Am. Cummings et Jl. Metcalf, EFFECTS OF ESTROGEN, PROGESTERONE, AND METHOXYCHLOR ON SURGICALLY INDUCED ENDOMETRIOSIS IN RATS, Fundamental and applied toxicology, 27(2), 1995, pp. 287-290
Endometriosis is a disease of women where endometrial tissue is found
growing at ectopic sites. While evidence suggesting a role for the ova
rian hormones in endometriosis exists, no complete studies of the role
s of estrogen and progesterone have heretofore been performed. Also, i
f estrogen has a role in the growth and/or maintenance of endometriosi
s, it is likely that the proestrogenic pesticide, methoxychlor (MXC),
might also have such an effect. Sixty rats underwent surgery on Day 0
to induce endometriosis. On Day 21, all rats were ovariectomized. Duri
ng surgery, the diameters of all endometriotic implants (which were fu
lly developed) were measured. Starting on Day 21, groups of rats were
treated daily, for 3 weeks, with (a) vehicle; (b) estrone, 1 mu g/rat,
E; (c) progesterone, 2 mg/rat, P; (d) E + P, 1 mu g + 2 mg; (e) MXC,
250 mg/kg; or (f) MXC + P, 250 mg/kg + 2 mg/rat. On Day 42, all rats w
ere killed, and the diameters of all endometriotic sites were measured
. While no differences in diameter were found across groups prior to o
variectomy, ovariectomy plus treatment altered the growth of endometri
otic tissue. Progesterone and vehicle treatments produced results that
were identical: regression of endometriotic sites. Both estrogen and
MXC treatments maintained endometriotic site size at a level greater t
han that in the vehicle-treated group. The combination of progesterone
with either estrone or MXC did not alter the effect of either chemica
l. We conclude that while estrogen promotes the growth of endometriosi
s, progesterone either produces regression or fails to maintain the si
tes. MXC, at a relatively high dose, supports the development of endom
etriosis. Concurrent progesterone treatment does not modulate the effe
cts of estrone or MXC. These results suggest that exposure of women to
high doses of MXC may exacerbate the development of endometriosis or
contribute to its recurrence. (C) 1995 Society of Toxicology