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Avci S, Gungor H, Kumru AS, Sahin M, Gezer A, Gok U, Kara H, Avcil M. Effects of Apixaban, Rivaroxaban, Dabigatran and Enoxaparin on Histopathology and Laboratory Parameters in Achilles Tendon Injury: An in vivo Study. SAUDI JOURNAL OF MEDICINE & MEDICAL SCIENCES 2021; 9:205-214. [PMID: 34667466 PMCID: PMC8473998 DOI: 10.4103/sjmms.sjmms_90_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 05/24/2021] [Accepted: 06/09/2021] [Indexed: 11/04/2022]
Abstract
Objectives To compare the effects of apixaban, rivaroxaban, dabigatran and enoxaparin on histopathology and blood parameters in rats with Achilles tendon injury. Materials and Methods Thirty adult, male Wistar albino rats weighting 220-240 g were randomly divided into five (one control and four treatment) groups and placed in a controlled environment. The Achilles tendon was incised and re-sutured in each rat, after which each group was provided the following treatment for 28 days: a) 2 ml saline to the control group, b) apixaban in 1 ml of saline (10 mg/kg/day) +1 ml of saline, c) rivaroxaban in 1 ml of saline (2 mg/kg/day) +1 ml saline, d) dabigatran in 1 ml of saline (30 mg/kg/day) +1 ml of saline, e) enoxaparin (80 μg/kg/day) + 2 ml of saline. Results Hemogram, biochemical and coagulation parameters differed significantly between the control and treatment groups (P < 0.05). Compared with the control group, in the apixaban group, type I and type III collagen immunoreactivity were severe and moderate, respectively. In the rivaroxaban and dabigatran groups, both type I and type III collagen immunoreactivity were medium and severe, respectively. In the enoxaparin group, type I and type III collagen immunoreactivity were mild and severe, respectively. Conclusion The higher concentration of type I collagen in the apixaban and dabigatran indicates faster tendon healing in these groups, and the higher concentration of the type III collagen in the enoxaparin group indicates slower healing in this group.
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Affiliation(s)
- Sema Avci
- Department of Emergency Medicine, Medical Faculty, Usak University, Usak, Turkey
| | - Huseyin Gungor
- Department of Toxicology and Pharmacology, Faculty of Veterinary Medicine, Sivas Cumhuriyet University, Sivas, Turkey
| | - Alper Serhat Kumru
- Department of Toxicology and Pharmacology, Faculty of Veterinary Medicine, Sivas Cumhuriyet University, Sivas, Turkey
| | - Mahmut Sahin
- Department of Toxicology and Pharmacology, Faculty of Veterinary Medicine, Sivas Cumhuriyet University, Sivas, Turkey
| | - Arzu Gezer
- Department of Geriatrics, Vocational School of Health Services, Ataturk University, Erzurum, Turkey
| | - Uzeyir Gok
- Department of Otorhinolaryngology, Medical Faculty, Amasya University, Amasya, Turkey
| | - Haki Kara
- Department of Toxicology and Pharmacology, Faculty of Veterinary Medicine, Sivas Cumhuriyet University, Sivas, Turkey
| | - Mucahit Avcil
- Department of Emergency Medicine, Medical Faculty, Usak University, Usak, Turkey
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Kalani A, Shafagh S, Matini A, Noureddini M, Sehat M, Gharavi M. The effect of subcutaneous unfractionated heparin and low-molecular weight heparin toward modification of diabetic acute influence on surgical wound healing in rats. ARCHIVES OF TRAUMA RESEARCH 2021. [DOI: 10.4103/atr.atr_9_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Çevirme D, Savluk ÖF, Başaran EK, Aksoy R, Elibol A, Baş T, Keser S, Adademir T, Yılmaz B. Effects of anticoagulant drugs on wound healing process in a rat model: a comparative study. J Wound Care 2020; 29:44-50. [PMID: 31930945 DOI: 10.12968/jowc.2020.29.1.44] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE This study aims to compare the efficacy of enoxaparin, rivoraxaban and dabigatran on wound healing using a rat model. METHOD Sprague-Dawley female rats (n=56), 10-12 weeks old, weight 245±30g, were used in this study. The rats were divided into four equally-sized groups. A type 1 (secondary wound healing) and type 2 (primary wound healing) wound was opened surgically on each rat in each group. Anticoagulent drugs enoxaparin, rivoraxaban and dabigatran and physiological saline solution were administered to Groups 1, 2, 3 and 4, respectively. After wound healing was scored tissue samples were taken from euthanised rats at days five and 10 and examined histologically. Since time was used as a classification (days five and 10), a time effect was included. RESULTS There was no statistically significant difference in total score distribution in rats between type 1 secondary wounds for days five and 10 (p>0.05). There was no statistically significant difference in the overall score distribution in rats between type 2 primary wounds for days five and 10 (p>0.05). CONCLUSION In addition to the use of low molecular weight heparin with well-known anticoagulation activity, the new generation oral medications are used efficiently in thromboembolic diseases. However, there was no evidence observed in this study that these drugs could be either beneficial or harmful to wound healing.
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Affiliation(s)
- Deniz Çevirme
- Department of Cardivascular Surgery, Kartal Koşuyolu Yüksek İhtisas Research and Education Hospital, Istanbul, Turkey
| | - Ömer Faruk Savluk
- Department of Cardiothoracic Anesthesia, Kartal Koşuyolu Yüksek İhtisas Research and Education Hospital, Istanbul, Turkey
| | - Eylül Kafalı Başaran
- Department of Cardivascular Surgery, Dr. Sadi Konuk Research and Education Hospital, Istanbul, Turkey
| | - Rezzan Aksoy
- Department of Cardivascular Surgery, Kartal Koşuyolu Yüksek İhtisas Research and Education Hospital, Istanbul, Turkey
| | - Ahmet Elibol
- Department of Cardivascular Surgery, Kartal Koşuyolu Yüksek İhtisas Research and Education Hospital, Istanbul, Turkey
| | - Tolga Baş
- Department of Cardivascular Surgery, Kartal Koşuyolu Yüksek İhtisas Research and Education Hospital, Istanbul, Turkey
| | - Sevinç Keser
- Department of Pathology, Dr. Lütfi Kırdar Research and Education Hospital, Istanbul, Turkey
| | - Taylan Adademir
- Department of Cardivascular Surgery, Kartal Koşuyolu Yüksek İhtisas Research and Education Hospital, Istanbul, Turkey
| | - Bayram Yılmaz
- Professor, Department of Physiology, Yeditepe University, Istanbul, Turkey
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Vaghasiya K, Sharma A, Kumar K, Ray E, Adlakha S, Katare OP, Hota SK, Verma RK. Heparin-Encapsulated Metered-Dose Topical “Nano-Spray Gel” Liposomal Formulation Ensures Rapid On-Site Management of Frostbite Injury by Inflammatory Cytokines Scavenging. ACS Biomater Sci Eng 2019; 5:6617-6631. [DOI: 10.1021/acsbiomaterials.9b01486] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Kalpesh Vaghasiya
- Institute of Nano Science and Technology (INST), Phase X, Sector 64, Mohali, Punjab 160062, India
| | - Ankur Sharma
- Institute of Nano Science and Technology (INST), Phase X, Sector 64, Mohali, Punjab 160062, India
| | - Kushal Kumar
- Defence Institute of High Altitude Research, Defence Research and Development Organisation, C/o 56 APO, Leh-Ladakh, Jammu and Kashmir 901205, India
| | - Eupa Ray
- Institute of Nano Science and Technology (INST), Phase X, Sector 64, Mohali, Punjab 160062, India
| | - Suneera Adlakha
- Institute of Nano Science and Technology (INST), Phase X, Sector 64, Mohali, Punjab 160062, India
| | - Om Prakash Katare
- University Institute of Pharmaceutical Sciences, Panjab University, Sector-14, Chandigarh 160014, India
| | - Sunil Kumar Hota
- Defence Institute of High Altitude Research, Defence Research and Development Organisation, C/o 56 APO, Leh-Ladakh, Jammu and Kashmir 901205, India
| | - Rahul K. Verma
- Institute of Nano Science and Technology (INST), Phase X, Sector 64, Mohali, Punjab 160062, India
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Bilge A, Gunes A, Dagli M, Koybasioglu FF, Guvey A. The impact of topical and systemic enoxaparin sodium use on traumatic tympanic membrane perforation and myringosclerosis. Eur Arch Otorhinolaryngol 2016; 273:3035-41. [PMID: 26796878 DOI: 10.1007/s00405-016-3901-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 01/12/2016] [Indexed: 11/25/2022]
Abstract
The objective of this study is to investigate the effect of topical and systemic enoxaparin sodium on the healing pattern of experimentally induced tympanic membrane perforation and formation of myringosclerosis. A total of 24 Wistar-Albino strain rats were included in the study. Standard myringotomies were performed on each rat. In the first group, isotonic serum physiologic was dropped on external ear canal (control group). Topical enoxaparin was dropped on external ear canal and daily topical doses of enoxaparin were dropped on external ear canal of the rats for 14 days (topical treatment group). Third group received subcutaneous injections of enoxaparin for 14 days (systemic treatment group). Five micrometer thick sections of the bullae of the rats were stained with H&E. Inflammation, edema and sclerotic lesions and neovascularization observed in the lamina propria layer of the tympanic membrane, and total thickness of the tympanic membrane were evaluated. In intergroup comparisons, significant difference in the distribution pattern of severity of inflammation in all three groups was not observed (p = 0.784, p > 0.05). Total TM thickness differed among all three groups (p = 0.028, p < 0.05). A statistically significant difference was observed between the systemic enoxaparin and the control groups (p = 0.022, p < 0.05). A statistically significant difference was observed between the topical enoxaparin and the control groups (p = 0.037, p < 0.05). However, comparison between the topical and systemic treatment groups could not reveal any statistically significant intergroup difference (p = 0.682, p > 0.05). A significant difference was not observed among three groups as for the distribution of myringosclerotic plaques, severity of edema and neovascularization in the lamina propria (p = 0.539, p > 0.05), (p = 0.063, p > 0.05), (p = 0.152, p > 0.05). Topical and systemic enoxaparin treatment did not prevent formation of sclerotic plaques; however, it decreased TM thickness significantly in comparison with the control group.
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Affiliation(s)
- Arif Bilge
- Department of Otorhinolaryngology, Fatsa State Hospital, Ordu, Turkey.
| | - Akif Gunes
- Department of Otorhinolaryngology, Golbasi Hasvak State Hospital, Ankara, Turkey
| | - Muharrem Dagli
- Department of Otorhinolaryngology, Medical School, Bolu Abant Izzet Baysal University, Bolu, Turkey
| | - F Fulya Koybasioglu
- Department of Pathology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
| | - Ali Guvey
- Department of Otorhinolaryngology, Medical School, Dumlupinar University, Kutahya, Turkey
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Low-Molecular-Weight Heparins as Immunomodulators in Dermatology Practice. Am J Ther 2015; 23:e1911-e1917. [PMID: 25853237 DOI: 10.1097/mjt.0000000000000251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Low-molecular-weight heparins (LMWHs) have some effects on cell proliferation and inflammation beyond mere anticoagulation. They have been tried on treatment of a few dermatological disorders such as lichen planus, skin wound healing, recurrent aphtous stomatitis, chronic urticaria, and contact hypersensitivity. LMWHs are generally well-tolerated drugs, rarely can lead to severe reactions. In this article, we will review the novel indications of LMWHs in dermatology practice and common skin reactions associated with their use.
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