Research Article
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Year 2023, Volume: 9 Issue: 3, 567 - 573, 04.05.2023
https://doi.org/10.18621/eurj.1181742

Abstract

References

  • 1. Zou C, Hu H, Xi X, Shi Z, Wang G, Huang X. Pioglitazone protects against renal ischemia-reperfusion injury by enhancing antioxidant capacity. J Surg Res 2013;184:1092-5.
  • 2. Erol B, Turker T, Tok A, Bektas S, Mungan G, Ozkanli S, et al. The protective effects of tadalafil on renal damage following ischemia reperfusion injury in rats. Kaohsiung J Med Sci 2015;31:454-62.
  • 3. Youssef MI, Mahmoud AA, Abdelghany RH. A new combination of sitagliptin and furosemide protects against remote myocardial injury induced by renal ischemia/reperfusion in rats. Biochem Pharmacol 2015;96:20-9.
  • 4. Bayrak S, Yurekli I, Gokalp O, Kiray M, Bademci MS, Ozcem B, et al. Assessment of protective effects of methylprednisolone and pheniramine maleate on reperfusion injury in kidney after distant organ ischemia: a rat model. Ann Vasc Surg 2012;26:559-65.
  • 5. Kumar S, Allen DA, Kieswich JE, Patel NS, Harwood S, Mazzon E, et al. Dexamethasone ameliorates renal ischemia-reperfusion injury. J Am Soc Nephrol 2009;20:2412-25.
  • 6. Fontana J, Vogt A, Hohenstein A, Vettermann U, Doroshenko E, Lammer E, et al. Impact of steroids on the inflammatory response after ischemic acute kidney injury in rats. Indian J Nephrol 2017;27:365-71.
  • 7. Wystrychowski G, Wystrychowski W, Grzeszczak W, Wiecek A, Krol R, Wystrychowski A. Pentoxifylline and methylprednisolone additively alleviate kidney failure and prolong survival of rats after renal warm ischemia-reperfusion. Int J Mol Sci 2018;19:221.
  • 8. De Leon JAD, Borges CR. Evaluation of oxidative stress in biological samples using the thiobarbituric acid reactive substances assay. J Vis Exp 2020;(159):e61122.
  • 9. Bar-Or D, Lau E, Winkler JV. A novel assay for cobalt-albumin binding and its potential as a marker for myocardial ischemia - a preliminary report. J Emerg Med 2000;19:311-5.
  • 10. Huang C, Huang C, Hestin D, Dent PC, Barclay P, Collis M, et al. The effect of endothelin antagonists on renal ischaemia‐reperfusion injury and the development of acute renal failure in the rat. Nephrol Dial Transplant 2002;17:1578-85.
  • 11. Tang PS, Mura M, Seth R, Liu M. Acute lung injury and cell death: how many ways can cells die? Am J Physiol Lung Cell Mol Physiol 2008;294:L632-L41.
  • 12. Hearse DJ, Bolli R. Reperfusion induced injury: manifestations, mechanisms, and clinical relevance. Cardiovasc Res 1992;26:101-8.
  • 13. Rodríguez-López JM, Sánchez-Conde P, Lozano FS, Nicolás JL, García-Criado FJ, Cascajo C, et al. Effects of propofol on the systemic inflammatory response during aortic surgery. Can J Anesth 2006;53:701-10.
  • 14. Segerer S, Nelson PJ, Schlöndorff D. Chemokines, chemokine receptors, and renal disease: from basic science to pathophysiologic and therapeutic studies. J Am Soc Nephrol 2000;11:152-76.
  • 15. Akcay A, Nguyen Q, Edelstein CL. Mediators of inflammation in acute kidney injury. Mediators Inflamm 2009;2009:137072.
  • 16. Yeginsu A. [The effects of methylprednisolone on the lung injury resulted from extremity ischemia reperfusion]. Turk Gogus Kalp Damar Cerrahisi Derg 2010;18:45-51. [Article in Turkish]
  • 17. Chimalakonda AP, Mehvar R. Effects of methylprednisolone and its liver-targeted dextran prodrug on ischemia-reperfusion injury in a rat liver transplantation model. Pharm Res 2007;24:2231-8.
  • 18. Baker RC, Armstrong MA, Young IS, McClean E, O'Rourke D, Campbell FC, et al. Methylprednisolone increases urinary nitrate concentrations and reduces subclinical renal injury during infrarenal aortic ischemia reperfusion. Ann Surg 2006;244:821-6.
  • 19. Gozdzik W, Zielinski S, Zielinska M, Ratajczak K, Skrzypczak P, Rodziewicz S, et al. Beneficial effects of inhaled nitric oxide with intravenous steroid in an ischemia-reperfusion model involving aortic clamping. Int J Immunopathol Pharmacol 2018;32:394632017751486.
  • 20. Ozcan AV, Sacar M, Aybek H, Bir F, Demir S, Onem G, et al. The effects of iloprost and vitamin C on kidney as a remote organ after ischemia/reperfusion of lower extremities. J Surg Res 2007;140:20-6.
  • 21. Singh D, Chander V, Chopra K. The effect of Quercetin, a bioflavonoid on ischemia/reperfusion induced renal injury in rats. Arch Med Res 2004;35:484-94.
  • 22. Gurer B, Karakoc A, Bektasoglu PK, Kertmen H, Kanat MA, Arikok AT, et al. Comparative effects of vitamin D and methylprednisolone against ischemia/reperfusion injury of rabbit spinal cords. Eur J Pharmacol. 2017;813:50-60.
  • 23. Talwalkar SS, Bon-Homme M, Miller JJ, Elin RJ. Ischemia modified albumin, a marker of acute ischemic events: a pilot study. Ann Clin Lab Sci 2008;38:132-7.
  • 24. Lippi G, Montagnana M, Guidi GC. Albumin cobalt binding and ischemia modified albumin generation: an endogenous response to ischemia? Int J Cardiol 2006;108:410-1.
  • 25. Amasyali AS, Akkurt A, Kazan E, Yilmaz M, Erol B, Yildiz Y, et al. The protective effect of tadalafil on IMA (ischemia modified albumin) levels in experimental renal ischemia-reperfusion injury. Int J Clin Exp Med 2015;8:15766-72.
  • 26. Kocan H, Citgez S, Yucetas U, Yucetas E, Yazici M, Amasyali A, et al.. Can ischemia-modified albumin be used as an objective biomarker for renal ischemic damage? An experimental study with Wistar albino rats. Transplant Proc 2014;46:3326-9.
  • 27. Fadillioglu E, Kurcer Z, Parlakpinar H, Iraz M, Gursul C. Melatonin treatment against remote organ injury induced by renal ischemia reperfusion injury in diabetes mellitus. Arch Pharm Res 2008;31:705-12.
  • 28. Tai S, Fu Y, Yang Y, Wang J. Niacin ameliorates kidney warm ischemia and reperfusion injury-induced ventricular dysfunction and oxidative stress and disturbance in mitochondrial metabolism in rats. Transplant Proc 2015;47:1079-82.
  • 29. Gill A, Wortham K, Costa D, Davis W, Ticho B, Whalley E. Protective effect of tonapofylline (BG9928), an adenosine A1 receptor antagonist, against cisplatin-induced acute kidney injury in rats. Am J Nephrol 2009;30:521-6.

Protective effects of methylprednisolone in kidney: aortic occlusion-reperfusion model in rats

Year 2023, Volume: 9 Issue: 3, 567 - 573, 04.05.2023
https://doi.org/10.18621/eurj.1181742

Abstract

Objectives: Ischemia/reperfusion (I/R) injury is commonly seen in cardiovascular surgery, activates inflammation and causes renal damage. In this experimental study, we aimed to assess the effects of different doses (5 and 30 mg/kg) of methylprednisolone (MP), which has anti-inflammatory effect, on renal ischemia/reperfusion (I/R) injury.

Methods: Thirty-two male Wistar albino rats were randomly divided into four groups (n = 8). The sham group underwent midline laparotomy and dissection of the abdominal aorta without occlusion while the I/R group underwent suprarenal aortic ischemia for 45 minutes followed by 180 minutes of reperfusion. In the 5 mg/kg MP and 30 mg/kg MP groups, MP was administered intraperitoneally. At the end of the experiment, blood samples were obtained, and kidneys were extracted.

Results: Pretreatment with methylprednisolone did not influence serum BUN and creatinine levels. Serum TNF-α levels and ischemia-modified albumin levels were significantly lower in the MP groups compared to the I/R group (p < 0.05). Histological examination demonstrated severe injury in the I/R group and treatment with MP attenuated the severity. The difference was significant in doses of 30 mg/kg MP.

Conclusions: This results of the model of renal I/R injury presented in this work reveal the anti-inflammatory and the protective effects of MP in cases of renal I/R.

References

  • 1. Zou C, Hu H, Xi X, Shi Z, Wang G, Huang X. Pioglitazone protects against renal ischemia-reperfusion injury by enhancing antioxidant capacity. J Surg Res 2013;184:1092-5.
  • 2. Erol B, Turker T, Tok A, Bektas S, Mungan G, Ozkanli S, et al. The protective effects of tadalafil on renal damage following ischemia reperfusion injury in rats. Kaohsiung J Med Sci 2015;31:454-62.
  • 3. Youssef MI, Mahmoud AA, Abdelghany RH. A new combination of sitagliptin and furosemide protects against remote myocardial injury induced by renal ischemia/reperfusion in rats. Biochem Pharmacol 2015;96:20-9.
  • 4. Bayrak S, Yurekli I, Gokalp O, Kiray M, Bademci MS, Ozcem B, et al. Assessment of protective effects of methylprednisolone and pheniramine maleate on reperfusion injury in kidney after distant organ ischemia: a rat model. Ann Vasc Surg 2012;26:559-65.
  • 5. Kumar S, Allen DA, Kieswich JE, Patel NS, Harwood S, Mazzon E, et al. Dexamethasone ameliorates renal ischemia-reperfusion injury. J Am Soc Nephrol 2009;20:2412-25.
  • 6. Fontana J, Vogt A, Hohenstein A, Vettermann U, Doroshenko E, Lammer E, et al. Impact of steroids on the inflammatory response after ischemic acute kidney injury in rats. Indian J Nephrol 2017;27:365-71.
  • 7. Wystrychowski G, Wystrychowski W, Grzeszczak W, Wiecek A, Krol R, Wystrychowski A. Pentoxifylline and methylprednisolone additively alleviate kidney failure and prolong survival of rats after renal warm ischemia-reperfusion. Int J Mol Sci 2018;19:221.
  • 8. De Leon JAD, Borges CR. Evaluation of oxidative stress in biological samples using the thiobarbituric acid reactive substances assay. J Vis Exp 2020;(159):e61122.
  • 9. Bar-Or D, Lau E, Winkler JV. A novel assay for cobalt-albumin binding and its potential as a marker for myocardial ischemia - a preliminary report. J Emerg Med 2000;19:311-5.
  • 10. Huang C, Huang C, Hestin D, Dent PC, Barclay P, Collis M, et al. The effect of endothelin antagonists on renal ischaemia‐reperfusion injury and the development of acute renal failure in the rat. Nephrol Dial Transplant 2002;17:1578-85.
  • 11. Tang PS, Mura M, Seth R, Liu M. Acute lung injury and cell death: how many ways can cells die? Am J Physiol Lung Cell Mol Physiol 2008;294:L632-L41.
  • 12. Hearse DJ, Bolli R. Reperfusion induced injury: manifestations, mechanisms, and clinical relevance. Cardiovasc Res 1992;26:101-8.
  • 13. Rodríguez-López JM, Sánchez-Conde P, Lozano FS, Nicolás JL, García-Criado FJ, Cascajo C, et al. Effects of propofol on the systemic inflammatory response during aortic surgery. Can J Anesth 2006;53:701-10.
  • 14. Segerer S, Nelson PJ, Schlöndorff D. Chemokines, chemokine receptors, and renal disease: from basic science to pathophysiologic and therapeutic studies. J Am Soc Nephrol 2000;11:152-76.
  • 15. Akcay A, Nguyen Q, Edelstein CL. Mediators of inflammation in acute kidney injury. Mediators Inflamm 2009;2009:137072.
  • 16. Yeginsu A. [The effects of methylprednisolone on the lung injury resulted from extremity ischemia reperfusion]. Turk Gogus Kalp Damar Cerrahisi Derg 2010;18:45-51. [Article in Turkish]
  • 17. Chimalakonda AP, Mehvar R. Effects of methylprednisolone and its liver-targeted dextran prodrug on ischemia-reperfusion injury in a rat liver transplantation model. Pharm Res 2007;24:2231-8.
  • 18. Baker RC, Armstrong MA, Young IS, McClean E, O'Rourke D, Campbell FC, et al. Methylprednisolone increases urinary nitrate concentrations and reduces subclinical renal injury during infrarenal aortic ischemia reperfusion. Ann Surg 2006;244:821-6.
  • 19. Gozdzik W, Zielinski S, Zielinska M, Ratajczak K, Skrzypczak P, Rodziewicz S, et al. Beneficial effects of inhaled nitric oxide with intravenous steroid in an ischemia-reperfusion model involving aortic clamping. Int J Immunopathol Pharmacol 2018;32:394632017751486.
  • 20. Ozcan AV, Sacar M, Aybek H, Bir F, Demir S, Onem G, et al. The effects of iloprost and vitamin C on kidney as a remote organ after ischemia/reperfusion of lower extremities. J Surg Res 2007;140:20-6.
  • 21. Singh D, Chander V, Chopra K. The effect of Quercetin, a bioflavonoid on ischemia/reperfusion induced renal injury in rats. Arch Med Res 2004;35:484-94.
  • 22. Gurer B, Karakoc A, Bektasoglu PK, Kertmen H, Kanat MA, Arikok AT, et al. Comparative effects of vitamin D and methylprednisolone against ischemia/reperfusion injury of rabbit spinal cords. Eur J Pharmacol. 2017;813:50-60.
  • 23. Talwalkar SS, Bon-Homme M, Miller JJ, Elin RJ. Ischemia modified albumin, a marker of acute ischemic events: a pilot study. Ann Clin Lab Sci 2008;38:132-7.
  • 24. Lippi G, Montagnana M, Guidi GC. Albumin cobalt binding and ischemia modified albumin generation: an endogenous response to ischemia? Int J Cardiol 2006;108:410-1.
  • 25. Amasyali AS, Akkurt A, Kazan E, Yilmaz M, Erol B, Yildiz Y, et al. The protective effect of tadalafil on IMA (ischemia modified albumin) levels in experimental renal ischemia-reperfusion injury. Int J Clin Exp Med 2015;8:15766-72.
  • 26. Kocan H, Citgez S, Yucetas U, Yucetas E, Yazici M, Amasyali A, et al.. Can ischemia-modified albumin be used as an objective biomarker for renal ischemic damage? An experimental study with Wistar albino rats. Transplant Proc 2014;46:3326-9.
  • 27. Fadillioglu E, Kurcer Z, Parlakpinar H, Iraz M, Gursul C. Melatonin treatment against remote organ injury induced by renal ischemia reperfusion injury in diabetes mellitus. Arch Pharm Res 2008;31:705-12.
  • 28. Tai S, Fu Y, Yang Y, Wang J. Niacin ameliorates kidney warm ischemia and reperfusion injury-induced ventricular dysfunction and oxidative stress and disturbance in mitochondrial metabolism in rats. Transplant Proc 2015;47:1079-82.
  • 29. Gill A, Wortham K, Costa D, Davis W, Ticho B, Whalley E. Protective effect of tonapofylline (BG9928), an adenosine A1 receptor antagonist, against cisplatin-induced acute kidney injury in rats. Am J Nephrol 2009;30:521-6.
There are 29 citations in total.

Details

Primary Language English
Subjects Cardiovascular Surgery
Journal Section Original Articles
Authors

Serkan Seçici 0000-0003-3988-8169

Kadir Kaan Özsin 0000-0001-5933-9322

M.özgür Özyiğit 0000-0003-0682-8127

Omer Arda 0000-0002-8901-776X

Yasemin Üstündağ 0000-0003-2415-0372

Publication Date May 4, 2023
Submission Date September 29, 2022
Acceptance Date December 1, 2022
Published in Issue Year 2023 Volume: 9 Issue: 3

Cite

AMA Seçici S, Özsin KK, Özyiğit M, Arda O, Üstündağ Y. Protective effects of methylprednisolone in kidney: aortic occlusion-reperfusion model in rats. Eur Res J. May 2023;9(3):567-573. doi:10.18621/eurj.1181742

e-ISSN: 2149-3189 


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