Sıçanlarda Doksisiklinin Kimyasal Peritonite Bağlı Peritoneal Fibrozis Gelişimi Üzerine Etkisinin İncelenmesi

Serkan Yildiz, Zahide Çavdar, Gülgün Oktay, Sülen Sarioğlu, Ensari Guneli, O. Yilmaz, T. Çamsari
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Abstract

OBJEctIvE: We investigated the effects of doxycycline on changes in peritoneal morphology, matrix metalloproteinase (MMP) and tissue inhibitor of matrix metalloproteinase (TIMP) activities in peritoneal lavage fluids in a rat model of peritoneal fibrosis due to chemical peritonitis. mAtErIAl and mEthOdS: 21 rats were divided into three groups (n=7). In the first group, we administered chlorhexidine gluconate (CHX) intraperitoneally (i.p.) to the rats. In the second group, we administered i.p. doxycycline in addition to CHX to rats. The third group was the control. MMP-2, MMP-9, TIMP-1, TIMP-2 and procollagen type I C-terminal peptide (PICP) levels in the peritoneal fluid were analyzed. Thickness of the peritoneum, amount of immature collagen and the inflammation scores were measured in peritoneal tissue samples. rESultS: Immature collagen levels in parietal peritoneum, parietal-visceral peritoneal thickness and inflammation scores were compared and a significant difference was observed between the groups (p<0.05). TIMP-1 and PICP levels were compared and a significant difference was observed between the groups (p<0.05). MMP-2 and TIMP-2 levels were compared and no significant difference was observed between the groups (p>0.05). cOncluSIOn: CHX solution leads to peritoneal injury in peritoneal tissue. Although an insignificant difference is present statistically, doxycycline decreases the peritoneal injury due to CHX solution.
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医生腹膜化学链接对腹膜纤维化发展的可视化
目的:观察多西环素对化学性腹膜纤维化大鼠腹腔灌洗液中基质金属蛋白酶(MMP)和基质金属蛋白酶组织抑制剂(TIMP)活性的影响。材料与方法:21只大鼠分为3组(n=7)。第一组大鼠腹腔注射葡萄糖酸氯己定(CHX)。在第二组中,我们给予大鼠除CHX外的强力霉素。第三组是对照组。分析腹膜液中MMP-2、MMP-9、TIMP-1、TIMP-2和前胶原I型c末端肽(PICP)水平。测定腹膜组织标本腹膜厚度、未成熟胶原蛋白含量及炎症评分。结果:比较两组患者腹膜壁未成熟胶原水平、腹膜壁-内脏壁厚度及炎症评分,两组间差异有统计学意义(p0.05)。结论:CHX溶液可引起腹膜组织损伤。虽然统计学上差异不显著,但多西环素减少了CHX溶液引起的腹膜损伤。
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