Thalidomide Reduces Cell Proliferation in Endometriosis Experimentally Induced in Rats

Autor: Luana Grupioni Lourenço Antônio, Julio Cesar Rosa-e-Silva, Deborah Juliani Machado, Andrezza Telles Westin, Sergio Britto Garcia, Francisco José Candido-dos-Reis, Omero Benedicto Poli-Neto, Antonio Alberto Nogueira
Jazyk: English<br />Portuguese
Rok vydání: 2019
Předmět:
Zdroj: Revista Brasileira de Ginecologia e Obstetrícia, Vol 41, Iss 11, Pp 668-672 (2019)
Druh dokumentu: article
ISSN: 0100-7203
DOI: 10.1055/s-0039-3399551
Popis: Abstract Objective To analyze the effect of thalidomide on the progression of endometriotic lesions experimentally induced in rats and to characterize the pattern of cell proliferation by immunohistochemical Proliferating Cell Nuclear Antigen (PCNA) labeling of eutopic and ectopic endometrium. Methods Fifteen female Wistar rats underwent laparotomy for endometriosis induction by resection of one uterine horn, isolation of the endometrium and fixation of a tissue segment to the pelvic peritoneum. Four weeks after, the animals were divided into 3 groups: control (I), 10mg/kg/day (II) and 1mg/kg/day (III) intraperitoneal thalidomide for 10 days. The lesion was excised together with the opposite uterine horn for endometrial gland and stroma analysis. Eutopic and ectopic endometrial tissue was submitted to immunohistochemistry for analysis of cell proliferation by PCNA labeling and the cell proliferation index (CPI) was calculated as the number of labeled cells per 1,000 cells. Results Group I showed a mean CPI of 0.248 ± 0.0513 in the gland and of 0.178 ± 0.046 in the stroma. In contrast, Groups II and III showed a significantly lower CPI, that is, 0.088 ± 0.009 and 0.080 ± 0.021 for the gland (p < 0.001) and 0.0945 ± 0.0066 and 0.075 ± 0.018 for the stroma (p < 0.001), respectively. Also, the mean lesion area of Group I was 69.2mm2, a significantly higher value compared with Group II (49.4mm2, p = 0.023) and Group III (48.6mm2, p = 0.006). No significant difference was observed between Groups II and III. Conclusion Thalidomide proved to be effective in reducing the lesion area and CPI of the experimental endometriosis implants both at the dose of 1mg/kg/day and at the dose of 10 mg/kg/day.
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