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PJ Online homeThe Pharmaceutical Journal
Vol 273 No 7307 p47
10 July 2004

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Angiostatic agents useful for endometriosis

Drugs that inhibit the development of blood vessels could provide a new treatment strategy for women suffering from endometriosis, two new studies suggest.

A research team from the Netherlands found that four compounds; anti-human vascular endothelial growth factor (anti-hVGF), TNP-470, endostatin and anginex, inhibited the development of new blood vessels in an animal model and may also interfere with the maintenance and growth of existing endometriotic lesions.

The researchers transplanted human endometrium into mice and allowed it to develop into endometriotic lesions. The four angiostatic compounds were then administered continuously to the mice for two weeks. Saline was administered to mice in a control group. The results show that the number of endometriotic lesions per mouse was higher in the control group (2.5) than in mice treated with anti-hVGF (1.1, P<0.05), TNP (1, P<0.05), anginex (1.2, P<0.05) or endostatain (0.6, P<0.05). The number of newly developed blood vessels around the lesions was also inhibited by angiostatic therapy, although the mature vessels were not. The researchers conclude that angiostatic therapy may be useful for preventing the recurrence of endometriosis after surgical or hormonal therapy.

Similarly, a research team from the US administered endostatin to mouse models of endometriosis for two weeks. They found that the growth and number of endometriotic lesions was significantly reduced in the endostatin group compared with the control group. They report that endostatin did not have any side effects and did not affect hormone levels or menstrual cycles of the mice. They say that endoststain may present a new and safe approach to the treatment of this disease.

Both studies were presented at a meeting of the European Society of Human Reproduction and Embryology last week.

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