Effect of a low molecular weight heparin molecule, dalteparin, on cellular apoptosis and inflammatory process in an incisional wound-healing model

Civelek A., Ak K., Kurtkaya O., Tekeli A., Isbir S., Nargileci E., ...Daha Fazla

SURGERY TODAY, cilt.37, sa.5, ss.406-411, 2007 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 5
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1007/s00595-006-3421-4
  • Dergi Adı: SURGERY TODAY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.406-411
  • Anahtar Kelimeler: low molecular weight heparin, wound healing, inflammatory process, apoptosis, CHRONIC FOOT ULCERS, UNFRACTIONATED HEPARIN, ANGIOGENESIS, ENOXAPARIN, ADHESION
  • Marmara Üniversitesi Adresli: Evet

Özet

Purpose. In this study we aimed to test the effect of a low molecular weight heparin molecule, namely dalteparin, on the inflammation and cellular apoptosis in an incisional wound-healing model in rats. Methods. Eighteen male Sprague-Dawley rats were randomly assigned to three groups (n = 6 for each group). Two full-thickness skin incisions were made over cervical and lumbar regions of all rats. Group 1 (sham group) received no treatment, group 2 (control group) received 0.01ml/g saline subcutaneously 12h two times daily from 0 to 10th postoperative day, and group 3 (dalteparin group): received 1IU/g dalteparin subcutaneously two times daily from 0 to 10th postoperative day. A histological evaluation was done by light microscopy. Apoptosis was detected immunohistochemically by anti-poly (ADP-ribose) polymerase p85 fragment pAb. Results. The early inflammatory response and related tissue edema were depressed on day 3 in the dalteparin group when compared with those in the other groups (P < 0.05). Fibroblast proliferation was also depressed on day 10 in the dalteparin group compared to the others (P < 0.05). Furthermore, increased apoptosis was detected in the dalteparin group both on day 3 and day 10. Conclusion. Our results showed that dalteparin may adversely affect the incisional wound healing by suppressing the early inflammatory process and increasing cellular apoptosis; however, further studies are warranted to confirm the results.