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12 protocols using levonorgestrel

1

Quantitative Analysis of Steroid Hormones

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We purchased etonogestrel, levonorgestrel, medroxyprogesterone acetate, norethindrone, progesterone, testosterone-d3, estradiol, ethinyl estradiol, dansyl chloride, sodium bicarbonate, ammonium acetate and formic acid from Sigma-Aldrich. estradiol-d5 was purchased from CDN Isotopes. progesterone and estradiol stock solutions were purchased from Abbott Laboratories. Water, methanol, acetonitrile, N-butylchloride, and sodium hydroxide were purchased from Fisher Scientific. We purchased double-stripped human serum from Golden West Biologicals.
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2

Progestin and ARV Binding Assay

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Promegestone (R5020), norethisterone (NET) and levonorgestrel (LNG) were obtained from Sigma-Aldrich, RSA. Maraviroc (MVC), tenofovir disoproxil fumarate (TDF) and dapivirine (DPV) were obtained from the AIDS Research and Reference Reagent Program, Division of AIDS, NIAID, NIH (USA) and Selleck Chemicals (USA). All progestins and ARVs were made up to a stock concentration of 10 mM in absolute ethanol or dimethyl sulfoxide (DMSO, Sigma Aldrich, RSA), respectively. [3H]-Progesterone (50 Ci/mmol) (AEC-Amersham, RSA) was used as a final concentration of 40 nM diluted in serum-free, phenol red-free media. The pTAT-2xPRE-E1b-luciferase plasmid, driven by the E1b promoter and containing two copies of the rat progesterone response element (PRE), was obtained from Erasmus University of Rotterdam [23 (link)]. The human PR-B expression vector, pSG5hPR-B, was obtained as a gift from the University of Stellenbosch [24 (link)]. pcDNA 3.1 (empty vector used as a negative control) was obtained from Invitrogen, RSA.
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3

Levonorgestrel Downregulation and Losartan Extinction

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Levonorgestrel (Sigma-Aldrich), a progestin-only HC shown to downregulate estradiol levels3 (link), was dissolved 1:1 in double distilled water and dimethyl sulfoxide (DMSO; Fisher Scientific) and administered subcutaneously (s.c.) at a dose of 0.5 mg/kg/day 4 days prior to and throughout the fear conditioning protocol3 (link). Losartan potassium (Sigma-Aldrich), an AT1R antagonist, was dissolved in sterile saline and injected intraperitoneally (i.p.) at doses of 3 mg/kg or 10 mg/kg approximately 5 min before fear extinction8 (link).
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4

Tumor Sensitivity to Progesterone Analogs

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The sensitivity of tumor cells to progesterone (P4, FUJIFILM Wako Pure Chemical Co., Osaka, Japan), medroxyprogesterone acetate (MPA, Selleck Biotech, Tokyo, Japan), dehydroepiandrosterone sulfate (DHEA, MedChemExpress, Monmouth Junction, NJ, USA), dienogest (DNG, Cayman Chemical, Ann Arbor, MI, USA), levonorgestrel (LNG, Sigma‐Aldrich; Merck KGaA), drospirenone (DRSP, Cayman Chemical), pregnenolone (PREGN, MedChemExpress), and allopregnanolone (Allo, (FUJIFILM Wako Pure Chemical Co.) was measured using a colorimetric assay (Premix WST‐1 Cell Proliferation Assay System; Takara Bio Inc., Tokyo, Japan). Tumor cells were exposed to each drug at concentrations of 10–400 μM for 30 min. The viable cell count measured using the colorimetric assay is presented as a percentage ratio to the count of the control untreated with drugs.
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5

Progestin-induced Apoptosis in FTE Cells

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Simian Virus 40 large T-antigen p53-inactivated human FTE cell lines FT190 and FT194 were obtained from Dr. Ronny Drapkin [15 (link)]. The FT190 and FT194 cell lines were cultured according to Karst et al [16 (link)] and treated with different concentrations of medroxyprogesterone acetate (Sigma; M1629), progesterone (Sigma; P8783), levonorgestrel (Sigma; N2260) and norethindrone (Sigma; N4128) for 72hrs on 6cm cell culture plates. At the end of treatment, 20–40μg of protein was used for standard western blotting analysis for cleaved caspase-3. To measure protein fold changes, densitometry values of cleaved caspase-3 normalized to actin protein bands were quantified using LabWorks software for both untreated and progestin-treated FTE cells. FTE cell viability, cytotoxicity and caspase activity were examined using ApoTox-Glo™ Triplex Assay (#G6321 Promega) according to the manufacturer’s instructions using 5000 cells/well on a 96-well white plate in phenol-free medium with different concentrations of MPA.
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6

Hormone Dilution for Cell Culture

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Medroxyprogesterone acetate (MPA), Norethindrone Acetate (NET), Levonorgestrel (LNG), or progesterone (P) (All Sigma-Aldrich, St. Louis, MO) were dissolved in 100% ethanol for an initial concentration of 1000 µM, evaporated to dryness in a glass scintillation vial and resuspended to a concentration of 10 µM in stripped media. Stripped media was DMEM/F12 supplemented with charcoal–dextran stripped FBS (Gemini Bio-Products, West Sacramento, CA), Penicillin–Streptomycin (Thermo Fisher), l-Glutamine (Thermo Fisher), and HEPES (GE Life Sciences). Further dilutions were made to achieve final working concentrations of 0.1 to 100 nM. As a control, an equivalent amount of ethanol without hormone was evaporated to dryness prior to media addition.
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7

Steroid Hormones and Resveratrol Protocol

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17β-estradiol (E2, #E2758); progesterone (P4, #P0130); levonorgestrel (LNG, #1362602); medroxyprogesterone acetate (MPA, #1378001); nestorone (NES, # SML0550); norethindrone (NET, #1469005); norethindrone acetate (NETA, #1470004); norgestimate (NGM, # 1471914); hydroxyprogesterone caproate (OHPC, #1329006), and resveratrol (RSV, #R5010) were obtained from Sigma. Norethynodrel (NEN, #E4600–000) was obtained from Steraloids.
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8

Magnetic Bead-Based Androgen Receptor Assay

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Androstanedione, bicalutamide, dexamethasone, dibutylphthalate, dihydrotestosterone (DHT), flutamide, hydroxyflutamide, levonorgestrel, lidocaine hydrochloride, 1-ethyl-3-(3-methylaminopropyl)carbodiimide (EDC), gluteraldehyde, hydroxylamine hydrochloride, N-hydroxysulfosuccinimide (Sulfo-NHS), potassium phosphate dibasic, pyridine (99.8%), sodium azide, sodium cyanoborohydride, sodium chloride, trizma base, calcium chloride, glycerol and sodium phosphate monobasic were purchased from Sigma–Aldrich (Stainhaim, Germany). HPLC grade Acetonitrile (ACN) and methanol (MeOH) were from POCh (Gli-wice, Poland). Human androgen receptor (AR) full length protein was from Abcam (Cambridge, UK).
Commercially available amine terminated magnetic beads (BcMag) (50 mg/mL, 1 μm diameter) of “sophistically coated iron oxide particles to provide primary amino groups”, were purchased from Bioclon Inc. (San Diego, CA, USA). A manual magnetic separator Dynal MPC-S was purchased from Invitrogen (Carlsbad, CA, USA). Solutions were prepared using purified water used in the study using a Milli-Q Water Purification System (Millipore, Bedford, MA, USA).
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9

Receptor Binding Assay Protocol

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P4, MPA, NET-A, levonorgestrel (LNG), gestodene (GES), nestorone (NES), nomegestrol acetate (NoMAC), drospirenone (DRSP), dihydrotestosterone (DHT), hydroxyflutamide (OHF), estradiol (E2), fulvestrant (ICI 182,780) and phorbol 12-myristate13-acetate (PMA) were obtained from Sigma-Aldrich, RSA. Human tumor necrosis factor-alpha (TNFα) was obtained from Celtic Diagnostics, RSA. Unlabeled mibolerone (MIB) and [3H]-MIB (84.3 Ci/mmol) were purchased from PerkinElmer Life and Analytical Science, RSA, while [3H]-E2 (100 Ci/mmol) was obtained from AEC-Amersham, RSA.
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10

Breast Cancer Cell Line Maintenance

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The human MDA-MB-231 breast cancer cell line was gifted by Prof. Adrienne Edkins (Rhodes University, RSA) and was maintained as previously described in [12 (link)], with only mycoplasma negative cells used in experiments. R5020 was purchased from Perkin Elmer Life and Analytical Science, while P4, medroxyprogesterone acetate (MPA), norethisterone (NET), levonorgestrel (LNG), gestodene (GES), nestorone (NES), nomegestrol acetate (NOMAC), drospirenone (DRSP), and phorbol myristate acetate (PMA) were purchased from Sigma-Aldrich. The human PR-A expression vector (pSG5-hPR-A) [13 (link)] and the pSG5-empty expression vector containing no eukaryotic promoter or enhancer sequences [14 (link)] were received from Dr. Eric Kalkhoven (University Medical Centre, Utrecht, Netherlands) and Prof. Gunnar Mellgren (University of Bergen, Norway), respectively. The pTAT-2x-progesterone response element (PRE)-E1b-luciferase promoter-reporter construct [15 (link)] was received from Prof. Guido Jenster (Erasmus University of Rotterdam, Netherlands), while the 5x-nuclear factor kappa beta (NFκB)-luciferase promoter-reporter construct was purchased from Stratagene (Houston, Texas).
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