Effects of melatonin on uterine hypertrophy/hyperplasia: A preliminary experimental rat study

Endometrial hyperplasia is a process of endometrial proliferation that results in a thickening of the endometrial tissue. Melatonin might be able to change the pathophysiological process and prognosis into a positive way that might prevent and heal endometrial hyperplasia, which is the first stage o...

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Main Authors: Mustafa Can Sivas, Omer Lutfi Tapisiz, Rasit Tan Ayik, Devrim Kahraman, Sadiman Kiykac Altinbas, Ozlem Moraloglu Tekin
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240584402031985X
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author Mustafa Can Sivas
Omer Lutfi Tapisiz
Rasit Tan Ayik
Devrim Kahraman
Sadiman Kiykac Altinbas
Ozlem Moraloglu Tekin
author_facet Mustafa Can Sivas
Omer Lutfi Tapisiz
Rasit Tan Ayik
Devrim Kahraman
Sadiman Kiykac Altinbas
Ozlem Moraloglu Tekin
author_sort Mustafa Can Sivas
collection DOAJ
description Endometrial hyperplasia is a process of endometrial proliferation that results in a thickening of the endometrial tissue. Melatonin might be able to change the pathophysiological process and prognosis into a positive way that might prevent and heal endometrial hyperplasia, which is the first stage of endometrial cancer.For this perspective, we tried to investigate the effect of melatonin on uterine hypertrophy/hyperplasia in an experimental rat model. Forty Wistar-Albino rats were undergone bilateral oophorectomy and randomized into four groups. To create a model of uterine hypertrophy/hyperplasia in all groups, except the control group [C] (n = 10), 4 mg/kg/day estradiol hemihydrate were given for 14 days. The uterine hypertrophy/hyperplasia was evaluated histopathologically in the left uterine horns, then the groups were treated for 14 days as follows; melatonin (10 mg/kg/day/po) [M] (n = 10), melatonin + estradiol hemihydrate (10 mg/kg/day/po and 4 mg/kg/day/po) [M + E] (n = 10), and dark environment [D] (n = 10). Finally, the effects of the melatonin were examined histopathologically in the right uterine horns.An uterine hypertrophy/hyperplasia model was established in all groups compared to the control group (p < 0.05). In the [M] and [M + E] groups, epithelial cell height and luminal epithelial cell height significantly decreased (41μm vs 12μm, p = 0.005; 14μm vs 10μm, p = 0.005, respectively for [M] group) and (32μm vs 14μm, p = 0.012; 17μm vs 10μm, p = 0.017, respectively for [M + E] group). The [D] group exhibited a significant decrease in epithelial cell height (33μm vs 20μm, p = 0.017).With or without estrogen exposure, melatonin-treated and physiologically melatonin-released rats experienced a significant uterine hypertrophy/hyperplasia recovery. Melatonin may have protective effects on endometrial hyperplasia.
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spelling doaj.art-25c783ee958b4e599db547dabeabad852022-12-22T00:59:00ZengElsevierHeliyon2405-84402020-10-01610e05142Effects of melatonin on uterine hypertrophy/hyperplasia: A preliminary experimental rat studyMustafa Can Sivas0Omer Lutfi Tapisiz1Rasit Tan Ayik2Devrim Kahraman3Sadiman Kiykac Altinbas4Ozlem Moraloglu Tekin5Department of Obstetrics and Gynecology, University of Health Sciences, Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Ankara, TurkeyDepartment of Obstetrics and Gynecology, University of Health Sciences, Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Ankara, Turkey; Corresponding author.Department of Obstetrics and Gynecology, University of Health Sciences, Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Ankara, TurkeyDepartment of Pathology, School of Medicine, The Union of Chambers and Commodity Exchanges of Turkey, University of Economics and Technology (TOBB ETU), Ankara, TurkeyDepartment of Obstetrics and Gynecology, University of Health Sciences, Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Ankara, TurkeyDepartment of Obstetrics and Gynecology, University of Health Sciences, Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Ankara, TurkeyEndometrial hyperplasia is a process of endometrial proliferation that results in a thickening of the endometrial tissue. Melatonin might be able to change the pathophysiological process and prognosis into a positive way that might prevent and heal endometrial hyperplasia, which is the first stage of endometrial cancer.For this perspective, we tried to investigate the effect of melatonin on uterine hypertrophy/hyperplasia in an experimental rat model. Forty Wistar-Albino rats were undergone bilateral oophorectomy and randomized into four groups. To create a model of uterine hypertrophy/hyperplasia in all groups, except the control group [C] (n = 10), 4 mg/kg/day estradiol hemihydrate were given for 14 days. The uterine hypertrophy/hyperplasia was evaluated histopathologically in the left uterine horns, then the groups were treated for 14 days as follows; melatonin (10 mg/kg/day/po) [M] (n = 10), melatonin + estradiol hemihydrate (10 mg/kg/day/po and 4 mg/kg/day/po) [M + E] (n = 10), and dark environment [D] (n = 10). Finally, the effects of the melatonin were examined histopathologically in the right uterine horns.An uterine hypertrophy/hyperplasia model was established in all groups compared to the control group (p < 0.05). In the [M] and [M + E] groups, epithelial cell height and luminal epithelial cell height significantly decreased (41μm vs 12μm, p = 0.005; 14μm vs 10μm, p = 0.005, respectively for [M] group) and (32μm vs 14μm, p = 0.012; 17μm vs 10μm, p = 0.017, respectively for [M + E] group). The [D] group exhibited a significant decrease in epithelial cell height (33μm vs 20μm, p = 0.017).With or without estrogen exposure, melatonin-treated and physiologically melatonin-released rats experienced a significant uterine hypertrophy/hyperplasia recovery. Melatonin may have protective effects on endometrial hyperplasia.http://www.sciencedirect.com/science/article/pii/S240584402031985XPhysiologySurgeryWomen's healthGynecologyReproductive systemEndocrinology
spellingShingle Mustafa Can Sivas
Omer Lutfi Tapisiz
Rasit Tan Ayik
Devrim Kahraman
Sadiman Kiykac Altinbas
Ozlem Moraloglu Tekin
Effects of melatonin on uterine hypertrophy/hyperplasia: A preliminary experimental rat study
Heliyon
Physiology
Surgery
Women's health
Gynecology
Reproductive system
Endocrinology
title Effects of melatonin on uterine hypertrophy/hyperplasia: A preliminary experimental rat study
title_full Effects of melatonin on uterine hypertrophy/hyperplasia: A preliminary experimental rat study
title_fullStr Effects of melatonin on uterine hypertrophy/hyperplasia: A preliminary experimental rat study
title_full_unstemmed Effects of melatonin on uterine hypertrophy/hyperplasia: A preliminary experimental rat study
title_short Effects of melatonin on uterine hypertrophy/hyperplasia: A preliminary experimental rat study
title_sort effects of melatonin on uterine hypertrophy hyperplasia a preliminary experimental rat study
topic Physiology
Surgery
Women's health
Gynecology
Reproductive system
Endocrinology
url http://www.sciencedirect.com/science/article/pii/S240584402031985X
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AT devrimkahraman effectsofmelatoninonuterinehypertrophyhyperplasiaapreliminaryexperimentalratstudy
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