Effects of amifostine on endometriosis, comparison with N-acetyl cysteine, and leuprolide as a new treatment alternative: a randomized controlled trial
Amifostine, N-acetyl cysteine, and leuprolide reduced endometriosis implant size and TNF-alpha levels in rats, with NAC showing the greatest reduction.
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This prospective randomized animal study evaluated the effects of amifostine, N-acetyl cysteine (NAC), and leuprolide on regression of endometriosis in 40 rats, using autologous endometrial tissue fragments transplanted to the abdominal wall and assessed after 3 weeks. After confirming implant growth, animals received amifostine, NAC, leuprolide, or no treatment, and investigators measured implant areas morphologically, serum and peritoneal TNF-alpha levels, and performed transmission electron microscopy of peritoneal samples and ovaries. All three drug groups showed significant decreases in mean implant areas and TNF-alpha, with greater TNF-alpha/area reductions in the NAC group and leuprolide appearing to best preserve peritoneal ultrastructure. The authors note the mechanism of regression was “yet unsettled,” and the work is limited to an experimental rat model. This paper is centrally about endometriosis — it is a randomized controlled trial comparing amifostine, NAC, and leuprolide for regression of endometriotic implants in rats.
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Cited by (12)
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- Oxidative Imbalance in Endometriosis-Related Infertility—The Therapeutic Role of Antioxidants 2024
- Actualización del abordaje de la endometriosis 2023
- Role of AMPK/mTOR, mitochondria, and ROS in the pathogenesis of endometriosis 2022
- Comparing the effect of adjunctive N-acetylcysteine plus low dose contraceptive with low dose contraceptive alone on recurrence of ovarian endometrioma and chronic pelvic pain after conservative laparoscopic surgery: a randomised clinical trial study 2022
- Dietary supplements for treatment of endometriosis: A review. 2022
- Effectiveness of an antioxidant preparation with N-acetyl cysteine, alpha lipoic acid and bromelain in the treatment of endometriosis-associated pelvic pain: LEAP study 2018
- Novel dietary supplement association reduces symptoms in endometriosis patients 2017
- The Combination of N‐Acetyl Cysteine, Alpha‐Lipoic Acid, and Bromelain Shows High Anti‐Inflammatory Properties in Novel <i>In Vivo</i> and <i>In Vitro</i> Models of Endometriosis 2015
- Targeting oxidative stress to treat endometriosis 2015
- Non‐hormonal targets underlying endometriosis: A focus on molecular mechanisms 2015
- Melatonin causes regression of endometriotic implants in rats by modulating angiogenesis, tissue levels of antioxidants and matrix metalloproteinases 2014
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