1. [Effect of antithrombin-III (AT-III) on intestinal epithelium changes related to obstructive icterus: experimental study in rats].
- Author
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Caglikulekci M, Dirlik M, Scatton O, Cinel I, Ozer I, Cinel L, Ocal K, and Aydin S
- Subjects
- Animals, Antithrombin III pharmacology, Bacterial Translocation drug effects, Common Bile Duct surgery, Cytokines drug effects, Down-Regulation drug effects, Drug Evaluation, Preclinical, Endotoxemia etiology, Gastrointestinal Hemorrhage etiology, Hyperemia etiology, Immunity, Mucosal drug effects, Immunity, Mucosal immunology, Inflammation, Leukocytes drug effects, Ligation, Prostaglandins, Random Allocation, Rats, Rats, Wistar, Serine Proteinase Inhibitors pharmacology, Severity of Illness Index, Antithrombin III therapeutic use, Disease Models, Animal, Ileum drug effects, Ileum immunology, Ileum pathology, Intestinal Mucosa drug effects, Intestinal Mucosa immunology, Intestinal Mucosa pathology, Jaundice, Obstructive complications, Jaundice, Obstructive drug therapy, Jaundice, Obstructive immunology, Jaundice, Obstructive pathology, Serine Proteinase Inhibitors therapeutic use
- Abstract
Purpose: Bacterial translocation leading to sepsis is increased by obstructive jaundice(OJ). Antithrombin III (ATIII) mediates the promotion of prostaglandin release, an inhibitor of leucocyte activation and downregulator of many proinflammatory cytokines. We investigated the effect of ATIII on histopatology and villus morphology of small intestine., Material and Methods: We designed an experimental study with 40 rats who were divided into four groups. The first one (control, n = 10) received saline, the second (n = 10) included normal rats who received ATIII, the third group (n = 10) was rats with OJ (ligation of common bile duct), and the fourth group included OJ rats receiving AT-III. AT-III (100 UI/kg intraperitoneally) was started at the third day following bile duct ligation and repeated for 5 days. At the 8 day, rats were scarified and ileum was analysed. Histopathological assessments were performed, using a grading scheme ranging from 0 to 10 (Chui et al)., Results: Median histological score was found to be 2 in group 1, 1.71 in group 2, 5.43 in group 3 and 2.71 in group 4. The difference between group 3 and 4 was statistically significant. Mucosal thicknesses and villus lengths were found significantly lower in OJ group. Mucosal thicknesses and villus lengths were significantly preserved in jaundiced + AT-III group., Conclusion: ATIII demonstrated a salutary effect on the histopathological changes caused by the OJ and prevented the adverse effects on histopathological and morphological parameters in ileal mucosa.
- Published
- 2004
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