American Journal of Medical and Biological Research. 2015, 3(4), 113-116
DOI: 10.12691/AJMBR-3-4-6
Original Research

Analysis of expression of mRNA Matrix Metalloproteinase (MMP)-8 gene and Tissue Inhibitors of Metalloproteinase (MMP)-1 in Intraperitoneal Adhesion after Usage of Hyaluronate acid-Carboxymethylcellulose (HA-CMC) or Virgin Coconut Oil (VCO)

Jimmy Panelewen1, Aryono Djuned Pusponegoro2, Ibrahim Labeda3, Andi Asadul Islam3 and Mochammad Hatta4,

1Department of Surgery, Faculty of Medicine, Sam Ratulagi University, Manado, Indonesia

2Department of Surgery, Faculty of Medicine, Indonesia University, Jakarta, Indonesia

3Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

4Molecular Biology and Immunology Laboratory, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

Pub. Date: June 22, 2015

Cite this paper

Jimmy Panelewen, Aryono Djuned Pusponegoro, Ibrahim Labeda, Andi Asadul Islam and Mochammad Hatta. Analysis of expression of mRNA Matrix Metalloproteinase (MMP)-8 gene and Tissue Inhibitors of Metalloproteinase (MMP)-1 in Intraperitoneal Adhesion after Usage of Hyaluronate acid-Carboxymethylcellulose (HA-CMC) or Virgin Coconut Oil (VCO). American Journal of Medical and Biological Research. 2015; 3(4):113-116. doi: 10.12691/AJMBR-3-4-6

Abstract

Background: Purpose : To understand the expression of matrix metalloproteinase (MMP)-8 mRNA gene and tissue inhibitors of metalloproteinase (TIMP)-1 in normal peritoneum tissue and intraperitoneal adhesion tissue after the usage of virgin coconut oil (VCO) and hyaluronate Acid-carboxymethylcellulose (HA-CMC). Methods: The research is using an experimental lab rat “rattus norvegicus strain wistar” which is divided into 3 groups. Laparotomy (pre) is done to gain parietal peritoneum tissue at the lower left quadrant of the abdomen, in order to obtain the expression of mRNA gene MMP-8 and TIMP-1. First group was control group, second group was treated with VCO, while the third group was treated with HA-CMC. After two weeks period, another relaparotomy (post) was held to obtain the adhesion tissue and to run another examination on the MMP-8 mRNA gene expression and TIMP-1. Results: There is a meaningful decrease for the MMP-8 mRNA gene expression in the peritoneum tissue for the control group at the pre and post laparotomy (p<0,001). There is a meaningful over expression of TIMP-1 mRNA gene expression at pre dan post laparatomy of control group (p<0,001). While on the other hand, at the VCO nor HA-CMC group, there is an insignificant increase of MMP-8 mRNA gene expression (p=0,075 and p=0,791) and insignificant decrease of TIMP-1 mRNA gene expression (p=0,015 and p=0,368). Conclusion: The decrease of MMP-8 mRNA gene expression and the increasing of TIMP-1 mRNA gene expression of control group shows a high risk of adhesion incidence. Although it is not statistically meaningful, the result of MMP-8 mRNA and TIMP-1 mRNA gene expression of VCO and HA-CMC indicates that there is a decrease of intraperitoneal adhesion risks, and the nature of VCO anti adhesive compared to HA-CMC.

Keywords

intraperitoneal adhesion, MMP-8 mRNA gene, TIMP-1 mRNA gene, VCO, HA-CMC

Copyright

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References

[1]  Alonso J et al (2014) Peritoneal Response to Abdominal Surgery: The Role of Equine Abdominal Adhesions and Current Prophylactic StrategiesHindawi Publishing Corporation Veterinary Medicine International Volume 2014, Article ID 279730.
 
[2]  Arung W, Meurisse M, Detry O. (2011). Pathophyology and prevention of Postoperative peritoneal adhesions. World J Gastroenterol; 17(41): 4545-4553.
 
[3]  Atta H (2011) Prevention of peritoneal adhesions: A promising role for gene therapy. World J Gastroenterol 2011 December 14; 17(46): 5049-5058.
 
[4]  Attard, J.A.P; MacLean, A.R. (2007) Adhesive small bowel obstruction: epidemiology, biology and prevention. Can J Surg. 4 : 291-300.
 
[5]  Bavers D, Raybon RB, Wheeles CR (1999). Hyaluronic acid-carboxymethylcellulose film and perianastomotic adhesions in previously irradiated rats. Am J Obstet Gynecol; 181: 1335-8.
 
[6]  Biljana E,et al (2011) Matrix metalloproteinases (with accent to collagenases). Journal of Cell and Animal Biology Vol. 5(7), pp. 113-120.
 
[7]  Binda MM (2009) Pathophysiology And Prevention Of Adhesion Formation In A Laparoscopic Mouse Model. Acta Biomedica Lovaniensia.
 
[8]  Cheong, YC; Laird, S.M; Li, T.C; Shelton, J.B; Ledger, W.L; Cooke, I.D. (2001). Peritoneal healing and adhesion formation/reformation. Human Reproduction Update 7 : 556-566.
 
[9]  Cİpe G et al (2011) Efficacy of hyaluronic acid - carboxymethyl cellulose membrane Seprafilm®) and polylactic acid barrier film (Surgiwrap™) for the prevention of adhesions after thyroid surgery: an experimental model. Turk J Med Sci ; 41 (1): 73-79.
 
[10]  Demirturk, F; Aytan, H; Caliskan, H; et. Al. (2006) The effect of roziglitazone in the prevention of intra-abdominal adhesion formation in a rat uterine horn model. Human Reproduction 21 : 3008-3013.
 
[11]  Di Saverio, et al.(2013). Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 up date of the evidence-base guidelines from the world society of emergency surgery ASBO working group. World Journal of Emergency Surgery, 8: 42.
 
[12]  DiZerega, G.S; Campeu, J.D. (2001) Peritoneal repair and post-surgical adhesion formation. Human Reproduction Update. 7:547-555.
 
[13]  Hellebrekers, B.W.J, Kooistra, T. (2011) Pathogenesis of postoperative adhesion formation. British journal of Surgery. 98: 1503-1516.
 
[14]  Ho T (2000) Influence of TIMP-1 on Cellular Adhesion and Maintanance of Genomic Fidelity.
 
[15]  Irkorucu O, et al (2009) Reduction of Postsurgical Adhesions in a Rat Model: A Comparative Study. Clinics. 2009 Feb; 64(2): 143-148.
 
[16]  Kingler PJ et al (1999). Seprafilm induced peritoneal inflammation : a previously unknown complication. Report a case. Dis. Colon Rectum; 42: 1639-43.
 
[17]  Kogilavani S (2014) Virgin Coconut Oil (VCO) Decreases the Level of Malondialdehyde (MDA) in the Cardiac Tissue of Experimental Sprague-Dawley Rats Fed with Heated Palm Oil. Journal of Medical and Bioengineering Vol. 3, No. 2.
 
[18]  Lieberman S (2006) A review of monolaurin and lauric acid natural virucidal and bactericidal agents. Authentic and Complementary Therapies.
 
[19]  Liu KZ,et al (2006). Increased local matrix metalloproteinase-8 expression in the periodontal connective tissue of smokers with periodontal disease. Biochimica et biophysica acta 1762:775-780.
 
[20]  Loftus T, et al (2015) A protocol for the management of adhesive small bowel obstruction. J Trauma Acute Care Surg. 2015 Jan; 78(1):13-9.
 
[21]  Mamoudieh M, Mirkheshti N, Alavi SA (2011). Evaluation of agar film ini in the prevention of postoperative peritoneal adhesion in an animal model. Turkish Journal Trauma and Emergency Surgery; 17(2): 108-112.
 
[22]  Necas J, et al (2008) Hyaluronic acid (hyaluronan): a review. Veterinarni Medicina, 53, 2008 (8): 397-411.
 
[23]  Primariawan R (2010) Penggunaan Barier Adhesi Pada Operasi Laparoskopi. Medicinus Vol 23 No 3.
 
[24]  Reijnen M, et al (1999) Prevention of Intra-abdominal Abscesses and Adhesions Using a Hyaluronic Acid Solution in a Rat Peritonitis Model. Arch Surg. 1999; 134: 997-1001.
 
[25]  Sikking C (2011) Application of hyaluronan in abdominal surgery an experimental study; Schrijen-Lippertz: 1-31.
 
[26]  Suaniti N, Manurung M, Hartasiwi N (2014) Uji Sifat Virgin Coconut Oil (VCO) Hasil Ekstraksi Enzimatis Terhadap Berbagai Produk Minyak Kelapa Hasil Publikasi. Jurnal Kimia 8(2): 171-177.
 
[27]  Surfa L (2006) Pengaruh pemberian virgin coconut oil terhadap kadar kolesterol high density lipoprotein (HDL) serum tikus wistar setelah diinduksi aterogenesis.
 
[28]  Thiekettle S, et al (2013). Matrix metalloproteinase-8 (collagenase-2) induces the expression of interleukin-6 and -8 in breast cancer. JBC papers in press.
 
[29]  Vaze M,et al (2010) Molecular basis of Post-surgical Peritoneal adhesions – An Overview; Veterinary World. Veterinary World, 2010, Vol. 3(12):561-566.
 
[30]  Verco, S.J.S; Peers, E.M; Brown, C.B; Rodgers, K.E; Roda, N; di Zerega. (2000) Devolepment of a novel glucose polymer solution (icodextrin) for adhesion prevention: pre-clinical studies. Human Reproduction 15 : 1764-1772.
 
[31]  Wal, JBC Van der; Jeekel, J. (2007) Biology of the peritoneum in normal homeostasis and after surgical trauma. Journal Compilation The Association of Coloproctology of Great Britain and Ireland. 9 (Suppl. 2): 9-13.
 
[32]  Ward B et al (2011) Research review: Abdominal Adhesions: Current and Novel Therapies; Journal of Surgical Research. Journal of Surgical Research 165, 91-111.