Comparison of edoxaban and enoxaparin in a rat model of AlCl3-induced thrombosis of the superior sagittal sinus

Publikation: Beitrag in FachzeitschriftKurzartikel (Letter) / Leserbrief mit OriginaldatenBeigetragenBegutachtung

Beitragende

  • M Hachenberger - , Justus-Liebig-Universität Gießen (Autor:in)
  • M Yeniguen - , NeuroCentrum Wetzlar (Autor:in)
  • L Suenner - , Justus-Liebig-Universität Gießen (Autor:in)
  • D Hinchliffe - , Justus-Liebig-Universität Gießen (Autor:in)
  • C Mueller - , Kerckhoff Klinik (Autor:in)
  • A Wietelmann - , Max-Planck-Institut für Herz- und Lungenforschung (Autor:in)
  • T Gerriets - , Die Neurologen Wetterau (Autor:in)
  • M Tschernatsch - , Die Neurologen Wetterau (Autor:in)
  • M Juenemann - , Justus-Liebig-Universität Gießen (Autor:in)
  • S T Gerner - , Justus-Liebig-Universität Gießen, Center for Mind, Brain and Behavior (CMBB) (Autor:in)
  • T R Doeppner - , Georg-August-Universität Göttingen (Autor:in)
  • H B Huttner - , Justus-Liebig-Universität Gießen, Center for Mind, Brain and Behavior (CMBB) (Autor:in)
  • T Braun - , Justus-Liebig-Universität Gießen (Autor:in)

Abstract

Cerebral sinus venous thrombosis (CSVT) is an uncommon disease that is usually treated with anticoagulation (heparin, low-molecular heparin, or vitamin K-antagonists). We compared treatment with edoxaban, an oral factor Xa-antagonist, that has not been approved in patients with CSVT, with enoxaparin, a well-established therapy, in a rat model of CSVT. Fifty male Wistar rats were randomized into 5 groups (10 animals each) and subjected to aluminum chloride (AlCl3)-induced thrombosis of the superior sagittal sinus (SSS) or sham procedure. Animals with thrombosis of the SSS were treated with edoxaban, enoxaparin, or placebo. Diagnostic workup included neurological examination, MRI imaging, MR-flow measurements of the SSS, and immunohistochemical staining. Neurological examination revealed no differences between treatment groups. Seven days after initial thrombosis, flow in the SSS was lower in the active treatment group as compared to sham-operated animals (p < 0.05). Flow in the SSS in the active treatment groups (edoxaban 1 h prior to thrombosis: 0.16 cm/s ± 0.06 cm/s; edoxaban 6 h after thrombosis: 0.13 cm/s ± 0.05 cm/s; enoxaparin: 0.13 cm/s ± 0.04 cm/s; placebo: 0.07 cm/s ± 0.02 cm/s) was higher as compared to placebo (p < 0.05), but there were no differences between the active treatment groups (p > 0.05). Immunohistochemical staining showed no differences in the actively treated animals. Edoxaban proved to be similar to enoxaparin in a model of experimental AlCl 3-induced CSVT.

Details

OriginalspracheEnglisch
Seiten (von - bis)3887-3892
Seitenumfang6
FachzeitschriftNaunyn-Schmiedeberg's archives of pharmacology
Jahrgang396
Ausgabenummer12
PublikationsstatusVeröffentlicht - Dez. 2023
Peer-Review-StatusJa
Extern publiziertJa

Externe IDs

PubMedCentral PMC10643418
Scopus 85160841225

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Cerebral venous thrombosis, Edoxaban, Rat, Sinus thrombosis, Stroke