This invention discloses the application of
platelet-reactive
protein-4 (THBS4) in the diagnosis and treatment of
endometriosis. Through
bioinformatics integration analysis, clinical sample validation, and
in vitro and
in vivo experiments, this invention confirms that THBS4 is significantly highly expressed in both ectopic lesions and
peripheral blood of patients with
endometriosis, and its expression level is positively correlated with
disease severity. The area under the
receiver operating characteristic (AUC) curve for THBS4 alone in diagnosing
endometriosis is 0.930, significantly superior to
cancer antigen 125 (CA125); the AUC for the combined diagnosis of THBS4 and CA125 reaches 0.968. Simultaneously, silencing the THBS4
gene effectively inhibits the proliferation, migration, and invasion of human endometrial stromal cells, and significantly reduces the volume and
fibrosis area of ectopic lesions in a mouse model of endometriosis. This invention provides a
highly sensitive and specific new biomarker for the non-invasive or minimally invasive early diagnosis of endometriosis, and provides new targets and candidate drugs for non-
hormone-dependent
targeted therapy.