Therapeutic efficiency of Atosiban, an oxytocin receptor blocking agent in the treatment of experimental endometriosis

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This study demonstrated atosiban's significant therapeutic efficiency in reducing endometriotic implant volume and proliferation markers in an experimental rat endometriosis model.

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This paper studied the therapeutic efficiency of atosiban, an oxytocin receptor antagonist, in a surgically induced rat model of endometriosis. Thirty-five female rats had endometriosis induced during estrus, underwent relaparotomy after four weeks, and were then randomized to receive daily intraperitoneal saline (control), atosiban (0.5 mg/kg/day), or diltiazem (1 mg/day); endometriotic implant volume was measured after treatment and implants were assessed with histological and immunohistochemical analyses. The key findings were that atosiban significantly decreased the volumes of endometriotic implants and significantly reduced proliferating cell nuclear antigen expression compared with controls, with similar reductions also seen in the diltiazem group. A stated limitation is the reliance on an experimental animal model. This paper is centrally about endometriosis — it tests atosiban as a medical treatment in an experimental endometriosis model.

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Abstract

PurposeThe current study investigated the potential therapeutic efficiency of atosiban, an oxytocin receptor antagonist, in an experimental endometriosis model.MethodsEndometriosis was surgically induced in 35 female rats during estrus. Four weeks after this procedure, relaparotomy was performed. The viability and dimensions of the endometriosis foci were recorded. Rats were then randomly divided into three groups. In the first group (n = 8), a daily dose of 0.2 ml 0.9 % NaCl was injected intraperitoneally (i.p.) (control cases). In the second and third groups (n = 8 and n = 8), 0.5 mg/kg/day i.p. atosiban and 1 mg/day i.p. diltiazem were given, respectively. At the end of the treatment, laparotomy was performed, and the dimensions of the endometriosis foci were recorded. The endometrial implants were processed for histological and immunohistochemical studies. The volumes of endometriotic implants were measured, and immunohistochemical analyses were performed, and compared between the groups.ResultsAfter the treatment with atosiban, volumes of endometriotic implants decreased significantly. Proliferating cell nuclear antigen expression levels were significantly reduced in the atosiban and diltiazem groups compared with the control group.ConclusionsIn a rat endometriosis model, atosiban, an agent used for the first time for the medical treatment of endometriosis, has shown significant therapeutic efficiency.
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Abstract

Purpose The current study investigated the potential therapeutic efficiency of atosiban, an oxytocin receptor antagonist, in an experimental endometriosis model.

Methods

Endometriosis was surgically induced in 35 female rats during estrus. Four weeks after this procedure, relaparotomy was performed. The viability and dimensions of the endometriosis foci were recorded. Rats were then randomly divided into three groups. In the first group (n = 8), a daily dose of 0.2 ml 0.9 % NaCl was injected intraperitoneally (i.p.) (control cases). In the second and third groups (n = 8 and n = 8), 0.5 mg/kg/day i.p. atosiban and 1 mg/day i.p. diltiazem were given, respectively. At the end of the treatment, laparotomy was performed, and the dimensions of the endometriosis foci were recorded. The endometrial implants were processed for histological and immunohistochemical studies. The volumes of endometriotic implants were measured, and immunohistochemical analyses were performed, and compared between the groups.

Results

After the treatment with atosiban, volumes of endometriotic implants decreased significantly. Proliferating cell nuclear antigen expression levels were significantly reduced in the atosiban and diltiazem groups compared with the control group.

Conclusions

In a rat endometriosis model, atosiban, an agent used for the first time for the medical treatment of endometriosis, has shown significant therapeutic efficiency. Similar content being viewed by others

References

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Therapeutic efficiency of Atosiban, an oxytocin receptor blocking agent in the treatment of experimental endometriosis. Arch Gynecol Obstet 286, 777–783 (2012). https://doi.org/10.1007/s00404-012-2390-7 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-012-2390-7

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hormone Antagonists Receptors, Oxytocin Vasotocin Animals Calcium Channel Blockers Diltiazem Disease Models, Animal Endometriosis Female Hormone Antagonists Humans Rats Rats, Wistar Receptors, Oxytocin Vasotocin Vasotocin Vasotocin

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