Abstract
The symptoms of the climacteric coincide with the marked appearance of signs of skin aging. Studies on animal models have shown that estrogen is a critical mediator in wound healing. The authors report a study of the influence of hormonal replacement therapy (HRT) on colon anastomoses performed in female rats. Three groups of Wistar rats were used: one submitted to oophorectomy and receiving HRT with 50 mg estrogen and 2 mg medroxyprogesterone acetate, one submitted to oophorectomy without HRT, and one of laparotomized but not oophorectomized rats. Hormonal condition was confirmed 28 days after oophorectomy and HRT or physiological saline was then administered daily. Left colotomy was performed after 2 months with end-to-end anastomosis, and resistance and collagen density were determined after 7 and 14 days. the anastomoses of the colons of rats receiving no HRT were less resistant than those of the control group both on the 7th (p = 0.0488) and 14th (p = 0.0115) day. Collagen density was lower on the 7th day (p = 0.0210), with a lower presence of collagen I (p = 0.0023) and collagen III (p = 0.0470), and these differences continued to be significant on the 14th day. The colon anastomoses of rats receiving HRT did not differ significantly from control. The lack of ovarian hormones leads to a lower resistance and delays the maturation of colon anastomosis in rats and these deficiencies are compensated for by HRT.
Highlights
RESUMO Objetivo: Existe coincidência entre os sintomas do climatério e o aparecimento acentuado dos sinais de envelhecimento da pele
Alguns autores acrescentaram que a administração de estrógenos exógenos pode exercer um efeito direto na mucosa colônica, baseando-se no fato de que foram encontrados receptores estrogênicos em carcinomas colônicos bem como na mucosa normal adjacente[7,8]
Alguns autores acrescentaram que a administração de estrógenos exógenos pode exercer efeito direto na mucosa colônica, baseando-se no fato de que foram encontrados receptores estrogênicos em carcinomas colônicos bem como na mucosa normal adjacente[7,8]
Summary
RESUMO Objetivo: Existe coincidência entre os sintomas do climatério e o aparecimento acentuado dos sinais de envelhecimento da pele. O estudo manométrico revelou menor resistência no grupo G2, anastomoses de ratas ooforectomizadas e sem reposição hormonal, nos 2 tempos estudados (Tabela 1, Figura 1). A análise histológica revelou que a reação inflamatória, embora tenha mostrado tendência a ser mais freqüente, no 7.o dia de anastomose, nos cólons das ratas sem reposição hormonal, não o foi de modo significante.
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