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Effects of pentoxifylline in the prevention of ovarian hyperstimulation syndrome in a rabbit model.

Abstract
Tumor necrosis factor alpha (TNF-alpha) and other cytokines have been implicated in the pathogenesis of ovarian hyperstimulation syndrome (OHSS). Pentoxifylline, a methylxanthine derivative, was found to inhibit TNF-alpha synthesis. The aim of this study was to evaluate whether the use of pentoxifylline would prevent the occurrence of OHSS in a rabbit model. Thirteen rabbits were divided into two groups. The first group (n = 6) were given pentoxifylline 15 mg/kg intravenously and the second group (n = 7) were given physiological serum 15 mg/kg before ovulation induction. Ovarian hyperstimulation was induced in rabbits by 200 IU equine chorionic gonadotropin on day 1 and 100 IU human chorionic gonadotropin on day 3. Blood samples were analyzed for TNF-alpha on days 1, 3 and 5. All animals were autopsied on day 6 to evaluate the ovarian weight, ascites formation and histopathological changes. There was no difference between groups regarding weight gain, ascites formation and plasma TNF-alpha levels (p < 0.05). Ovarian weight and number of ovulations were significantly lower in the pentoxifylline group than the control group (p < 0.05). Pentoxifylline did not prevent ascites formation despite the observed decrease in ovarian weight and number of ovulations in OHSS in a rabbit model.
AuthorsI S Serin, B Ozçelik, T Bekyurek, F Ozturk, N Koc, Y Sahin
JournalGynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology (Gynecol Endocrinol) Vol. 16 Issue 5 Pg. 355-9 (Oct 2002) ISSN: 0951-3590 [Print] England
PMID12587528 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Chorionic Gonadotropin
  • Tumor Necrosis Factor-alpha
  • Pentoxifylline
Topics
  • Animals
  • Chorionic Gonadotropin (administration & dosage)
  • Female
  • Organ Size
  • Ovarian Hyperstimulation Syndrome (chemically induced, drug therapy)
  • Ovary (anatomy & histology)
  • Ovulation Induction
  • Pentoxifylline (therapeutic use)
  • Rabbits
  • Tumor Necrosis Factor-alpha (analysis, antagonists & inhibitors)

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