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Isotretinoin induced achilles tendinopathy: Histopathological and biomechanical evaluation on rats
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Abstract
Objective
The aim of the present study was to evaluate histopathological and biomechanical effects of isotretinoin on Achilles tendon.
Materials & methods
Sixteen rats were divided into two groups including the control group (n = 8) and isotretinoin group (n = 8). The control group received 1.42 ml/kg soy oil per day whereas the isotretinoin group received 15 mg/kg/day (gavage dose 1.42 ml/kg) isotretinoin dissolved in soy oil through gavage method for 6 weeks. Achilles tendons were excised at the end of week 6. The tendon samples were evaluated by hematoxylin-eosin under a light microscope. Quantitative evaluation was performed via Movin and Bonar scoring. A computer-monitored tensile testing machine was utilised for biomechanical testing. Biomechanical characteristics of the tendon samples (elastic modulus, yield force, ultimate tensile force) were measured.
Results
Histopathological evaluation revealed a significantly higher Movin and Bonar scores in histopathological evaluation. Movin score in isotretinoin group was 4.1 ± 2.5 and it was 2.3 ± 1.0 in control group (p = 0.032). Bonar score in isotretinoin group was 2.9 ± 1.4 and it was 1.6 ± 0.7 in control group (p = 0.022). In line with histopathological evaluation, biomechanical measurements in isotretinoin group (elastic modulus, yield force, ultimate tensile force) were significantly lower than the control group. Elastic modulus in isotretinoin group was 227 ± 27.7 N/mm2 and in control group it was 281.7 ± 38.7 N/mm2 (p = 0.006). In isotretinoin group; yield force was 33.7 ± 4.3 Pa and in control group it was 40.8 ± 5.9 Pa (p = 0.021). Ultimate tensile force in isotretinoin group was 35.7 ± 4.2 Pa and in control group it was 44 ± 7 Pa (p = 0.009).
Conclusion
The present study detected histopathological and biomechanical negative effect of isotretinoin on Achilles tendon. Therefore, isotretinoin should be questioned in medical history of patients with tendinopathy.
ER -
Title: Isotretinoin induced achilles tendinopathy: Histopathological and biomechanical evaluation on rats
Description:
Abstract
Objective
The aim of the present study was to evaluate histopathological and biomechanical effects of isotretinoin on Achilles tendon.
Materials & methods
Sixteen rats were divided into two groups including the control group (n = 8) and isotretinoin group (n = 8).
The control group received 1.
42 ml/kg soy oil per day whereas the isotretinoin group received 15 mg/kg/day (gavage dose 1.
42 ml/kg) isotretinoin dissolved in soy oil through gavage method for 6 weeks.
Achilles tendons were excised at the end of week 6.
The tendon samples were evaluated by hematoxylin-eosin under a light microscope.
Quantitative evaluation was performed via Movin and Bonar scoring.
A computer-monitored tensile testing machine was utilised for biomechanical testing.
Biomechanical characteristics of the tendon samples (elastic modulus, yield force, ultimate tensile force) were measured.
Results
Histopathological evaluation revealed a significantly higher Movin and Bonar scores in histopathological evaluation.
Movin score in isotretinoin group was 4.
1 ± 2.
5 and it was 2.
3 ± 1.
0 in control group (p = 0.
032).
Bonar score in isotretinoin group was 2.
9 ± 1.
4 and it was 1.
6 ± 0.
7 in control group (p = 0.
022).
In line with histopathological evaluation, biomechanical measurements in isotretinoin group (elastic modulus, yield force, ultimate tensile force) were significantly lower than the control group.
Elastic modulus in isotretinoin group was 227 ± 27.
7 N/mm2 and in control group it was 281.
7 ± 38.
7 N/mm2 (p = 0.
006).
In isotretinoin group; yield force was 33.
7 ± 4.
3 Pa and in control group it was 40.
8 ± 5.
9 Pa (p = 0.
021).
Ultimate tensile force in isotretinoin group was 35.
7 ± 4.
2 Pa and in control group it was 44 ± 7 Pa (p = 0.
009).
Conclusion
The present study detected histopathological and biomechanical negative effect of isotretinoin on Achilles tendon.
Therefore, isotretinoin should be questioned in medical history of patients with tendinopathy.
ER -.
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