Dienogest, a synthetic steroid, suppresses both embryonic and tumor-cell-induced angiogenesis
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Dienogest, a synthetic steroid, was found to suppress both embryonic and tumor-cell-induced angiogenesis.
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Abstract
Orally administered dienogest (17alpha-cyanomethyl-17beta-hydroxy-estra-4,9-diene-3-one) is efficacious against human hormone-dependent cancer xenografts in severely immunodeficient mice and in rats with experimental endometriosis, but its mechanisms of action remain unclear. We assessed the effect of dienogest on angiogenesis, because these two diseases that are sensitive to dienogest are known to be angiogenesis-dependent. Topical dienogest treatment dose-dependently inhibited embryonic angiogenesis, the ID(50) value being 6.4 nmol/egg. Oral administration of dienogest (1 mg kg(-1) day(-1)) for 5 consecutive days significantly suppressed angiogenesis induced by S-180 mouse tumor cells in the mouse dorsal air sac assay. In vitro experiments showed that dienogest at concentrations up to 10 microM had little or no effect on the proliferation of plasminogen activator activity or formation of tube-like structures by microvascular endothelial cells. These results suggest that dienogest is a new, orally active antagonist of angiogenesis, and that its anti-angiogenic action may be involved in its therapeutic effects on cancer xenografts and endometriosis that we observed previously.
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Cited by (37)
- A comparative assessment of efficacy for pain relief and quality of life between dienogest and combined oral contraceptive pills in endometriosis patients in Eastern India 2025
- Endometriosis as a risk factor for ovarian cancer: an update on screening, risk reduction, treatment and prognosis 2024
- Case report: Malignant transformation of ovarian endometrioma during long term use of dienogest in a young lady 2024
- ENDOMETRİOZ 2023
- Inversion of angiogenesis with ethinyl estradiol/dienogest or estradiol valerate/dienogest 2022
- Gestagenes in the treatment of endometriosis: efficiency, safety, bioequivalence, transferability 2021
- Use of dienogest in endometriosis: a narrative literature review and expert commentary 2020
- Principes thérapeutiques 2020
- <p>Effects of long-term treatment with Dienogest on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain</p> 2019
- When Solving Dyspareunia Is Not Enough to Restore Sexual Function in Women With Deep Infiltrating Endometriosis Treated With Dienogest 2018
- Comparative assessment of effectiveness of new drugs for targeted therapy of endometriosis by experimental model 2018
- Comparison of dienogest effects upon 3,3′–diindolylmethane supplementation in models of endometriosis and clinical cases 2018
- Polarographic Investigation of Dienogest 2018
- Hormonal Therapy for Pelvic Pain 2017
- Progestin-only pills may be a better first-line treatment for endometriosis than combined estrogen-progestin contraceptive pills 2017
- Is endometriosis a benign disease? Modern controversial aspects of endometriosis-associated ovarian tumors 2016
- Comparative, open-label prospective study on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain on 2 mg dienogest/30 µg ethinyl estradiol continuous or 21/7 regimen oral contraceptive 2016
- Does dienogest influence the inflammatory response of endometriotic cells? A systematic review 2015
- Quality of life and sexual function of women affected by endometriosis-associated pelvic pain when treated with dienogest 2015
- A simple, rapid and sensitive liquid chromatography–tandem mass spectrometry method for the determination of dienogest in human plasma and its pharmacokinetic applications under fasting 2014
- Dienogest reduces proliferation, aromatase expression and angiogenesis, and increases apoptosis in human endometriosis 2014
- Dienogest in the treatment of endometriosis 2014
- Anti-angiogenic treatment strategies for the therapy of endometriosis 2012
- Progestin therapy for endometrial cancer: The potential of fourth-generation progestin (Review) 2012
- Dienogest in long-term treatment of endometriosis 2011
- Effects of Dienogest on Surgically Induced Endometriosis in Rats after Repeated Oral Administration 2011
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- Progesterone and progestational compounds attenuate tumor necrosis factor alpha–induced interleukin-8 production via nuclear factor kappaB inactivation in endometriotic stromal cells 2005
- Progestogens for endometriosis: forward to the past 2003
- Antiendometrial antibodies and endometriosis 2002
- The inhibitory effect of dienogest, a synthetic steroid, on the growth of human endometrial stromal cells in vitro 2001
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- europepmc
- last seen: 2026-07-26T06:08:39.051465+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:10:24.024533+00:00
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