Revista Brasileira de Ortopedia (Dec 2007)
Efeitos da sinvastatina na hipertrofia lipídica da medula óssea induzida pelo uso de corticóides em ratos Effects of simvastatin in steroid-induced bone marrow lipidic hypertrophy in rats
Abstract
OBJETIVOS: Avaliar o efeito do uso da sinvastatina (SV) sobre a área da medula ocupada por adipócitos (AMOA) na cabeça femoral de ratos com hipertrofia lipídica induzida pelo uso de hidrocortisona (HC). MÉTODOS: Foram utilizados 40 ratos (Rattus norvegicus albinus), machos, da linhagem Wistar, distribuídos em cinco grupos, cada um contendo oito animais, de acordo com a medicação administrada diariamente por 14 dias: HC (25mg), HC (25mg) + SV, HC (1mg), HC (1mg) + SV e soro fisiológico (SF). Foram realizadas dosagens séricas de triglicerídeos (TRI), colesterol total (COL), aspartato aminotransferase (AST) e alanina aminotransferase (ALT), antes e depois do tratamento. A AMOA da cabeça femoral foi determinada por morfometria. RESULTADOS: Os grupos foram semelhantes no início do experimento, com relação aos valores séricos de TRI, COL, AST e ALT. Os animais em que foi administrado HC apresentaram maior AMOA, quando comparados com os que receberam SF (p OBJECTIVES: To evaluate the effects of using simvastatin (SV) on the medullary area occupied by adipocytes (MAOA) in the femoral head of rats with lipidic hypertrophy induced by hydrocortisone (HC). METHODS: 40 male Wistar rats (Rattus norvegicus albinos) were distributed into five groups, each group with eight animals, according to the medication given daily during 15 days: HC (25 mg), HC (25 mg) + SB, HC (1 mg), HC (1 mg) + SV, and saline solution (SF). Serum triglyceride (TRI), total cholesterol (COL), aspartate aminotransferase (AST), and alanine aminotransferase (ALT) tests were performed before and after treatment. Femoral head MAOA was determined by morphometry. RESULTS: the groups had similar results of serum values of TRI, COL, AST, and ALT in the beginning of the experiment. The animals that received HC had greater MAOA when compared to those receiving SF (p < 0.0001), with statistically significant increases in the serum TRI and COL readings. MAOA was greater in the groups receiving HC than in the groups receiving JC + SV (p < 0.0001). In the group that received HC (1 mg) + SV, there was no significant difference in MAOA, when compared to the group that received SF (p = 0.5047), nor in the serum values of TRI (p = 0.1907) and COL (p = 0.4480), after the treatment. In the animals that received HC (25 mg) + SV, there was a significant difference in MAOA, when compared to the group that received SF (p < 0.0001), and in the serum readings of TRI (p = 0.0044) and COL (p = 0.0025), after the treatment. All groups presented increased serum levels of AST and ALT. The use of HC was related to a larger area occupied by adipocytes in the medulla of the femoral head, which was directly proportional to the dose given. This effect was reduced with the use of simvastatin. CONCLUSION: The use of simvastatin to reduce the bone medulla lipidic content induced by HC was significant, and more consistent in the group treated with low HC doses.
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