The Effect of a Synthetic Heparan Sulfate on the Healing of Colonic Anastomoses

Background. The mimetic compound OTR4120 may replace endogenous-degraded heparan sulfates that normally maintain the bioactivity of growth factors that are important for tissue repair. Herein, we investigated the effect of OTR4120 on the healing of normal colonic anastomoses. Methods. We evaluated t...

Full description

Saved in:
Bibliographic Details
Main Authors: Malene Nerstrøm, Peter-Martin Krarup, Lars Nannestad Jorgensen, Magnus S. Ågren
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2017/1078062
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564933451055104
author Malene Nerstrøm
Peter-Martin Krarup
Lars Nannestad Jorgensen
Magnus S. Ågren
author_facet Malene Nerstrøm
Peter-Martin Krarup
Lars Nannestad Jorgensen
Magnus S. Ågren
author_sort Malene Nerstrøm
collection DOAJ
description Background. The mimetic compound OTR4120 may replace endogenous-degraded heparan sulfates that normally maintain the bioactivity of growth factors that are important for tissue repair. Herein, we investigated the effect of OTR4120 on the healing of normal colonic anastomoses. Methods. We evaluated the following two treatment groups of male Sprague Dawley rats (220–256 g): control-treated colonic anastomoses (n=25) and OTR4120-treated colonic anastomoses (n=25). We resected 10 mm of the left colon and then applied either saline alone (control) or OTR4120 (100 μg/mL) in saline to the colonic ends before an end-to-end single-layer anastomosis was constructed and again on the anastomosis before the abdomen and skin were closed. Results. On postoperative day 3, the anastomotic breaking strengths were 1.47 ± 0.32 N (mean ± SD) in the control group and 1.52 ± 0.27 N in the OTR4120-treated animals (P=0.622). We also found that the hydroxyproline concentration (indicator of collagen) in the anastomotic wounds did not differ (P=0.571) between the two groups. Conclusions. Our data demonstrate that a single local application of OTR4120 intraoperatively did not increase the biomechanical strength of colonic anastomoses at the critical postoperative day 3 when the anastomoses are the weakest.
format Article
id doaj-art-0a700f9857e74a159090a1a05222382f
institution Kabale University
issn 1687-6121
1687-630X
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-0a700f9857e74a159090a1a05222382f2025-02-03T01:09:47ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/10780621078062The Effect of a Synthetic Heparan Sulfate on the Healing of Colonic AnastomosesMalene Nerstrøm0Peter-Martin Krarup1Lars Nannestad Jorgensen2Magnus S. Ågren3Digestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23, 2400 Copenhagen NV, DenmarkDigestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23, 2400 Copenhagen NV, DenmarkDigestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23, 2400 Copenhagen NV, DenmarkDigestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23, 2400 Copenhagen NV, DenmarkBackground. The mimetic compound OTR4120 may replace endogenous-degraded heparan sulfates that normally maintain the bioactivity of growth factors that are important for tissue repair. Herein, we investigated the effect of OTR4120 on the healing of normal colonic anastomoses. Methods. We evaluated the following two treatment groups of male Sprague Dawley rats (220–256 g): control-treated colonic anastomoses (n=25) and OTR4120-treated colonic anastomoses (n=25). We resected 10 mm of the left colon and then applied either saline alone (control) or OTR4120 (100 μg/mL) in saline to the colonic ends before an end-to-end single-layer anastomosis was constructed and again on the anastomosis before the abdomen and skin were closed. Results. On postoperative day 3, the anastomotic breaking strengths were 1.47 ± 0.32 N (mean ± SD) in the control group and 1.52 ± 0.27 N in the OTR4120-treated animals (P=0.622). We also found that the hydroxyproline concentration (indicator of collagen) in the anastomotic wounds did not differ (P=0.571) between the two groups. Conclusions. Our data demonstrate that a single local application of OTR4120 intraoperatively did not increase the biomechanical strength of colonic anastomoses at the critical postoperative day 3 when the anastomoses are the weakest.http://dx.doi.org/10.1155/2017/1078062
spellingShingle Malene Nerstrøm
Peter-Martin Krarup
Lars Nannestad Jorgensen
Magnus S. Ågren
The Effect of a Synthetic Heparan Sulfate on the Healing of Colonic Anastomoses
Gastroenterology Research and Practice
title The Effect of a Synthetic Heparan Sulfate on the Healing of Colonic Anastomoses
title_full The Effect of a Synthetic Heparan Sulfate on the Healing of Colonic Anastomoses
title_fullStr The Effect of a Synthetic Heparan Sulfate on the Healing of Colonic Anastomoses
title_full_unstemmed The Effect of a Synthetic Heparan Sulfate on the Healing of Colonic Anastomoses
title_short The Effect of a Synthetic Heparan Sulfate on the Healing of Colonic Anastomoses
title_sort effect of a synthetic heparan sulfate on the healing of colonic anastomoses
url http://dx.doi.org/10.1155/2017/1078062
work_keys_str_mv AT malenenerstrøm theeffectofasyntheticheparansulfateonthehealingofcolonicanastomoses
AT petermartinkrarup theeffectofasyntheticheparansulfateonthehealingofcolonicanastomoses
AT larsnannestadjorgensen theeffectofasyntheticheparansulfateonthehealingofcolonicanastomoses
AT magnussagren theeffectofasyntheticheparansulfateonthehealingofcolonicanastomoses
AT malenenerstrøm effectofasyntheticheparansulfateonthehealingofcolonicanastomoses
AT petermartinkrarup effectofasyntheticheparansulfateonthehealingofcolonicanastomoses
AT larsnannestadjorgensen effectofasyntheticheparansulfateonthehealingofcolonicanastomoses
AT magnussagren effectofasyntheticheparansulfateonthehealingofcolonicanastomoses