IMR Press / CEOG / Volume 50 / Issue 11 / DOI: 10.31083/j.ceog5011240
Open Access Original Research
Protective Effect of Ursodeoxycholic Acid in Experimental Endometriosis Induced Rat Model
Show Less
1 Now with Department of Obstetrics and Gynecology, Cyprus Health and Social Sciences University Faculty of Medicine, 99700 Guzelyurt, North Cyprus
2 Department of Obstetrics and Gynecology, Ankara IVF (In vitro fertilization) Center, 06135 Ankara, Turkey
3 Department of Obstetrics and Gynecology, Kütahya Dumlupinar University, 43100 Kütahya, Turkey
4 Department of Obstetrics and Gynecology, Marmara University Faculty of Medicine, 34000 Istanbul, Turkey
5 Now with Department of Obstetrics and Gynecology, Gaziantep Medical Point Hospital, 27050 Gaziantep, Turkey
6 Department of Obstetrics and Gynecology, Kahramanmaraş Sutcu Imam University Faculty of Medicine, 06135 Kahramanmaras, Turkey
7 Department of Pathology, Kütahya Health Sciences University, 43100 Kütahya, Turkey
*Correspondence: dr.ugurkanerkayiran@gmail.com (Uğurkan Erkayiran)
Clin. Exp. Obstet. Gynecol. 2023, 50(11), 240; https://doi.org/10.31083/j.ceog5011240
Submitted: 17 January 2023 | Revised: 2 April 2023 | Accepted: 10 April 2023 | Published: 22 November 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Considering the presence of an inflammatory process in the pathogenesis of endometriosis, anti-inflammatory agents could be an alternative option. The study aimed to elucidate the curative efficacy of Ursodeoxycholic acid (UDCA) on the experimental rat model of endometriosis. Methods: This experimental research included a total of 60 mature female Wistar albino rats (250 ± 50 g) with no pregnancy. They were grouped as Standard (n: 20), Laparoscopic Pretreatment (n: 10), Laparoscopic Posttreatment (Sham) (n: 10), UDCA-Pretreatment (n: 10) and UDCA-Posttreatment (n: 10). Transforming growth factor β1 (TGF-β1), matrix metallo-proteinases-2 (MMP-2), Tissue inhibitor of metalloproteinase-1 (TIMP-1), Tumor necrosis factor-α (TNF-α) were analyzed. Results: In the UDCA post-treatment group, endometriotic focal volume (43.3 ± 24.04 mm3) was lower than the pre-treatment values (165.7 ± 21.7 mm3) (p = 0.005). There was no significant change UDCA group before and after the treatment in terms of MMP-2, TGF-β1, TIMP-1 and TNF-α levels (p > 0.05). Comparing the posttreatment values of the Sham srugery group and the UDCA group, while the endometriotic focal volume was 251 ± 51 mm3 in the Sham group, it decreased to 43.3 ± 24 mm3 in the UDCA (p < 0.0001). Histological scoring decreased from 2.6 ± 0.51 to 1 ± 0.81 after the treatment (p = 0.001). Conclusions: The pre-treatment laparotomy group exhibited elevated TNF-α levels, indicating an inflammatory response. UDCA treatment reduced endometriotic focal volume and histological scoring, indicating a potential therapeutic benefit.

Keywords
endometriosis
ursodeoxycholic acid
metalloproteinase
tumor necrosis factor-α
Figures
Fig. 1.
Share
Back to top