Wpływ ochronny antagonisty receptora interleukiny 1 w modelu przewlekłego zakrzepowo-zatorowego nadciśnienia płucnego

ORYGINALNY ARTYKUŁ

Wpływ ochronny antagonisty receptora interleukiny 1 w modelu przewlekłego zakrzepowo-zatorowego nadciśnienia płucnego

Serdar Kalemci 1 , Arife Zeybek 2 , Serap Cilaker Mıcılı 3 , Aydın Sarıhan 4 , Meryem Çalışır 5 , Abdullah Şimşek 6 , Fatih Akın 7 , Alperen İhtiyar 8 , Osman Yılmaz 5

1. Gebze Medical Park Hospital, Department of Chest Illnesses, Gebze, İzmit, Turkey
2. Muğla Sıtkı Koçman University, Faculty of Medicine, Department of Chest Surgery, Muğla, Turkey
3. Dokuz Eylül University, School of Medicine, Department of Histology, Izmir, Turkey
4. Manisa State Hospital, Emergency Medicine, Manisa, Turkey
5. Dokuz Eylül University, School of Medicine, Clinical Animals Multidisciplinary Laboratory, Izmir, Turkey
6. Bursa Chest Disease Hospital, Department of Chest Diseases, Bursa, Turkey
7. Mugla Sitki Kocman University, Faculty of Medicine, Departmant of Cardiology, Mugla, Turkey
8. Izmir Katip Celebi University, Department of Clinical Biochemistry İzmir, Turkey

Opublikowany: 2019-12-31
DOI: 10.5604/01.3001.0013.7878
GICID: 01.3001.0013.7878
Dostępne wersje językowe: pl en
Wydanie: Postepy Hig Med Dosw 2019; 73 : 944-950

 

Abstrakt

Chronic thromboembolic pulmonary hypertension (CTEPH) is one of the main reasons of severe pulmonary hypertension and has significantly higher morbidity and mortality rates. The pathogenesis of the disease is characterized by the incomplete resolution of acute embolisms. The elevated inflammatory conditions after the acute embolism are one of the critical factors. Therefore, we aimed to investigate whether or not anakinra is an option for treating CTEPH in an animal model. We studied twenty-one rats in this study They were randomly divided into three groups containing seven animals: the control group: saline-treated control; the embolism group: CTEPH + normal saline; the anakinra group: CTEPH + anakinra. We have observed that the layers of the segmental arteries and the alveolar were normal in the control group. In the cardiac tissue it was observed that muscular tissues and connective tissue were normal in the right ventricle. In embolism group, we detected a widening of the alveolar septum, a surrounding the alveolar infiltrates and a thickening of the segmental arteries in the muscular layer and a hypertrophy in the right ventricle tissues. We have determined that the lung and cardiac tissue specimens in the anakinra group are similar to control group. We have showed that anakinra was useful option for the CTEPH model in rats. Anakinra may be considered as protective effect and the regression of the increased inflammation in CTEPH. The effectiveness of anakinra will continue to be subject to the further experimental and clinical studies.

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