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Seryum Nitrat ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması

Year 2025, Volume: 20 Issue: 2, 78 - 86, 27.08.2025
https://doi.org/10.17094/vetsci.1701588

Abstract

Yanık sonrası travma günlük yaşamda sıklıkla görülmektedir. Yanık yaralanması ciltte travmatik hasara neden olmakla birlikte, vücutta sistemik inflamatuar reaksiyonlar sonucu testis dokusu da dahil olmak üzere birçok doku ve organda da hasara neden olabilir. Seryum nitrat (SN) ve Trombositten Zengin Plazma (TZP), antiinflamatuar, antioksidan ve antiapoptotik özelliklere sahip doğal bileşiklerdir. Çalışmanın birinci gününde sıçanların cilt dokularında termal hasar oluşturuldu. Daha sonra CN grubundaki sıçanlar 0,04 M SN'li 30 dakikalık banyoda tutuldu. PRP grubundaki sıçanlara yara bölgesine 0,1 ml PRP intradermal enjeksiyonu yapıldı. Yanık sonrası yapılan spermatolojik incelemelerde anormal şekilli sperm sayısının arttığı ve sperm zarının bütünlüğünün bozulduğu görüldü. Histopatolojik incelemelerde testis dokularında tubüler duvarlarda incelme, spermatosit sayısında azalma ve spermatositlerde ileri derecede dejenerasyon ve nekroz gözlendi. Yanığın testis dokularında IL-1β, TNF-α ve iNOS düzeylerini artırarak inflamasyonu tetiklediği, 8-OHdG düzeylerini artırarak DNA hasarına neden olduğu ve ayrıca testis hücrelerinde Kaspaz 3 ekspresyonunun artmasına bağlı olarak apoptoza neden olduğu gözlendi. CN ve PRP tedavilerinin yanık sonrası anormal şekilli sperm sayısını azalttığı, spermlerin membran bütünlüğünü koruduğu, testis dokularında inflamasyonu, oksidatif stresi ve apoptozu baskıladığı belirlenmiştir.

References

  • 1. Şengezer M, Selmanpakoğlu N, Duman H, et al. Epidemiological analysis of burn injuries in Gülhane military medical academy Burn Center. Türk Plast Cer Derg. 1995;3(1):74-77.
  • 2. Yang X, Li R, Zhai J, et al. Effects of early enteral nutrition in patients with severe burns: A systematic review. Medicine. 2024;103(7):e37023.
  • 3. Bekyarova G, Tzaneva M, Hristova M. Heme oxygenase-1 expresion in gastric mucosa and liver after burns: preliminary immunohistochemical study. J Interdiscip Histopathol. 2013;1(5):246.
  • 4. Baskaran H, Yarmush Y, Berthiaume F. Dynamics of tissue neutrophil sequestration after cutaneous burns in rats. J Surg Res. 2000;93(1):88–96.
  • 5. Faunce DE, Llanas JN, Patel PJ, et al. Neutrophil chemokine production in the skin following scald injury. Burns. 1999;25:403–410.
  • 6. Valavanidis A, Vlachogianni T, Fiotakis C. 8-hydroxy-2′-deoxyguanosine (8-OHdG): a critical biomarker of oxidative stress and carcinogenesis. J Environ Sci Health. 2009;27(2):120-139.
  • 7. Hassan MA, El Bohy KM, El Sharkawy NI, et al. Iprodione and chlorpyrifos induce testicular damage, oxidative stress, apoptosis and suppression of steroidogenic‐and spermatogenic‐related genes in immature male albino rats. Andrologia. 2021;53(4):e13978.
  • 8. Chowdhury AK, Steinberger E. Early changes in the germinal epithelium of rat testes following exposure to heat. Reproduction. 1970;22(2):205-212.
  • 9. Mieusset R, Bujan L, Mondinat C, et al. Association of scrotal hyperthermia with impaired spermatogenesis in infertile men. Fertil Steril. 1987;48(6):1006-1011.
  • 10. Rommerts FFG, De Jong FH, Grootegoed JA, et al. Metabolic changes in testicular cells from rats after long-term exposure to 37 C in vivo or in vitro. J Endocrinol. 1980;85(3):471-479.
  • 11. Bolat I, Bolat M, Kiliçlioğlu M, et al. Investigation of the effects of boric acid against post operative testicular adhesion caused by experimental laporotomy in rats. Biol Trace Elem Res. 2024;1-14.
  • 12. Vladulescu D, Scurtu LG, Simionescu AA, et al. Platelet-rich plasma (PRP) in dermatology: cellular and molecular mechanisms of action. Biomedicines. 2023;12(1):1-7.
  • 13. Turk G, Atessahin A, Sonmez M, et al. Improvement of cisplatin - induced injuries to sperm quality, the oxidant-antioxidant system, and the histologic structure of the rat testis by ellagic acid. Fertil Steril. 2008;89(5):1474-1481.
  • 14. Dokumacioglu E, Iskender H, Kapakin KAT, et al. Curcumin exerts protective effects against valproic acid-induced testicular damage through modulating the JAK1/STAT–3/IL–6 signaling pathway in rats. Iran J Basic Med Sci. 2025;28(2):230.
  • 15. Bolat İ, Bolat M, Kiliçlioğlu M, et al. Cellular pathophysiology of Leptospira interrogans infection in canine testicular tissue: role of the TLR4/NF-kB/JNK pathway. J Comp Pathol. 2025;216:10-19.
  • 16. Bolat İ, Yildirim S, Sağlam YS, et al. β-Caryophyllene attenuates cadmium induced neurotoxicity in rats by modulating different cellular signaling pathways. NeuroToxicology. 2025;108:206-217.
  • 17. Lu J, Deegan AJ, Cheng Y, et al. Application of OCT‐Derived Attenuation Coefficient in Acute Burn‐Damaged Skin. Lasers Surg Med. 2021;53(9):1192-1200.
  • 18. Cuddihy J, Wu G, Ho L, et al. Lactate dehydrogenase activity staining demonstrates time-dependent immune cell infiltration in human ex-vivo burn-injured skin. Sci Rep. 2021;11(1):1-12.
  • 19. Davenport A, Honore PM. Continuous renal replacement therapy under special conditions like sepsis, burn, cardiac failure, neurotrauma, and liver failure. Sem Dialy. 2021;34(6):457-471.
  • 20. Rashidi HH, Makley A, Palmieri TL, et al. Enhancing military burn-and trauma-related acute kidney injury prediction through an automated machine learning platform and point-of-care testing. Arch Pathol Lab Med. 2021;145(3):320-326.
  • Rashidi HH, Makley A, Palmieri TL, et al. Enhancing military burn-and trauma-related acute kidney injury prediction through an automated machine learning platform and point-of-care testing. Arch Pathol Lab Med. 2021;145(3):320-326.
  • 21. De Tymowski C, Dépret F, Dudoignon et al. Ketamine restriction correlates with reduced cholestatic liver injury and improved outcomes in critically ill patients with burn injury. JHEP Reports. 2024;6(2):100950,1-10.
  • 22. Legrand M, Clark AT, Neyra JA, et al. (2024). Acute kidney injury in patients with burns. Nat Rev Nephrol. 2024;20(3):188-200.
  • 23. Jewo PI, Duru FI, Fadeyibi IO, et al. The protective role of ascorbic acid in burn-induced testicular damage in rats. Burns. 2012;38(1):113-119.
  • 24. Jeschke MG, Rehou S, McCann MR, et al. Allogeneic mesenchymal stem cells for treatment of severe burn injury. Stem Cell Res Ther. 2019;10(1):1-6.
  • 25. Sterling JP, Lombardi VC. Decreasing the likelihood of multiple organ dysfunction syndrome in burn injury with early antioxidant treatment. Antioxidants. 2021;10(8):1192.
  • 26. Monafo WW, Tandon SN, Ayvazian VH. Cerium nitrate, a new topical antiseptic for extensive burns. Surgery. 1976;80:465–473.
  • 27. Deldar R, D'Arpa P, Moffatt L, et al. Cerium Nitrate Treatment in the Management of Burns. Adv Wound Care. 2021;11(8):443-454.
  • 28. Josh F, Soekamto TH, Adriani JR, et al. The combination of stromal vascular fraction cells and platelet-rich plasma reduces malondialdehyde and nitric oxide levels in deep dermal burn injury. J Inflamm Res. 2021;14:3049-3061.
  • 29. Abu-Risha SE, Mousa MA, Elsisi AE. Protective role of irbesartan against cyclophosphamide-induced testicular damage in rats via up-regulating PPAR-γ signaling and ameliorating NF-κB/NLRP3/IL-18 inflammatory axis. Life Sci. 2022;289:120218.
  • 30. Gholizadeh F, Dastghaib S, Koohpeyma F, et al. The protective effect of Stevia rebaudiana Bertoni on serum hormone levels, key steroidogenesis enzymes, and testicular damage in testes of diabetic rats. Acta Histochem. 2019;121(7):833-840.
  • 31. Dehghani F, Sotoude N, Bordbar H, et al. The use of platelet-rich plasma (PRP) to improve structural impairment of rat testis induced by busulfan. Platelets. 2019;30(4):513-520.
  • 32. Deveci M, Eski M, Sengezer M, et al. The effect of cerium nitrate bathing and prompt burn wound excision on IL-6 and TNF-a levels in burned rat. Burns. 2000;26(1):41–45.
  • 33. Eski M, Ozer F, Fırat C, et al. Cerium nitrate treatments prevent progresive tissue necrosis in the zone of stasis following burn. Burns. 2012;38(2):283-289.
  • 34. Grambart ST. Sports medicine and platelet-rich plasma: nonsurgical therapy. Clin Podiatr Med Surg. 2015;32(1):99-107.
  • 35. Ozveri ES, Bozkurt A, Haklar G, et al. Estrogens ameliorate remote organ inflammation induced by burn injury in rats. Inflam Res. 2001;50(12):585-591.
  • 36. Qian LW, Fourcaudot AB, Chen P, et al. Cerium nitrate enhances anti-bacterial effects and imparts anti-inflammatory properties to silver dressings in a rat scald burn model. Inter J Burns Trauma. 2020;10(4):91-100.

Investigation of the Effects of Cerium Nitrate and Platelet-Rich Plasma Treatments on Rat Testicular Tissue in the Recovery of the Stasis Zone

Year 2025, Volume: 20 Issue: 2, 78 - 86, 27.08.2025
https://doi.org/10.17094/vetsci.1701588

Abstract

Post-burn trauma is common in daily life. Although a burn injury causes traumatic damage to the skin, it can also cause damage to many tissues and organs, including testicular tissue, as a result of systemic inflammatory reactions in the body. Cerium nitrate (CN) and Platelet-Rich-Plasma (PRP) are natural compounds having anti-inflammatory, anti-oxidant and anti-apoptotic properties. In this study, we aimed to investigate the efficacy of CN and PRP against the damage to testicular tissues after burns. Thermal damage was induced in the skin tissues of the rats on the first day of the study. Then, the rats in the CN group were kept in a 30-min bath of 0.04 M CN. The rats in the PRP group received 0.1 ml of PRP intradermal injections in the wound area. Spermatological examinations performed after burn revealed that abnormally shaped sperm counts increased and the integrity of the sperm membrane was impaired. In histopathological examinations, thinning of the tubular walls in testicular tissues was observed, as well as a decrease in spermatocyte numbers and severe degeneration and necrosis in the spermatocytes. It was also observed that the burn triggered inflammation in testicular tissues by increasing IL-1β, TNF-α and iNOS levels, caused DNA damage by increasing 8-OHdG levels, and furthermore caused apoptosis due to increased Caspase 3 expression in the testicular cells. It was determined that CN and PRP treatments reduced the number of abnormally shaped sperms after burn, maintained membrane integrity of sperms, and suppressed inflammation, oxidative stress and apoptosis in testicular tissues.

References

  • 1. Şengezer M, Selmanpakoğlu N, Duman H, et al. Epidemiological analysis of burn injuries in Gülhane military medical academy Burn Center. Türk Plast Cer Derg. 1995;3(1):74-77.
  • 2. Yang X, Li R, Zhai J, et al. Effects of early enteral nutrition in patients with severe burns: A systematic review. Medicine. 2024;103(7):e37023.
  • 3. Bekyarova G, Tzaneva M, Hristova M. Heme oxygenase-1 expresion in gastric mucosa and liver after burns: preliminary immunohistochemical study. J Interdiscip Histopathol. 2013;1(5):246.
  • 4. Baskaran H, Yarmush Y, Berthiaume F. Dynamics of tissue neutrophil sequestration after cutaneous burns in rats. J Surg Res. 2000;93(1):88–96.
  • 5. Faunce DE, Llanas JN, Patel PJ, et al. Neutrophil chemokine production in the skin following scald injury. Burns. 1999;25:403–410.
  • 6. Valavanidis A, Vlachogianni T, Fiotakis C. 8-hydroxy-2′-deoxyguanosine (8-OHdG): a critical biomarker of oxidative stress and carcinogenesis. J Environ Sci Health. 2009;27(2):120-139.
  • 7. Hassan MA, El Bohy KM, El Sharkawy NI, et al. Iprodione and chlorpyrifos induce testicular damage, oxidative stress, apoptosis and suppression of steroidogenic‐and spermatogenic‐related genes in immature male albino rats. Andrologia. 2021;53(4):e13978.
  • 8. Chowdhury AK, Steinberger E. Early changes in the germinal epithelium of rat testes following exposure to heat. Reproduction. 1970;22(2):205-212.
  • 9. Mieusset R, Bujan L, Mondinat C, et al. Association of scrotal hyperthermia with impaired spermatogenesis in infertile men. Fertil Steril. 1987;48(6):1006-1011.
  • 10. Rommerts FFG, De Jong FH, Grootegoed JA, et al. Metabolic changes in testicular cells from rats after long-term exposure to 37 C in vivo or in vitro. J Endocrinol. 1980;85(3):471-479.
  • 11. Bolat I, Bolat M, Kiliçlioğlu M, et al. Investigation of the effects of boric acid against post operative testicular adhesion caused by experimental laporotomy in rats. Biol Trace Elem Res. 2024;1-14.
  • 12. Vladulescu D, Scurtu LG, Simionescu AA, et al. Platelet-rich plasma (PRP) in dermatology: cellular and molecular mechanisms of action. Biomedicines. 2023;12(1):1-7.
  • 13. Turk G, Atessahin A, Sonmez M, et al. Improvement of cisplatin - induced injuries to sperm quality, the oxidant-antioxidant system, and the histologic structure of the rat testis by ellagic acid. Fertil Steril. 2008;89(5):1474-1481.
  • 14. Dokumacioglu E, Iskender H, Kapakin KAT, et al. Curcumin exerts protective effects against valproic acid-induced testicular damage through modulating the JAK1/STAT–3/IL–6 signaling pathway in rats. Iran J Basic Med Sci. 2025;28(2):230.
  • 15. Bolat İ, Bolat M, Kiliçlioğlu M, et al. Cellular pathophysiology of Leptospira interrogans infection in canine testicular tissue: role of the TLR4/NF-kB/JNK pathway. J Comp Pathol. 2025;216:10-19.
  • 16. Bolat İ, Yildirim S, Sağlam YS, et al. β-Caryophyllene attenuates cadmium induced neurotoxicity in rats by modulating different cellular signaling pathways. NeuroToxicology. 2025;108:206-217.
  • 17. Lu J, Deegan AJ, Cheng Y, et al. Application of OCT‐Derived Attenuation Coefficient in Acute Burn‐Damaged Skin. Lasers Surg Med. 2021;53(9):1192-1200.
  • 18. Cuddihy J, Wu G, Ho L, et al. Lactate dehydrogenase activity staining demonstrates time-dependent immune cell infiltration in human ex-vivo burn-injured skin. Sci Rep. 2021;11(1):1-12.
  • 19. Davenport A, Honore PM. Continuous renal replacement therapy under special conditions like sepsis, burn, cardiac failure, neurotrauma, and liver failure. Sem Dialy. 2021;34(6):457-471.
  • 20. Rashidi HH, Makley A, Palmieri TL, et al. Enhancing military burn-and trauma-related acute kidney injury prediction through an automated machine learning platform and point-of-care testing. Arch Pathol Lab Med. 2021;145(3):320-326.
  • Rashidi HH, Makley A, Palmieri TL, et al. Enhancing military burn-and trauma-related acute kidney injury prediction through an automated machine learning platform and point-of-care testing. Arch Pathol Lab Med. 2021;145(3):320-326.
  • 21. De Tymowski C, Dépret F, Dudoignon et al. Ketamine restriction correlates with reduced cholestatic liver injury and improved outcomes in critically ill patients with burn injury. JHEP Reports. 2024;6(2):100950,1-10.
  • 22. Legrand M, Clark AT, Neyra JA, et al. (2024). Acute kidney injury in patients with burns. Nat Rev Nephrol. 2024;20(3):188-200.
  • 23. Jewo PI, Duru FI, Fadeyibi IO, et al. The protective role of ascorbic acid in burn-induced testicular damage in rats. Burns. 2012;38(1):113-119.
  • 24. Jeschke MG, Rehou S, McCann MR, et al. Allogeneic mesenchymal stem cells for treatment of severe burn injury. Stem Cell Res Ther. 2019;10(1):1-6.
  • 25. Sterling JP, Lombardi VC. Decreasing the likelihood of multiple organ dysfunction syndrome in burn injury with early antioxidant treatment. Antioxidants. 2021;10(8):1192.
  • 26. Monafo WW, Tandon SN, Ayvazian VH. Cerium nitrate, a new topical antiseptic for extensive burns. Surgery. 1976;80:465–473.
  • 27. Deldar R, D'Arpa P, Moffatt L, et al. Cerium Nitrate Treatment in the Management of Burns. Adv Wound Care. 2021;11(8):443-454.
  • 28. Josh F, Soekamto TH, Adriani JR, et al. The combination of stromal vascular fraction cells and platelet-rich plasma reduces malondialdehyde and nitric oxide levels in deep dermal burn injury. J Inflamm Res. 2021;14:3049-3061.
  • 29. Abu-Risha SE, Mousa MA, Elsisi AE. Protective role of irbesartan against cyclophosphamide-induced testicular damage in rats via up-regulating PPAR-γ signaling and ameliorating NF-κB/NLRP3/IL-18 inflammatory axis. Life Sci. 2022;289:120218.
  • 30. Gholizadeh F, Dastghaib S, Koohpeyma F, et al. The protective effect of Stevia rebaudiana Bertoni on serum hormone levels, key steroidogenesis enzymes, and testicular damage in testes of diabetic rats. Acta Histochem. 2019;121(7):833-840.
  • 31. Dehghani F, Sotoude N, Bordbar H, et al. The use of platelet-rich plasma (PRP) to improve structural impairment of rat testis induced by busulfan. Platelets. 2019;30(4):513-520.
  • 32. Deveci M, Eski M, Sengezer M, et al. The effect of cerium nitrate bathing and prompt burn wound excision on IL-6 and TNF-a levels in burned rat. Burns. 2000;26(1):41–45.
  • 33. Eski M, Ozer F, Fırat C, et al. Cerium nitrate treatments prevent progresive tissue necrosis in the zone of stasis following burn. Burns. 2012;38(2):283-289.
  • 34. Grambart ST. Sports medicine and platelet-rich plasma: nonsurgical therapy. Clin Podiatr Med Surg. 2015;32(1):99-107.
  • 35. Ozveri ES, Bozkurt A, Haklar G, et al. Estrogens ameliorate remote organ inflammation induced by burn injury in rats. Inflam Res. 2001;50(12):585-591.
  • 36. Qian LW, Fourcaudot AB, Chen P, et al. Cerium nitrate enhances anti-bacterial effects and imparts anti-inflammatory properties to silver dressings in a rat scald burn model. Inter J Burns Trauma. 2020;10(4):91-100.
There are 37 citations in total.

Details

Primary Language Turkish
Subjects Veterinary Pathology
Journal Section Research Articles
Authors

İsmail Bolat 0000-0003-1398-7046

Kübra Asena Terim Kapakin 0000-0002-1740-8657

Ali Doğan Ömür 0000-0002-2976-4368

Fırat Özer 0000-0002-3805-9281

Esra Manavoğlu Kirman 0000-0003-3877-7686

Publication Date August 27, 2025
Submission Date May 18, 2025
Acceptance Date August 1, 2025
Published in Issue Year 2025 Volume: 20 Issue: 2

Cite

APA Bolat, İ., Terim Kapakin, K. A., Ömür, A. D., … Özer, F. (2025). Seryum Nitrat ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması. Veterinary Sciences and Practices, 20(2), 78-86. https://doi.org/10.17094/vetsci.1701588
AMA Bolat İ, Terim Kapakin KA, Ömür AD, Özer F, Manavoğlu Kirman E. Seryum Nitrat ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması. Veterinary Sciences and Practices. August 2025;20(2):78-86. doi:10.17094/vetsci.1701588
Chicago Bolat, İsmail, Kübra Asena Terim Kapakin, Ali Doğan Ömür, Fırat Özer, and Esra Manavoğlu Kirman. “Seryum Nitrat Ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması”. Veterinary Sciences and Practices 20, no. 2 (August 2025): 78-86. https://doi.org/10.17094/vetsci.1701588.
EndNote Bolat İ, Terim Kapakin KA, Ömür AD, Özer F, Manavoğlu Kirman E (August 1, 2025) Seryum Nitrat ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması. Veterinary Sciences and Practices 20 2 78–86.
IEEE İ. Bolat, K. A. Terim Kapakin, A. D. Ömür, F. Özer, and E. Manavoğlu Kirman, “Seryum Nitrat ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması”, Veterinary Sciences and Practices, vol. 20, no. 2, pp. 78–86, 2025, doi: 10.17094/vetsci.1701588.
ISNAD Bolat, İsmail et al. “Seryum Nitrat Ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması”. Veterinary Sciences and Practices 20/2 (August2025), 78-86. https://doi.org/10.17094/vetsci.1701588.
JAMA Bolat İ, Terim Kapakin KA, Ömür AD, Özer F, Manavoğlu Kirman E. Seryum Nitrat ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması. Veterinary Sciences and Practices. 2025;20:78–86.
MLA Bolat, İsmail et al. “Seryum Nitrat Ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması”. Veterinary Sciences and Practices, vol. 20, no. 2, 2025, pp. 78-86, doi:10.17094/vetsci.1701588.
Vancouver Bolat İ, Terim Kapakin KA, Ömür AD, Özer F, Manavoğlu Kirman E. Seryum Nitrat ve Trombositten Zengin Plazma Tedavilerinin Yanıklardan Sonra Staz Bölgesinin İyileşmesinde Sıçan Testis Dokusu Üzerindeki Etkilerinin Araştırılması. Veterinary Sciences and Practices. 2025;20(2):78-86.

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