The Role of Ankaferd Blood Stopper and Oxytocin as Potential Therapeutic Agents in Endometriosis: A Rat Model

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Oxytocin significantly reduced endometriotic explant volume, epithelial scores, and inflammatory markers in rats, whereas Ankaferd Blood Stopper showed only palliative effects.

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This paper evaluated Ankaferd Blood Stopper (ABS) and oxytocin (OT) as potential therapeutic agents in 18 female Sprague Dawley rats with surgically induced peritoneal endometriosis, comparing weekly intramuscular OT (80 U/kg/day) or intraperitoneal ABS (1.5 mL/kg/day) versus isotonic NaCl for four weeks. Researchers measured endometriotic explant volumes and histopathology scores, assessed apoptosis in lesions by TUNEL immunohistochemistry, and quantified plasma/peritoneal fluid levels of VEGF, MCP-1, and TNF-α. OT significantly reduced explant volumes, decreased epithelial scores, increased apoptotic changes, and reduced VEGF, MCP-1, and TNF-α, whereas ABS produced no significant changes in these protein levels and appeared to affect endpoints through different mechanisms. The study’s main limitation is its small, preclinical rat explant model, which may not directly translate to human disease mechanisms or therapeutic efficacy. This paper is centrally about endometriosis—using a rat model to test OT versus Ankaferd Blood Stopper on lesion regression and inflammatory/angiogenic biomarkers.

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Abstract

To evaluate the potential effect of Ankaferd Blood Stopper (ABS) and oxytocin (OT) in an experimental endometriosis model, 18 female Sprague Dawley rats were used in this study. The animals were divided randomly into three groups after surgical induction of endometriosis: group 1: control group (isotonic NaCl, 1 mL/kg/day, intramuscular, n=6); group 2: OT group (OT, 80 U/kg/day, intramuscular, n=6); group 3: ABS group (ABS, 1.5 mL/kg/day, intraperitoneal, n=6). Each group was treated for four weeks (two times per week). Volumes of endometriotic explants were measured in biopsy samples for histopathological analysis. Vascular endothelial growth factor (VEGF), monocyte chemotactic protein-1 (MCP-1), and tumour necrosis factor (TNF-α) levels were measured in plasma and peritoneal fluid. Endometriotic explant volumes were significantly decreased after OT administration (P<0.0001). The epithelial score was significantly decreased in both treatment groups compared to the control group (P<0.05). TUNEL immunohistochemistry showed more apoptotic changes in the endometriosis foci (gland epithelium and surrounding tissue) in the OT group than in the control group (P<0.05). The levels of VEGF, MCP-1, and TNF-α were significantly reduced in the OT group (P<0.05), whereas no significant changes in protein levels were found in the ABS-applied group. The results indicate that OT has greater potential as a therapeutic agent in experimentally induced peritoneal endometriosis, where ABS, which is a VEGF modulator, appears to act through different mechanisms to show its palliative effects on a rat model of peritoneal endometriosis.
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Summary To evaluate the potential effect of Ankaferd Blood Stopper (ABS) and oxytocin (OT) in an experimental endometriosis model, 18 female Sprague Dawley rats were used in this study. The animals were divided randomly into three groups after surgical induction of endometriosis: group 1: control group (isotonic NaCl, 1 mL/kg/day, intramuscular, n=6); group 2: OT group (OT, 80 U/kg/day, intramuscular, n=6); group 3: ABS group (ABS, 1.5 mL/kg/day, intraperitoneal, n=6). Each group was treated for four weeks (two times per week). Volumes of endometriotic explants were measured in biopsy samples for histopathological analysis. Vascular endothelial growth factor (VEGF), monocyte chemotactic protein-1 (MCP-1), and tumour necrosis factor (TNF-α) levels were measured in plasma and peritoneal fluid. Endometriotic explant volumes were significantly decreased after OT administration (P<0.0001). The epithelial score was significantly decreased in both treatment groups compared to the control group (P<0.05). TUNEL immunohistochemistry showed more apoptotic changes in the endometriosis foci (gland epithelium and surrounding tissue) in the OT group than in the control group (P<0.05). The levels of VEGF, MCP-1, and TNF-α were significantly reduced in the OT group (P<0.05), whereas no significant changes in protein levels were found in the ABS-applied group. The results indicate that OT has greater potential as a therapeutic agent in experimentally induced peritoneal endometriosis, where ABS, which is a VEGF modulator, appears to act through different mechanisms to show its palliative effects on a rat model of peritoneal endometriosis. Similar content being viewed by others References Bulun SE. Endometriosis. N Engl J Med, 2009,360(3): 268–279 Sampson JA. Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity. 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Chronic Stress (Thousand Oaks), 2017,1 Garrido-Urbani S, Deblon N, Poher AL, et al. Inhibitory role of oxytocin on TNF-α expression assessed in vitro and in vivo. Diabetes Metab, 2018,44(3):292–295 Ahmed MA, Elosaily GM. Role of Oxytocin in deceleration of early atherosclerotic inflammatory processes in adult male rats. Int J Clin Exp Med, 2011, 4(3):169–178 Author information Authors and Affiliations Corresponding author Ethics declarations The authors declare that they have no competing interests. Additional information This study was supported by Ege University School of Medicine-Research Funds, Izmir, Turkey (No. 2011-TIP-090). Rights and permissions About this article Cite this article Hortu, I., Ozceltik, G., Karadadas, E. et al. The Role of Ankaferd Blood Stopper and Oxytocin as Potential Therapeutic Agents in Endometriosis: A Rat Model. CURR MED SCI 40, 556–562 (2020). https://doi.org/10.1007/s11596-020-2213-1 Received: Revised: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s11596-020-2213-1

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Oxytocin Plant Extracts Animals Chemokine CCL2 Chemokine CCL2 Disease Models, Animal Endometriosis Endometriosis Female Oxytocin Plant Extracts Rats Rats, Sprague-Dawley Tumor Necrosis Factor-alpha Tumor Necrosis Factor-alpha Vascular Endothelial Growth Factor A Vascular Endothelial Growth Factor A

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