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Prophylactic and therapeutic effect of ginko biloba extract (Egb761) on mortality of intestinal deep ischemia-reperfusion model in rats

Year 2010, Volume: 37 Issue: 3, 199 - 203, 01.09.2010

Abstract

Objectives: Ginkgo biloba extract (EGb761) is a stan-dardized form of Ginkgo Biloba plant leaves which have been used by Chines nearly 5000 years and Its\' antioxidant activity is known. In this study we aimed to investigate effect use of EGb761 on mortality in Megison\'un deep ischemia reperfusion model of rats. Materials and Methods: 138 male Spraque-Dawley rats were used in this study. The rats were divided into 4 groups: Group I (control group), Group II (deep ischemiareperfusion group), Group III (Group of prophylaxis and treatment of deep ischemia-reperfusion with EGb 761), Group IV (group of treatment with EGb 761 during deep ischemia). Deep ischemia was applied 30 minutes. Rats were followed-up one week after laparotomy. Differences between numbers of mortality in groups during one week follow-up were compared. Results: Number of died rats in Group I, II, III, and IV during one week follow-up were 2 (7.7%), 22 (61.1%), 6 (13.6%), and 11 (34.3%) respectively. Mortality rate decreased statistically signifi cant with use of EGb761 with prophylactic and therapeutic purposes (p

References

  • Schoenberg MH, Beger HG. Reperfusion injuy after intesti- nal ischemia. Crit Care Med 1993;21:1376-86.
  • Kaleya RN, Sammartano RJ, Boley SJ. Aggressive ap- proach to acute mesenteric ischemia. Surg Clin North Am 1992:72:157-82.
  • Megison SM, Horton JW, Chao H, Walker PB. Prolonged survival and decreased mucozal injury after low dose enter- al allopurinol prophlaxis in mesenteric ischemia. J Pediatr Surg 1990;25:917-21.
  • Megison SM, Horton JW, Chao H, Walker PB. High dose versus low dose enteral allopurinol prophlaxis in mesen- teric ischemia. Circulat Shock 1990;30:323-29.
  • Schneider TA, Longo WA, Ure T, Vernava AM. Mesenter- ic İschemia:Akut arterial sendreoms. Dis Colon Rectum 1994;37:1163-74.
  • Gerald BZ: Visceral occlusive disease. In Lazaar J GreenŞ eld, Michael WM, Keith TO (eds): Surgery scientiŞ c principles and practice; Phlidelphia, Linncott Company,1993:1614- 29.
  • Otamiri T, Tagesson C: Ginkgo biloba prevents mucosal damage associated with small intestinal ischemia. Scand J Gastroenterol 1989; 24: 666-70.
  • Parks DA, Granger DN: Contributions of ischemia and reperfusions to mucosal lesion formation. Am J Physiol 1986;250:749-60.
  • Zimmerman BJ, Granger DN. Reperfusion injury. Surg Clin North Am 1992;72: 65-83.
  • Krınsky NI: Membrane antioxidants. Ann NY Acad Sci 1988;551:17-32.
  • Reily PM, Schiller HJ, Bulkley GB. Pharmacologic approch to tissue injury mediated by free radicals and other reactive oxgen metabolites. Am J Surg 1991;161: 488-503.
  • Williams LF. Vascular insufŞ ciency of the intestine. Gastro- enterology 1971;61:757-77.
  • De Feudis, FV: Ginko Biloba Extract (EGb 761): Phar- macological activities and clinical applications. Elselvier, Paris,1991:1-26.
  • De Feudis FV: Ginko Biloba Extract (EGb 761 ) in perspec- tive. Elsevier, Paris, 1999:10-48.
  • McKinsey JF, Gewertz BL. Acut mesenteric ischemia. Surg Clin North Am 1997; 77: 307-27.
  • Haimovici H: Muscular and metabolic complications of acut arterial occlusion: Myonefropatic metabolic syndrome. Surgery 1979;85:461-68.
  • Megison SM, Horton JW, Chao H, Walker PB: A new model for intestinal ischemia in the rat. J Surg Res 1990;49:168- 73.
  • Adams JT: Abdominal wall, omentum, mesentery and retro- peritonum. Scwartz SI, Shires G.T., Spencer FC, (ed): Prin- ciples of Surgery. Sixth edition, R.R. Donnelley and Sons Co, New York, 1994:1490-99.
  • Korthuis RJ, Smith JK,Carden DL. Hypoxic reperfusion at- tenuates postischemic microvascular injury. Am J Physiol 1989;256:315-22.
  • Mustafa NA, Yandı M, Turgutalp H, Ovalı E. Role of dili- tiazem in ischemia-reperfusıon injury of the intestine. Eur Surg Res 1997;26:335-41.
  • Özden A, Kargıcı H, Bilgihan A, et al. Ratlarda intestinal iskemi ve reperfuzyon hasarında L-Carnitine’in etkisi. Cag- das Cerrahi Derg 1994;8:209-13.
  • Terzi C, Kuzu A, Tanık A, Kale T, Asalar K, Elhan A. The effects of short-and long-term prophylactic high-dose al- lopurinol treatment on mortality in a rat model of intestinal ischemia. Clin Exp Surg 2000;8:10-16.
  • Schoenberg MH, Muhl E, Sellin D, et al. Posthypoten- sive generation of superoxide radicals: Possible role in the pathogenesis of the intestinal mucosa damage. Acta Chir Scand 1984;150: 301-09.
  • Schoenberg, MH, Poch B, Younes M, et al. Involvement of neutrophils in postischemic damage to the small intestine. Gut 1991; 32: 905-12.
  • Horgan PG, Gorey TF. Operative assesment of intesti- nal viability. Intestinal ischemia. Surg Clin North Am 1992;72:143-55.
  • Schierwagen C, Bylund-Fellenius AC, Lundberg C. Im- proved metod for guantiŞ cation of tissue PMN accumu- lation measured by MPO activity. J Pharmacol Methods 1990;23:179-86.
  • Hernandez LA, Grisham MB, Twohig B, Arfors KE, Har- lan JM, Granger DN. Role of neutrophils in ischemia reperfusion induced microvascular injury. Am J Physiol 1997;253:699-703.
  • Haznedaroglu SM, Pehlivan G, Terzioglu G, Erkek B, Demirer S, Ustbütün A, Canpolat O, Tüzüner A: Pentoksi- Ş lin ve Ginko Biloba (EGb761)’in sıçanlarda alt extremite iskemi reperfüzyon hasarına etkisi. Ulusal Cerrahi Kon- gresi, 2000.
  • Pehlivan M, Dalbeler Y, Hazinedaroglu S, Arikan Y, Erkek AB, Günal O, Türkçapar N, Türkçapar AG. An assess- ment of the effect of Ginkgo Biloba EGb 761 on isch- emia reperfusion injury of intestine. Hepatogastroenterol 2002;49:201-4.
  • Liu KX, He W, Rinne T, Liu Y, Zhao MQ, Wu WK. The effect of ginkgo biloba extract (EGb 761) pretreatment on intestinal epithelial apoptosis induced by intestinal isch- emia/reperfusion in rats: role of ceramide. Am J Chin Med 2007;35:805-19.

etkisi

Year 2010, Volume: 37 Issue: 3, 199 - 203, 01.09.2010

Abstract

Amaç: Ginkgo Biloba ekstresi (EGb761) yaklasık 5000 yıldır Cinliler tarafından kullanılan bir bitki olan Ginkgo Biloba yapraklarının standardize edilmis sekli olup antioksidan etkinliği bilinmektedir. Bu calısmada Megison\'un sıcanlarda gelistirdiği intestinal “derin iskemi” modelinde EGb761 kullanımının mortalite uzerine olan etkisinin arastırılması amaclandı. Gereç ve Yöntemler: Calısmada 138 adet erkek SpraqueDawley cinsi sıcan kullanıldı. Sıcanlar 4 gruba ayrıldı;1.Grup (Kontrol grubu), II. Grup (Derin iskemi-reperfuzyon grubu), III. Grup (Derin iskemi-reperfuzyon-EGb 761 profi laksi ve tedavi grubu), IV. Grup (Derin iskemi esnasında EGb 761 ile tedavinin yapıldığı grup). Derin iskemi 30 dakika olarak uygulandı. İslem sonrası ilac uygulamaları ve sıcan takibi 1 hafta yapıldı. Gruplarda bir haftalık takip suresinde olusan mortalite sayıları karsılastırıldı. Bulgular: I.grupta 2 (%7.7), II. grupta 22 (%61.1), III.Grupta 6 (%13.6), IV. grupta 11 (%34.3) sıcan laparotomi sonrası bir haftalık takip surecinde mortalite olustu. EGb761\'nın profi laksi ve tedavi amacı ile kullanımının derin iskemi modelinde mortaliteyi istatistiksel olarak anlamlı oranda azalttığı goruldu (p

References

  • Schoenberg MH, Beger HG. Reperfusion injuy after intesti- nal ischemia. Crit Care Med 1993;21:1376-86.
  • Kaleya RN, Sammartano RJ, Boley SJ. Aggressive ap- proach to acute mesenteric ischemia. Surg Clin North Am 1992:72:157-82.
  • Megison SM, Horton JW, Chao H, Walker PB. Prolonged survival and decreased mucozal injury after low dose enter- al allopurinol prophlaxis in mesenteric ischemia. J Pediatr Surg 1990;25:917-21.
  • Megison SM, Horton JW, Chao H, Walker PB. High dose versus low dose enteral allopurinol prophlaxis in mesen- teric ischemia. Circulat Shock 1990;30:323-29.
  • Schneider TA, Longo WA, Ure T, Vernava AM. Mesenter- ic İschemia:Akut arterial sendreoms. Dis Colon Rectum 1994;37:1163-74.
  • Gerald BZ: Visceral occlusive disease. In Lazaar J GreenŞ eld, Michael WM, Keith TO (eds): Surgery scientiŞ c principles and practice; Phlidelphia, Linncott Company,1993:1614- 29.
  • Otamiri T, Tagesson C: Ginkgo biloba prevents mucosal damage associated with small intestinal ischemia. Scand J Gastroenterol 1989; 24: 666-70.
  • Parks DA, Granger DN: Contributions of ischemia and reperfusions to mucosal lesion formation. Am J Physiol 1986;250:749-60.
  • Zimmerman BJ, Granger DN. Reperfusion injury. Surg Clin North Am 1992;72: 65-83.
  • Krınsky NI: Membrane antioxidants. Ann NY Acad Sci 1988;551:17-32.
  • Reily PM, Schiller HJ, Bulkley GB. Pharmacologic approch to tissue injury mediated by free radicals and other reactive oxgen metabolites. Am J Surg 1991;161: 488-503.
  • Williams LF. Vascular insufŞ ciency of the intestine. Gastro- enterology 1971;61:757-77.
  • De Feudis, FV: Ginko Biloba Extract (EGb 761): Phar- macological activities and clinical applications. Elselvier, Paris,1991:1-26.
  • De Feudis FV: Ginko Biloba Extract (EGb 761 ) in perspec- tive. Elsevier, Paris, 1999:10-48.
  • McKinsey JF, Gewertz BL. Acut mesenteric ischemia. Surg Clin North Am 1997; 77: 307-27.
  • Haimovici H: Muscular and metabolic complications of acut arterial occlusion: Myonefropatic metabolic syndrome. Surgery 1979;85:461-68.
  • Megison SM, Horton JW, Chao H, Walker PB: A new model for intestinal ischemia in the rat. J Surg Res 1990;49:168- 73.
  • Adams JT: Abdominal wall, omentum, mesentery and retro- peritonum. Scwartz SI, Shires G.T., Spencer FC, (ed): Prin- ciples of Surgery. Sixth edition, R.R. Donnelley and Sons Co, New York, 1994:1490-99.
  • Korthuis RJ, Smith JK,Carden DL. Hypoxic reperfusion at- tenuates postischemic microvascular injury. Am J Physiol 1989;256:315-22.
  • Mustafa NA, Yandı M, Turgutalp H, Ovalı E. Role of dili- tiazem in ischemia-reperfusıon injury of the intestine. Eur Surg Res 1997;26:335-41.
  • Özden A, Kargıcı H, Bilgihan A, et al. Ratlarda intestinal iskemi ve reperfuzyon hasarında L-Carnitine’in etkisi. Cag- das Cerrahi Derg 1994;8:209-13.
  • Terzi C, Kuzu A, Tanık A, Kale T, Asalar K, Elhan A. The effects of short-and long-term prophylactic high-dose al- lopurinol treatment on mortality in a rat model of intestinal ischemia. Clin Exp Surg 2000;8:10-16.
  • Schoenberg MH, Muhl E, Sellin D, et al. Posthypoten- sive generation of superoxide radicals: Possible role in the pathogenesis of the intestinal mucosa damage. Acta Chir Scand 1984;150: 301-09.
  • Schoenberg, MH, Poch B, Younes M, et al. Involvement of neutrophils in postischemic damage to the small intestine. Gut 1991; 32: 905-12.
  • Horgan PG, Gorey TF. Operative assesment of intesti- nal viability. Intestinal ischemia. Surg Clin North Am 1992;72:143-55.
  • Schierwagen C, Bylund-Fellenius AC, Lundberg C. Im- proved metod for guantiŞ cation of tissue PMN accumu- lation measured by MPO activity. J Pharmacol Methods 1990;23:179-86.
  • Hernandez LA, Grisham MB, Twohig B, Arfors KE, Har- lan JM, Granger DN. Role of neutrophils in ischemia reperfusion induced microvascular injury. Am J Physiol 1997;253:699-703.
  • Haznedaroglu SM, Pehlivan G, Terzioglu G, Erkek B, Demirer S, Ustbütün A, Canpolat O, Tüzüner A: Pentoksi- Ş lin ve Ginko Biloba (EGb761)’in sıçanlarda alt extremite iskemi reperfüzyon hasarına etkisi. Ulusal Cerrahi Kon- gresi, 2000.
  • Pehlivan M, Dalbeler Y, Hazinedaroglu S, Arikan Y, Erkek AB, Günal O, Türkçapar N, Türkçapar AG. An assess- ment of the effect of Ginkgo Biloba EGb 761 on isch- emia reperfusion injury of intestine. Hepatogastroenterol 2002;49:201-4.
  • Liu KX, He W, Rinne T, Liu Y, Zhao MQ, Wu WK. The effect of ginkgo biloba extract (EGb 761) pretreatment on intestinal epithelial apoptosis induced by intestinal isch- emia/reperfusion in rats: role of ceramide. Am J Chin Med 2007;35:805-19.
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Mustafa Ates This is me

M. Hakan Köksal This is me

M. Fevzi Celayir This is me

Adil Baykan This is me

Publication Date September 1, 2010
Submission Date March 2, 2015
Published in Issue Year 2010 Volume: 37 Issue: 3

Cite

APA Ates, M., Köksal, M. H., Celayir, M. F., Baykan, A. (2010). etkisi. Dicle Tıp Dergisi, 37(3), 199-203.
AMA Ates M, Köksal MH, Celayir MF, Baykan A. etkisi. diclemedj. September 2010;37(3):199-203.
Chicago Ates, Mustafa, M. Hakan Köksal, M. Fevzi Celayir, and Adil Baykan. “Etkisi”. Dicle Tıp Dergisi 37, no. 3 (September 2010): 199-203.
EndNote Ates M, Köksal MH, Celayir MF, Baykan A (September 1, 2010) etkisi. Dicle Tıp Dergisi 37 3 199–203.
IEEE M. Ates, M. H. Köksal, M. F. Celayir, and A. Baykan, “etkisi”, diclemedj, vol. 37, no. 3, pp. 199–203, 2010.
ISNAD Ates, Mustafa et al. “Etkisi”. Dicle Tıp Dergisi 37/3 (September 2010), 199-203.
JAMA Ates M, Köksal MH, Celayir MF, Baykan A. etkisi. diclemedj. 2010;37:199–203.
MLA Ates, Mustafa et al. “Etkisi”. Dicle Tıp Dergisi, vol. 37, no. 3, 2010, pp. 199-03.
Vancouver Ates M, Köksal MH, Celayir MF, Baykan A. etkisi. diclemedj. 2010;37(3):199-203.