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Reis FM, Chouzenoux S, Bourdon M, Jeljeli M, Chapron C, Batteux F. Effects of Ulipristal Acetate on Reactive Oxygen Species and Proinflammatory Cytokine Release by Epithelial and Stromal Cells from Human Endometrium and Endometriosis. Reprod Sci 2024; 31:260-266. [PMID: 37700209 DOI: 10.1007/s43032-023-01341-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 08/28/2023] [Indexed: 09/14/2023]
Abstract
Endometriosis is a condition characterized by increased oxidative stress and chronic inflammation, which can be treated with progestins and other progesterone receptor ligands. However, some patients are refractory to this treatment and the reason is uncertain. Here we investigated the effects of the selective progesterone receptor modulator ulipristal acetate (UPA) on proliferation, reactive oxygen species (ROS), and proinflammatory cytokine production by endometriotic cells and endometrial cells from women with histologically proven endometriosis (n = 22) and endometriosis-free controls (n = 6). Epithelial and stromal cells were isolated and treated in triplicate for 24 h with 1 μM, 10 μM, or 100 μM UPA. Cells were tested for proliferation and ROS production, while cell supernatants were assayed for interleukin (IL)-6, C-C motif chemokine ligand 2 (CCL2), and tumor necrosis factor (TNF)-α concentrations. Proliferation, ROS production, and IL-6 and CCL2 secretion were increased in non-stimulated epithelial and stromal cells from endometriotic lesions compared to endometrial cells from endometriosis patients and controls. UPA induced a dose-dependent increase of cell proliferation only in endometriosis, while enhancing ROS production by all cell types evaluated. UPA reduced CCL2 production in controls but failed to do that in endometriosis, whereas TNF-α was undetectable. We conclude that treatment of endometriotic cells with UPA stimulated in vitro proliferation and ROS production and failed to revert the proinflammatory cytokine excess that characterized these cells, unravelling possible mechanisms of drug resistance in the treatment of endometriosis.
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Affiliation(s)
- Fernando M Reis
- Département 3I "Infection, Immunité et Inflammation", Institut Cochin, INSERM U1016, Université de Paris, 22 Rue Méchain, 75014, Paris, France.
- Department of Obstetrics and Gynecology, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
| | - Sandrine Chouzenoux
- Département 3I "Infection, Immunité et Inflammation", Institut Cochin, INSERM U1016, Université de Paris, 22 Rue Méchain, 75014, Paris, France
| | - Mathilde Bourdon
- Département 3I "Infection, Immunité et Inflammation", Institut Cochin, INSERM U1016, Université de Paris, 22 Rue Méchain, 75014, Paris, France
| | - Mohamed Jeljeli
- Département 3I "Infection, Immunité et Inflammation", Institut Cochin, INSERM U1016, Université de Paris, 22 Rue Méchain, 75014, Paris, France
| | - Charles Chapron
- AP-HP-Centre Université de ParisHôpital CochinSections of Obstetrics and Gynecology II and of Reproduction MedicineFaculté de Médecine, Université de Paris, 22 Rue Méchain, 75014, Paris, France
| | - Frédéric Batteux
- Département 3I "Infection, Immunité et Inflammation", Institut Cochin, INSERM U1016, Université de Paris, 22 Rue Méchain, 75014, Paris, France.
- AP-HP-Centre, Université de Paris, Hôpital Cochin, Service d'Immunologie Biologique, Faculté de Médecine, Université de Paris, 22 Rue Méchain, 75014, Paris, France.
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Peng C, Zhao S, Tang L, Wang K, Wang Y, Ding L. A simplified and reliable LC–tandem mass spectrometry method for determination of ulipristal acetate in human plasma and its application to a pharmacokinetic study in healthy Chinese volunteers. Biomed Chromatogr 2020; 34:e4908. [DOI: 10.1002/bmc.4908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Revised: 05/21/2020] [Accepted: 05/25/2020] [Indexed: 11/12/2022]
Affiliation(s)
- Chun Peng
- College of Pharmacy and Chemistry Dali University Dali China
- Nanjing Clinical Tech. Laboratories Inc Nanjing China
| | - Shunbo Zhao
- Nanjing Clinical Tech. Laboratories Inc Nanjing China
| | - Ling Tang
- College of Pharmacy and Chemistry Dali University Dali China
- Nanjing Clinical Tech. Laboratories Inc Nanjing China
| | - Keli Wang
- Nanjing Clinical Tech. Laboratories Inc Nanjing China
| | - Yan Wang
- College of Pharmacy and Chemistry Dali University Dali China
| | - Li Ding
- Department of Pharmaceutical Analysis China Pharmaceutical University Nanjing China
- Nanjing Clinical Tech. Laboratories Inc Nanjing China
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Ultrasonic Nebulization-Dispersive Solid-Phase-Monolithic Microcolumn Extraction Coupled with HPLC–MS/MS for Analyzing Sex Steroids in Lotion Samples. Chromatographia 2019. [DOI: 10.1007/s10337-019-03797-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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