AI Article Synopsis

  • Endometriosis is a painful condition influenced by estrogen and inflammation, leading to significant disability and requiring effective treatment options.
  • Current aromatase inhibitors like letrozole and anastrozole have serious side effects, limiting their long-term use in young women with endometriosis.
  • A new study using a chick embryo model showed that topical anastrozole can reduce endometriosis lesions, but the presence of estrogens can lessen its effectiveness, suggesting the model may be useful for future drug testing.

Article Abstract

Endometriosis is an oestrogen-dependent, inflammation-driven gynaecologic disorder causing severe disability. Endometriosis implants are characterized by unbalanced local oestrogen metabolism leading to hyperoestrogenism and aromatase up-regulation is one of main mechanism involved. Aromatase inhibitors such as letrozole or anastrozole use in young women are associated with severely side effects limiting their long-term clinical use. An endometriosis-targeted inhibition of local aromatase could be a viable alternative, although the role of the local inhibition of this enzyme is still unclear. Using a new chick embryo allantoic membrane (CAM) model incorporating xenografted human endometriosis cyst, we showed that topical treatment with anastrozole reduced lesion size, although oestrogens produced by CAM female embryo blunted this effect. Xenografted human endometriosis CAM is a new efficient model for the screening of new drugs targeting endometriosis tissue.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6653393PMC
http://dx.doi.org/10.1111/jcmm.14372DOI Listing

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