PREVENTIVE EFFECT OF LONG ACTING Β2-AGONISTS ON STATIN INDUCED MYOPATHIES

Objective: To identify the histological effectsof statin-induced skeletal muscle myopathy in a Rat model and to find protective effect of long acting β2-agonists. Study Design: Laboratory based experimental randomized controlled trial. Place and Duration of Study: Study was conducted at the depar...

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Autores principales: Abdullah Qamar, Shahdab Ahmed Butt, Toqeer Ahmad Iqbal
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Publicado: Army Medical College Rawalpindi 2018
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spelling oai:doaj.org-article:3eb444647eb04025bb9c1c8cfaee893b2021-12-02T07:20:54ZPREVENTIVE EFFECT OF LONG ACTING Β2-AGONISTS ON STATIN INDUCED MYOPATHIES0030-96482411-8842https://doaj.org/article/3eb444647eb04025bb9c1c8cfaee893b2018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2320/2014https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To identify the histological effectsof statin-induced skeletal muscle myopathy in a Rat model and to find protective effect of long acting β2-agonists. Study Design: Laboratory based experimental randomized controlled trial. Place and Duration of Study: Study was conducted at the department of Anatomy, Army Medical College Rawalpindi in collaboration with National Institute of Health (NIH) Islamabad and Armed forces institute of Pathology (AFIP) Rawalpindi, from Jan 2015 to Jun 2016. Material and Methods: Adult male Sprague-Dawley rats were procured from NIH Islamabad. Their average approximate age was 70-80 days and weight range was 250 ± 50 grams. The animals were randomly selected and divided into three groups. Group A was the control. Each rat of group B received Simvastatin dissolved in distilled water, by oral gavage (60mg/kg/day) once daily, for 12 weeks. Animals of group C received simvastatin dissolved in distilled water, (60mg/kg/day) once daily plus formoterol dissolved in distilled water (3μg/kg/day) once daily for 12 weeks. Both were administered with the help of oral gavage. The animals were sacrificed after three months of the experimental period. Extensor digitorum longus (EDL) tendon was isolated and dissected out. Tissue processing was done on the EDL muscle followed by Haematoxylin and Eosin staining. Fiber crosssectional areas, Number of myofibers and Central Myonuclei were counted per high power field in each specimen of all three groups. Results: Examination of H&E stained sections of the extensor digitorum longus muscle of the control group revealed the histological structure of skeletal muscle. Cross sectional area of myofibers and number of myofibers were significantly lower in group B as compared to the control group A. Group C showed significant increase in cross sectional area of myofibers and number of myofibers as compared to group B. No central myonuclei was seen in any section. Conclusion: Simvastatin induced the histomorphological changes in the skeletal muscle of experimental rats by reducing myofiber size and number. Formoterol co-administration minimized simvastatin induced myopathy by significantly increasing myofiber size and number.Abdullah QamarShahdab Ahmed ButtToqeer Ahmad IqbalArmy Medical College Rawalpindiarticleformoterolmyopathyskeletal muscleMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1344-1348 (2018)
institution DOAJ
collection DOAJ
language EN
topic formoterol
myopathy
skeletal muscle
Medicine
R
Medicine (General)
R5-920
spellingShingle formoterol
myopathy
skeletal muscle
Medicine
R
Medicine (General)
R5-920
Abdullah Qamar
Shahdab Ahmed Butt
Toqeer Ahmad Iqbal
PREVENTIVE EFFECT OF LONG ACTING Β2-AGONISTS ON STATIN INDUCED MYOPATHIES
description Objective: To identify the histological effectsof statin-induced skeletal muscle myopathy in a Rat model and to find protective effect of long acting β2-agonists. Study Design: Laboratory based experimental randomized controlled trial. Place and Duration of Study: Study was conducted at the department of Anatomy, Army Medical College Rawalpindi in collaboration with National Institute of Health (NIH) Islamabad and Armed forces institute of Pathology (AFIP) Rawalpindi, from Jan 2015 to Jun 2016. Material and Methods: Adult male Sprague-Dawley rats were procured from NIH Islamabad. Their average approximate age was 70-80 days and weight range was 250 ± 50 grams. The animals were randomly selected and divided into three groups. Group A was the control. Each rat of group B received Simvastatin dissolved in distilled water, by oral gavage (60mg/kg/day) once daily, for 12 weeks. Animals of group C received simvastatin dissolved in distilled water, (60mg/kg/day) once daily plus formoterol dissolved in distilled water (3μg/kg/day) once daily for 12 weeks. Both were administered with the help of oral gavage. The animals were sacrificed after three months of the experimental period. Extensor digitorum longus (EDL) tendon was isolated and dissected out. Tissue processing was done on the EDL muscle followed by Haematoxylin and Eosin staining. Fiber crosssectional areas, Number of myofibers and Central Myonuclei were counted per high power field in each specimen of all three groups. Results: Examination of H&E stained sections of the extensor digitorum longus muscle of the control group revealed the histological structure of skeletal muscle. Cross sectional area of myofibers and number of myofibers were significantly lower in group B as compared to the control group A. Group C showed significant increase in cross sectional area of myofibers and number of myofibers as compared to group B. No central myonuclei was seen in any section. Conclusion: Simvastatin induced the histomorphological changes in the skeletal muscle of experimental rats by reducing myofiber size and number. Formoterol co-administration minimized simvastatin induced myopathy by significantly increasing myofiber size and number.
format article
author Abdullah Qamar
Shahdab Ahmed Butt
Toqeer Ahmad Iqbal
author_facet Abdullah Qamar
Shahdab Ahmed Butt
Toqeer Ahmad Iqbal
author_sort Abdullah Qamar
title PREVENTIVE EFFECT OF LONG ACTING Β2-AGONISTS ON STATIN INDUCED MYOPATHIES
title_short PREVENTIVE EFFECT OF LONG ACTING Β2-AGONISTS ON STATIN INDUCED MYOPATHIES
title_full PREVENTIVE EFFECT OF LONG ACTING Β2-AGONISTS ON STATIN INDUCED MYOPATHIES
title_fullStr PREVENTIVE EFFECT OF LONG ACTING Β2-AGONISTS ON STATIN INDUCED MYOPATHIES
title_full_unstemmed PREVENTIVE EFFECT OF LONG ACTING Β2-AGONISTS ON STATIN INDUCED MYOPATHIES
title_sort preventive effect of long acting β2-agonists on statin induced myopathies
publisher Army Medical College Rawalpindi
publishDate 2018
url https://doaj.org/article/3eb444647eb04025bb9c1c8cfaee893b
work_keys_str_mv AT abdullahqamar preventiveeffectoflongactingb2agonistsonstatininducedmyopathies
AT shahdabahmedbutt preventiveeffectoflongactingb2agonistsonstatininducedmyopathies
AT toqeerahmadiqbal preventiveeffectoflongactingb2agonistsonstatininducedmyopathies
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