“…We found that the survival and apoptosis-related genes were upregulated or downregulated in the previous studies cited. Thus, the proliferation-and growth-related genes, including IGF1 (16)(17)(18)(19), IGF2 (19), vascular endothelial growth factor (VEGF) (40)(41)(42), hepatocyte growth factor (HGF) (43)(44)(45), nerve growth factor (NGF) (46)(47)(48), platelet-derived growth factor (PDGF) (16,49), epidermal growth factor receptor (EGFR) (16,17,49,50), fibroblast growth factor 2 (FGF2) (49,51,52) and mechanistic target of rapamycin kinase (mTOR) (53,54), were upregulated in both the ectopic and eutopic endometria from subjects with adenomyosis compared with the eutopic endometria from women without adenomyosis, while the anti-apoptotic or autophagy-related genes, such as BCL2 apoptosis regulator (BCL2) (38,(55)(56)(57), beclin 1 (BECN1) (58,59) and programmed cell death 4 (PDCD4) (60,61), were much higher in the ectopic and eutopic endometria than in the control endometria. Furthermore, the decreased expression of BCL2 associated X, apoptosis regulator (BAX) has been observed in adenomyosis, suggesting that the downregulation of apoptotic cell death machinery is a hallmark of adenomyosis (39).…”