Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2000-11-16
pubmed:abstractText
Leiomyomas (fibroids) are benign smooth-muscle cell (SMC) tumors of the uterus and are the most common pelvic tumors in women. These tumors occur primarily during the reproductive years and are the most common indication for hysterectomy in women. Unfortunately the only effective treatments for leiomyomas and the associated abnormal uterine bleeding are surgical, involving either hysterectomy, myomectomy, or hysteroscopic removal of the tumors. The goal of this paper is to discuss recent research findings that support the idea of using therapeutic compounds that block the actions of specific growth factors as therapeutic agents for treatment of leiomyomas and abnormal uterine bleeding. Most of the studies were carried out using cell cultures of leiomyoma or myometrial SMCs. Primary cultures of SMCs provide a system for investigation of the roles of growth factors and their receptors in proliferation of normal myometrial and leiomyoma SMCs. Several growth factors have been shown to be present and to have regulatory roles in the proliferation of uterine SMCs. Bioassay and Western blotting of fast protein liquid chromatography fractions of tissue extracts identified platelet-derived growth factor, heparin-binding epidermal growth factor, hepatoma-derived growth factor, and basic fibroblast growth factor in normal myometrium and fibroid tumors. The presence of heparin-binding growth factors suggests a possible focus for therapeutic agents. RG13577 (a heparinlike compound) and halofuginone (an alkyloid) reversibly inhibited DNA synthesis of normal myometrial and leiomyoma cells without toxic effects. Pirfenidone, a known antifibrotic drug, inhibited DNA synthesis and synthesis of collagen type I mRNA in normal and fibroid cells, and decreased collagen type III mRNA only in normal myometrial cells. Another hopeful therapeutic candidate, interferon-Alpha, significantly inhibited growth factor-stimulated proliferation in both normal and leiomyoma cells. These results suggest that future nonsurgical treatments for leiomyomas may include compounds that block the actions of specific growth factors that regulate proliferation and collagen production by uterine SMCs.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
http://linkedlifedata.com/resource/pubmed/chemical/2-(4-hydroxyphenoxy)acetic..., http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents, http://linkedlifedata.com/resource/pubmed/chemical/Growth Inhibitors, http://linkedlifedata.com/resource/pubmed/chemical/Growth Substances, http://linkedlifedata.com/resource/pubmed/chemical/Interferon-alpha, http://linkedlifedata.com/resource/pubmed/chemical/Phenoxyacetates, http://linkedlifedata.com/resource/pubmed/chemical/Piperidines, http://linkedlifedata.com/resource/pubmed/chemical/Polymers, http://linkedlifedata.com/resource/pubmed/chemical/Protein Synthesis Inhibitors, http://linkedlifedata.com/resource/pubmed/chemical/Pyridones, http://linkedlifedata.com/resource/pubmed/chemical/Quinazolines, http://linkedlifedata.com/resource/pubmed/chemical/Quinazolinones, http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Growth Factor, http://linkedlifedata.com/resource/pubmed/chemical/halofuginone, http://linkedlifedata.com/resource/pubmed/chemical/pirfenidone
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0091-6765
pubmed:author
pubmed:issnType
Print
pubmed:volume
108 Suppl 5
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
849-53
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11035994-Antineoplastic Agents, pubmed-meshheading:11035994-Blotting, Western, pubmed-meshheading:11035994-Chromatography, Liquid, pubmed-meshheading:11035994-Female, pubmed-meshheading:11035994-Growth Inhibitors, pubmed-meshheading:11035994-Growth Substances, pubmed-meshheading:11035994-Humans, pubmed-meshheading:11035994-Hysterectomy, pubmed-meshheading:11035994-Hysteroscopy, pubmed-meshheading:11035994-Immunohistochemistry, pubmed-meshheading:11035994-Interferon-alpha, pubmed-meshheading:11035994-Leiomyoma, pubmed-meshheading:11035994-Phenoxyacetates, pubmed-meshheading:11035994-Piperidines, pubmed-meshheading:11035994-Polymers, pubmed-meshheading:11035994-Protein Synthesis Inhibitors, pubmed-meshheading:11035994-Pyridones, pubmed-meshheading:11035994-Quinazolines, pubmed-meshheading:11035994-Quinazolinones, pubmed-meshheading:11035994-Receptors, Growth Factor, pubmed-meshheading:11035994-Uterine Neoplasms
pubmed:year
2000
pubmed:articleTitle
Novel therapeutic strategies for leiomyomas: targeting growth factors and their receptors.
pubmed:affiliation
Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School and the Center for Uterine Fibroids, Brigham and Women's Hospital, Boston, Massachusetts, USA. ranowak@uiuc.edu
pubmed:publicationType
Journal Article