1. Chlormadinone acetate suppresses prostaglandin biosynthesis in human endometrial explants.
- Author
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Hanjalic-Beck A, Schäfer WR, Deppert WR, Fischer L, Stein A, Seebacher L, von Gradowski AS, Stuckenschneider J, and Zahradnik HP
- Subjects
- Adolescent, Adult, Annexin A1 genetics, Contraceptives, Oral, Synthetic pharmacology, Cyclooxygenase 2 genetics, Dexamethasone pharmacology, Dinoprost metabolism, Dysmenorrhea metabolism, Dysmenorrhea pathology, Female, Glucocorticoids pharmacology, Humans, Interleukin-1beta pharmacology, Leukotriene B4 metabolism, Leukotriene C4 metabolism, Organ Culture Techniques, RNA, Messenger metabolism, Receptors, Glucocorticoid genetics, Receptors, Progesterone genetics, Young Adult, Chlormadinone Acetate pharmacology, Dysmenorrhea drug therapy, Endometrium drug effects, Endometrium metabolism, Prostaglandins biosynthesis
- Abstract
Objective: To elucidate the mode of action of chlormadinone acetate (CMA) in reducing dysmenorrheic pain by studying the effects of CMA and dexamethasone (DEX) on messenger RNA (mRNA) abundance of cyclo-oxygenase-2 (COX-2), annexin-1 (ANXA1), glucocorticoid receptor (GR), progesterone receptor (PR), and concentrations of prostaglandin F(2α) (PGF(2α)) and leukotrienes B(4) (LTB(4)) and C(4) (LTC(4)) in human endometrial explants., Design: Ex vivo study., Setting: University hospital., Patient(s): Fifteen premenopausal patients undergoing surgery for benign gynecologic disorders., Intervention(s): Endometrial explants were obtained by aspiration curettage and stimulated ex vivo with interleukin-1β before exposure to CMA or DEX; mRNA levels were determined via reverse transcription-quantitative real-time polymerase chain reaction, and concentrations of arachidonic acid metabolites by enzyme immunoassays., Main Outcome Measure(s): Messenger RNA levels of COX-2, ANXA1, PR, and GR; concentrations of PGF(2α), LTB(4), and LTC(4) in endometrial explants treated with CMA or DEX., Result(s): In IL-1β-treated explants COX-2 mRNA and PGF(2α), concentrations were significantly down-regulated by CMA but not by DEX. Chlormadinone acetate did not affect mRNA abundance of ANXA1, PR, and GR., Conclusion(s): Our data suggest that CMA is a suppressor of COX-2 expression. Comparison with DEX revealed that progestin-specific activity of CMA may mainly be responsible for suppression of prostaglandin biosynthesis in human endometrium., (Copyright © 2012 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.)
- Published
- 2012
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