Plasma Levels of t-PA and PAI-1 Correlate With the Formation of Experimental Post-Surgical Peritoneal Adhesions

Autor: Clara Di Filippo, Alessandro Falsetto, Vito De Pascale, Elisabetta Tufariello, Domenico De Lucia, Francesco Rossi, Michele D'Amico, Antonio Cennamo
Jazyk: angličtina
Rok vydání: 2006
Předmět:
Zdroj: Mediators of Inflammation, Vol 2006 (2006)
Druh dokumentu: article
ISSN: 0962-9351
1466-1861
DOI: 10.1155/MI/2006/13901
Popis: This study has evaluated whether systemic changes of plasminogen activator (t-PA) and plasminogen activator inhibitor-1 (PAI-1) parallel the adhesions development and whether they could be used as predictors of adhesion risk. This has been studied in an animal model of post-surgical peritoneal adhesion by monitoring for 10 days the plasma and tissue levels of t-PA and PAI-1. The results showed that both tissular and plasmatic levels of t-PA were decreased in concomitance with the development of peritoneal adhesions. In contrast, PAI-1 was found increased into the tissue and into the plasma samples of the rats taken at 5 and 10 days time points. Inflammatory mediators such as ICAM-1, VCAM-1, and IL-6 within the peritoneal lavage fluid also correlated with the adhesion formation process. In conclusion, post-surgical peritoneal adhesions provide alterations of local inflammatory components and local and systemic fibrinolytic components, possibly with PAI-1 quenching t-PA. This may have potential for the identification of high-risk patients.
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