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Hesperidinin iyonlaştırıcı radyasyonun neden olduğu karaciğer hasarı üzerine koruyucu etkileri

Yıl 2019, Cilt: 10 Sayı: 4, 498 - 504, 31.12.2019
https://doi.org/10.18663/tjcl.538024

Öz

Amaç



Karaciğer
çoğunlukla üst batın, sağ alt akciğer, distal özafagus tümörleri için veya tüm
vücut radyoterapi (RT) uygulamasında radyasyona maruz kalmaktadır. Bu çalışmada
iyonizan radyasyonun karaciğer dokusunda neden olduğu oksidatif stresi üzerine
hesperidinin koruyucu etkisinin araştırılması amaçlanmıştır.



Gereç ve Yöntemler



24
yetişkin erkek rat rastgele 4 gruba ayrıldı. Kontrol grubuna sadece
fizyolojik salin, Grup HES’e 15 gün 50 mg/kg hesperidin, Grup RAD’a sadece
irradyasyon yapıldı ve Grup HES + RAD’a 15 gün boyunca 50 mg/kg hesperidin
verildi, 15. gün sonunda abdominopelvik bölgeye 10 Gy dozunda radyasyon
uygulandı. Radyasyon uygulandıktan
24 saat sonra Total antioksidan kapasite (TAK) ve malondialdehid (MDA) tayini
için karaciğer ve kan örnekleri alındı ve ayrıca histopatolojik inceleme
yapıldı.



Bulgular



Grup RAD ile karşılaştırıldığında, plazma ve doku MAD
düzeyi Grup HES + RAD'da anlamlı olarak azaldı (p=0.002).

Hem plazma hem de dokudaki
TAK, HES + RAD grubunda anlamlı olarak daha yüksek bulundu  (sırasıyla, p = 0.002, p = 0.004).
Grup
RAD’da , histolojik olarak portal alanda ödem, sinüzoitlerde dilatasyon,
hepatositlerde belirgin olarak şime, intrasitoplazmik vakuolizasyon ,arada
nekroz, belirgin sinüzoidal dilatasyon, santral ven dilatasyonu ve konjesyon
izlendi. Nükleer hipertrofi belirgindi. Grup HES+RAD, Grup RAD ile
karşılaştırıldığında periportal ödem, santral ven dilatasyonu ve konjesyon
histolojik olarak belirgin değildi



Sonuç



Radyoterapinin
lipit peroksidasyonunda artışa ve antioksidan kapasitede azalmaya neden olduğu;
Ratlarda 15 gün boyunca 50 mg/kg/gün hesperidin uygulamasının, radyasyonun
neden olduğu karaciğer hasarında görülen histolojik değişiklikleri ve oksidatif
stresi azalttığı görülmüştür.

Kaynakça

  • 1. Gupta RK, Patel AK, Shah N, et al. Oxidative stress and antioxidants in disease and cancer: a review. Asian Pac J Cancer Prev 2014; 15: 4405-09.
  • 2. Azzam EI, Jay-Gerin JP, Pain D. Ionizing radiation-induced metabolic oxidative stress and prolonged cell injury. Cancer Lett 2012; 327: 48-60.
  • 3. Sabitha KE, Shyamaladevi CS. Oxidant and antioxidant activity changes in patients with oral cancer and treated with radiotherapy. Oral Oncol 1999; 35: 272-77.
  • 4. The Sakhi AK, Russnes KM, Thoresen M, et al. Pre-radiotherapy plasma carotenoids and markers of oxidative stress are associated with survival in head and neck squamous cell carcinoma patients: a prospective study. BMC Cancer 2009; 9: 458-62.
  • 5. Maher KE. Radiation therapy: Toxicities and management. Yarbro, CH, Frogge MH, Goodman M, editors. Cancer Nursing: Principles and Practice. Jones and Bartlett Publishers; 2005.p.283-314.
  • 6. Liang SX, Zhu XD, Xu ZY et al. Radiation-induced liver disease in three-dimensional conformal radiation therapy for primary liver carcinoma: The risk factors and hepatic radiation tolerance. Int J Radiat Oncol Biol Phys 2006; 65: 426-34.
  • 7. Pan CC, Kavanagh BD, Dawson LA et al. Radiation-associated liver injury. Int J Radiat Oncol Biol Phys 2010; 76: 94-100.
  • 8. Van Acker, F.A., Schouten, O., Haenen, R.M., van der Vijh,W.J.F., Bast, A. Flavanoid can replace tocopherol as an antioxidant. FEBS Lett 2000; 473, 145–48.
  • 9. E. J. Middleton. Effect of plant flavonoids on immune and inflammatory cell function. Adv Exp Med Biol 1998; 439: 175-82.
  • 10. Kumar S, Pandey AK. Chemistry and biological activities of flavonoids: an overview. ScientificWorldJournal 2013; 2013: 162750.
  • 11. Banjarnahor SDS, Artanti N. Antioxidant properties of flavonoids. Med J Indones 2014; 23: 239-44.
  • 12. Lobo V, Patil A, Phatak A, Chandra N. Free radicals, antioxidants and functional foods: Impact on human health. Pharmacogn Rev 2010; 4: 118–26.
  • 13. Alam MA, Subhan N, Rahman MM, Uddin SJ, Reza HM, Sarker SD. Effect of Citrus Flavonoids, Naringin and Naringenin, on Metabolic Syndrome and Their Mechanisms of Action. Adv Nutr 2014; 5: 404–17.
  • 14. Suarez J, Herrera MD., Marhuenda, E. Invitro scavenger and antioxidant properties of hesperidin and neohesperidin dihydrochalcone. Phytomedicine 1998; 5: 469-73.
  • 15. Gracy RW, Talent JM, Kong Y, Conrad CC. Reactive oxygen species: the unavoidable environmental insult? Mutat Res1999; 428: 17-22.
  • 16. Srinivasan M, Sudheer AR, Pillai KR, Kumar PR, Sudhakaran PR, Menon VP. Influence of ferulic acid on γ-radiation induced DNA damage, lipid peroxidation and antioxidant status in primary culture of isolated rat hepatocytes. Toxicology 2006; 228: 249–58.
  • 17. Chitra S, Shyamala Devi CS. Effect of alpha-tocopherol on pro-oxidant and antioxidant enzyme status in radiation-treated oral squamous cell carcinoma. Indian J Med Sci 2008; 62: 141-48.
  • 18. Garg A, Garg S, Zaneveld LJ, Singla AK. Chemistry and pharmacology of the Citrus bioflavonoid hesperidin. Phytother Res 2001; 15: 655-69.
  • 19. Guardia T, Rotelli AE, Juarez AO, Pelzer LE. Anti-inflammatory properties of plant flavonoids. Effects of rutin, quercetin and hesperidin on adjuvant arthritis in rat. Farmaco 2001; 56: 683-87.
  • 20. Chen YT, Zheng RL, Jia ZJ, Ju Y. Flavonoids as superoxide scavengers and antioxidants. Free Radic Biol Med 1990; 9: 19-21.
  • 21. Rezaeyan A, Fardid R, Haddadi GH et al. Evaluating Radioprotective Effect of Hesperidin on Acute Radiation Damage in the Lung Tissue of Rats. J Biomed Phys Eng 2016; 6: 165–74.
  • 22. Shaban NZ, Ahmed Zahran AM, El-Rashidy FH, Abdo Kodous A. Protective role of hesperidin against γ-radiation-induced oxidative stress and apoptosis in rat testis. J Biol Res 2017; 24:5.
  • 23. Pradeep K, Park SH, Ko KC. Hesperidin a flavanoglycone protects against gamma-irradiation induced hepatocellular damage and oxidative stress in Sprague-Dawley rats. Eur J Pharmacol 2008; 587: 273-80.
  • 24. Pan CC, Kavanagh BD, Dawson LA et al. Radiation-associated liver injury. Int J Radiat Oncol Biol Phys 2010; 76: 94-100.
  • 25. Kalpana KB, Devipriya N, Srinivasan M, Vishwanathan P, Thayalan K, Menon VP. Evaluating the radioprotective effect of hesperidin in the liver of Swiss albino mice. Eur J Pharmacol 2011; 658: 206-12.
  • 26. Kim J, Jung Y. Radiation-induced liver disease: current understanding and future perspectives Exp Mol Med 2017; 49: 359.
  • 27. Elshazly SM, Mahmoud AA. Antifibrotic activity of hesperidin against dimethylnitrosamine-induced liver fibrosis in rats, Naunyn Schmiedeberg's Arch. Pharmacol 2014; 387: 559–67.

Protective effects of hesperidin on ionizing radiation-induced liver damage

Yıl 2019, Cilt: 10 Sayı: 4, 498 - 504, 31.12.2019
https://doi.org/10.18663/tjcl.538024

Öz

Aim: Liver
is mostly exposed to radiation during radiotherapy to the upper abdomen, the
right lobe of the lung, distal esophagus tumors or total body irradiation.
Radiation may lead to cellular damage, and clinical and laboratory findings of
liver dysfunction. This study aimed to
investigate the protective effect of peroral hesperidin on reducing oxidative
stress in liver tissue  caused by
ionızing radiation

Material and Methods: 24
adult male rats were randomly divide into four groups.
Group control
was given only physiological saline, Group HES was given hesperidin at 50 mg/kg
body weight (BW) for 15 days, Group RAD was given only irradiation, and Group
HES+RAD was given hesperidin at 50 mg/kg BW daily and then irradiated. At the
end of 15
hesperidinin days,
the animals in Groups RAD and HES+RAD were exposed to a dose of 10 Gy to the
abdominopelvic region. Liver and blood samples were used for determination of total
antioxidant status (TAS) and malondialdehyde (MDA) and also histopathological
examination was performed.

Results: Compared
with the Group RAD, the plasma and tissue MAD level was significantly decreased
in Group HES+RAD (p=0.002). Both plasma and tissue levels of TAS was found
significantly higher in HES+RAD group (respectively, p=0.002,p=0.004). Histological
examination of Group RAD, portal edema, significant intra-cytoplasmic
vacuolization, swelling in the hepatocytes, necrosis, significant sinusoidal and
 central vein dilation and congestion
were observed . In group HES+RAD periportal edema, central vein dilation and
congestion were not histologically evident when compared with Group RAD.







Conclusion: Radiotherapy was found to lead to an increase in lipid
peroxidation and a reduction in anti-oxidant capacity; 50 mg/kg/day hesperidin
administration for 15 consecutive days was seen to reduce the histological
changes of liver damage and oxidative stress in rats 

Kaynakça

  • 1. Gupta RK, Patel AK, Shah N, et al. Oxidative stress and antioxidants in disease and cancer: a review. Asian Pac J Cancer Prev 2014; 15: 4405-09.
  • 2. Azzam EI, Jay-Gerin JP, Pain D. Ionizing radiation-induced metabolic oxidative stress and prolonged cell injury. Cancer Lett 2012; 327: 48-60.
  • 3. Sabitha KE, Shyamaladevi CS. Oxidant and antioxidant activity changes in patients with oral cancer and treated with radiotherapy. Oral Oncol 1999; 35: 272-77.
  • 4. The Sakhi AK, Russnes KM, Thoresen M, et al. Pre-radiotherapy plasma carotenoids and markers of oxidative stress are associated with survival in head and neck squamous cell carcinoma patients: a prospective study. BMC Cancer 2009; 9: 458-62.
  • 5. Maher KE. Radiation therapy: Toxicities and management. Yarbro, CH, Frogge MH, Goodman M, editors. Cancer Nursing: Principles and Practice. Jones and Bartlett Publishers; 2005.p.283-314.
  • 6. Liang SX, Zhu XD, Xu ZY et al. Radiation-induced liver disease in three-dimensional conformal radiation therapy for primary liver carcinoma: The risk factors and hepatic radiation tolerance. Int J Radiat Oncol Biol Phys 2006; 65: 426-34.
  • 7. Pan CC, Kavanagh BD, Dawson LA et al. Radiation-associated liver injury. Int J Radiat Oncol Biol Phys 2010; 76: 94-100.
  • 8. Van Acker, F.A., Schouten, O., Haenen, R.M., van der Vijh,W.J.F., Bast, A. Flavanoid can replace tocopherol as an antioxidant. FEBS Lett 2000; 473, 145–48.
  • 9. E. J. Middleton. Effect of plant flavonoids on immune and inflammatory cell function. Adv Exp Med Biol 1998; 439: 175-82.
  • 10. Kumar S, Pandey AK. Chemistry and biological activities of flavonoids: an overview. ScientificWorldJournal 2013; 2013: 162750.
  • 11. Banjarnahor SDS, Artanti N. Antioxidant properties of flavonoids. Med J Indones 2014; 23: 239-44.
  • 12. Lobo V, Patil A, Phatak A, Chandra N. Free radicals, antioxidants and functional foods: Impact on human health. Pharmacogn Rev 2010; 4: 118–26.
  • 13. Alam MA, Subhan N, Rahman MM, Uddin SJ, Reza HM, Sarker SD. Effect of Citrus Flavonoids, Naringin and Naringenin, on Metabolic Syndrome and Their Mechanisms of Action. Adv Nutr 2014; 5: 404–17.
  • 14. Suarez J, Herrera MD., Marhuenda, E. Invitro scavenger and antioxidant properties of hesperidin and neohesperidin dihydrochalcone. Phytomedicine 1998; 5: 469-73.
  • 15. Gracy RW, Talent JM, Kong Y, Conrad CC. Reactive oxygen species: the unavoidable environmental insult? Mutat Res1999; 428: 17-22.
  • 16. Srinivasan M, Sudheer AR, Pillai KR, Kumar PR, Sudhakaran PR, Menon VP. Influence of ferulic acid on γ-radiation induced DNA damage, lipid peroxidation and antioxidant status in primary culture of isolated rat hepatocytes. Toxicology 2006; 228: 249–58.
  • 17. Chitra S, Shyamala Devi CS. Effect of alpha-tocopherol on pro-oxidant and antioxidant enzyme status in radiation-treated oral squamous cell carcinoma. Indian J Med Sci 2008; 62: 141-48.
  • 18. Garg A, Garg S, Zaneveld LJ, Singla AK. Chemistry and pharmacology of the Citrus bioflavonoid hesperidin. Phytother Res 2001; 15: 655-69.
  • 19. Guardia T, Rotelli AE, Juarez AO, Pelzer LE. Anti-inflammatory properties of plant flavonoids. Effects of rutin, quercetin and hesperidin on adjuvant arthritis in rat. Farmaco 2001; 56: 683-87.
  • 20. Chen YT, Zheng RL, Jia ZJ, Ju Y. Flavonoids as superoxide scavengers and antioxidants. Free Radic Biol Med 1990; 9: 19-21.
  • 21. Rezaeyan A, Fardid R, Haddadi GH et al. Evaluating Radioprotective Effect of Hesperidin on Acute Radiation Damage in the Lung Tissue of Rats. J Biomed Phys Eng 2016; 6: 165–74.
  • 22. Shaban NZ, Ahmed Zahran AM, El-Rashidy FH, Abdo Kodous A. Protective role of hesperidin against γ-radiation-induced oxidative stress and apoptosis in rat testis. J Biol Res 2017; 24:5.
  • 23. Pradeep K, Park SH, Ko KC. Hesperidin a flavanoglycone protects against gamma-irradiation induced hepatocellular damage and oxidative stress in Sprague-Dawley rats. Eur J Pharmacol 2008; 587: 273-80.
  • 24. Pan CC, Kavanagh BD, Dawson LA et al. Radiation-associated liver injury. Int J Radiat Oncol Biol Phys 2010; 76: 94-100.
  • 25. Kalpana KB, Devipriya N, Srinivasan M, Vishwanathan P, Thayalan K, Menon VP. Evaluating the radioprotective effect of hesperidin in the liver of Swiss albino mice. Eur J Pharmacol 2011; 658: 206-12.
  • 26. Kim J, Jung Y. Radiation-induced liver disease: current understanding and future perspectives Exp Mol Med 2017; 49: 359.
  • 27. Elshazly SM, Mahmoud AA. Antifibrotic activity of hesperidin against dimethylnitrosamine-induced liver fibrosis in rats, Naunyn Schmiedeberg's Arch. Pharmacol 2014; 387: 559–67.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Özgün Makale
Yazarlar

Bengü Gülhan Aydın 0000-0002-1324-6144

Özcan Pişkin 0000-0003-3538-0317

Yılmaz Baş 0000-0002-4229-8568

Kemal Karakaya Bu kişi benim 0000-0002-6742-9923

Özlem Elmas Bu kişi benim 0000-0001-8039-9610

Murat Can 0000-0002-1539-3973

Çağatay Büyükuysal 0000-0001-9810-5633

Yayımlanma Tarihi 31 Aralık 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 10 Sayı: 4

Kaynak Göster

APA Aydın, B. G., Pişkin, Ö., Baş, Y., Karakaya, K., vd. (2019). Protective effects of hesperidin on ionizing radiation-induced liver damage. Turkish Journal of Clinics and Laboratory, 10(4), 498-504. https://doi.org/10.18663/tjcl.538024
AMA Aydın BG, Pişkin Ö, Baş Y, Karakaya K, Elmas Ö, Can M, Büyükuysal Ç. Protective effects of hesperidin on ionizing radiation-induced liver damage. TJCL. Aralık 2019;10(4):498-504. doi:10.18663/tjcl.538024
Chicago Aydın, Bengü Gülhan, Özcan Pişkin, Yılmaz Baş, Kemal Karakaya, Özlem Elmas, Murat Can, ve Çağatay Büyükuysal. “Protective Effects of Hesperidin on Ionizing Radiation-Induced Liver Damage”. Turkish Journal of Clinics and Laboratory 10, sy. 4 (Aralık 2019): 498-504. https://doi.org/10.18663/tjcl.538024.
EndNote Aydın BG, Pişkin Ö, Baş Y, Karakaya K, Elmas Ö, Can M, Büyükuysal Ç (01 Aralık 2019) Protective effects of hesperidin on ionizing radiation-induced liver damage. Turkish Journal of Clinics and Laboratory 10 4 498–504.
IEEE B. G. Aydın, “Protective effects of hesperidin on ionizing radiation-induced liver damage”, TJCL, c. 10, sy. 4, ss. 498–504, 2019, doi: 10.18663/tjcl.538024.
ISNAD Aydın, Bengü Gülhan vd. “Protective Effects of Hesperidin on Ionizing Radiation-Induced Liver Damage”. Turkish Journal of Clinics and Laboratory 10/4 (Aralık 2019), 498-504. https://doi.org/10.18663/tjcl.538024.
JAMA Aydın BG, Pişkin Ö, Baş Y, Karakaya K, Elmas Ö, Can M, Büyükuysal Ç. Protective effects of hesperidin on ionizing radiation-induced liver damage. TJCL. 2019;10:498–504.
MLA Aydın, Bengü Gülhan vd. “Protective Effects of Hesperidin on Ionizing Radiation-Induced Liver Damage”. Turkish Journal of Clinics and Laboratory, c. 10, sy. 4, 2019, ss. 498-04, doi:10.18663/tjcl.538024.
Vancouver Aydın BG, Pişkin Ö, Baş Y, Karakaya K, Elmas Ö, Can M, Büyükuysal Ç. Protective effects of hesperidin on ionizing radiation-induced liver damage. TJCL. 2019;10(4):498-504.


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