Altintas Devrim, Kokcu Arif, Tosun Migraci, Cetinkaya Mehmet B, Kandemir Bedri
Department of Obstetrics and Gynecology, School of Medicine, University of Ondokuz Mayis, Samsun, Turkey.
Eur J Obstet Gynecol Reprod Biol. 2008 Jul;139(1):95-9. doi: 10.1016/j.ejogrb.2007.09.006. Epub 2007 Oct 24.
To investigate the efficacy of recombinant human interferon alpha-2b on endometriosis.
The randomized, placebo-controlled, single-blind, experimental study was performed on 30 Wistar female rats in the Experimental Surgery Laboratory at Ondokuz Mayis University in Turkey. After the peritoneal implantation of endometrial tissue, rats were randomized to two equal intervention groups: (1) the control group and (2) the interferon group. Six weeks later, after implant volume was measured (volume-1) by performing a second laparotomy, interferon alpha-2b (100,000 IU subcutaneously per rat, three times at 48 h intervals) was administered to the interferon group, and saline solution (0.1 ml SC, once per week), to the control group, for 8 weeks. At the end of the treatment, a third laparotomy was performed to remeasure implant volumes (volume-2), and implants were totally excised for histopathologic examination. Volume-1 and volume-2 within the groups, as well as stromal and glandular tissues between the groups were compared.
In the interferon group, volume-2 was statistically significantly reduced compared with volume-1, whereas there was no significant volume change in the control group. In the interferon group, when compared with the control group, both stromal and glandular tissues had statistically significantly lessened.
Interferon alpha-2b was seen to regress significantly both the size and the histological structure of endometriotic implants.
探讨重组人干扰素α-2b治疗子宫内膜异位症的疗效。
在土耳其奥尔杜大学实验外科实验室对30只雌性Wistar大鼠进行随机、安慰剂对照、单盲实验研究。将子宫内膜组织植入大鼠腹腔后,将大鼠随机分为两个相等的干预组:(1)对照组和(2)干扰素组。六周后,通过第二次剖腹手术测量植入物体积(体积-1),干扰素组给予干扰素α-2b(每只大鼠皮下注射100,000 IU,每隔48小时注射一次,共三次),对照组给予生理盐水(0.1 ml皮下注射,每周一次),持续8周。治疗结束时,进行第三次剖腹手术重新测量植入物体积(体积-2),并将植入物完全切除进行组织病理学检查。比较组内的体积-1和体积-2,以及组间的基质和腺体组织。
在干扰素组中,体积-2与体积-1相比在统计学上显著减小,而对照组的体积没有显著变化。在干扰素组中,与对照组相比,基质和腺体组织在统计学上均显著减少。
干扰素α-2b可使子宫内膜异位植入物的大小和组织结构显著消退。