Most of the current medical treatments for
endometriosis aim to downregulate
estrogen activity. However, a high recurrence rate after medical treatment has been the most significant problem.
BAY 11-7085, a soluble inhibitor of NK-kappaB activation, has been shown to inhibit cell proliferation and induce apoptosis of a variety of cells. To examine the potential application of
BAY 11-7085 in the treatment of
endometriosis, we investigated the effects of this agent on the cell proliferation and apoptosis of cultured ovarian endometriotic
cyst stromal cells (ECSCs) by a modified methylthiazole tetrazolium assay, a
5-bromo-2'-deoxyuridine incorporation assay, and internucleosomal DNA fragmentation assays. The effect of
BAY 11-7085 on the cell cycle of ECSCs was also determined by flow cytometry. The expression of apoptosis-related molecules was examined in ECSCs with Western blot analysis.
BAY 11-7085 significantly inhibited the cell proliferation and
DNA synthesis of ECSCs and induced apoptosis and the G0/G1 phase cell cycle arrest of these cells. Additionally, downregulation of the
B-cell lymphoma/
leukemia-2 (Bcl-2) and Bcl-X(L) expression with simultaneous activation of
caspase-3, -8, and -9 was observed in ECSCs
after treatment with
BAY 11-7085. These results suggest that
BAY 11-7085 induces apoptosis of ECSCs by suppressing antiapoptotic
proteins, and that caspase-3-, -8-, and -9-mediated cascades are involved in this mechanism. Therefore,
BAY 11-7085 could be used as a therapeutic agent for the treatment of
endometriosis.