학술논문

Effect of simvastatin on intestinal recovery following gut ischemia-reperfusion injury in a rat.
Document Type
Journal Article
Source
Pediatric Surgery International. Jan2010, Vol. 26 Issue 1, p105-110. 6p. 6 Graphs.
Subject
*REPERFUSION injury
*MESENTERIC artery
*ABDOMINAL surgery
*STATINS (Cardiovascular agents)
*BLOOD vessels
*ANIMAL experimentation
*ANTILIPEMIC agents
*APOPTOSIS
*BIOLOGICAL models
*CELL physiology
*COMPARATIVE studies
*CONVALESCENCE
*EPITHELIAL cells
*INTESTINES
*INTESTINAL diseases
*RESEARCH methodology
*MEDICAL cooperation
*ORAL drug administration
*RATS
*RESEARCH
*EVALUATION research
*TREATMENT effectiveness
*SIMVASTATIN
Language
ISSN
0179-0358
Abstract
Background: Pleiotropic (lipid lowering-independent) effects of statins are attributed to their antiinflammatory, antioxidant, and/or vascular actions. Extensive studies in various experimental models have established that pretreatment with simvastatin significantly protects heart and kidney injured by ischemia-reperfusion (IR). The purpose of the present study was to examine the effect of simvastatin on intestinal recovery and enterocyte turnover after intestinal IR injury in rats.Methods: Male Sprague-Dawley rats were divided into three experimental groups: (1) sham rats underwent laparotomy, (2) IR-rats underwent occlusion of both superior mesenteric artery and portal vein for 30 min followed by 48 h of reperfusion, and (3) IR-SIM rats underwent IR and were treated with oral simvastatin (10 mg/kg) given by gavage immediately before and 24 h after operation. Intestinal structural changes, Park's injury score, enterocyte proliferation and enterocyte apoptosis were determined 24 h following IR. A non-parametric Kruskal-Wallis ANOVA test was used for statistical analysis with P less than 0.05 considered statistically significant.Results: Treatment with simvastatin resulted in a significant increase in bowel and mucosal weight in ileum, villus height and crypt depth in jejunum and ileum compared to IR animals. IR-SIM rats had also a significantly lower intestinal injury score as well as lower apoptotic index in jejunum and ileum compared to IR animals.Conclusions: Treatment with simvastatin prevents gut mucosal damage and inhibits programmed cell death following intestinal IR in a rat. [ABSTRACT FROM AUTHOR]