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Reproductive Sciences, Vol. 14, No. 3, 270-279 (2007)
DOI: 10.1177/1933719107300911

Effect of Caffeic Acid Phenethyl Ester on the Regression of Endometrial Explants in an Experimental Rat Model

Mehmet Güney, MD

Department of Obstetrics and Gynecology, Suleyman Demirel University, Isparta, Turkey, mguney{at}med.sdu.edu.tr

Serdar Nasir, MD

Department of Plastic and Reconstructive Surgery, Suleyman Demirel University, Isparta, Turkey

Baha Oral, MD

Department of Obstetrics and Gynecology, Suleyman Demirel University, Isparta, Turkey

Nermin Karahan, MD

Department of Pathology, Faculty of Medicine, Süleyman Demirel University, Isparta,Turkey

Tamer Mungan, MD

Department of Obstetrics and Gynecology, Suleyman Demirel University, Isparta, Turkey

The objective of this study is to determine the effects of antioxidant and anti-inflammatory caffeic acid phenethyl ester (CAPE) on experimental endometriosis, peritoneal superoxide dismutase (SOD) and catalase (CAT) activities, and malondialdehyde (MDA) levels in the rat endometriosis model. Thirty rats with experimentally induced endometriosis were randomly divided into 2 groups and treated for 4 weeks with intraperitoneal CAPE (CAPE-treated group; 10 µmol/kg/d, n = 13) or vehicle (control group; n = 13). The volume and weight changes of the implants were calculated. Immunohistochemical and histologic examinations of endometriotic explants by semiquantitative analysis and measurements of peritoneal SOD, CAT, and MDA levels were made. Following 4 weeks of treatment with CAPE, there were significant differences in posttreatment spherical volumes (37.4 ± 14.7 mm3 vs 147.5 ± 41.2 mm3) and explant weights (49.1 ± 28.5 mg vs 158.9 ± 50.3 mg) between the CAPE-treated groups and controls. The mean evaluation nomogram levels in glandular epithelium for COX-2 positivity by scoring system were 2.1 ± 0.3 in the CAPE-treated group and 3.9 ± 0.3 in the control group. In the CAPE-treated group, peritoneal levels of MDA and activities of SOD and CAT significantly decreased when compared with the control group (P < .01). Histologic analysis of the explants demonstrated mostly atrophy and regression in the treatment group, and semiquantitative analysis showed significantly lower scores in rats treated with CAPE compared with the control group. CAPE appeared to cause regression of experimental endometriosis.

Key Words: Endometriosis • cyclooxygenase type 2 inhibitors • caffeic acid phenethyl ester • oxidative stress.


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