دورية أكاديمية

Adverse effects of deoxycholic acid in submandibular glands, submental, inguinal and subplantar regions: a study in rats.

التفاصيل البيبلوغرافية
العنوان: Adverse effects of deoxycholic acid in submandibular glands, submental, inguinal and subplantar regions: a study in rats.
المؤلفون: Farina GA; Oral Medicine Division, Pontifical Catholic University of Rio Grande Do Sul-PUCRS, Porto Alegre, Brazil., Koth VS; Oral Medicine Division, Pontifical Catholic University of Rio Grande Do Sul-PUCRS, Porto Alegre, Brazil., Maito FLDM; Oral Pathology Division, Pontifical Catholic University of Rio Grande Do Sul-PUCRS, Porto Alegre, Brazil., Payeras MR; Oral Pathology Division, Pontifical Catholic University of Rio Grande Do Sul-PUCRS, Porto Alegre, Brazil., Cherubini K; Oral Medicine Division, Pontifical Catholic University of Rio Grande Do Sul-PUCRS, Porto Alegre, Brazil., Salum FG; Oral Medicine Division, Pontifical Catholic University of Rio Grande Do Sul-PUCRS, Porto Alegre, Brazil. fernanda.salum@pucrs.br.
المصدر: Clinical oral investigations [Clin Oral Investig] 2022 Mar; Vol. 26 (3), pp. 2575-2585. Date of Electronic Publication: 2022 Jan 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9707115 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1436-3771 (Electronic) Linking ISSN: 14326981 NLM ISO Abbreviation: Clin Oral Investig
أسماء مطبوعة: Publication: Berlin : Springer-Verlag
Original Publication: Berlin : Springer, c1997-
مواضيع طبية MeSH: Deoxycholic Acid*/toxicity , Submandibular Gland*, Adipose Tissue ; Animals ; Esthetics, Dental ; Male ; Rats ; Rats, Wistar
مستخلص: Objective: We aimed to evaluate the effects of the deoxycholic acid (DCA) in the submental and subplantar regions of rats, and to histologically analyze the changes caused in the submandibular glands, soft tissues of the paw, and inguinal adipose tissue.
Material and Methods: Sixty male Wistar rats were divided into DCA and control (CG) groups. DCA was injected in the submental, inguinal, and subplantar regions, and saline was injected in the CG. The animals were euthanized after 24 h and at 7 and 21 days.
Results: The DCA group showed edema in the submental region in 24 h and in the paw in all experimental times. In the paw there were also erythema and ulceration in 7 days, and alopecia after 21 days. At 21 days, a few animals also showed erythema and ulceration in paw; however, there was no significant difference from CG. Histological analysis of the paw showed an intense inflammatory process, with a predominance of neutrophils, lymphocytes, and plasma cells in 24 h and 7 days. In the adipose tissue, we observed loss of architecture and inflammatory infiltrate, followed with a lower number of adipose cells, and at 21 days, fibroplasia. In the submandibular glands we observed inflammatory infiltration, loss of tissue architecture, and fibrosis.
Conclusions: DCA produces a significant inflammatory process in the structures. It can cause skin ulcerations and, in salivary glands, it causes loss of tissue architecture and fibrosis.
Clinical Relevance: There has been growing increase in the use of DCA for aesthetic purposes by health care providers. Due to the presence of important anatomical structures in the submental region, constant vigilance is required to report new adverse effects.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
References: Ascher B, Fellmann J, Monheit G (2016) ATX-101 (deoxycholic acid injection) for reduction of submental fat. Expert Rev Clin Pharmacol 9:1131–1143. https://doi.org/10.1080/17512433.2016.1215911. (PMID: 10.1080/17512433.2016.121591127457304)
Rotunda AM, Weiss SR, Rivkin LS (2009) Randomized double-blind clinical trial of subcutaneously injected deoxycholate versus a phosphatidylcholine-deoxycholate combination for the reduction of submental fat. Dermatologic Surg 35:792–803. https://doi.org/10.1111/j.1524-4725.2009.01130.x. (PMID: 10.1111/j.1524-4725.2009.01130.x)
Dayan SH, Humphrey S, Jones DH et al (2016) Overview of ATX-101 (deoxycholic acid injection): a nonsurgical approach for reduction of submental fat. Dermatologic Surg 42:S263–S270. https://doi.org/10.1097/DSS.0000000000000870. (PMID: 10.1097/DSS.0000000000000870)
Dunican KC, Patel DK (2016) Deoxycholic acid (ATX-101) for reduction of submental fat. Ann Pharmacother 50:855–861. https://doi.org/10.1177/1060028016653966. (PMID: 10.1177/106002801665396627340142)
Zarbafian M, Karavan M, Greene R, Fabi SG (2020) Efficacy and safety of ATX-101 as a treatment for submental fullness: a retrospective analysis of two aesthetic practices. J Cosmet Dermatol 19:1328–1332. https://doi.org/10.1111/jocd.13165. (PMID: 10.1111/jocd.1316531553141)
Behr K, Kavali CM, Munavalli G et al (2020) ATX-101 (deoxycholic acid injection) leads to clinically meaningful improvement in submental fat: final data from contour. Dermatol Surg 46:639–645. https://doi.org/10.1097/DSS.0000000000002092. (PMID: 10.1097/DSS.000000000000209231517654)
Grady B, Porphirio F, Rokhsar C (2017) Submental alopecia at deoxycholic acid injection site. Dermatol Surg 43:1105–1108. https://doi.org/10.1097/DSS.0000000000001085. (PMID: 10.1097/DSS.000000000000108528291068)
Lindgren AL, Welsh KM (2019) Inadvertent intra‐arterial injection of deoxycholic acid: a case report and proposed protocol for treatment. J Cosmet Dermatol 1–5. https://doi.org/10.1111/jocd.13214.
Dayan SH, Schlessinger J, Beer K et al (2018) Efficacy and safety of ATX-101 by treatment session: pooled analysis of data from the phase 3 REFINE trials. Aesthetic Surg J 38:998–1010. https://doi.org/10.1093/asj/sjy008. (PMID: 10.1093/asj/sjy008)
Georgesen C, Lipner SR (2017) The development, evidence, and current use of ATX-101 for the treatment of submental fat. J Cosmet Dermatol 16:174–179. https://doi.org/10.1111/jocd.12347. (PMID: 10.1111/jocd.1234728429841)
Walker P, Lee D (2015) A phase 1 pharmacokinetic study of ATX-101: serum lipids and adipokines following synthetic deoxycholic acid injections. J Cosmet Dermatol 14:33–39. https://doi.org/10.1111/jocd.12122. (PMID: 10.1111/jocd.1212225684122)
Humphrey S, Sykes J, Kantor J et al (2016) ATX-101 for reduction of submental fat: a phase III randomized controlled trial. J Am Acad Dermatol 75:788-797.e7. https://doi.org/10.1016/j.jaad.2016.04.028. (PMID: 10.1016/j.jaad.2016.04.02827430612)
Rotunda AM, Ablon G, Kolodney MS (2005) Lipomas treated with subcutaneous deoxycholate injections. J Am Acad Dermatol 53:973–978. https://doi.org/10.1016/j.jaad.2005.07.068. (PMID: 10.1016/j.jaad.2005.07.06816310057)
Schuller-Petrovic S, Wölkart G, Höfler G et al (2008) Tissue-toxic effects of phosphatidylcholine/deoxycholate after subcutaneous injection for fat dissolution in rats and a human volunteer. Dermatologic Surg 34:529–543. https://doi.org/10.1111/j.1524-4725.2008.34128.x. (PMID: 10.1111/j.1524-4725.2008.34128.x)
Park SH, Hyun MR, Kim SW (2019) Effect of a formulation containing low-dose sodium deoxycholate on local fat reduction. Aesthetic Plast Surg 43:1657–1662. https://doi.org/10.1007/s00266-019-01514-2. (PMID: 10.1007/s00266-019-01514-231598768)
Kenkel JM, Jones DH, Fagien S et al (2016) Anatomy of the cervicomental region. Dermatologic Surg 42:S282–S287. https://doi.org/10.1097/DSS.0000000000000896. (PMID: 10.1097/DSS.0000000000000896)
Larson JD, Tierney WS, Ozturk CN, Zins JE (2014) Defining the fat compartments in the neck: a cadaver study. Aesthetic Surg J 34:499–506. https://doi.org/10.1177/1090820X14526406. (PMID: 10.1177/1090820X14526406)
Noh Y, Heo C (2012) The effect of phosphatidylcholine and deoxycholate compound injections to the localized adipose tissue: an experimental study with a murine model. Arch Plast Surg 39:452–456. https://doi.org/10.5999/aps.2012.39.5.452. (PMID: 10.5999/aps.2012.39.5.452230942383474400)
Chung SJ, Lee CH, Lee HS et al (2014) The role of phosphatidylcholine and deoxycholic acid in inflammation. Life Sci 108:88–93. https://doi.org/10.1016/j.lfs.2014.05.013. (PMID: 10.1016/j.lfs.2014.05.01324880073)
El-Gowelli HM, El Sabaa B, Yosry E, El-Saghir H (2016) Histopathological and ultra-structural characterization of local neuromuscular damage induced by repeated phosphatidylcholine/deoxycholate injection. Exp Toxicol Pathol 68:39–46. https://doi.org/10.1016/j.etp.2015.09.006. (PMID: 10.1016/j.etp.2015.09.00626404917)
Silva ML, Tasso L, Azambuja AA et al (2017) Effect of hyperbaric oxygen therapy on tooth extraction sites in rats subjected to bisphosphonate therapy—histomorphometric and immunohistochemical analysis. Clin Oral Investig 21:199–210. https://doi.org/10.1007/s00784-016-1778-3. (PMID: 10.1007/s00784-016-1778-326955837)
Maahs MP, Azambuja AA, Campos MM et al (2011) Association between bisphosphonates and jaw osteonecrosis: a study in Wistar rats. Head Neck 33:199–207. https://doi.org/10.1002/hed.21422. (PMID: 10.1002/hed.2142220848442)
Duncan D, Rotunda AM (2011) Injectable therapies for localized fat loss: state of the art. Clin Plast Surg 38:489–501. https://doi.org/10.1016/j.cps.2011.02.005. (PMID: 10.1016/j.cps.2011.02.00521824545)
Fagien S, McChesney P, Subramanian M, Jones DH (2016) Prevention and management of injection-related adverse effects in facial aesthetics: considerations for ATX-101 (deoxycholic acid injection) treatment. Dermatol Surg 42:S300–S304. (PMID: 10.1097/DSS.0000000000000898)
Shridharani SM, Chandawarkar AA (2019) Novel expanded safe zone for reduction of submental fullness with ATX-101 injection. Plast Reconstr Surg 144:995e–1001e. https://doi.org/10.1097/PRS.0000000000006299. (PMID: 10.1097/PRS.000000000000629931764639)
Mroz MS, Lajczak XNK, Goggins BJ et al (2018) The bile acids, deoxycholic acid and ursodeoxycholic acid, regulate colonic epithelial wound healing. Am J Physiol Liver Physiol 314:G378–G387. https://doi.org/10.1111/jocd.13165. (PMID: 10.1111/jocd.13165)
Sebaratnam DF, Wong XL, Kim L, Cheung K (2019) Alopecia following deoxycholic acid treatment for submental adiposity. JAMA Facial Plast Surg 21:571. https://doi.org/10.1001/jamafacial.2019.0640. (PMID: 10.1001/jamafacial.2019.064031436782)
Souyoul S, Gioe O, Emerson A, Hooper DO (2017) Alopecia after injection of ATX-101 for reduction of submental fat. JAAD Case Rep 3:250–252. https://doi.org/10.1016/j.jdcr.2017.02.021. (PMID: 10.1016/j.jdcr.2017.02.021285602965443891)
Rotunda AM, Suzuki H, Moy RL, Kolodney MS (2004) Detergent effects of sodium deoxycholate are a major feature of an injectable phosphatidylcholine formulation used for localized fat dissolution. Dermatol Surg 30:1001–1008. https://doi.org/10.1111/j.1524-4725.2004.30305.x. (PMID: 10.1111/j.1524-4725.2004.30305.x15209790)
Thuangtong R, Bentow JJ, Knopp K et al (2010) Tissue-selective effects of injected deoxycholate. Dermatol Surg 36:899–908. https://doi.org/10.1111/j.1524-4725.2010.01566.x. (PMID: 10.1111/j.1524-4725.2010.01566.x20482723)
فهرسة مساهمة: Keywords: Adipose tissue; Deoxycholic acid; Side effects; Submandibular gland; Submental fat
المشرفين على المادة: 005990WHZZ (Deoxycholic Acid)
تواريخ الأحداث: Date Created: 20220128 Date Completed: 20220308 Latest Revision: 20220308
رمز التحديث: 20231215
DOI: 10.1007/s00784-021-04227-6
PMID: 35088226
قاعدة البيانات: MEDLINE