The protective effect of rivaroxaban with or without aspirin on inflammation, oxidative stress, and platelet reactivity in isoproterenol-induced cardiac injury in rats

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

Coronary artery diseases are principal sources of mortality and disability in global human population. Progressively, rivaroxaban is being evaluated for the prevention of atherosclerotic thrombi, particularly with anti-platelet agents. Hence, the current report aimed to investigate the cardioprotective effect of rivaroxaban on isoproterenol (ISO)-induced cardiac injury model in rats and the possible synergistic effect when combined with aspirin. Male Wistar rats were randomly assigned into five different groups. Cardiac injury was induced by subcutaneous injection of ISO (85 mg/kg) for 2 consecutive days. Rat tail bleeding time was performed prior to sacrifice. Cardiac enzymes, platelet activity, inflammatory, and oxidative stress biomarkers levels were measured using enzyme-linked immunoassay (ELISA). Pre-administration of rivaroxaban alone and on combination with aspirin prevented ISO-induced increase in cardiac thiobarbituric acid reactive substances (TBARS), interleukin 6 (IL-6), and thromboxane B2 (TXB2) levels. Moreover, a significant prolongation of bleeding time was demonstrated among aspirin, rivaroxaban, and aspirin plus rivaroxaban treated groups. On the other hand, the combination treatment of aspirin plus rivaroxaban showed no marked difference in these biomarkers and bleeding time relative to either drug administered separately. However, a prominent decrease of cardiac 6-keto prostaglandin F1α (6-Keto-PGF1α) level was displayed in the combination treatment when compared with ISO and rivaroxaban-treated groups, whereas no significant improvement was seen in cardiac glycoprotein V (GPV) levels except in aspirin-treated group. The study results demonstrated that rivaroxaban decreases cardiac oxidative stress, inflammation, and platelets reactivity. However, the addition of rivaroxaban to aspirin did not seem to show synergistic antioxidant, anti-inflammatory, or antiplatelet effect.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:396

Enthalten in:

Naunyn-Schmiedeberg's archives of pharmacology - 396(2023), 2 vom: 05. Feb., Seite 337-351

Sprache:

Englisch

Beteiligte Personen:

Abedalqader, Nour N [VerfasserIn]
Rababa'h, Abeer M [VerfasserIn]
Ababneh, Mera [VerfasserIn]

Links:

Volltext

Themen:

9NDF7JZ4M3
Aspirin
Biomarkers
Cardiovascular disease
Factor Xa Inhibitors
Fibrosis
Inflammation
Isoproterenol
Journal Article
L628TT009W
Oxidative stress
Platelet Aggregation Inhibitors
Platelet activity
R16CO5Y76E
Research Support, Non-U.S. Gov't
Rivaroxaban

Anmerkungen:

Date Completed 06.02.2023

Date Revised 06.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00210-022-02319-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM348480040