Sengupta Shaon, Ghosh D
Department of Physiology, All India Institute of Medical Sciences, New Delhi.
Indian J Physiol Pharmacol. 2003 Apr;47(2):221-4.
A single low dose administration of a high affinity anti-progestin agent like mifepristone during the early luteal phase inhibits blastocyst implantation in human and non-human primates. Though it has been observed that luteal phase serum concentrations of estradiol and progesterone were not affected by the application of anti-nidatory dose of early luteal phase mifepristone suggesting that ovarian steroidogenic function is not compromised, it is nevertheless possible that ovarian physiology at the local tissue level is affected in this treatment schedule. In the present study, healthy, mature, proven fertile female rhesus monkeys were divided into two groups. Group 2 animals were treated with a single dose of mifepristone (2 mg/kg body weight), while group 1 animals were injected with vehicle (1:4 benzoyl benzoate: olive oil, v/v, s.c.) on day 2 post-ovulation. The morphological examination including that of vascularity, as well as, histometric determination of profiles of immunopositivity for IL-1alpha and TGF-beta1 in stromal, follicular and luteal compartments of mid-luteal phase ovaries from animals with or without a single, anti-nidatory dose of mifepristone applied on day 2 after ovulation failed to reveal any significant change between the two groups. Thus, it appears that early luteal phase administration of a single antinidatory dose of mifepristone does not affect the ovarian physiology in the treatment cycle.
在黄体期早期单次低剂量给予米非司酮等高亲和力抗孕激素药物,可抑制人类和非人灵长类动物的囊胚着床。尽管已观察到,在黄体期早期应用抗着床剂量的米非司酮后,雌二醇和孕酮的血清浓度未受影响,这表明卵巢类固醇生成功能未受损,但在这种治疗方案下,局部组织水平的卵巢生理仍有可能受到影响。在本研究中,将健康、成熟、经证实可育的雌性恒河猴分为两组。第2组动物接受单次剂量的米非司酮(2 mg/kg体重)治疗,而第1组动物在排卵后第2天注射赋形剂(1:4苯甲酸苄酯:橄榄油,v/v,皮下注射)。对排卵后第2天给予或未给予单次抗着床剂量米非司酮的动物,在黄体中期卵巢的基质、卵泡和黄体区进行包括血管形态学检查以及IL-1α和TGF-β1免疫阳性率的组织计量学测定,结果显示两组之间未发现任何显著变化。因此,看来在黄体期早期给予单次抗着床剂量的米非司酮不会影响治疗周期中的卵巢生理。