Indomethacin-Induced Disturbances in Villous Microcirculation in the Rat Ileum

Indomethacin is a widely used nonsteroidal antiphlogistic compound used—among others—for the treatment of rheumatoid arthritis in humans. Common side effects of indomethacin in the gastrointestinal tract include ulcerative lesions and petechial bleeding in the mucosa. In the rat, oral intake of indo...

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Veröffentlicht in:Microvascular research 1999-09, Vol.58 (2), p.137-143
Hauptverfasser: Ruh, Joachim, Schmidt, Eduard, Vogel, Frank, Klar, Ernst
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container_title Microvascular research
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creator Ruh, Joachim
Schmidt, Eduard
Vogel, Frank
Klar, Ernst
description Indomethacin is a widely used nonsteroidal antiphlogistic compound used—among others—for the treatment of rheumatoid arthritis in humans. Common side effects of indomethacin in the gastrointestinal tract include ulcerative lesions and petechial bleeding in the mucosa. In the rat, oral intake of indomethacin induces ulcerations in the mucosa of the stomach and, if administered systemically, edema, petechial bleeding, and ulcerations in the small intestine. In order to determine if systemic administration of indomethacin may induce changes in villous perfusion, we assessed the effect of indomethacin on erythrocyte velocity and the diameter of the main arteriole in the villi of the rat ileum. We found that indomethacin led to a significant decrease in mean arteriolar blood flow (6.3 ± 0.8 vs 5.0 ± 1.2 nl/min, means ± SD) 7 days after administration. Mean diameter of the main arteriole remained unchanged (control, 7.8 ± 0.8 vs indomethacin, 7.0 ± 0.9 μm). In conclusion, systemic application of indomethacin leads to a decrease in blood supply to the mucosa. We previously found an increase in villous perfusion when assessed 24 h after administration of indomethacin, accompanied by an increase in arteriolar diameter of the main arteriole. In summary, different regimens of application of indomethacin lead to varying observations in microcirculatory parameters in single villi. Further studies are required to identify the underlying mechanisms.
doi_str_mv 10.1006/mvre.1999.2162
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Common side effects of indomethacin in the gastrointestinal tract include ulcerative lesions and petechial bleeding in the mucosa. In the rat, oral intake of indomethacin induces ulcerations in the mucosa of the stomach and, if administered systemically, edema, petechial bleeding, and ulcerations in the small intestine. In order to determine if systemic administration of indomethacin may induce changes in villous perfusion, we assessed the effect of indomethacin on erythrocyte velocity and the diameter of the main arteriole in the villi of the rat ileum. We found that indomethacin led to a significant decrease in mean arteriolar blood flow (6.3 ± 0.8 vs 5.0 ± 1.2 nl/min, means ± SD) 7 days after administration. Mean diameter of the main arteriole remained unchanged (control, 7.8 ± 0.8 vs indomethacin, 7.0 ± 0.9 μm). In conclusion, systemic application of indomethacin leads to a decrease in blood supply to the mucosa. We previously found an increase in villous perfusion when assessed 24 h after administration of indomethacin, accompanied by an increase in arteriolar diameter of the main arteriole. In summary, different regimens of application of indomethacin lead to varying observations in microcirculatory parameters in single villi. 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Common side effects of indomethacin in the gastrointestinal tract include ulcerative lesions and petechial bleeding in the mucosa. In the rat, oral intake of indomethacin induces ulcerations in the mucosa of the stomach and, if administered systemically, edema, petechial bleeding, and ulcerations in the small intestine. In order to determine if systemic administration of indomethacin may induce changes in villous perfusion, we assessed the effect of indomethacin on erythrocyte velocity and the diameter of the main arteriole in the villi of the rat ileum. We found that indomethacin led to a significant decrease in mean arteriolar blood flow (6.3 ± 0.8 vs 5.0 ± 1.2 nl/min, means ± SD) 7 days after administration. Mean diameter of the main arteriole remained unchanged (control, 7.8 ± 0.8 vs indomethacin, 7.0 ± 0.9 μm). In conclusion, systemic application of indomethacin leads to a decrease in blood supply to the mucosa. We previously found an increase in villous perfusion when assessed 24 h after administration of indomethacin, accompanied by an increase in arteriolar diameter of the main arteriole. In summary, different regimens of application of indomethacin lead to varying observations in microcirculatory parameters in single villi. Further studies are required to identify the underlying mechanisms.</description><subject>Animals</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - toxicity</subject><subject>Arterioles - drug effects</subject><subject>Arterioles - pathology</subject><subject>Arterioles - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity - drug effects</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Humans</subject><subject>Ileum - blood supply</subject><subject>Ileum - drug effects</subject><subject>indomethacin</subject><subject>Indomethacin - toxicity</subject><subject>Inflammation - chemically induced</subject><subject>Inflammation - pathology</subject><subject>Intestinal Mucosa - blood supply</subject><subject>Intestinal Mucosa - drug effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microcirculation - drug effects</subject><subject>Pharmacology. 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subjects Animals
Anti-Inflammatory Agents, Non-Steroidal - toxicity
Arterioles - drug effects
Arterioles - pathology
Arterioles - physiopathology
Biological and medical sciences
Blood Flow Velocity - drug effects
Drug toxicity and drugs side effects treatment
Humans
Ileum - blood supply
Ileum - drug effects
indomethacin
Indomethacin - toxicity
Inflammation - chemically induced
Inflammation - pathology
Intestinal Mucosa - blood supply
Intestinal Mucosa - drug effects
Male
Medical sciences
Microcirculation - drug effects
Pharmacology. Drug treatments
rat small intestine
Rats
Rats, Sprague-Dawley
Toxicity: digestive system
villous microcirculation
title Indomethacin-Induced Disturbances in Villous Microcirculation in the Rat Ileum
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