The protective effects of adalimumab on intestinal injury induced with infrarenal aortic occlusion

Ulus Travma Acil Cerrahi Derg. 2020 May;26(3):366-372. doi: 10.14744/tjtes.2019.59607.

Abstract

Background: The present study aims to observe the effects of ischemia-reperfusion (IR) on small intestines at a molecular level and to prospectively assess the potential preventive role of adalimumab (ADA) and antioxidants.

Methods: A total of 24 male Sprague-Dawley rats were randomly divided into three groups-a control group, an IR group and an IR+ADA group.

Results: Although there was no change in SOD levels in the small bowel tissue of the IR group, we observed increased malondialdehyde (MDA) levels and increased numerical density of caspase-3 and TNF-α positive enterocytes p=0.00 and p=0.00, respectively). We also observed that IR caused the degeneration of villus crypt structures.

Conclusion: We found that ADA treatment reduced MDA levels and decreased the numerical density of caspase-3 and TNF-α positive enterocytes compared to the IR group (p=0.00; p=0.011; p=0.00, respectively). We conclude that ADA can be beneficial in preventing intestinal injury that arises from IR.

MeSH terms

  • Adalimumab / therapeutic use*
  • Animals
  • Aortic Diseases / complications*
  • Intestinal Diseases* / complications
  • Intestinal Diseases* / drug therapy
  • Intestines / injuries
  • Protective Agents / therapeutic use*
  • Rats

Substances

  • Protective Agents
  • Adalimumab