2013
DOI: 10.1016/j.contraception.2012.08.016
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New approaches to male non-hormonal contraception

Abstract: A non-hormonal male contraceptive is a contraceptive that does not involve the administration of hormones or hormone blockers. This review will focus on the use of lonidamine derivatives and inhibitors of retinoic acid biosynthesis and function as approaches to male non-hormonal contraception. Two current lonidamine derivatives, Adjudin and H2-gamendazole, are in development as male contraceptives. These potent anti-spermatogenic compounds impair the integrity of the apical ectoplasmic specialization, resultin… Show more

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Cited by 36 publications
(29 citation statements)
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“…Additionally, CDK2 is essential for completion of prophase I during meiotic cell division in male and female germ cells, and CDK2−/− knockout mice are viable but sterile 1113 . Therefore, CDK2 also provides promise as a target for the development of non-hormonal male contraceptive agents that do not exhibit the significant side effects associated with hormone-based agents currently available for female contraception and under development for male contraception 1416 .…”
Section: Introductionmentioning
confidence: 99%
“…Additionally, CDK2 is essential for completion of prophase I during meiotic cell division in male and female germ cells, and CDK2−/− knockout mice are viable but sterile 1113 . Therefore, CDK2 also provides promise as a target for the development of non-hormonal male contraceptive agents that do not exhibit the significant side effects associated with hormone-based agents currently available for female contraception and under development for male contraception 1416 .…”
Section: Introductionmentioning
confidence: 99%
“…54 Similarly, another derivative, H2-gamendazole, has been shown to induce 100% infertility after just one dose in male rats, and it is possible that this compound will progress to clinical trial. 55 However, it will need to show that it does not have long-term effects on the testis and that its contraceptive effect is reversible.…”
Section: Lonidamine Derivatives: Adjudin and Gamendazolementioning
confidence: 99%
“…57 RA binds RA receptors that control gene expression. 55 Certain compounds, such as bisdichloroacetyldiamines (eg, WIN 18446) have been shown to reversibly inhibit spermatogenesis by inhibiting testicular RA synthesis. 58 However, to be a viable contraceptive, they also must not interfere with retinoic function or synthesis in non-testicular tissue.…”
Section: Retinoic Acid (Ra)mentioning
confidence: 99%
“…Unfortunately this is a worldwide problem and, even in the USA, the statistics show a high rate of unintended pregnancies that end in abortion [191]. A correlation between unintended pregnancy, inadequate use and/or defective contraception choices has been proposed [193]. Thus, access to better and more effective contraception choices should result in improvement of newborn and maternal health [194].…”
Section: Future Perspectivesmentioning
confidence: 99%