Human Reproduction, Vol. 9, No. suppl_1, pp. 77-81, 1994
© 1994 European Society of Human Reproduction and Embryology
Non-competitive anti-oestrogenic activity of progesterone antagonists in primate models
1 The Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School 601 Colley Avenue, Norfolk, VA 23507, USA 2 Nurnberger Strasse 35 91052 Erlangen, Germany 3 Centro de Estudios Ginecologicos y Reproducion Buenos Aires, Argentina 4 The Ohio State University, Department of Obstetrics and Gynecology Means Hall, Room 551, 1654 Upham Drive, Columbus, OH 43210-1228, USA 5 Assistance Publique, Hospitaux de Paris, Laboratorie D'Histologie-Embryologie, Centre Hospitalier 78 rue de General LeClerc, 94270 Kremlin-Bicetre, France 6 Department Klinische Endokrinologie, Universitaets-Frauenklinik 79106 Freiburg, Germany 7 Research Laboratory of Schering Aktiengesellschaft, Fertility Control and Hormone Therapy Research D-13342 Berlin, Germany
We have summarized some of the studies containing basic biological data suggesting potential therapeutic utility of the anti-proliferative activity of antiprogestins on uterine tissues. The non-competitive anti-oestrogenic effects of RU486 were examined using oestradiol treated ovariectomized monkeys given RU486, progesterone or both. The oestradiol-induced luteinizing hormone surge of control animals was abrogated by progesterone and/or RU486. Secretory transformation by progesterone was inhibited by RU486 co-administration. RU486 alone (1 mg/kg) induced endometrial secretory transformation, but higher doses (5 mg/kg) induced inhibited proliferation and secretory activity. Thus, in the presence of progesterone, RU486 is antagonistic but, in its absence, RU486 exhibits endometrial progestational effects at low doses and an anti-proliferative (anti-oestrogenic) effect at higher doses. These data encourage continued evaluation of RU486 as a potential contraceptive agent acting at the pituitary and/or endometrial level. Our study also demonstrates that after physiological oestradiol replacement therapy, oestradiol receptor concentrations rise dramatically following antiprogestin treatment; this effect was dose-dependent.
Key words: antagonist/anti-oestrogen/antiprogestin/endometrium/proliferation