Yıl: 2012 Cilt: 18 Sayı: 4 Sayfa Aralığı: 671 - 676 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study

Öz:
Günümüzde ağrının kontrol edilmesinin gerekliliği net olarak ortaya konulmuştur. Bu amaçla farklı ilaç grupları kullanılmaktadır, şu an için en yaygın kullanılan ilaç gruplarından birisi de steroid olmayan yangı önleyici ilaçlardır (NSAIDs). Prostaglandin-endoperoxide sentetaz ya da daha sık kullanılan adı ile siklooksijenaz enzimleri (COX) prostoglandin sentezinde anahtar rolü olan enzimlerdir. COX enzimleri üç alt grubu olan bir enzim grubudur ve her alt grup farklı yangı mediatörlerini baskılarlar. Bu enzimlerin farklı fonksiyonları vardır ve bazıları fizyolojik fonksiyonların devamı için gereklidir. Dolayısı ile kullanılacak NSAID ilacın kimi enzim gruplarını baskılarken kimi enzim gruplarının fonksiyonlarında değişim oluşturmaması istenir. Bu enzim gruplarından COX-1 olarak isimlendirilenler gastrointestinal sistem fonksiyonları ve mukozası ile, COX-2 grubu ise yangı ve ağrı ile ilişkilidir. İlaçların çoğu gibi NSAID ilaçların da bilinen yan etkilerine ilaveten olası yan etkileri de vardır. NSAID ilaçlarla ilgili yapılan çeşitli araştırmalarda, hem seçici etkisi olmayan geleneksel NSAID ilaçların hem de spesifik COX-2 inhibitörü ilaçların kemik iyileşmesi üzerinde inhibe edici etkileri rapor edilmiştir. Bu çalışmada 24 adet, Wistar ırkı, erişkin, erkek rat kullanılarak ketoprofen ve meloksikamın kırık iyileşmesi üzerine olan etkileri klinik gözlemler ve Dual Energy X-Ray Absorptiometry (DEXA) ölçümleri ile ortaya konulmaya çalışılmıştır. Elde edilen veriler meloksikamın kırık iyileşmesini bir ölçüde inhibe edebildiğini göstermektedir.
Anahtar Kelime: kemik teknikler kemik kırıkları modeller metodoloji sıçan ketoprofen ağrı (tıp) steroit olmayan antienflamatuar ajanlar iyileşme

Konular: Veterinerlik

Ketoprofen ve meloksikam’ın kemik iyileşmesi üzerine etkilerinin rat modelinde DEXA ölçümleri ile değerlendirilmesi

Öz:
Pain control is a common clinical approach in trauma and postoperative care especially complicated orthopedic surgeries to ease the deleterious effects of pain. Various kinds of pain killers have been used, and nowadays nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most commonly used drugs for pain control purposes. Prostaglandin-endoperoxide synthetase, also commonly called cyclooxygenase (COX), is one of the key enzymes in prostaglandin bio-synthesis. The COX enzymes have subgroups of enzymes, each of which suppresses different inflammatory mediators. These enzymes are involved in different functions, some of which are essential for continuity of physiological processes. Thus, NSAIDs are expected not to cause any change of functions of some enzymes while suppressing others. Among the COX enzymes, COX-1 is associated with gastrointestinal system functions and gastrointestinal mucosa while COX-2 is associated with inflammation and pain. Like most drugs, NSAIDs have known and possible side effects. In various studies related to NSAIDs, inhibitory effects of conventional NSAIDs with non-selective effects and specific COX-2 inhibitors on bone healing have been reported. In this study, the effects of ketoprofen and meloxicam on bone fracture healing induced in 24 adult male Wistar rats was studied by Dual Energy X-Ray Absorptiometry (DEXA). The results indicates that meloxicam inhibits the fracture healing to some degree.
Anahtar Kelime: methodology rats ketoprofen pain non-steroidal antiinflammatory agents healing bones techniques bone fractures models

Konular: Veterinerlik
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Mathews KA: Nonsteroidal anti-inflammatory analgesics in pain management in dogs and cats. Can Vet J, 37 (9): 539-545, 1996.
  • 2. Brock N: Treating moderate and severe pain in small animals. Can Vet J, 36 (10): 658-660, 1995.
  • 3. Lees P, May SA, McKellar QA: Pharmacology and therapeutics of non-steroidal antiinflammatory drugs in the dog and cat. First general pharmacology. J Small Anim Pract, 32, 183-193, 1991.
  • 4. Dahl V, Dybvik T, Steen T, Aune AK, Rosenlund EK, Raeder JC: Ibuprofen vs. acetaminophen vs. ibuprofen and acetaminophen after arthroscopically assisted anterior cruciate ligament reconstruction. Eur J Anaesthesiol 21, 471-475, 2004.
  • 5. Dahl V, Raeder JC, Drosdal S, Wathne O, Brynildsrud J: Prophylactic oral ibuprofen or ibuprofen-codeine versus placebo for postoperative pain after primary hip arthroplasty. Acta Anaesthesiol Scand, 39, 323-326, 1995.
  • 6. Fogarty DJ, O’Hanlon JJ, Milligan KR: Intramuscular ketorolac following total hip replacement with spinal anaesthesia and intrathecal morphine. Acta Anaesthesiol Scand 39, 191-194 1995.
  • 7. McLoughlin C, McKinney MS, Fee JP, Boules Z: Diclofenac for day-care arthroscopy surgery: comparison with a standard opioid therapy. Br J Anaesth 65, 620-623, 1990.
  • 8. O’Hara DA, Fragen RJ, Kinzer M, Pemberton D: Ketorolac tromethamine as compared with morphine sulfate for treatment of postoperative pain. Clin Pharmacol Ther, 41, 556-561, 1987.
  • 9. Xie WL, Chipman JG, Robertson DL, Erikson RL, Simmons DL: “Expression of a mitogen-responsive gene encoding prostaglandin synthase is regulated by mRNA splicing”. Proc Natl Acad Sci USA, 88 (7): 2692-2696 1991.
  • 10. Dubois RN, Abramson SB, Crofford L, Gupta RA, Simon LS, Van De Putte LB, Lipsky PE: Cyclooxygenase in biology and disease. Faseb J, 12, 1063-1073, 1998.
  • 11. Seibert K, Zhang Y, Leahy K, Hauser S, Masferrer J, Perkins W, Lee L, Isakson P: Pharmacological and biochemical demonstration of the role of cyclooxygenase 2 in inflammation and pain. Proc Natl Acad Sci USA, 91, 12013- 12017, 1994.
  • 12. Chandrasekharan NV, Dai H, Roos KL, Evanson NK, Tomsik J, Elton TS, Simmons DL: COX-3, a cyclooxygenase-1 variant inhibited by acetaminophen and other analgesic/antipyretic drugs. Proc Natl Acad Sci USA 99, 13926-13931, 2002.
  • 13. Hall FM, Davis MA, Baran DT: Bone mineral screening for osteoporosis. N Engl J Med, 316 (4): 212-214, 1987.
  • 14. Griffin MG, Kimble R, Hopper W, Pacifici R: Dual energy X-ray absorbsiometry of the rat: Accuracy precision and measurement of bone loss. J Bone Miner Res, 7, 795-800, 1993.
  • 15. Sievanen H, Kannus P, Jarvinen M: Precision of measurement by dual energy x-ray absorbsiometer of bone mineral density and content in rat hindlimb in vitro. J Bone Miner Res 4, 474-478, 1994.
  • 16. Aspenberg P: Avoid COX inhibitors after skeletal surgery. Acta Orthop Scand. 273, 489-490, 2002.
  • 17. Bergenstock M, Min W, Simon AM, Sabatino C, O’Connor JP: A comparison between the effects of acetaminophen and celecoxib on bone fracture healing in rats. J Orthop Trauma 19, 717-723, 2005.
  • 18. Dimmen S, Nordsletten L, Engebretsen L, Steen H, Madsen JE: Negative effect of parecoxib on bone mineral during fracture healing in rats. Acta Orthop, 79, 438-444, 2008.
  • 19. Zhang X, Schwarz EM, Young DA, Puzas JE, Rosier RN, O’Keefe RJ: Cyclooxygenase-2 regulates mesenchymal cell differentiation into the osteoblast lineage and is critically involved in bone repair. J Clin Invest 109, 1405-1415, 2002.
  • 20. Simon AM, Manigrasso MB, O’Connor JP: Cyclo-oxygenase 2 function is essential for bone fracture healing. J Bone Miner Res, 17, 963-976, 2002.
  • 21. Altman RD, Latta LL, Keer R, Renfree K, Hornicek FJ, Banovac K: Effect of nonsteroidal antiinflammatory drugs on fracture healing: A laboratory study in rats. J Orthop Trauma, 9, 392-400, 1995.
  • 22. Flecknell PA: Analgesia of small mammals. Vet Clin North Am: Exot Anim Pract, 4 (1): 47-56, 2001.
  • 23. Karasu Z: Stres ülseri ve tedavisi. Ege Tıp Dergisi, 40 (2): 127-130. 2001.
  • 24. Pekcan Z: Deney hayvanlarında anestezi, analjezi ve ötenazi yöntemleri. In, Bilgiç H, Karadağ M (Eds): Gögüs Hastalıklarında in-vivo ve in-vitro Araştırma Yöntemleri. pp. 129-154, AVES Yayıncılık. Fındıkzade İstanbul, 2011.
  • 25. Allen HL, Wase A, Bear W: Indomethacin and aspirin: effect of nonsteroidal anti-inflammatory agents on the rate of fracture repair in the rat. Acta Orthop Scand, 51, 595-600, 1980.
  • 26. Altman RD, Latta LL, Keer R, Renfree K, Hornicek FJ, Banovac K: Effect of nonsteroidal antiinflammatory drugs on fracture healing: A laboratory study in rats. J Orthop Trauma, 9, 392-400, 1995.
  • 27. Engesaeter LB, Sudmann B, Sudmann E: Fracture healing in rats inhibited by locally administered indomethacin. Acta Orthop Scand, 63, 330-333, 1992.
  • 28. Hogevold HE, Grogaard B, Reikeras O: Effects of short-term treatment with corticosteroids and indomethacin on bone healing. A mechanical study of osteotomies in rats. Acta Orthop Scand, 63, 607-611, 1992.
  • 29. Keller J, Bunger C, Andreassen TT, Bak B, Lucht U: Bone repair inhibited by indomethacin. Effects on bone metabolism and strength of rabbit osteotomies. Acta Orthop Scand, 58, 379-383, 1987.
  • 30. Reikeraas O, Engebretsen L: Effects of ketoralac tromethamine and indomethacin on primary and secondary bone healing. An experimental study in rats. Arch Orthop Trauma Surg, 1
  • 31. RØ J, Sudmann E, Marton PF: Effect of indomethacin on fracture healing in rats. Acta Orthop Scand, 47, 588-599, 1976.
  • 32. Sudmann E, Dregelid E, Bessesen A, Morland J: Inhibition of fracture healing by indomethacin in rats. Eur J Clin Invest, 9, 333-339, 1979.
  • 33. Leonelli SM. Goldberg BA. Safanda J. Bagwe MR, Sethuratnam S. King SJ: Effects of a cyclooxygenase-2 inhibitor (rofecoxib) on bone healing. Am J Orthop, 35, 79-84, 2006.
  • 34. Obeid G, Zhang X,Wang X: Effect of ibuprofen on the healing and remodeling of bone and articular cartilage in the rabbit temporo-mandibular joint. J Oral Maxillofac Surg, 50, 843-849, 1992.
  • 35. Lindholm TS, Tornkvist H: Inhibitory effect on bone formation and calcification exerted by the anti-inflammatory drug ibuprofen. Scand J Rheumatol, 10, 38-42 1981.
  • 36. Keller J, Bünger C, AndreassenTT, Bak B, Lucht U: Bone repair inhibited by indomethacin: effects on bone metabolism and strength of rabbit osteotomies. Acta Orthop Scand, 58, 379-383, 1987.
  • 37. Reuben SS: Considerations in the use of COX-2 inhibitors in spinal fusion surgery. Anesth Analg, 93, 798-804, 2001.
  • 38. Reuben SS: Effect of nonsteroidal anti-inflammatory drugs on osteo-genesis and spinal fusion. Reg Anesth Pain Med, 26, 590-591, 2001.
  • 39. Adolphson P, Abbaszadegan H, Jonsson H, Dalén N, Sjöberg HE, Kalén S: No effects of piroxicam on osteopenia and recovery after Colles’ fracture. Arch Orthop Trauma Surg, 112, 127-130, 1993.
  • 40. Markel MD, Chao EY: Noninvasive monitoring techniques for quantitative description of callus mineral content and mechanical properties. Clin Orthop, 293, 37-45, 1993.
  • 41. Markel MD, Wikenhiser MA, Morin RL, Lewallen DG, Chao EYS: The determination of bone fracture properties by dual-energy x-ray absorptiometry and single-photon absorptiometry: a comparative study. Calcif Tissue Int, 48, 392-399, 1991.
  • 42. Aro HT, Wipperman BW, Hodgson SF, Wahner HW, Lewallen DG, Chao EYS: Prediction of properties of fracture callus by measurement of mineral density using micro-bone densitometry. J Bone Joint Surg, 71A, 1020, 1989.
  • 43. Cohen B, Rushton N: A comparative study of periprosthetic bone mineral density measurement using two different dual-energy x-ray absorptiometry systems. Br J Radiol, 67, 852-855, 1994.
  • 44. Eyres KS, Bell MJ, Kanis JA: New bone formation during leg lengthening evaluated by dual energy X-ray absorptiometry. J Bone Joint Surg [Br], 75B, 96-106, 1993.
  • 45. Eyres KS, Kanis JA: Bone loss after tibial fracture evaluated by dual energy X-ray absorptiometry. J Bone Joint Surg [Br], 77B, 473-478 1995.
  • 46. Hagiwara S, Lane N, Engelke K, Sebastian A, Kimmel DB, Genant HK: Precision and accuracy for rat whole body and femur bone mineral determination with dual X-ray absorptiometry. Bone and Mineral, 22, 57-68 1993.
  • 47. Janes GC, Collopy DM, Price R, Sikorski JM: Bone density after rigid plate fixation of tibial fractures. A dual-energy x-ray absorptiometry study. J Bone Joint Surg [Br] 75B, 914-917, 1993.
  • 48. Lu PW, Briody JN, Howman-Giles R, Trube A, Cowell C: DXA for bone density measurement in small rats weighing 150-250 g. Bone 15, 199-202, 1994.
  • 49. Gala Paniagua J, Díaz-Curiel M, de la Piedra GC, Castilla Reparaz C, Torralbo García M: Bone mass assessment in rats by dual energy X-ray absorptiometry. Br J Radiol, 71-(847): 754-758, 1998.
  • 50. Powell ES, Lawford PV, Duckworth T, Black MM: Is callus calcium content an indicator of the mechanical strength of healing fractures: An experimental study in rat metatarsals. J Biomed Eng, 11, 277-281, 1989.
  • 51. Deneuche AJ, Dufayet C, Goby L, Fayolle P, Desbois C: Analgesic Comparison of Meloxicam or Ketoprofen for Orthopedic Surgery in Dogs. Vet Surgery, 33, 650-660, 2004.
  • 52. Simon AM, Sabatino C, O’Connor JP: Effects of cyclooxygenase-2 inhibitors on fracture healing. Presented in; Orthopaedic Research Society, 47th Annual Meeting, Session 35, Fracture Repair I, San Francisco, California, February 2001.
  • 53. Leonelli S, Goldberg B, Safanda J, Bagwe M, Sethuratnam, S King, S: The effect of cyclooxygenase 2 (COX-2) inhibitors on bone healing. Paper presented at the 48th annual meeting of the Orthopaedic Research Society, Dallas, TX, February, 2002.
  • 54. Beck A, Salem K, Krischak G, Kinzl L, Bischoff M, Schmelz A: Nonsteroidal anti-inflammatory drugs (NSAIDDs) in the perioperative phase in traumatology and orthopedics effects on bone healing. Oper Orthop Traumatol, 17, 569-578, 2005.
APA KÜRÜM B, Pekcan Z, KARSLI B, KUMANDAS A, Elma E (2012). The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. , 671 - 676.
Chicago KÜRÜM BARIS,Pekcan Zeynep,KARSLI BIRKAN,KUMANDAS ALI,Elma Ertuğrul The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. (2012): 671 - 676.
MLA KÜRÜM BARIS,Pekcan Zeynep,KARSLI BIRKAN,KUMANDAS ALI,Elma Ertuğrul The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. , 2012, ss.671 - 676.
AMA KÜRÜM B,Pekcan Z,KARSLI B,KUMANDAS A,Elma E The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. . 2012; 671 - 676.
Vancouver KÜRÜM B,Pekcan Z,KARSLI B,KUMANDAS A,Elma E The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. . 2012; 671 - 676.
IEEE KÜRÜM B,Pekcan Z,KARSLI B,KUMANDAS A,Elma E "The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study." , ss.671 - 676, 2012.
ISNAD KÜRÜM, BARIS vd. "The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study". (2012), 671-676.
APA KÜRÜM B, Pekcan Z, KARSLI B, KUMANDAS A, Elma E (2012). The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. Kafkas Üniversitesi Veteriner Fakültesi Dergisi, 18(4), 671 - 676.
Chicago KÜRÜM BARIS,Pekcan Zeynep,KARSLI BIRKAN,KUMANDAS ALI,Elma Ertuğrul The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. Kafkas Üniversitesi Veteriner Fakültesi Dergisi 18, no.4 (2012): 671 - 676.
MLA KÜRÜM BARIS,Pekcan Zeynep,KARSLI BIRKAN,KUMANDAS ALI,Elma Ertuğrul The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. Kafkas Üniversitesi Veteriner Fakültesi Dergisi, vol.18, no.4, 2012, ss.671 - 676.
AMA KÜRÜM B,Pekcan Z,KARSLI B,KUMANDAS A,Elma E The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. Kafkas Üniversitesi Veteriner Fakültesi Dergisi. 2012; 18(4): 671 - 676.
Vancouver KÜRÜM B,Pekcan Z,KARSLI B,KUMANDAS A,Elma E The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study. Kafkas Üniversitesi Veteriner Fakültesi Dergisi. 2012; 18(4): 671 - 676.
IEEE KÜRÜM B,Pekcan Z,KARSLI B,KUMANDAS A,Elma E "The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study." Kafkas Üniversitesi Veteriner Fakültesi Dergisi, 18, ss.671 - 676, 2012.
ISNAD KÜRÜM, BARIS vd. "The effects of ketoprofen and meloxicam on bone healing in rat model: A comparative dual energy X-Ray absorptiometry study". Kafkas Üniversitesi Veteriner Fakültesi Dergisi 18/4 (2012), 671-676.