksperimente [The endometrial implants reaction after the experimental mechanical tissue damage]. Zhurnal akusherstva i zhenskikh bolezney. 2012;61(3):22-30.
  33. Petrosyan MA. Eksperimental'nye modeli endometrioza: raznye podkhody dlya raznykh zadach [Experimental models of endometriosis: Different approaches for different tasks]. Problemy reproduktsii. 2016;22(5):29-35. https://doi. org/10.17116/repro201622529-35
  34. Adamyan LV, Mikhalyova LM, Serezhenkov VA, Tkachyov NA, Pivazyan LG, Mailova KS, i dr. Sovremennyy vzglyad na eksperimental'noe sozdanie endometrioza na zhivotnoy modeli (sobstvennye dannye) [Modern view on experimental creation of endometriosis in an animal model (own data)]. Problemy reproduktsii. 2024;30(6):55-60. https://doi.org/10.17116/repro20243006155.
  35. Malvezzi H, Marengo EB, Podgaec S, Piccinato CA. Endometriosis: Current challenges in modeling a multifactorial disease of unknown etiology. J Transl Med. 2020;18(1):311. https://doi.org/10.1186/s12967-020-02471-08

Authors' information:


Yamanova Galina Aleksandrovna,
Assistant Professor at the Department of Normal Physiology, Astrakhan State Medical University
Researcher ID: JPK-9760-2023
Scopus ID: 57224560241
ORCID ID: 0000-0003-2362-8979
SPIN: 8719-9094
Author ID: 892863
E-mail: galina_262@mail.ru

Kudrin Rodion Aleksandrovich,
Doctor of Medical Sciences, Associate Professor, Head of the Department of Pathophysiology, Clinical Pathophysiology, Volgograd State Medical University
Researcher ID: F-7239-2018
Scopus ID: 56815845300
ORCID ID: 0000-0002-0022-6742
SPIN: 5485-9609
Author ID: 166013
E-mail: rodion.kudrin76@yandex.ru

Antonova Alyona Anatolyevna,
Candidate of Medical Sciences, Associate Professor of the Department of Hospital Pediatrics and Neonatology, Astrakhan State Medical University
Researcher ID: NTQ-6756-2025
Scopus ID: 57578388400
ORCID ID: 0000-0003-2581-0408
SPIN: 8105-1039
Author ID: 839538
E-mail: fduecn-2010@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Yamanova Galina Alexandrovna
Assistant Professor at the Department of Normal Physiology, Astrakhan State Medical University

414000, Russian Federation, Astrakhan, Bakinskaya str., 121

Tel.: +7 (8512) 525313

E-mail: galina_262@mail.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

Materials on the topic: