Levonorgestrel is an effective oral progesterone inhibitor [1]. Levonorgestrel can be used for contraception and can be combined with other drugs. Levonorgestrel has anti-cancer activity and can induce cell apoptosis, and is used in the research of osteoporosis and uterine leiomyoma [2].
In vitro, Levonorgestrel (5-25μg/mL; 72h) can inhibit cell proliferation and promote cell apoptosis in uterine smooth muscle tumor cells in a concentration-dependent manner. It can significantly reduce the expression of Bcl-2 and Survivin, increase the phosphorylation level of p38, and activate caspase 3 [2]. Levonorgestrel (50μM) has a time-dependent inhibitory effect on the proliferation of HESCs and HEGCs, and significantly increases cell apoptosis. Levonorgestrel causes a time-dependent increase in the total Cx43 content, but does not cause changes in Ser368 phosphorylated Cx43, while Ser255 phosphorylated Cx43 shows a nuclear translocation phenomenon [3].
In vivo, after random mating in mice, Levonorgestrel (8mg/kg) isintraperitoneally injected immediately, and the frequency of ciliary beating of the fallopian tubes (CBF) in mice decreases significantly. The average percentage of embryo-tube retention in the Levonorgestrel group is 18.27% [4]. Oral administration of Levonorgestrel (0.67mg/kg/day) and quinestrol for 7 days significantly reduces sperm count in SD rats and decreases androgen receptor and Wilms tumor nuclear protein 1 (WT1) staining. Quinestrolalone or in combination with Levonorgestrel induces low fertility in male rats, primarily by interfering with reproductive cell differentiation [5].
References:
[1] Tellería CM, Carrizo DG, Deis RP. Levonorgestrel inhibits luteinizing hormone-stimulated progesterone production in rat luteal cells. J Steroid Biochem Mol Biol. 1994 Aug;50(3-4):161-6.
[2] Xu Qing, et al. Levonorgestrel inhibits proliferation and induces apoptosis in uterine leiomyoma cells. Contraception vol. 82,3 (2010): 301-8.
[3] Zhao X, Tang X, Ma T, et al. Levonorgestrel inhibits human endometrial cell proliferation through the upregulation of gap junctional intercellular communication via the nuclear translocation of Ser255 phosphorylated Cx43[J]. BioMed Research International, 2015, 2015(1): 758684.
[4] Li C, Zhang H Y, Liang Y, et al. Effects of Levonorgestrel and progesterone on Oviductal physiology in mammals[J]. Reproductive Biology and Endocrinology, 2018, 16(1): 59.
[5] Liu M, Wan X, Yin Y, et al. Subfertile effects of quinestrol and levonorgestrel in male rats[J]. Reproduction, Fertility and Development, 2012, 24(2): 297-308.
















