Protective Effect of Ursodeoxycholic Acid in Experimental Endometriosis Induced Rat Model

Background: Considering the presence of an inflammatory process in the pathogenesis of endometriosis, anti-inflammatory agents could be an alternative option. The study aimed to elucidate the curative efficacy of Ursodeoxycholic acid (UDCA) on the experimental rat model of endometriosis. Methods: Th...

Full description

Saved in:
Bibliographic Details
Main Authors: Ali Seven, Suna Kabil Kucur, Uğurkan Erkayiran, Ayşe Nur Deger
Format: Article
Language:English
Published: IMR Press 2023-11-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/50/11/10.31083/j.ceog5011240
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850163546861600768
author Ali Seven
Suna Kabil Kucur
Uğurkan Erkayiran
Ayşe Nur Deger
author_facet Ali Seven
Suna Kabil Kucur
Uğurkan Erkayiran
Ayşe Nur Deger
author_sort Ali Seven
collection DOAJ
description Background: Considering the presence of an inflammatory process in the pathogenesis of endometriosis, anti-inflammatory agents could be an alternative option. The study aimed to elucidate the curative efficacy of Ursodeoxycholic acid (UDCA) on the experimental rat model of endometriosis. Methods: This experimental research included a total of 60 mature female Wistar albino rats (250 ± 50 g) with no pregnancy. They were grouped as Standard (n: 20), Laparoscopic Pretreatment (n: 10), Laparoscopic Posttreatment (Sham) (n: 10), UDCA-Pretreatment (n: 10) and UDCA-Posttreatment (n: 10). Transforming growth factor β1 (TGF-β1), matrix metallo-proteinases-2 (MMP-2), Tissue inhibitor of metalloproteinase-1 (TIMP-1), Tumor necrosis factor-α (TNF-α) were analyzed. Results: In the UDCA post-treatment group, endometriotic focal volume (43.3 ± 24.04 mm3) was lower than the pre-treatment values (165.7 ± 21.7 mm3) (p = 0.005). There was no significant change UDCA group before and after the treatment in terms of MMP-2, TGF-β1, TIMP-1 and TNF-α levels (p > 0.05). Comparing the posttreatment values of the Sham srugery group and the UDCA group, while the endometriotic focal volume was 251 ± 51 mm3 in the Sham group, it decreased to 43.3 ± 24 mm3 in the UDCA (p < 0.0001). Histological scoring decreased from 2.6 ± 0.51 to 1 ± 0.81 after the treatment (p = 0.001). Conclusions: The pre-treatment laparotomy group exhibited elevated TNF-α levels, indicating an inflammatory response. UDCA treatment reduced endometriotic focal volume and histological scoring, indicating a potential therapeutic benefit.
format Article
id doaj-art-e89d309f1da64bc89e536db8329ad1a2
institution OA Journals
issn 0390-6663
language English
publishDate 2023-11-01
publisher IMR Press
record_format Article
series Clinical and Experimental Obstetrics & Gynecology
spelling doaj-art-e89d309f1da64bc89e536db8329ad1a22025-08-20T02:22:15ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-11-01501124010.31083/j.ceog5011240S0390-6663(23)02081-XProtective Effect of Ursodeoxycholic Acid in Experimental Endometriosis Induced Rat ModelAli Seven0Suna Kabil Kucur1Uğurkan Erkayiran2Ayşe Nur Deger3Now with Department of Obstetrics and Gynecology, Cyprus Health and Social Sciences University Faculty of Medicine, 99700 Guzelyurt, North CyprusDepartment of Obstetrics and Gynecology, Marmara University Faculty of Medicine, 34000 Istanbul, TurkeyNow with Department of Obstetrics and Gynecology, Gaziantep Medical Point Hospital, 27050 Gaziantep, TurkeyDepartment of Pathology, Kütahya Health Sciences University, 43100 Kütahya, TurkeyBackground: Considering the presence of an inflammatory process in the pathogenesis of endometriosis, anti-inflammatory agents could be an alternative option. The study aimed to elucidate the curative efficacy of Ursodeoxycholic acid (UDCA) on the experimental rat model of endometriosis. Methods: This experimental research included a total of 60 mature female Wistar albino rats (250 ± 50 g) with no pregnancy. They were grouped as Standard (n: 20), Laparoscopic Pretreatment (n: 10), Laparoscopic Posttreatment (Sham) (n: 10), UDCA-Pretreatment (n: 10) and UDCA-Posttreatment (n: 10). Transforming growth factor β1 (TGF-β1), matrix metallo-proteinases-2 (MMP-2), Tissue inhibitor of metalloproteinase-1 (TIMP-1), Tumor necrosis factor-α (TNF-α) were analyzed. Results: In the UDCA post-treatment group, endometriotic focal volume (43.3 ± 24.04 mm3) was lower than the pre-treatment values (165.7 ± 21.7 mm3) (p = 0.005). There was no significant change UDCA group before and after the treatment in terms of MMP-2, TGF-β1, TIMP-1 and TNF-α levels (p > 0.05). Comparing the posttreatment values of the Sham srugery group and the UDCA group, while the endometriotic focal volume was 251 ± 51 mm3 in the Sham group, it decreased to 43.3 ± 24 mm3 in the UDCA (p < 0.0001). Histological scoring decreased from 2.6 ± 0.51 to 1 ± 0.81 after the treatment (p = 0.001). Conclusions: The pre-treatment laparotomy group exhibited elevated TNF-α levels, indicating an inflammatory response. UDCA treatment reduced endometriotic focal volume and histological scoring, indicating a potential therapeutic benefit.https://www.imrpress.com/journal/CEOG/50/11/10.31083/j.ceog5011240endometriosisursodeoxycholic acidmetalloproteinasetumor necrosis factor-α
spellingShingle Ali Seven
Suna Kabil Kucur
Uğurkan Erkayiran
Ayşe Nur Deger
Protective Effect of Ursodeoxycholic Acid in Experimental Endometriosis Induced Rat Model
Clinical and Experimental Obstetrics & Gynecology
endometriosis
ursodeoxycholic acid
metalloproteinase
tumor necrosis factor-α
title Protective Effect of Ursodeoxycholic Acid in Experimental Endometriosis Induced Rat Model
title_full Protective Effect of Ursodeoxycholic Acid in Experimental Endometriosis Induced Rat Model
title_fullStr Protective Effect of Ursodeoxycholic Acid in Experimental Endometriosis Induced Rat Model
title_full_unstemmed Protective Effect of Ursodeoxycholic Acid in Experimental Endometriosis Induced Rat Model
title_short Protective Effect of Ursodeoxycholic Acid in Experimental Endometriosis Induced Rat Model
title_sort protective effect of ursodeoxycholic acid in experimental endometriosis induced rat model
topic endometriosis
ursodeoxycholic acid
metalloproteinase
tumor necrosis factor-α
url https://www.imrpress.com/journal/CEOG/50/11/10.31083/j.ceog5011240
work_keys_str_mv AT aliseven protectiveeffectofursodeoxycholicacidinexperimentalendometriosisinducedratmodel
AT sunakabilkucur protectiveeffectofursodeoxycholicacidinexperimentalendometriosisinducedratmodel
AT ugurkanerkayiran protectiveeffectofursodeoxycholicacidinexperimentalendometriosisinducedratmodel
AT aysenurdeger protectiveeffectofursodeoxycholicacidinexperimentalendometriosisinducedratmodel