Endometriosis & Genetic Susceptibility

13 Sep 2026

Tags: Prelims   Current events of national and international importance

Source: The Indian Express

  • Context: India’s first genome-wide study of endometriosis found genetic signals associated with the disease in Indian women, highlighting the need for South Asian population-specific genetic research.
  • Endometriosis: Condition in which endometrium-like tissue grows outside the uterus, commonly associated with severe menstrual/pelvic pain and infertility.
  • Prevalence: Affects about 10% of women of reproductive age.
  • Indian genome study: Identified 21 suggestive genetic regions associated with endometriosis.
  • A risk score developed from European populations also showed relevance in the Indian cohort.
  • Dataset: Created under the Endometriosis Clinical and Genetic Research in India (ECGRI) initiative; involved 18 centres and women with surgically confirmed endometriosis and control participants.
  • Significance: Adds Indian/South Asian genetic data to a field historically dominated by studies of European-ancestry populations.
  • Current limitation: Findings are not yet suitable for clinical genetic testing or individual risk prediction.
  • Potential: Could help identify disease pathways and improve early diagnosis and treatment.
  • Genome-wide association study (GWAS): Examines genetic variants across the genome to identify variants/regions statistically associated with a particular disease or trait.
  • Endometriosis is not simply a genetic disease; genetic susceptibility interacts with other biological and environmental factors.

Prelims Question

Q1. With reference to endometriosis and genomic research, consider the following statements:

  1. A Genome-Wide Association Study (GWAS) can identify genomic regions statistically associated with a disease even when the identified variants are not themselves established as causal.
  2. The transferability of a genetic risk score across populations can be influenced by differences in genetic ancestry and population-specific genetic architecture.
  3. Identification of multiple genetic regions associated with endometriosis establishes that endometriosis is primarily an inherited genetic disorder.
  4. Inclusion of under-represented populations in genomic studies can improve the generalisability of findings across different populations.

Which of the statements given above are correct?

A. Only two
B. Only three
C. All four
D. Only one

Answer: B

Explanation:

  • 1 is correct: GWAS establishes statistical association, not necessarily causation.
  • 2 is correct: Risk scores developed in one population may perform differently in another because of differences in genetic architecture and ancestry.
  • 3 is incorrect: Endometriosis is multifactorial; genetic susceptibility interacts with other biological and environmental factors.
  • 4 is correct: South Asian-specific data can make genomic findings more representative and potentially more useful across diverse populations.