Sinan Subhi Farhan, Samir Saad Mahgoub, Saadabdulrahman Hussain, Rasha Abdulateef Abdul Hussein


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ABSTRACT

 

Background: The inflammatory responses during septic systemic inflammation were affected by the differential role of progesterone and estrogen that demonstrated pro-inflammatory and anti-inflammatory roles.

Aim: The present study was designed to evaluate the differential effects of estradioland progesterone supplementation on the inflammatory and apoptotic responses in an ovariectomized rat model of acute systemic septic inflammation (SSI).

Methods: The present study was conducted on 60 female Wistar rats. 40mg/kg estradiol and 5 mg/kg progesterone were given s.c. to ovariectomized (OVX) rats after induction of systemic septic inflammation (SSI) through caecum puncture with a 21-gauge needle.

Results: TNF-α, CRP, ALT, estradiol, and progesterone were evaluated in sera; additionally, iNOS, COX-II, and caspase-3 were evacuated in liver tissues homogenates using ELISA method. In OVX rats challenged with SSI, serum TNF-α, CRP and ALT levels were significantly increased associated with a decrease in serum estradiol levels. They also showed overexpression of the iNOSand increased activity of COX-II and caspase-3 in the livercompared to non-OVX rats subjected to SSI. Supplementation with estradiol significantly decreases all serum and liver tissuemarkers of inflammation and decreased apoptosis. In contrast, OVX rats supplemented with progesterone,SSI resulted in a significant increase of the studied markers.

Conclusion: supplementation of estradiolin OVX rats challenged with SSI significantly attenuated the systemic andliver inflammatory and apoptotic markers. Meanwhile, supplementation with progesterone exacerbates the effects of the inflammatory markers and increases the tendency of apoptosis in the liver tissue.

Keywords: Septicsystemic inflammation, liver, estradiol, progesterone, apoptosis


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