Effects of mycophenolate sodium on mucociliary clearance using a bronchial section and anastomosis rodent model

OBJECTIVE: To study the effects of mycophenolate sodium on mucociliary clearance. INTRODUCTION: Mycophenolate is one of the most commonly used immunosuppressive drugs in lung transplantation. Although its pharmacokinetic properties are well defined, its side effects on mucociliary clearance have not...

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Main Authors: Viviane Ferreira Paes e Silva, Rogerio Pazetti, Sonia de Fatima Soto, Mariana Moreira Quinhones Siqueira, Aristides Tadeu Correia, Fabio Biscegli Jatene, Paulo Manuel Pego-Fernandes
Format: Article
Language:English
Published: Elsevier España 2011-01-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800024
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author Viviane Ferreira Paes e Silva
Rogerio Pazetti
Sonia de Fatima Soto
Mariana Moreira Quinhones Siqueira
Aristides Tadeu Correia
Fabio Biscegli Jatene
Paulo Manuel Pego-Fernandes
author_facet Viviane Ferreira Paes e Silva
Rogerio Pazetti
Sonia de Fatima Soto
Mariana Moreira Quinhones Siqueira
Aristides Tadeu Correia
Fabio Biscegli Jatene
Paulo Manuel Pego-Fernandes
author_sort Viviane Ferreira Paes e Silva
collection DOAJ
description OBJECTIVE: To study the effects of mycophenolate sodium on mucociliary clearance. INTRODUCTION: Mycophenolate is one of the most commonly used immunosuppressive drugs in lung transplantation. Although its pharmacokinetic properties are well defined, its side effects on mucociliary clearance have not yet been studied. METHODS: Sixty rats were subjected to left bronchial section and anastomosis. The right bronchus was used as a control. After surgery, the rats were assigned to two groups based on whether they received saline solution (n = 30) or mycophenolate sodium (n = 30). After 7, 15, or 30 days of treatment, 10 animals from each group were sacrificed, and in vitro mucus transportability, in situ mucociliary transport velocity and ciliary beat frequency were measured. RESULTS: The analysis of mucus transportability revealed that neither mycophenolate nor bronchial section altered any transportability related property for up to 30 days of treatment after surgery (p>0.05). With regard to ciliary beat frequency, the operated left bronchi from the mycophenolate group showed a significant decrease on post-surgical day 30 (p = 0.003). In addition, we found a significant reduction in the in situ mucociliary transport velocity in the mycophenolate-treated group (p = 0.0001). DISCUSSION: These data add important information regarding mucociliary clearance dysfunction following mycophenolate therapy and suggest that mycophenolate might contribute to the high incidence of respiratory tract infections in lung transplant patients. Further studies are needed to investigate the combined action of mycophenolate with other immunosuppressive drugs and to establish methods to protect and recover mucociliary clearance, an important airway defense mechanism.
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spelling doaj.art-8877d3ce9b9741e38303e5d32c79aa082022-12-22T00:20:58ZengElsevier EspañaClinics1807-59321980-53222011-01-016681451145610.1590/S1807-59322011000800024Effects of mycophenolate sodium on mucociliary clearance using a bronchial section and anastomosis rodent modelViviane Ferreira Paes e SilvaRogerio PazettiSonia de Fatima SotoMariana Moreira Quinhones SiqueiraAristides Tadeu CorreiaFabio Biscegli JatenePaulo Manuel Pego-FernandesOBJECTIVE: To study the effects of mycophenolate sodium on mucociliary clearance. INTRODUCTION: Mycophenolate is one of the most commonly used immunosuppressive drugs in lung transplantation. Although its pharmacokinetic properties are well defined, its side effects on mucociliary clearance have not yet been studied. METHODS: Sixty rats were subjected to left bronchial section and anastomosis. The right bronchus was used as a control. After surgery, the rats were assigned to two groups based on whether they received saline solution (n = 30) or mycophenolate sodium (n = 30). After 7, 15, or 30 days of treatment, 10 animals from each group were sacrificed, and in vitro mucus transportability, in situ mucociliary transport velocity and ciliary beat frequency were measured. RESULTS: The analysis of mucus transportability revealed that neither mycophenolate nor bronchial section altered any transportability related property for up to 30 days of treatment after surgery (p>0.05). With regard to ciliary beat frequency, the operated left bronchi from the mycophenolate group showed a significant decrease on post-surgical day 30 (p = 0.003). In addition, we found a significant reduction in the in situ mucociliary transport velocity in the mycophenolate-treated group (p = 0.0001). DISCUSSION: These data add important information regarding mucociliary clearance dysfunction following mycophenolate therapy and suggest that mycophenolate might contribute to the high incidence of respiratory tract infections in lung transplant patients. Further studies are needed to investigate the combined action of mycophenolate with other immunosuppressive drugs and to establish methods to protect and recover mucociliary clearance, an important airway defense mechanism.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800024Immunosuppressive AgentsLung TransplantationMucociliary ClearanceAnimals
spellingShingle Viviane Ferreira Paes e Silva
Rogerio Pazetti
Sonia de Fatima Soto
Mariana Moreira Quinhones Siqueira
Aristides Tadeu Correia
Fabio Biscegli Jatene
Paulo Manuel Pego-Fernandes
Effects of mycophenolate sodium on mucociliary clearance using a bronchial section and anastomosis rodent model
Clinics
Immunosuppressive Agents
Lung Transplantation
Mucociliary Clearance
Animals
title Effects of mycophenolate sodium on mucociliary clearance using a bronchial section and anastomosis rodent model
title_full Effects of mycophenolate sodium on mucociliary clearance using a bronchial section and anastomosis rodent model
title_fullStr Effects of mycophenolate sodium on mucociliary clearance using a bronchial section and anastomosis rodent model
title_full_unstemmed Effects of mycophenolate sodium on mucociliary clearance using a bronchial section and anastomosis rodent model
title_short Effects of mycophenolate sodium on mucociliary clearance using a bronchial section and anastomosis rodent model
title_sort effects of mycophenolate sodium on mucociliary clearance using a bronchial section and anastomosis rodent model
topic Immunosuppressive Agents
Lung Transplantation
Mucociliary Clearance
Animals
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800024
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