EFFECTS OF DIOSMIN ADMINISTRATION ON CISPLATIN-INDUCED PREMATURE OVARIAN FAILURE IN A RAT MODEL

Öz

m We aimed to examine the potential beneficial effects of diosmin administration on cisplatin - induced premature ovarian failure (POF) in a rat model Material and Methods Twenty-eight rats were divided into four groups. Group A rats (n:7) were determined as the sham group. The remaining rats received an intraperitoneal injection of 1.5 mg/kg/day cisplatin for 10 days to create a POF model. Then, they were randomly divided into 3 subgroups. Group B was determined as POF group. Group C rats were given 100mg/kg/day diosmin for 10 days simultaneously while creating POF model. Group D rats were given 100mg/kg/day diosmin for 10 days after POF model was created. Twentieth day blood samples were taken and left ovaries were resected for examination. Results CIS-induced rats showed reduced levels of SOD, AMH and E2 compared to sham group rats (p<0.05). SOD, AMH and E2 values were not significantly different (p>0.05) between the sham group, group C and D. No significant (p>0.05) difference in FSH value was observed between group C, D and sham groups. There was no significant (p>0.05) difference in the number of secondary and antral follicles between group C and D compared to the sham group. Primordial follicle count was significantly higher in group C than group B (p<0.05). Primary and total follicle count in group D was significantly (p<0.05) higher than group B. Conclusion Diosmin administration after chemotherapy or in combination with chemotherapy has shown helpful efficacy in maintaining the ovarian reserve and the structure of the follicles.

Anahtar Kelimeler

• Anti-Mullerian Hormone
• Diosmin
• Ovarian Follicle
• Primary Ovarian Insufficiency

SİSPLATİN İLE İNDUKLENEN PREMATÜR OVER YETMEZLİĞİ SIÇAN MODELİNDE DİOSMİN UYGULAMASININ ETKİLERİ

Öz

Amaç Sisplatin kaynaklı erken yumurtalık yetmezliği (POF) modelinde diosmin uygulamasının biyokimyasal ve histopatolojik potansiyel yararlı etkilerini incelemeyi amaçladık. Gereç ve Yöntem Yirmi sekiz sıçan dört gruba ayrıldı. A Grubu sıçanlar (n:7) plasebo grubu olarak belirlendi. Kalan yirmi bir sıçana, POF modeli oluşturmak için 10 gün boyunca 1.5 mg/kg/gün sisplatin intraperitoneal olarak uygulandı. Daha sonra rastgele 3 alt gruba ayrıldılar. Grup B, sisplatine bağlı yumurtalık yetmezliği grubu olarak belirlendi. POF modeli oluşturulurken C grubu sıçanlara aynı anda 10 gün süreyle 100mg/kg/gün diosmin verildi. D grubuna ise POF modeli oluşturulduktan sonra 10 gün süreyle 100mg/kg/gün diosmin verildi. Yirminci günün sonunda AMH, FSH, SOD ve Estradiol değerlerinin incelenmesi için kan örnekleri alındı. Ayrıca histopatolojik inceleme için sol overler rezeke edildi. Bulgular Sisplatin ile indüklenen grupta, diğer gruplara kıyasla daha düşük SOD, AMH ve E2 seviyeleri izlendi (p<0.05). SOD, AMH ve E2 değerleri sham grubu, grup C ve grup D arasında anlamlı farklılık göstermedi (p>0.05). Grup C, grup D ve sham grupları arasında FSH değerlerinde anlamlı (p>0.05) fark gözlenmedi. Grup C ve D arasında sham grubuna göre sekonder folikül ve antral folikül sayısında anlamlı (p>0.05) fark saptanmadı. Primordial folikül sayısı grup C'de grup B'ye göre anlamlı derecede yüksekti (p<0.05). Primer folikül ve toplam folikül sayısı grup D’de grup B'ye göre anlamlı (p<0.05) daha yüksekti. Sonuç Diosmin tedavisi serum östrojen, AMH ve SOD düzeylerini artırırken FSH düzeylerini düşürdü. Ayrıca foliküller üzerinde önemli bir koruyucu etki göstermiştir. Kemoterapi sonrası veya kemoterapi ile kombinasyon halinde diosmin uygulanması, yumurtalık rezervinin ve foliküllerin yapısının korunmasında yardımcı etkinlik sağlamaktadır.

Anahtar Kelimeler

• Antimüllerian Hormon
• Diosmin
• Overyan Folikül
• Primer Yumurtalık Yetmezliği

Kaynakça

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