Antiproliferative effects of anastrozole, methotrexate, and 5-fluorouracil on endometriosis in vitro and in vivo
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⤵ 13 in-corpus citations
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This study investigated the antiproliferative effects of anastrozole, methotrexate, and 5-fluorouracil on endometriosis both in vitro and in vivo.
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Abstract
OBJECTIVE: To investigate the effects of antiproliferative drugs (anastrozole, methotrexate, and 5-fluorouracil [5-FU]) on the proliferation of endometriotic cells in vitro and in vivo.
DESIGN: Ex vivo study on human endometrial and endometriotic cells in culture; establishment of a murine model using mice implanted with human endometriosis.
SETTING: University research center.
PATIENT(S): Ten patients with ovarian endometrioma, 10 patients with deep infiltrating endometriosis, and 10 patients without endometriosis.
INTERVENTION(S): Stromal and epithelial cells were extracted from endometrial and endometriotic biopsies from patients with endometriosis and from patients without endometriosis. Cells were treated in vitro with anastrozole, methotrexate, progesterone, or 5-FU. Human endometriotic lesions were implanted in nude mice. Mice were treated with 5-FU or phosphate-buffered saline during 4 weeks before sacrifice and extraction of the endometriotic implants.
MAIN OUTCOME MEASURE(S): Stromal and epithelial cell proliferation and pathology score of endometriotic implants.
RESULT(S): Although anastrozole, methotrexate, and progesterone were ineffective, 5-FU significantly decreased the proliferation of endometriotic cells in vitro and controlled the growth of both cells from ovarian endometrioma and deep infiltrating endometriosis.
CONCLUSION(S): Considering common features between endometriotic cells and tumor cells, the use of 5-FU could be an option in the management of severe endometriosis.
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Cited by (13)
- Integrative analysis reveals ferroptosis-related genes with RRM2 as a key driver in endometriosis 2025
- Tratamento clínico de endometriose profunda com uso de droga antiproliferativa (metotrexato) acoplado a nanoemulsão lipídica (LDE) 2023
- Emerging hallmarks of endometriosis metabolism: A promising target for the treatment of endometriosis 2022
- Endometriosis 2018
- Effect of disease-modifying anti-rheumatic drugs on therapeutic outcomes among women with endometriosis 2017
- Role of the protein kinase BRAF in the pathogenesis of endometriosis 2016
- Hormonal therapy for endometriosis: from molecular research to bedside 2016
- Treatment of Endometriosis with Non-Hormonal Agents: Review 2016
- Emerging treatment of endometriosis 2015
- An update on the pharmacological management of endometriosis 2013
- Brief update on endometriosis treatment 2011
- The mTOR/AKT inhibitor temsirolimus prevents deep infiltrating endometriosis in mice 2011
- Protein kinase inhibitors can control the progression of endometriosis in vitro and in vivo 2010
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- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:07:11.085580+00:00
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