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Over İskemi-Reperfüzyon Hasarında Sefarantinin Terapötik Potansiyeli: Rat Over Torsiyon-Detorsiyon Modelinden Bulgular

Yıl 2025, Cilt: 5 Sayı: 2, 110 - 118, 19.09.2025
https://doi.org/10.62425/jlasp.1673052

Öz

Bu çalışmada, Cepharanthine’in (CEP) over torsiyonu-detorsiyonu (T/D) sıçan modelinde iskemi-reperfüzyon (İ/R) hasarını hafifletici potansiyel koruyucu etkileri değerlendirilmiştir. Yirmi dört dişi Sprague-Dawley sıçanı rastgele üç deney grubuna ayrılmıştır: sham, T/D ve CEP 10 mg/kg. Çalışmada, over doku örneklerinde malondialdehit (MDA), miyeloperoksidaz (MPO) ve süperoksit dismutaz (SOD) gibi oksidatif stres biyobelirteçleri ile tümör nekroz faktör-alfa (TNF-α) ve interlökin-1 beta (IL-1β) gibi proinflamatuar medyatörler incelenmiştir. T/D grubunda anlamlı düzeyde oksidatif stres gözlenmiş; bu, artmış MDA ve MPO düzeyleri ve azalmış SOD aktivitesi ile karakterize edilmiştir. Aynı zamanda TNF-α ve IL-1β düzeylerinin artmasıyla belirgin inflamatuar yanıtlar gözlenmiştir (p<0.05, Sham ile karşılaştırıldığında). CEP uygulaması, bu zararlı etkileri azaltmış; oksidatif stres ve inflamatuar sitokin düzeylerini anlamlı şekilde düşürmüş ve SOD aktivitesini eski haline getirmiştir (p<0.05, T/D ile karşılaştırıldığında). CEP, over İ/R hasarında oksidatif stres ve inflamasyonu etkili bir şekilde azaltarak, over torsiyonu ve bununla ilgili jinekolojik aciller için terapötik potansiyelini ortaya koymaktadır. Klinik uygulamalarının araştırılması için daha ileri çalışmalara ihtiyaç vardır.

Kaynakça

  • Akdemir, F. N. E., Güler, M. C., Eraslan, E., Tanyeli, A., & Yildirim, S. (2024). Assessment of sinapic acid's protective effects against ethanol-induced gastric ulcers in rats. Naunyn Schmiedebergs Arch Pharmacol. https://doi.org/10.1007/s00210-024-03733-0
  • Aktepe, R., Ucuncu, Y., Tumkaya, L., Mercantepe, T., Topcu, A., Uydu, H. A., & Atak, M. (2024). Long-term protective effects of lamotrigine in a rat ovarian ischemia-reperfusion model. Tissue and Cell, 86, 102297. https://doi.org/https://doi.org/10.1016/j.tice.2023.102297
  • Amirbekian, S., & Hooley, R. J. (2014). Ultrasound Evaluation of Pelvic Pain. Radiologic Clinics of North America, 52(6), 1215-1235. https://doi.org/https://doi.org/10.1016/j.rcl.2014.07.008
  • Armin Akış, P., Tanyeli, A., Ekinci Akdemir, F. N., Güler, M. C., Şebin, S., Eraslan, E., Laloğlu, E., & Çomaklı, S. (2024). Costunolide, an effective agent against oxidative damage, apoptosis and autophagy in the ovarian torsion/detorsion model. Arch Physiol Biochem, 1-9. https://doi.org/10.1080/13813455.2024.2407548
  • Arslan, S., Aşır, F., Özkorkmaz, E. G., Azizoğlu, M., Basuguy, E., Okur, M. H., Otçu, S. M. Ö., Karabel, M. A., Kaplan, İ., & Aydoğdu, B. (2023). Protective effects of passiflora incarnata on ovarian ischemia/reperfusion damage in rats with ovarian torsion. Turkish Journal of Trauma & Emergency Surgery, 29(12), 1344.
  • Baron, S. L., & Mathai, J. K. (2025). Ovarian Torsion. In StatPearls. StatPearls Publishing Copyright © 2025, StatPearls Publishing LLC.
  • Bradley, P. P., Priebat, D. A., Christensen, R. D., & Rothstein, G. (1982). Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker. Journal of investigative dermatology, 78(3), 206-209.
  • Chen, G., Wen, D., Shen, L., Feng, Y., Xiong, Q., Li, P., & Zhao, Z. (2023). Cepharanthine Exerts Antioxidant and Anti-Inflammatory Effects in Lipopolysaccharide (LPS)-Induced Macrophages and DSS-Induced Colitis Mice. Molecules, 28(16). https://doi.org/10.3390/molecules28166070
  • Dixon, A., Bell, D., & Le, L. (2025). Ovarian torsion. https://radiopaedia.org/articles/9540
  • Ekinci Akdemir, F. N., Güler, M. C., Eraslan, E., Tanyeli, A., & Yildirim, S. (2024). Caftaric acid attenuates kidney and remote organ damage induced by renal ischemia-reperfusion injury. Sci Rep, 14(1), 31385. https://doi.org/10.1038/s41598-024-82912-8
  • Erbaş, E., Özkanlar, S., Yeşildağ, A., Kara, A., & Senthil Kumar, K. J. (2024). Syringic acid loaded silver nanoparticles protects ovarian ischemia-reperfusion injury in rats by inhibiting endoplasmic reticulum stress-mediated apoptosis. Journal of Drug Delivery Science and Technology, 99, 105944. https://doi.org/https://doi.org/10.1016/j.jddst.2024.105944
  • Franco, P. N., García-Baizán, A., Aymerich, M., Maino, C., Frade-Santos, S., Ippolito, D., & Otero-García, M. (2023). Gynaecological Causes of Acute Pelvic Pain: Common and Not-So-Common Imaging Findings. Life (Basel), 13(10). https://doi.org/10.3390/life13102025
  • Güler, M. C., Akpinar, E., Tanyeli, A., Çomakli, S., & Bayir, Y. (2023). Costunolide prevents renal ischemia-reperfusion injury in rats by reducing autophagy, apoptosis, inflammation, and DNA damage. Iran J Basic Med Sci, 26(10), 1168-1176. https://doi.org/10.22038/ijbms.2023.71779.15596
  • Güler, M. C., & Tanyeli, A. (2020). Role of Hyperoside on Ovarian Tissue Damage Created by Ovarian Torsion Detorsion. New Trends in Medicine Sciences, 1(1), 1-5. https://dergipark.org.tr/en/pub/ntms/issue/54901/740969
  • Güler, M. C., Tanyeli, A., Eraslan, E., Çelebi, Ö., Çelebi, D., Çomakli, S., Yurdgülü, E. E., & Bayir, Y. (2024). Alleviating sepsis: Revealing the protective role of costunolide in a cecal ligation and puncture rat model. Iran J Basic Med Sci, 27(5), 567-576. https://doi.org/10.22038/ijbms.2024.75372.16335
  • Güler, M. C., Tanyeli, A., Eraslan, E., & Ekinci Akdemir, F. N. (2020). Role of 6-Shogaol Against Ovarian Torsion Detorsion-Induced Reproductive Organ Damage. New Trends in Medicine Sciences, 1(1), 29-34. https://dergipark.org.tr/en/pub/ntms/issue/54901/745593
  • Kao, M.-C., Chung, C.-Y., Chang, Y.-Y., Lin, C.-K., Sheu, J.-R., & Huang, C.-J. (2015). Salutary effects of cepharanthine against skeletal muscle and kidney injuries following limb ischemia/reperfusion. Evidence‐Based Complementary and Alternative Medicine, 2015(1), 504061.
  • Kumari, A., Mishra, G., Parihar, P., Dudhe, S., Bhangale, P., Agrawal, R., & Shinde, D. (2024). Ovarian Torsion Leading to Necrosis: A Case Report of Acute Abdominal Pain in a 25-Year-Old Female. Cureus, 16. https://doi.org/10.7759/cureus.67507
  • Liang, D., Li, Q., Du, L., & Dou, G. (2022). Pharmacological Effects and Clinical Prospects of Cepharanthine. Molecules, 27(24). https://doi.org/10.3390/molecules27248933
  • Liu, K., Hong, B., Wang, S., Lou, F., You, Y., Hu, R., Shafqat, A., Fan, H., & Tong, Y. (2023). Pharmacological Activity of Cepharanthine. Molecules, 28(13). https://doi.org/10.3390/molecules28135019
  • Ohkawa, H., Ohishi, N., & Yagi, K. (1979). Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Analytical Biochemistry, 95(2), 351-358. https://doi.org/https://doi.org/10.1016/0003-2697(79)90738-3
  • Osmanlıoğlu, Ş., Arslan, M., Dağ, R. O., Yığman, Z., Ceyhan, M. Ş., Er, F., & Kavutçu, M. (2023). Artemisinin reduces acute ovarian ischemia-reperfusion injury in rats. Reproductive Toxicology, 119, 108417. https://doi.org/https://doi.org/10.1016/j.reprotox.2023.108417
  • Stickland, A. E. J., & Phillips, C. (2021). Gynaecological causes of acute abdominal pain. Obstetrics, Gynaecology & Reproductive Medicine, 31(2), 48-52. https://doi.org/https://doi.org/10.1016/j.ogrm.2020.12.005
  • Sun, Y., Oberley, L. W., & Li, Y. (1988). A simple method for clinical assay of superoxide dismutase. Clinical chemistry, 34(3), 497-500.
  • Tanyeli, A., Guzel Erdogan, D., Comakli, S., Polat, E., Guler, M. C., Eraslan, E., & Doganay, S. (2022). Therapeutic effects of apocynin on ovarian ischemia-reperfusion induced lung injury. Biotechnic & Histochemistry, 97(7), 536-545. https://doi.org/10.1080/10520295.2022.2036368
  • Thiyagalingam, S., Petrosellini, C., & Mellon, C. (2024). Adnexal Torsion in the Third Trimester. Cureus, 16(5), e60836. https://doi.org/10.7759/cureus.60836
  • Ulug, P., Nayki, U., Mammadov, R., Bulut, S., Tastan, T. B., Coban, T. A., & Suleyman, H. (2024). Protective Effect of Ramipril Against Oxidant and Proinflammatory Cytokine Damage Induced by Ischemia-Reperfusion in Ovarian Tissue in Rats. Transplantation Proceedings, 56(1), 215-222. https://doi.org/https://doi.org/10.1016/j.transproceed.2023.11.016
  • Yigit, S., Yesilyurt, I., Bitiktas, S., Aksu Kilicle, P., Duysak, L., Yayla, M., Toktay, E., Eyerci, N., Ali Bingol, S., Gezer, A., Necmiye Kaci, F., Taskin, E., Esma Akdogan, G., Cilgin, H., & Alper Kahraman, A. (2024). Therapeutic effect of Berberis vulgaris fruit extract on histopathological changes and oxidative stress markers of ovarian ischemia and reperfusion injury in rats. Journal of King Saud University - Science, 36(11), 103578. https://doi.org/https://doi.org/10.1016/j.jksus.2024.103578
  • Zhao, J., Piao, X., Wu, Y., Liang, S., Han, F., Liang, Q., Shao, S., & Zhao, D. (2020). Cepharanthine attenuates cerebral ischemia/reperfusion injury by reducing NLRP3 inflammasome-induced inflammation and oxidative stress via inhibiting 12/15-LOX signaling. Biomedicine & Pharmacotherapy, 127, 110151. https://doi.org/https://doi.org/10.1016/j.biopha.2020.110151

Therapeutic Potential of Cepharanthine in Ovarian Ischemia-Reperfusion Injury: Insights from a Rat Ovarian Torsion-Detorsion Model

Yıl 2025, Cilt: 5 Sayı: 2, 110 - 118, 19.09.2025
https://doi.org/10.62425/jlasp.1673052

Öz

This study evaluated the potential protective effects of Cepharanthine (CEP) in mitigating ischemia-reperfusion (I/R) injury of an ovarian torsion/detorsion (T/D) rat model. Twenty-four female Sprague-Dawley rats were randomized into three experimental groups: sham, T/D, and CEP 10 mg/kg. The study examined ovarian tissue samples to measure oxidative stress biomarkers, such as malondialdehyde (MDA), myeloperoxidase (MPO), and superoxide dismutase (SOD), as well as proinflammatory mediators, specifically tumor necrosis factor-alpha (TNF-α) and interleukin-1 beta (IL-1β). The T/D group exhibited significant oxidative stress, characterized by elevated MDA and MPO levels and low SOD activity, along with heightened inflammatory responses, as indicated by elevated TNF-α and IL-1β levels (p<0.05 vs. Sham). CEP administration mitigated these deleterious effects, significantly reducing oxidative stress and inflammatory cytokine levels while restoring SOD activity (p<0.05 vs. T/D). CEP effectively attenuates oxidative stress and inflammation in ovarian I/R injury, highlighting its therapeutic potential for ovarian torsion and related gynecological emergencies. Further studies are warranted to explore its clinical applicability.

Kaynakça

  • Akdemir, F. N. E., Güler, M. C., Eraslan, E., Tanyeli, A., & Yildirim, S. (2024). Assessment of sinapic acid's protective effects against ethanol-induced gastric ulcers in rats. Naunyn Schmiedebergs Arch Pharmacol. https://doi.org/10.1007/s00210-024-03733-0
  • Aktepe, R., Ucuncu, Y., Tumkaya, L., Mercantepe, T., Topcu, A., Uydu, H. A., & Atak, M. (2024). Long-term protective effects of lamotrigine in a rat ovarian ischemia-reperfusion model. Tissue and Cell, 86, 102297. https://doi.org/https://doi.org/10.1016/j.tice.2023.102297
  • Amirbekian, S., & Hooley, R. J. (2014). Ultrasound Evaluation of Pelvic Pain. Radiologic Clinics of North America, 52(6), 1215-1235. https://doi.org/https://doi.org/10.1016/j.rcl.2014.07.008
  • Armin Akış, P., Tanyeli, A., Ekinci Akdemir, F. N., Güler, M. C., Şebin, S., Eraslan, E., Laloğlu, E., & Çomaklı, S. (2024). Costunolide, an effective agent against oxidative damage, apoptosis and autophagy in the ovarian torsion/detorsion model. Arch Physiol Biochem, 1-9. https://doi.org/10.1080/13813455.2024.2407548
  • Arslan, S., Aşır, F., Özkorkmaz, E. G., Azizoğlu, M., Basuguy, E., Okur, M. H., Otçu, S. M. Ö., Karabel, M. A., Kaplan, İ., & Aydoğdu, B. (2023). Protective effects of passiflora incarnata on ovarian ischemia/reperfusion damage in rats with ovarian torsion. Turkish Journal of Trauma & Emergency Surgery, 29(12), 1344.
  • Baron, S. L., & Mathai, J. K. (2025). Ovarian Torsion. In StatPearls. StatPearls Publishing Copyright © 2025, StatPearls Publishing LLC.
  • Bradley, P. P., Priebat, D. A., Christensen, R. D., & Rothstein, G. (1982). Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker. Journal of investigative dermatology, 78(3), 206-209.
  • Chen, G., Wen, D., Shen, L., Feng, Y., Xiong, Q., Li, P., & Zhao, Z. (2023). Cepharanthine Exerts Antioxidant and Anti-Inflammatory Effects in Lipopolysaccharide (LPS)-Induced Macrophages and DSS-Induced Colitis Mice. Molecules, 28(16). https://doi.org/10.3390/molecules28166070
  • Dixon, A., Bell, D., & Le, L. (2025). Ovarian torsion. https://radiopaedia.org/articles/9540
  • Ekinci Akdemir, F. N., Güler, M. C., Eraslan, E., Tanyeli, A., & Yildirim, S. (2024). Caftaric acid attenuates kidney and remote organ damage induced by renal ischemia-reperfusion injury. Sci Rep, 14(1), 31385. https://doi.org/10.1038/s41598-024-82912-8
  • Erbaş, E., Özkanlar, S., Yeşildağ, A., Kara, A., & Senthil Kumar, K. J. (2024). Syringic acid loaded silver nanoparticles protects ovarian ischemia-reperfusion injury in rats by inhibiting endoplasmic reticulum stress-mediated apoptosis. Journal of Drug Delivery Science and Technology, 99, 105944. https://doi.org/https://doi.org/10.1016/j.jddst.2024.105944
  • Franco, P. N., García-Baizán, A., Aymerich, M., Maino, C., Frade-Santos, S., Ippolito, D., & Otero-García, M. (2023). Gynaecological Causes of Acute Pelvic Pain: Common and Not-So-Common Imaging Findings. Life (Basel), 13(10). https://doi.org/10.3390/life13102025
  • Güler, M. C., Akpinar, E., Tanyeli, A., Çomakli, S., & Bayir, Y. (2023). Costunolide prevents renal ischemia-reperfusion injury in rats by reducing autophagy, apoptosis, inflammation, and DNA damage. Iran J Basic Med Sci, 26(10), 1168-1176. https://doi.org/10.22038/ijbms.2023.71779.15596
  • Güler, M. C., & Tanyeli, A. (2020). Role of Hyperoside on Ovarian Tissue Damage Created by Ovarian Torsion Detorsion. New Trends in Medicine Sciences, 1(1), 1-5. https://dergipark.org.tr/en/pub/ntms/issue/54901/740969
  • Güler, M. C., Tanyeli, A., Eraslan, E., Çelebi, Ö., Çelebi, D., Çomakli, S., Yurdgülü, E. E., & Bayir, Y. (2024). Alleviating sepsis: Revealing the protective role of costunolide in a cecal ligation and puncture rat model. Iran J Basic Med Sci, 27(5), 567-576. https://doi.org/10.22038/ijbms.2024.75372.16335
  • Güler, M. C., Tanyeli, A., Eraslan, E., & Ekinci Akdemir, F. N. (2020). Role of 6-Shogaol Against Ovarian Torsion Detorsion-Induced Reproductive Organ Damage. New Trends in Medicine Sciences, 1(1), 29-34. https://dergipark.org.tr/en/pub/ntms/issue/54901/745593
  • Kao, M.-C., Chung, C.-Y., Chang, Y.-Y., Lin, C.-K., Sheu, J.-R., & Huang, C.-J. (2015). Salutary effects of cepharanthine against skeletal muscle and kidney injuries following limb ischemia/reperfusion. Evidence‐Based Complementary and Alternative Medicine, 2015(1), 504061.
  • Kumari, A., Mishra, G., Parihar, P., Dudhe, S., Bhangale, P., Agrawal, R., & Shinde, D. (2024). Ovarian Torsion Leading to Necrosis: A Case Report of Acute Abdominal Pain in a 25-Year-Old Female. Cureus, 16. https://doi.org/10.7759/cureus.67507
  • Liang, D., Li, Q., Du, L., & Dou, G. (2022). Pharmacological Effects and Clinical Prospects of Cepharanthine. Molecules, 27(24). https://doi.org/10.3390/molecules27248933
  • Liu, K., Hong, B., Wang, S., Lou, F., You, Y., Hu, R., Shafqat, A., Fan, H., & Tong, Y. (2023). Pharmacological Activity of Cepharanthine. Molecules, 28(13). https://doi.org/10.3390/molecules28135019
  • Ohkawa, H., Ohishi, N., & Yagi, K. (1979). Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Analytical Biochemistry, 95(2), 351-358. https://doi.org/https://doi.org/10.1016/0003-2697(79)90738-3
  • Osmanlıoğlu, Ş., Arslan, M., Dağ, R. O., Yığman, Z., Ceyhan, M. Ş., Er, F., & Kavutçu, M. (2023). Artemisinin reduces acute ovarian ischemia-reperfusion injury in rats. Reproductive Toxicology, 119, 108417. https://doi.org/https://doi.org/10.1016/j.reprotox.2023.108417
  • Stickland, A. E. J., & Phillips, C. (2021). Gynaecological causes of acute abdominal pain. Obstetrics, Gynaecology & Reproductive Medicine, 31(2), 48-52. https://doi.org/https://doi.org/10.1016/j.ogrm.2020.12.005
  • Sun, Y., Oberley, L. W., & Li, Y. (1988). A simple method for clinical assay of superoxide dismutase. Clinical chemistry, 34(3), 497-500.
  • Tanyeli, A., Guzel Erdogan, D., Comakli, S., Polat, E., Guler, M. C., Eraslan, E., & Doganay, S. (2022). Therapeutic effects of apocynin on ovarian ischemia-reperfusion induced lung injury. Biotechnic & Histochemistry, 97(7), 536-545. https://doi.org/10.1080/10520295.2022.2036368
  • Thiyagalingam, S., Petrosellini, C., & Mellon, C. (2024). Adnexal Torsion in the Third Trimester. Cureus, 16(5), e60836. https://doi.org/10.7759/cureus.60836
  • Ulug, P., Nayki, U., Mammadov, R., Bulut, S., Tastan, T. B., Coban, T. A., & Suleyman, H. (2024). Protective Effect of Ramipril Against Oxidant and Proinflammatory Cytokine Damage Induced by Ischemia-Reperfusion in Ovarian Tissue in Rats. Transplantation Proceedings, 56(1), 215-222. https://doi.org/https://doi.org/10.1016/j.transproceed.2023.11.016
  • Yigit, S., Yesilyurt, I., Bitiktas, S., Aksu Kilicle, P., Duysak, L., Yayla, M., Toktay, E., Eyerci, N., Ali Bingol, S., Gezer, A., Necmiye Kaci, F., Taskin, E., Esma Akdogan, G., Cilgin, H., & Alper Kahraman, A. (2024). Therapeutic effect of Berberis vulgaris fruit extract on histopathological changes and oxidative stress markers of ovarian ischemia and reperfusion injury in rats. Journal of King Saud University - Science, 36(11), 103578. https://doi.org/https://doi.org/10.1016/j.jksus.2024.103578
  • Zhao, J., Piao, X., Wu, Y., Liang, S., Han, F., Liang, Q., Shao, S., & Zhao, D. (2020). Cepharanthine attenuates cerebral ischemia/reperfusion injury by reducing NLRP3 inflammasome-induced inflammation and oxidative stress via inhibiting 12/15-LOX signaling. Biomedicine & Pharmacotherapy, 127, 110151. https://doi.org/https://doi.org/10.1016/j.biopha.2020.110151
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hayvan Fizyolojisi - Sistemler
Bölüm Araştırma Makaleleri
Yazarlar

Burak Bircan 0000-0003-1141-069X

Ayhan Tanyeli 0000-0002-0095-0917

Ersen Eraslan 0000-0003-2424-2269

Fazile Nur Ekinci Akdemir 0000-0001-9585-3169

Şahin Yazici 0009-0009-3289-7346

Derya Güzel 0000-0002-7618-5043

Elif Polat 0000-0003-0042-4084

Mustafa Can Güler 0000-0001-8588-1035

Yayımlanma Tarihi 19 Eylül 2025
Gönderilme Tarihi 9 Nisan 2025
Kabul Tarihi 2 Eylül 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 5 Sayı: 2

Kaynak Göster

EndNote Bircan B, Tanyeli A, Eraslan E, Ekinci Akdemir FN, Yazici Ş, Güzel D, Polat E, Güler MC (01 Eylül 2025) Therapeutic Potential of Cepharanthine in Ovarian Ischemia-Reperfusion Injury: Insights from a Rat Ovarian Torsion-Detorsion Model. Laboratuvar Hayvanları Bilimi ve Uygulamaları Dergisi 5 2 110–118.

Content of this journal is licensed under a Creative Commons Attribution NonCommercial 4.0 International License

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