Abstract
Objective: To assess the action of RU486 (mifepristone), in the presence and absence of P, on PRL production by explant cultures of leiomyoma and myometrium. Design: Explant cultures using tissue from nine premenopausal women undergoing hysterectomy in the proliferative phase of the menstrual cycle; immunohistochemical staining of tissue sections from five patients for P receptor (PR) subtype. Main Outcome Measures: Prolactin secretion (measured by RIA), lactate dehydrogenase secretion (measured by quantitative colorimetric assay), and immunohistochemistry for PR subtype. Results: Prolactin secretion was decreased in leiomyomas by RU486 at concentrations of 10-7 M and 10-5 M when normal serum-containing medium was used. In experiments with all detectable P removed from serum, PRL secretion was suppressed in both leiomyomas and myometrium at an RU486 concentration of 10-7 M. Immunohistochemistry results suggest that the A form of the PR is the dominant form in both leiomyomas and myometrium. Conclusion: Prolactin production is suppressed in both leiomyomas and myometrium after treatment with RU486 in vitro, and this suppression may serve as a marker for the clinical effectiveness of agents used in the treatment of leiomyomas.
Original language | English (US) |
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Pages (from-to) | 1119-1124 |
Number of pages | 6 |
Journal | Fertility and Sterility |
Volume | 65 |
Issue number | 6 |
DOIs | |
State | Published - 1996 |
Externally published | Yes |
Keywords
- Mifepristone
- leiomyoma
- myometrium
- progesterone receptor
- prolactin
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology