Abstract

Uterine leiomyomas (ULs) are the most common benign tumor, affecting approximately 70-80% of women in their reproductive age, and can cause heavy bleeding, pain, and infertility. Recent evidence suggests that simvastatin may have anti-leiomyoma properties. Leiomyoma arises from the transformation of myometrial stem cells into tumor-initiating cells that undergo self-renewal and differentiation to mature cells, necessary for tumor growth. Wnt/β-catenin pathways are overexpressed in UL, involved in stem cell self-renewal, cross-talk between stem and mature cells, cellular proliferation, extracellular matrix (ECM) accumulation and drive UL growth.

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