PMID- 35504204 OWN - NLM STAT- MEDLINE DCOM- 20220621 LR - 20220621 IS - 1878-1705 (Electronic) IS - 1567-5769 (Linking) VI - 109 DP - 2022 Aug TI - The protective and therapeutic effects of 5-androstene3beta, 17beta-diol (ADIOL) in abdominal post-operative adhesions in rat: Suppressing TLR4/NFkappaB/HMGB1/TGF1 beta/alpha SMA pathway. PG - 108801 LID - S1567-5769(22)00285-5 [pii] LID - 10.1016/j.intimp.2022.108801 [doi] AB - Neurosteroid, 5-androstenediol (ADIOL) had been experimentally applied to protect against many diseases as it had anti-oxidant, anti-inflammatory, and anti-apoptotic effects. In our study, we investigate its role in abdominal postoperative adhesion (APA) formations. Our results demonstrate that ADIOL alleviates APA formation after induction by cecal abrasion (CA) model in the male rat. Interestingly, per administration of ADIOL before APA induction leads to inhibit oxidative stress by increasing superoxide dismutase (SOD) and decreasing Malondialdehyde (MAD) levels to a similar level to the sham group, in addition inhibiting inflammatory pathway by decreasing toll-like receptor 4 (TLR4), nuclear factor kappa-B (NFkappaB), and High mobility group box 1 (HMGB1) to a similar level to the sham group, furthermore decreasing Transforming growth factor beta 1 (TGFbeta1) and alpha Smooth muscle -actin (alpha SMA) levels to similar levels in the sham group. While administration of ADIOL after APA induction lead to decrease adhesions formation by decreasing oxidative stress ( downward arrowMDA and upward arrowSOD levels), inflammatory markers ( downward arrowTLR4, downward arrowNFkappaB, and downward arrowHMGB1levels), and collagen deposition by ( downward arrowTGF1 beta and downward arrowalpha SMA levels) is the highly significant manner to those levels in CA model but also significant to those levels in the sham group. Concluded that, pre-administration of ADIOL before APA induction was more effective than its administration after adhesions formations. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Abbas, Noha A T AU - Abbas NAT AD - Clinical Pharmacology Department, Faculty of Medicine, Zagazig University, Egypt. FAU - Hassan, Heba A AU - Hassan HA AD - Clinical Pharmacology Department, Faculty of Medicine, Zagazig University, Egypt. Electronic address: HAHanafi@medicin.zu.edu.eg. LA - eng PT - Journal Article DEP - 20220430 PL - Netherlands TA - Int Immunopharmacol JT - International immunopharmacology JID - 100965259 RN - 0 (Actins) RN - 0 (Anti-Inflammatory Agents) RN - 0 (HMGB1 Protein) RN - 0 (NF-kappa B) RN - 0 (Tlr4 protein, rat) RN - 0 (Toll-Like Receptor 4) RN - 95PS51EMXY (Androstenediol) SB - IM MH - Actins MH - *Androstenediol/pharmacology MH - Animals MH - Anti-Inflammatory Agents/pharmacology/therapeutic use MH - *HMGB1 Protein MH - Male MH - NF-kappa B/metabolism MH - Rats MH - Tissue Adhesions/drug therapy/prevention & control MH - Toll-Like Receptor 4 OTO - NOTNLM OT - ADIOL OT - Abdominal postoperative adhesions OT - Inflammatory response OT - Oxidative stress EDAT- 2022/05/04 06:00 MHDA- 2022/06/22 06:00 CRDT- 2022/05/03 18:23 PHST- 2022/01/20 00:00 [received] PHST- 2022/04/17 00:00 [revised] PHST- 2022/04/22 00:00 [accepted] PHST- 2022/05/04 06:00 [pubmed] PHST- 2022/06/22 06:00 [medline] PHST- 2022/05/03 18:23 [entrez] AID - S1567-5769(22)00285-5 [pii] AID - 10.1016/j.intimp.2022.108801 [doi] PST - ppublish SO - Int Immunopharmacol. 2022 Aug;109:108801. doi: 10.1016/j.intimp.2022.108801. Epub 2022 Apr 30.