Ulipristal blocks ovulation by inhibiting progesterone receptor-dependent pathways intrinsic to the ovary

Reprod Sci. 2013 Apr;20(4):371-81. doi: 10.1177/1933719112459239. Epub 2012 Sep 25.

Abstract

Ulipristal acetate (UPA), a progesterone receptor (PR) modulator, is used as an emergency contraceptive in women. Here, using a mouse model, we investigated the mechanism of action of UPA as an ovulation blocker. In mice, ovulation is induced ~12 hours following the treatment with exogenous gonadotropins, including human chorionic gonadotropin (hCG), which mimics the action of luteinizing hormone (LH). When administered within 6 hours of hCG treatment, UPA is a potent blocker of ovulation. However, UPA's effectiveness declined significantly when it was given at 8 hours post hCG. Our study revealed that, when administered within 6 hours of hCG, UPA blocks ovulation by inhibiting PR-dependent pathways intrinsic to the ovary. At 8 hours post hCG, when the PR signaling has already occurred, UPA is unable to block ovulation efficiently. Collectively, these results indicated that UPA, when administered within a critical time window following the LH surge, blocks PR-dependent pathways in the ovary to function as an effective antiovulatory contraceptive.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Contraceptive Agents / pharmacology*
  • Female
  • Humans
  • Mice
  • Norpregnadienes / pharmacology*
  • Ovary / drug effects*
  • Ovary / metabolism
  • Ovulation / drug effects*
  • Ovulation / metabolism
  • Receptors, Progesterone / antagonists & inhibitors*
  • Receptors, Progesterone / metabolism
  • Signal Transduction / drug effects*
  • Signal Transduction / physiology

Substances

  • Contraceptive Agents
  • Norpregnadienes
  • Receptors, Progesterone
  • ulipristal acetate