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Danazol but not gonadotropin-releasing hormone agonists suppresses autoantibodies in endometriosis.

Abstract
The effect of treatment with danazol (n = 10) or gonadotropin-releasing hormone agonists (GnRH-a) (n = 10) on autoantibody (AA) production (IgG, IgM and, IgA to 6 phospholipids, 5 histones, and 4 polynucleotides) in endometriosis was evaluated blindly in a longitudinal, prospective, randomized study. Clinical improvement, ovarian suppression, and resolution of endometriosis were comparable in both groups. Approximately 50% of patients had significant AA abnormalities initially. During treatment with danazol but not GnRH-a, AA gradually decreased in concentration and in number/patient. Total immunoglobulin levels (IgG, IgM, and IgA) also decreased only in the danazol group. This study indicates that danazol, but not GnRH-a, lowers abnormal AA associated with endometriosis.
AuthorsA el-Roeiy, W P Dmowski, N Gleicher, E Radwanska, L Harlow, Z Binor, I Tummon, R G Rawlins
JournalFertility and sterility (Fertil Steril) Vol. 50 Issue 6 Pg. 864-71 (Dec 1988) ISSN: 0015-0282 [Print] United States
PMID3060379 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)
Chemical References
  • Autoantibodies
  • Immunoglobulins
  • Pituitary Hormone-Releasing Hormones
  • Pregnadienes
  • Danazol
Topics
  • Adult
  • Antibody Formation (drug effects)
  • Autoantibodies (analysis)
  • Danazol (pharmacology)
  • Depression, Chemical
  • Endometriosis (immunology)
  • Female
  • Humans
  • Immunoglobulins (analysis)
  • Pituitary Hormone-Releasing Hormones (pharmacology)
  • Pregnadienes (pharmacology)
  • Pregnancy
  • Pregnancy Outcome
  • Random Allocation

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