Is Enoxaparin Sodium Exactly Safe For Subcutaneous Fibroblast?: A Cell Culture Study

Year 2021, Volume: 5 Issue: 1, 18 - 23, 23.04.2021

Emre Kubat , Aylin Gürpınar , Gökşen Ertuğrul Hakan Işık Duru Karasoy , Mehmet Ali Onur

https://doi.org/10.30565/medalanya.822679

Cited By: 2

Abstract

Aim: Despite relatively low amount in the subcutaneous tissue, fibroblasts play a critical role in the continuity of intercellular connections, maintenance of tissue integrity, and forming a balanced fascial network. Enoxaparin sodium is widely used in the prophylaxis and treatment of deep vein thrombosis. In the present study, we aimed to examine the cytotoxic and apoptotic effects of enoxaparin sodium on fibroblast cells in an in vitro model.

Material and Methods: In a mouse model, L929 fibroblast cells were treated with enoxaparin sodium 4000 IU, 2000 IU, 1000 IU, 500 IU, and 250 IU. At 48 hours, cell morphology was evaluated; cell viability was analyzed through methylthiazole tetrazolium assay and apoptosis was assessed by propidium iodide/ acridine orange staining.

Results: The test results showed that high doses (4000 IU, 2000 IU) exerted cytotoxic effects and induced apoptotic morphology. Compared to the control group, there was no significant difference in the cell viability in Dilutions III, IV, and V.

Conclusion: Based on our results, despite prophylactic dose in the in vitro setting, high-dose enoxaparin showed cytotoxic and apoptotic effects. Long-term high-dose enoxaparin sodium may affect the number of subcutaneous fibroblasts, impairing the skin integrity and subcutaneous tissue healing

Keywords

Enoxaparin sodium, cytotoxicity, apoptosis, skin, fibroblast

Enoksaparin sodyum subkutan fibroblast için tam olarak güvenli midir?: Bir hücre kültürü çalışması

Abstract

Amaç: Fibroblastlar, subkutan dokuda nispeten düşük miktarlara rağmen, hücreler arası bağlantıların sürekliliğinde, doku bütünlüğünün korunmasında ve dengeli bir fasiyal ağ oluşturmada kritik bir rol oynarlar. Enoksaparin sodyum, derin ven trombozunun profilaksisinde ve tedavisinde yaygın olarak kullanılmaktadır. Bu çalışmada, enoksaparin sodyumun fibroblast hücreleri üzerindeki sitotoksik ve apoptotik etkilerini in vitro bir modelde incelemeyi amaçladık.

Materyal ve metod: Bir fare modelinde, L929 fibroblast hücreleri enoksaparin sodyum 4000 IU, 2000 IU, 1000 IU, 500 IU ve 250 IU ile işleme tabi tutuldu. 48 saatte hücre morfolojisi değerlendirildi; hücre canlılığı metiltiyazol tetrazolyum deneyi ile analiz edildi ve apoptoz propidyum iyodür / akridin turuncu boyama ile değerlendirildi.

Bulgular: Test sonuçları, yüksek dozların (4000 IU, 2000 IU) sitotoksik etkiler yarattığını ve apoptotik morfolojiyi uyardığını gösterdi. Kontrol grubu ile karşılaştırıldığında, Dilüsyon III, IV ve V'de hücre canlılığında istatistiksel açıdan anlamlı bir fark bulunmadı.

Sonuç: Sonuçlarımıza göre, in vitro ortamda profilaktik doza rağmen, yüksek doz enoksaparin sitotoksik ve apoptotik etkiler göstermiştir. Uzun süreli yüksek doz enoksaparin sodyum, deri altı fibroblastların sayısını etkileyerek deri bütünlüğünü ve deri altı doku iyileşmesini bozabilir.

Keywords

Enoksaparin sodyum, sitotoksisite, apoptoz, deri, fibroblast

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