IMR Press / CEOG / Volume 39 / Issue 3 / pii/1630480837734-636850116

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
The effect of sorafenib in postoperative adhesion formation in a rat uterine horn model
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1 Department of Obstetrics and Gynecology , Cumhuriyet University, Sivas
2 Department of Pathology , Cumhuriyet University, Sivas
3 Department of Pharmacology, Cumhuriyet University, Sivas
4 Department of Medical Oncology, Cumhuriyet University, Sivas
5 Department of Physiology, Cumhuriyet University, Sivas
6 Department of Obstetrics and Gynecology, Erciyes University, Kayseri (Turkey)
Clin. Exp. Obstet. Gynecol. 2012, 39(3), 351–355;
Published: 10 September 2012
Abstract

Objective: Postoperative adhesions are a serious problem. In this study, we aimed to observe the effects of sorafenib in postoperative adhesions and, to examine the effects of sorafenib on tissue levels of vascular endothelial growth factor (VEGF) and plateletderived growth factor (PDGF). Material and Methods: Twenty female Wistar albino rats were randomized into two equal groups; sorafenib group (sorafenib treated) and control group; then all rats underwent laparotomy. Adhesions were developed by scalping on the anti-mesenteric surfaces of the right uterine horns. After 14 days, adhesions were investigated by using macroscopic, histopathological and immunohistochemical (for VEGF and PDGF) methods. Results: The sorafenib group had lower scores of total adhesions [1 (0-2.5) vs 1.5 (1-4); p: 0.037], staining of VEGF [1 (0-1) vs 1 (1-3); p: 0.029] and PDGF [1 (0-2) vs 2 (1-3); p: 0.006], and vascular proliferation [1 (0-2) vs 2 (1-3); p: 0.038] than the control group. Conclusion: The findings of the present study show that sorafenib, a tyrosine kinase inhibitor, significantly reduced postoperative adhesion formation. This effect may be explained by inhibition of VEGF, PDGF, and thus vascular proliferation.
Keywords
Rat
Uterus
Adhesion
Sorafenib
VEGF
PDGF
Angiogenesis
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