Revista do Colégio Brasileiro de Cirurgiões (Nov 2022)

Valproic acid and bladder healing: an experimental study in rats

  • MARIA DE LOURDES PESSOLE BIONDO-SIMÕES,
  • MOACIR OLIVEIRA DALL’ANTONIA,
  • MATHEUS PRINCE GOEHR,
  • RACHEL BIONDO-SIMÕES,
  • SÉRGIO OSSAMU IOSHII,
  • ROGÉRIO RIBEIRO ROBES

DOI
https://doi.org/10.1590/0100-6991e-20223399-en
Journal volume & issue
Vol. 49

Abstract

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ABSTRACT Purpose: to recognize the effects of valproic acid (VPA), an epigenetic drug, on the bladder healing process, in rats. Method: twenty male Wistar rats were divided in two groups: experimental (A), treated with VPA (150mg/Kg/day), and control (B) with 0.9% sodium chloridrate. Healing was analyzed on the third and seventh days, evaluating the inflammatory reaction, collagen synthesis and angiogenesis. Results: inflammatory reaction on the third day was minimal and acute in both groups. On the seventh day, it was subacute in both groups, moderate intensity in group A and minimal in group B (p=0.0476). Collagen III intensity, marked by immunohistochemistry, was similar in both groups. Collagen I intensity on the third day was similar in both groups, but on the seventh day it was higher in experimental than control (p=0.0476). Collagen evaluation by picrosiriusred allowed to verify that the presence of collagen III was similar in both groups (p=0.3312) on the third day, and it was higher in control on the seventh day (p=0.0015). Collagen I showed similarity on the third day (p=0.3100), and it was higher in control on the seventh day (p=0.0015). Vessel marked with anti-SMA counting showed fewer vessels on the third (p=0.0034) and seventh day (p=0.0087) in experimental group. The lower intensity of angiogenesis was confirmed with anti-CD34, on the third day (p=0,0006) and on the seventh day (p=0,0072). Conclusion: VPA determined alterations in the bladder healing process, in rats, with lower collagen density and less angiogenic activity, but without compromising the integrity of the organ.

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