Protective effects of enoxaparin treatment against uterus ischemia/ reperfusion injury in rats


Lafci D., Yaranoglu M. H., ALTUN E., GÜLER E. M., Usta C. S.

Acta Cirurgica Brasileira, cilt.40, 2025 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 40
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1590/acb407225
  • Dergi Adı: Acta Cirurgica Brasileira
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals
  • Anahtar Kelimeler: Enoxaparin, Ischemia, Reperfusion Injury, Uterus, Oxidative Stress
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Purpose: This study analyzed the protective effects of enoxaparin in rat uteruses by exposing the uterus to experimental ischemia-reperfusion injury. Methods: Thirty female rats were homogenized by weight and cycle and divided into three groups: a control group, an ischemia-reperfusion (I/R) group, and an ischemia-reperfusion plus enoxaparin (I/R+E) group. An experimental uterine I/R model was established in the I/R and I/R+E groups. Unlike I/R group, all rats in the I/R+E group received subcutaneous enoxaparin at 0.5 mg/kg 2 hours before ischemia. In histopathological analysis, endometrial glandular and endo/myometrial stromal changes were scored according to the histopathological scoring system. Biochemically, catalase (CAT), superoxide dismutase (SOD) enzyme activities, and malondialdehyde (MDA) levels were measured in uterine tissues. Results: In histopathological analysis, all of the control group’s scores were lower than those of the other groups, except for necrosis (p < 0.05). There was no significant improvement in the glandular and stromal changes between I/R and I/R+E (p > 0.05). However, the I/R+E group showed significantly increased SOD and CAT activities and decreased MDA levels compared to the I/R group (p = 0.000). Conclusion: Although enoxaparin did not significantly improve histopathological injury, its potent antioxidant effects suggest a protective role against oxidative stress in uterine I/R injury.