Nebivololün İsoproterenol İndüklü Kardiyak Hasarda Koruyuculuğu ve İrisinin Rolü

Year 2024, Volume: 21 Issue: 3, 527 - 532, 27.12.2024

Merve Yılmaz Bozoğlan , Esma Şebnem Süngü , Dilan Aşkın Özek , Dilek Arslan Ateşşahin , Sermin Algül , Engin Şahna

https://doi.org/10.35440/hutfd.1517006

Abstract

Amaç: Nebivolol (NEB), adrenoreseptör blokajı yaparken beraberinde damarlarda etkin bir gev-şeme sağlayan bir β blokördür. İrisin disfonksiyonunun hipertansiyon, koroner arter hastalığı, miyokard infarktüsü gibi kardiyovasküler hastalıklarda rolü olduğu bilinmektedir. Bu çalışmada isoproterenol (İSO) ile indüklenmiş kardiyak hasarda nebivolol tedavisinin, kahverengi yağ doku-sunun bol bulunduğu kardiyomiyositlerde etkin olduğu bilinen irisin, oksidatif stres göstergesi malondialdehit (MDA) ve miyokard hasarına bağlı kardiyomiyositlerden kana salınan kreatin kinaz miyokart bandı (CK-MB) seviyelerine etkilerinin değerlendirilmesi amaçlanmıştır.
Materyal ve metod: 28 adet Sprague-Dawley erkek sıçan kontrol, ISO, ISO+NEB ve NEB grupları-na dağıtıldı. İsoproterenol 150 mg/kg subkutan 24 saat ara ile subkutan yolla 2 kez uygulandı, nebivolol 10 gün süreyle 10 mg/kg/gün gavaj yoluyla verildi. İrisin ve CK-MB ELISA, MDA ise spektrofotometrik yöntem ile ölçüldü.
Bulgular: Serum CK-MB, kalp dokusu MDA ve serum irisin düzeyleri İSO indüklemesi ile anlamlı arttı. Nebivolol tedavisi ise her üç parametreyi de anlamlı şekilde azalttı (p<0.05).
Sonuç: Daha ileri çalışmalara ihtiyaç olmakla beraber, irisinin İSO indüklü kardiyak hasarda ve nebivolol koruyuculuğunda rolü olabileceği düşünülmektedir.

Keywords

ardkoşullama, irisin, izoproterenol, kardiyak İR, nebivolol

Ethical Statement

Bu makalede sunulan veriler, bilgiler ve dokümanlar akademik ve etik kurallar çerçevesinde elde edilmiş ve sunulmuştur. Kullanılan verilerde herhangi bir değişiklik yapılmamıştır. Projenin ilk etik beyanında yer alan hocamızın, projeden feragat dilekçesi paylaşılmıştır. Dr.Öğr.Üyesi Merve YILMAZ BOZOĞLAN, MD 16.07.2024

Supporting Institution

Fırat Üniversitesi BAP Koordinasyon Birimi tarafından karşılanmıştır.

Thanks

Fırat Üniversitesi BAP Koordinasyon Merkezine teşekkür ederiz.

The Protection of Nebivolol Against Isoproterenol-Induced Cardiac Damage and the Role of Irisin

Abstract

Background: Nebivolol (NEB) is a β blocker that effectively relaxes the vessels while blocking adrenoreceptors. It is known that irisin dysfunction plays a role in cardiovascular diseases such as hypertension, coronary artery disease, and myocardial infarction. This study aimed to evaluate the effects of nebivolol treatment in isoproterenol (ISO) -induced cardiac damage on the levels of irisin, which is known to be effective in cardiomyocytes where brown fat tissue is abundant, malondialdehyde (MDA), an oxidative stress indicator, and creatine kinase myocardial band (CK-MB), which is released into the blood from cardiomyocytes due to myocardial damage.
Materials and Methods: 28 Sprague-Dawley male rats were distributed to control, ISO, ISO+NEB and NEB groups. Isoproterenol 150 mg/kg was given subcutaneously twice with an interval of 24 hours, and nebivolol 10 mg/kg/day was given via gavage for 10 days. Irisin and CK-MB were measured by ELISA, and MDA by spectrophotometric method.
Results: Serum CK-MB, heart tissue MDA and serum irisin levels increased significantly with ısoproterenol induction. Nebivolol treatment significantly reduced all three parameters (p<0.05).
Conclusions: Although further studies are needed, it is thought that irisin may play a role in ISO-induced cardiac damage and nebivolol protection.

Keywords

Cardiac damage, Isoproterenol, Irisin, Nebivolol

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