Skip to main content
Erschienen in: Archives of Gynecology and Obstetrics 5/2014

01.11.2014 | Gynecologic Endocrinology and Reproductive Medicine

Atorvastatin exerts anti-nociceptive activity and decreases serum levels of high-sensitivity C-reactive protein and tumor necrosis factor-α in a rat endometriosis model

verfasst von: Yavuz Simsek, Mehmet Gul, Ercan Yilmaz, Ibrahim Halil Ozerol, Elif Ozerol, Hakan Parlakpinar

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purpose of this study was to examine the effects of atorvastatin in the treatment of experimental endometriosis.

Methods

Endometriosis was induced in 24 female rats. 4 weeks after the procedure dimensions of the foci were recorded. Rats were divided into three groups: in Group 1 (n = 8), a daily dose of 10 mg/kg atorvastatin was given for 14 days. In the second group (n = 8), a single dose of 1 mg/kg leuprolide acetate was injected intraperitoneally. The rats in Group 3 (n = 8) were received 1 mg/kg i.p. 0.9 % NaCl. At the end of the treatment, laparotomy was performed, and the dimensions of the endometriotic foci were recorded. Biochemical, histopathological and immunohistochemical studies were performed and nociception was compared in groups.

Results

Atorvastatin treatment exhibited significant analgesic activity in hot plate model (P = 0.022). The serum hs-CRP and tumor necrosis TNF-α levels were similar between the Group 2 and Group 3 (P > 0.05); however atorvastatin caused significant decrease in both serum markers. The histological and immunohistochemical scores were also found to be markedly lower in Group 1 and Group 2 (P < 0.05).

Conclusion

Atorvastatin treatment may have a therapeutic potential in the treatment of endometriosis through its anti-inflammatory and anti-nociceptive properties.
Literatur
1.
Zurück zum Zitat Vignali M, Infantino M, Matrone R, Chiodo I, Somigliana E, Busacca M, Viganò P (2002) Endometriosis: novel etiopathogenetic concepts and clinical perspectives. Fertil Steril 78(4):665–678PubMedCrossRef Vignali M, Infantino M, Matrone R, Chiodo I, Somigliana E, Busacca M, Viganò P (2002) Endometriosis: novel etiopathogenetic concepts and clinical perspectives. Fertil Steril 78(4):665–678PubMedCrossRef
3.
Zurück zum Zitat Matarese G, De Placido G, Nikas Y, Alviggi C (2003) Pathogenesis of endometriosis: natural immunity dysfunction or autoimmune disease? Trends Mol Med 9(5):223–228PubMedCrossRef Matarese G, De Placido G, Nikas Y, Alviggi C (2003) Pathogenesis of endometriosis: natural immunity dysfunction or autoimmune disease? Trends Mol Med 9(5):223–228PubMedCrossRef
4.
Zurück zum Zitat Olivares C, Bilotas M, Buquet R, Borghi M, Sueldo C, Tesone M, Meresman G (2008) Effects of a selective cyclooxygenase-2 inhibitor on endometrial epithelial cells from patients with endometriosis. Hum Reprod 23(12):2701–2708. doi:10.1093/humrep/den315 PubMedCrossRef Olivares C, Bilotas M, Buquet R, Borghi M, Sueldo C, Tesone M, Meresman G (2008) Effects of a selective cyclooxygenase-2 inhibitor on endometrial epithelial cells from patients with endometriosis. Hum Reprod 23(12):2701–2708. doi:10.​1093/​humrep/​den315 PubMedCrossRef
5.
6.
Zurück zum Zitat Agic A, Xu H, Finas D, Banz C, Diedrich K, Hornung D (2006) Is endometriosis associated with systemic subclinical inflammation? Gynecol Obstet Invest 62(3):139–147PubMedCrossRef Agic A, Xu H, Finas D, Banz C, Diedrich K, Hornung D (2006) Is endometriosis associated with systemic subclinical inflammation? Gynecol Obstet Invest 62(3):139–147PubMedCrossRef
7.
Zurück zum Zitat Kappou D, Matalliotakis M, Matalliotakis I (2010) Medical treatments for endometriosis. Minerva Ginecol 62(5):415–432PubMed Kappou D, Matalliotakis M, Matalliotakis I (2010) Medical treatments for endometriosis. Minerva Ginecol 62(5):415–432PubMed
9.
Zurück zum Zitat Wang F, He YL, Peng DX, Liu MB (2005) Expressions of nuclear factor-kappaB and intercellular adhesion molecule-1 in endometriosis. Di Yi Jun Yi Da Xue Xue Bao 25:703–705PubMed Wang F, He YL, Peng DX, Liu MB (2005) Expressions of nuclear factor-kappaB and intercellular adhesion molecule-1 in endometriosis. Di Yi Jun Yi Da Xue Xue Bao 25:703–705PubMed
10.
Zurück zum Zitat Clearfield M, Whitney EJ, Weis S, Downs JR, Shapiro DR, Stein EA, Watson DJ, Langendörfer A, Beere PA, Stamler J, Gotto AM Jr (1998) Primary prevention of acute coronary events with lovastatin in men and women with average cholesterol levels: results of AFCAPS/TexCAPS. Air Force/Texas Coronary Atherosclerosis Prevention Study. JAMA 279:1615–1622PubMedCrossRef Clearfield M, Whitney EJ, Weis S, Downs JR, Shapiro DR, Stein EA, Watson DJ, Langendörfer A, Beere PA, Stamler J, Gotto AM Jr (1998) Primary prevention of acute coronary events with lovastatin in men and women with average cholesterol levels: results of AFCAPS/TexCAPS. Air Force/Texas Coronary Atherosclerosis Prevention Study. JAMA 279:1615–1622PubMedCrossRef
11.
Zurück zum Zitat Ghaisas MM, Dandawate PR, Zawar SA, Ahire YS, Gandhi SP (2010) Antioxidant, antinociceptive and anti-inflammatory activities of atorvastatin and rosuvastatin in various experimental models. Inflammopharmacology 18(4):169–177. doi:10.1007/s10787-010-0044-6 PubMedCrossRef Ghaisas MM, Dandawate PR, Zawar SA, Ahire YS, Gandhi SP (2010) Antioxidant, antinociceptive and anti-inflammatory activities of atorvastatin and rosuvastatin in various experimental models. Inflammopharmacology 18(4):169–177. doi:10.​1007/​s10787-010-0044-6 PubMedCrossRef
12.
13.
Zurück zum Zitat Schönbeck U, Libby P (2004) Inflammation, immunity, and HMGCoA reductase inhibitors: statins as antiinflammatory agents? Circulation 109:8–26CrossRef Schönbeck U, Libby P (2004) Inflammation, immunity, and HMGCoA reductase inhibitors: statins as antiinflammatory agents? Circulation 109:8–26CrossRef
15.
Zurück zum Zitat Hogue JC, Lamarche B, Tremblay AJ, Bergeron J, Gagne C, Couture P (2008) Differential effect of atorvastatin and fenofibrate on plasma oxidized low-density lipoprotein, inflammation markers, and cell adhesion molecules in patients with type 2 diabetes mellitus. Metabolism 57:380–386. doi:10.1016/j.metabol.2007.10.014 PubMedCrossRef Hogue JC, Lamarche B, Tremblay AJ, Bergeron J, Gagne C, Couture P (2008) Differential effect of atorvastatin and fenofibrate on plasma oxidized low-density lipoprotein, inflammation markers, and cell adhesion molecules in patients with type 2 diabetes mellitus. Metabolism 57:380–386. doi:10.​1016/​j.​metabol.​2007.​10.​014 PubMedCrossRef
16.
Zurück zum Zitat Gross GH (1977) A technique for sustained synchronization of hamster estrous cycles by hormonal means. Horm Behav 9:23–31PubMedCrossRef Gross GH (1977) A technique for sustained synchronization of hamster estrous cycles by hormonal means. Horm Behav 9:23–31PubMedCrossRef
17.
Zurück zum Zitat Vernon MW, Wilson EA (1985) Studies on the surgical induction of endometriosis in the rat. Fertil Steril 44:684–694PubMed Vernon MW, Wilson EA (1985) Studies on the surgical induction of endometriosis in the rat. Fertil Steril 44:684–694PubMed
18.
Zurück zum Zitat Birnbaum Y, Lin Y, Ye Y, Merla R, Perez-Polo JR, Uretsky BF (2008) Pretreatment with high-dose statin, but not low-dose statin, ezetimibe, or the combination of low-dose statin and ezetimibe, limits infarct size in the rat. J Cardiovasc Pharmacol Ther 13(1):72–79. doi:10.1177/1074248407312839 PubMedCrossRef Birnbaum Y, Lin Y, Ye Y, Merla R, Perez-Polo JR, Uretsky BF (2008) Pretreatment with high-dose statin, but not low-dose statin, ezetimibe, or the combination of low-dose statin and ezetimibe, limits infarct size in the rat. J Cardiovasc Pharmacol Ther 13(1):72–79. doi:10.​1177/​1074248407312839​ PubMedCrossRef
19.
Zurück zum Zitat Dogan E, Saygili U, Posaci C, Tuna B, Caliskan S, Altunyurt S, Saatli B (2004) Regression of endometrial explants in rats treated with the cyclooxygenase-2 inhibitor rofecoxib. Fertil Steril 82(Suppl 3):1115–1120PubMedCrossRef Dogan E, Saygili U, Posaci C, Tuna B, Caliskan S, Altunyurt S, Saatli B (2004) Regression of endometrial explants in rats treated with the cyclooxygenase-2 inhibitor rofecoxib. Fertil Steril 82(Suppl 3):1115–1120PubMedCrossRef
20.
Zurück zum Zitat Porreca F, Mosberg HI, Hurst R, Hruby VJ, Burks TF (1984) Roles of mu, delta and kappa opioid receptors in spinal and supraspinal mediation of gastrointestinal transit effects and hot-plate analgesia in the mouse. J Pharmacol Exp Ther 230(2):341–348PubMed Porreca F, Mosberg HI, Hurst R, Hruby VJ, Burks TF (1984) Roles of mu, delta and kappa opioid receptors in spinal and supraspinal mediation of gastrointestinal transit effects and hot-plate analgesia in the mouse. J Pharmacol Exp Ther 230(2):341–348PubMed
21.
Zurück zum Zitat Forster MJ, Lal H (1999) Estimating age-related changes in psychomotor function: influence of practice and of level of caloric intake in different genotypes. Neurobiol Aging 20(2):167–176PubMedCrossRef Forster MJ, Lal H (1999) Estimating age-related changes in psychomotor function: influence of practice and of level of caloric intake in different genotypes. Neurobiol Aging 20(2):167–176PubMedCrossRef
22.
Zurück zum Zitat Yucel A, Aydogan MS, Parlakpinar H, Erdogan MA, Kurt A, Ucar M, Durmus M (2012) Effects of propofol and dexmedetomidine on motor coordination and analgesia: a comparative analysis. Int J Clin Pharmacol Ther 50(9):678–682. doi:10.5414/CP201696 PubMedCrossRef Yucel A, Aydogan MS, Parlakpinar H, Erdogan MA, Kurt A, Ucar M, Durmus M (2012) Effects of propofol and dexmedetomidine on motor coordination and analgesia: a comparative analysis. Int J Clin Pharmacol Ther 50(9):678–682. doi:10.​5414/​CP201696 PubMedCrossRef
23.
Zurück zum Zitat Simsek Y, Celik O, Karaer A, Gul M, Yılmaz E, Koc O, Colak C, Zengin S, Aydin NE (2012) Therapeutic efficiency of Atosiban, an oxytocin receptor blocking agent in the treatment of experimental endometriosis. Arch Gynecol Obstet 286(3):777–783. doi:10.1007/s00404-012-2390-7 PubMedCrossRef Simsek Y, Celik O, Karaer A, Gul M, Yılmaz E, Koc O, Colak C, Zengin S, Aydin NE (2012) Therapeutic efficiency of Atosiban, an oxytocin receptor blocking agent in the treatment of experimental endometriosis. Arch Gynecol Obstet 286(3):777–783. doi:10.​1007/​s00404-012-2390-7 PubMedCrossRef
24.
Zurück zum Zitat Kianpour M, Nematbakhsh M, Ahmadi SM (2012) C-reactive protein of serum and peritoneal fluid in endometriosis. Iran J Nurs Midwifery Res 17(2 Suppl 1):S115–S119PubMedPubMedCentral Kianpour M, Nematbakhsh M, Ahmadi SM (2012) C-reactive protein of serum and peritoneal fluid in endometriosis. Iran J Nurs Midwifery Res 17(2 Suppl 1):S115–S119PubMedPubMedCentral
25.
Zurück zum Zitat Lermann J, Mueller A, Körber F, Oppelt P, Beckmann MW, Dittrich R, Renner SP (2010) Evaluation of high-sensitivity C-reactive protein in comparison with C-reactive protein as biochemical serum markers in women with endometriosis. Fertil Steril. 93(7):21–2129. doi:10.1016/j.fertnstert.2009.01.072 Lermann J, Mueller A, Körber F, Oppelt P, Beckmann MW, Dittrich R, Renner SP (2010) Evaluation of high-sensitivity C-reactive protein in comparison with C-reactive protein as biochemical serum markers in women with endometriosis. Fertil Steril. 93(7):21–2129. doi:10.​1016/​j.​fertnstert.​2009.​01.​072
26.
Zurück zum Zitat Xavier P, Belo L, Beires J, Rebelo I, Martinez-de-Oliveira J, Lunet N, Barros H (2006) Serum levels of VEGF and TNF-alpha and their association with C-reactive protein in patients with endometriosis. Arch Gynecol Obstet 273(4):227–231PubMedCrossRef Xavier P, Belo L, Beires J, Rebelo I, Martinez-de-Oliveira J, Lunet N, Barros H (2006) Serum levels of VEGF and TNF-alpha and their association with C-reactive protein in patients with endometriosis. Arch Gynecol Obstet 273(4):227–231PubMedCrossRef
27.
Zurück zum Zitat Jialal I, Devaraj S, Venugopal SK (2004) C-reactive protein: risk marker or mediator in atherothrombosis? Hypertension 44:6–11PubMedCrossRef Jialal I, Devaraj S, Venugopal SK (2004) C-reactive protein: risk marker or mediator in atherothrombosis? Hypertension 44:6–11PubMedCrossRef
28.
29.
Zurück zum Zitat Lee GH, Choi YM, Kim SH, Hong MA, Oh ST, Lim YT, Moon SY (2008) Association of tumor necrosis factor-{alpha} gene polymorphisms with advanced stage endometriosis. Hum Reprod 23(4):977–981. doi:10.1093/humrep/den016 PubMedCrossRef Lee GH, Choi YM, Kim SH, Hong MA, Oh ST, Lim YT, Moon SY (2008) Association of tumor necrosis factor-{alpha} gene polymorphisms with advanced stage endometriosis. Hum Reprod 23(4):977–981. doi:10.​1093/​humrep/​den016 PubMedCrossRef
30.
Zurück zum Zitat Eisermann J, Gast MJ, Pineda J, Odem RR, Collins JL (1988) Tumor necrosis factor in peritoneal fluid of women undergoing laparoscopic surgery. Fertil Steril 50(4):573–579PubMed Eisermann J, Gast MJ, Pineda J, Odem RR, Collins JL (1988) Tumor necrosis factor in peritoneal fluid of women undergoing laparoscopic surgery. Fertil Steril 50(4):573–579PubMed
31.
Zurück zum Zitat Iwabe T, Harada T, Terakawa N (2002) Role of cytokines in endometriosis-associated infertility. Gynecol Obstet Invest 53(Suppl 1):19–25PubMedCrossRef Iwabe T, Harada T, Terakawa N (2002) Role of cytokines in endometriosis-associated infertility. Gynecol Obstet Invest 53(Suppl 1):19–25PubMedCrossRef
32.
Zurück zum Zitat Oktem M, Esinler I, Eroglu D, Haberal N, Bayraktar N, Zeyneloglu HB (2007) High-dose atorvastatin causes regression of endometriotic implants: a rat model. Hum Reprod 22(5):1474–1480PubMedCrossRef Oktem M, Esinler I, Eroglu D, Haberal N, Bayraktar N, Zeyneloglu HB (2007) High-dose atorvastatin causes regression of endometriotic implants: a rat model. Hum Reprod 22(5):1474–1480PubMedCrossRef
35.
Zurück zum Zitat Santodomingo-Garzón T, Cunha TM, Verri WA Jr, Valério DA, Parada CA, Poole S, Ferreira SH, Cunha FQ (2006) Atorvastatin inhibits inflammatory hypernociception. Br J Pharmacol 149(1):14–22PubMedCrossRefPubMedCentral Santodomingo-Garzón T, Cunha TM, Verri WA Jr, Valério DA, Parada CA, Poole S, Ferreira SH, Cunha FQ (2006) Atorvastatin inhibits inflammatory hypernociception. Br J Pharmacol 149(1):14–22PubMedCrossRefPubMedCentral
Metadaten
Titel
Atorvastatin exerts anti-nociceptive activity and decreases serum levels of high-sensitivity C-reactive protein and tumor necrosis factor-α in a rat endometriosis model
verfasst von
Yavuz Simsek
Mehmet Gul
Ercan Yilmaz
Ibrahim Halil Ozerol
Elif Ozerol
Hakan Parlakpinar
Publikationsdatum
01.11.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 5/2014
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-014-3295-4

Weitere Artikel der Ausgabe 5/2014

Archives of Gynecology and Obstetrics 5/2014 Zur Ausgabe

Hirsutismus bei PCOS: Laser- und Lichttherapien helfen

26.04.2024 Hirsutismus Nachrichten

Laser- und Lichtbehandlungen können bei Frauen mit polyzystischem Ovarialsyndrom (PCOS) den übermäßigen Haarwuchs verringern und das Wohlbefinden verbessern – bei alleiniger Anwendung oder in Kombination mit Medikamenten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

22.04.2024 DGIM 2024 Kongressbericht

Durch die Häufung nach der COVID-19-Pandemie sind Infektionen mit dem Respiratorischen Synzytial-Virus (RSV) in den Fokus gerückt. Fachgesellschaften empfehlen eine Impfung inzwischen nicht nur für Säuglinge und Kleinkinder.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.