Effects of amifostine on endometriosis, comparison with N-acetyl cysteine, and leuprolide as a new treatment alternative: a randomized controlled trial

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AI-generated summary by claude@2026-06+body, 2026-06-07

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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AI-generated deep summary by claude@2026-06, 2026-06-07

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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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Acetylcysteine Amifostine Endometriosis Leuprolide Peritoneal Diseases Peritoneum Abdominal Wall Acetylcysteine Amifostine Animals Disease Models, Animal Endometriosis Endometrium Endometrium Female Leuprolide Peritoneal Diseases Peritoneum Random Allocation Rats

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References (52)

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Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:18:53.335890+00:00
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