Serulein ile akut pankreatit oluşturulan ratlarda melatoninin koagulasyon parametreleri üzerine etkileri
Amaç: Bu çalışmanın amacı cerulein ile akut pankreatit oluşturulan ratlarda melatoninin koagulasyon parametreleri üzerine olası etkilerini değerlendirmektir. Gereç ve Yöntem: Bu amaçla 32 yetişkin erkek sağlıklı Wistar Abino rat kullanıldı. Hayvanlar dört gruba ayrıldı. Grup 1’deki hayvanlara herhangi bir uygulama yapılmadı. Grup II’deki hayvanlara iki saat aralıkla iki kez 50 mg/kg melatonin intraperitoneal olarak uygulandı. Grup III’deki hayvanlara iki saat aralıkla iki intraperitoneal serulein (sırasıyla, 50 μg/kg ve 25 μg/kg bw) enjeksiyonu yapıldı. Grup IV’deki hayvanlara iki saat aralıkla iki intraperitoneal serulein (sırasıyla, 50 μg/kg ve 25 μg/kg bw) enjeksiyonu yapıldı ve ratlara her bir serulein enjeksiyonundan 30 dk önce intraperitoneal olarak 50 mg/kg melatonin enjeksiyonu yapıldı. Hayvanlardan alınan kan örneklerinde platelet, fibrinojen, APTT, PT, INR düzeyleri belirlendi. Bulgular: Platelet sayısı ve fibrinojen seviyesi akut pankreatite bağlı olarak kontrol grubu ile karşılaştırıldığında arttı (p
The effect of melatonin on coagulation parameters in rats with cerulein-induced acute pancreatitis
Aim: The aim of this study was to evaluate possible effectsof melatonin on coagulation parameters in rats with ceruleininduced acute pancreatitis.Materials and Methods: For this purpose, 32 adult, male,healthy Wistar Abino rats were used. The animals were dividedinto four groups. Group I animals was no applied. GroupII animals was intraperitoneally administered 50 mg/kg melatoninper rat twice for two hours intervals. Animals of groupIII received two intraperitoneal injections of cerulein (50μg/kg and 25 μg/kg bw, respectively) at two hours intervals.Animals of group IV received two intraperitoneal injectionsof cerulein (50 μg/kg and 25 μg/kg bw, respectively) at twohours intervals and the rats received an intraperitoneal injectionof 50 mg/kg melatonin 30 min before each ceruleininjection. In blood samples taken from all animals, platelet,fibrinogen, activated partial thromboplastin time (APTT),prothrombin time (PT), international normalized ratio (INR)levels were determined.Results: Acute pancreatitis caused increment in platelet countand fibrinogen level compared to control group (p
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- Agarwal N, Pitchumoni CS, 1993. Acute pancreatitis: a multisystem
disease. Gastroenterologist, 1(2), 115-128.
- Baddeley RNB, Skipworth JRA, Pereira SP, 2011. Acute pancreatitis.
Medicine, 39(2), 108-115.
- Bekyarova G, Tancheva S, Hristova M, 2010. The effects of
melatonin on burn-induced inflammatory responses and
coagulation disorders in rats. Methods Find Exp Clin Pharmacol,
32(5), 299-303.
- Bockman DE, Büchler M, Beger HG, 1986. Ultrastructure of
human acute pancreatitis. Int J Pancreatol, 1(2), 141-153.
- Bouchard BA, Tracy PB, 2001. Platelets, leukocytes, and coagulation.
Curr Opin Hematol, 8(5), 263-269.
- Carrillo-Vico A, Guerrero JM, Lardone PJ, Reiter RJ, 2005. A
review of the multiple actions of melatonin on the immune
system. Endocrine, 27(2), 189-200.
- Claustrat B, Brun J, Chazot G, 2005. The basic physiology and
pathophysiology of melatonin. Sleep Med Rev, 9(1), 11-24.
- Dahm A, Osterud B, Hjeltnes N, Sandset PM, Iversen PO,
2006. Opposite circadian rhythms in melatonin and tissue
factor pathway inhibitor type 1: does daylight affect coagulation?.
J Thromb Haemost, 4(8), 1840-1842.
- Dhainaut JF, Marin N, Mignon A, Vinsonneau C, 2001. Hepatic
response to sepsis: Interaction between coagulation and
inflammatory processes. Crit Care Med, 29(7), 42-47.
- Esmon CT, 1999. Possible involvement of cytokines in diffuse
intravascular coagulation and thrombosis. Baillieres Best
Pract Res Clin Haematol, 12(3), 343-359.
- Esmon CT, Taylor FB, Snow TR, 1991. Inflammation and coagulation:
linked processes potentially regulated through
a common pathway mediated by protein C. Thromb Haemost,
66(1), 160-165.
- Förstermann U, Münzel T, 2006. Endothelial nitric oxide
synthase in vascular disease: from marvel to menace. Circulation,
113(13), 1708-1714.
- Goldacre MJ, Roberts SE, 2004. Hospital admission for acute
pancreatitis in an English population, 1963-98: database
study of incidence and mortality. BMJ, 328(7454), 1466-
1469.
- Hackert T, Pfeil D, Hartwig W, Fritz S, Schneider L, Gebhard
MM, Büchler MW, Werner J, 2007. Platelet Function in Acute
Experimental Pancreatitis. J Gastrointest Surg, 11(4),
439-444.
- Kakafika A, Papadopoulos V, Mimidis K, Mikhailidis DP, 2007.
Coagulation, Platelets, and Acute Pancreatitis. Pancreas,
34(1), 15-20.
- Lasson A, Ohlsson K, 1986. Consumptive coagulopathy, fibrinolysis
and protease-antiprotease interactions during acute
human pancreatitis. Thromb Res, 41(2), 167-183.
- Levi M, Van Der Poll T, Büller HR, 2004. Bidirectional relation
between inflammation and coagulation. Circulation,
109(22), 2698-2704.
- Libby P, Theroux P, 2005. Pathophysiology of coronary artery
disease. Circulation, 111(25), 3481-3488.
- Lotufo CM, Lopes C, Dubocovich ML, Farsky SH, Markus RP,
2001. Melatonin and N-acetylserotonin inhibit leukocyte
rolling and adhesion to rat microcirculation. Eur J Pharmacol,
430(2-3), 351-357.
- Muller G, Goettsch C, Morawietz H, 2007. Oxidative stress and
endothelial dysfunction. Hamostaseologie, 27(1), 5-12.
Okajima K, 2000. SIRS and the coagulation of normality. Rinsho
Byori, 48(6), 510-515.
- Reiter RJ, 2000. Melatonin: Lowering the high price of free
radicals. News Physiol Sci, 15(5), 246-250.
- Reiter RJ, Tan DX, Manchester LC, Qi W, 2001. Biochemical
reactivity of melatonin with reactive oxygen and nitrogen
species: A review of the evidence. Cell Biochem Biophys,
34(2), 237-256.
- Reiter RJ, Tan DX, Qi W, Manchester LC, Karbownik M, Calvo
JR, 2000. Pharmacology and physiology of melatonin in the
reduction of oxidative stress in vivo. Biol Signals Recept,
9(3-4), 160-171.
- Rodriguez C, Mayo JC, Sainz RM, Antolín I, Herrera F, Martín V,
Reiter RJ, 2004. Regulation of antioxidant enzymes: A significant
role for melatonin. J Pineal Res, 36(1), 1-9.
- Salomone T, Tosi P, Palareti G, Tomassetti P, Migliori M, Guariento
A, Saieva C, Raiti C, Romboli M, Gullo L, 2003. Coagulative
disorders in human acute pancreatitis: role for the
D-dimer. Pancreas, 26(2), 111-116.
- Shebuski RJ, Kilgore KS, 2002. Role of inflammatory mediators
in thrombogenesis. J Pharmacol Exp Ther, 300(3),
729-735.
- Stevenson K, Carter CR, 2013. Acute pancreatitis. Surgery,
31(6), 295-303.
- Tunali T, Sener G, Yarat A, Emekli N, 2005. Melatonin reduces
oxidative damage to skin and normalizes blood coagulation
in a rat model of thermal injury. Life Sci, 76(11), 1259-
1265.
- Viles-Gonzalez JF, Fuster V, Badimon JJ, 2006. Links between
inflammation and thrombogenicity in atherosclerosis.
Curr Mol Med, 6(5), 489-499.
- Wang XD, Wang Q, Andersson R, Ihse I, 1996. Alterations in
intestinal function in acute pancreatitis in an experimental
model. Br J Surg, 83(11), 1537-1543.
- Warzecha Z, Dembiński A, Ceranowicz P, Dembiński M, Cieszkowski
J, Kuśnierz-Cabala B, Naskalski JW, Jaworek J, Konturek
SJ, Pawlik WW, Tomaszewska R, 2007. Influence of
ischemic preconditioning on blood coagulation, fibrinolytic
activity and pancreatic repair in the course of caerulein-
induced acute pancreatitis in rats. J Physiol Pharmacol,
58(2), 303-319.
- Wirtz PH, Spillmann M, Bärtschi C, Ehlert U, von Känel R,
2008. Oral melatonin reduces blood coagulation activity:
a placebo-controlled study in healthy young men. J Pineal
Res, 44(2), 127-133.
- Xenoulis PG, Suchodolski JS, Steiner JM, 2008. Chronic pancreatitis
in dogs and cats. Compend Contin Educ Vet, 30(3),
166-180.