The effects of tamoxifen (TAM) on uterine carcinogenesis were investigated
in female Donryu rats; The effects were initiated by a single intrauterine
treatment with N-ethyl-N'-nitro-N-nitrosoguanidine (ENNG) at a dose of 20 m
g/kg body weight via the vagina at 10 weeks of age. TAM tubes (cholesterol
tubes containing 50% TAM) were implanted into the backs of the rats for 13
months (full TAM group) or for the second-half of this period (half TAM gro
up). In the control group treated with ENNG alone, various proliferative le
sions were induced in the uterine endometrium and the incidence of endometr
ial adenocarcinomas was about 30%. In contrast, the uteri in both TAM-treat
ed groups showed severe atrophy and the incidences of uterine proliferative
lesions were limited to a few endometrial hyperplasias in the half TAM gro
up. Most of the vaginas in both TAM-treated groups showed mucification, whi
le cornification was common in the vaginal epithelium of controls. The ovar
ies demonstrated similar atrophy with cystic follicles and no corpora lutea
in all groups. Other estrogen responsive endocrine organs, such as the pit
uitaries and adrenals, were small in the TAM-treated groups. Serum estrogen
levels in the TAM-treated groups were lower than in the control group but
progesterone levels did not differ. These results indicated that TAM acts a
s an anti-estrogen on the adult rat uterus, inhibiting the development of e
ndometrial adenocarcinomas initiated by ENNG. (C) 1998 Elsevier Science Ire
land Ltd. All rights reserved.