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Deneysel Mezenterik İskemi Modelinde Oksidatif stress Parametrelerinin değerelendirilmesi

Yıl 2017, Cilt: 19 Sayı: 1, 21 - 29, 24.04.2017
https://doi.org/10.24938/kutfd.292279

Öz

Objective:

To
determine the diagnostic value of
plasma protein
carbonyl, total antioxidant status (TAS), total oxidant status (TOS), oxidative
stress index (OSI) and malondialdehyde (MDA) in the diagnosis of acute mesenteric
ischemia (AMI).

 

Method:

In
this randomized, controlled experimental study, 30 mature female
Sprague-Dawley
rats were divided into six groups. Groups 1, 3 and 5 were control groups undergoing
laparotomy only. Groups 2, 4 and 6 were mesenteric ischemia groups undergoing
laparotomy and superior mesenteric artery ligation. Blood and tissue samples
were sampled at 30 minutes (groups 1 and 2), 2 hours (groups 3 and 4) and 6
hours (groups 5 and 6) after surgical procedures.

 

Results:

The difference between
the ischemia and control groups in terms of histopathological injury at 30 min
was statistically significant  (p=0.007).
Histopathological injury increased over time in the ischemia groups. Histopathological
injury was significantly greater in the ischemia groups compared to the control
groups (at both 2 and 6 hours) (p=0.002 and p=0.006). No statistically
significant difference was observed when the control and ischemia groups were
assessed in terms of the oxidative stress parameters
plasma protein
carbonyl, MDA, TAS, TOS or OSI.

Conclusion:



















On
the basis of the results from this experimental mesenteric ischemia model, while
histopathological injury levels differed significantly between the groups,
plasma
protein carbonyl and other markers of oxidative stress such as MDA, TAS, TOS and
OSI levels, did not differ statistically significantly between the ischemia and
control groups.

Kaynakça

  • 1. Oldenburg, W. Andrew, et al. "Acute mesenteric ischemia: a clinical review." Archives of internal medicine 164.10 (2004): 1054-1062.
  • 2. Chang, Robert W., John B. Chang, and Walter E. Longo. "Update in management of mesenteric ischemia." World journal of gastroenterology 12.20 (2006): 3243.
  • 3. Rosero, Olivér, László Harsányi, and Attila Szijártó. "Acute mesenteric ischemia: Do biomarkers contribute to diagnosis?." Orvosi hetilap 155.41 (2014): 1615-1623.
  • 4. Akalιn, Ferda Alev, et al. "Lipid peroxidation levels and total oxidant status in serum, saliva and gingival crevicular fluid in patients with chronic periodontitis." Journal of clinical periodontology 34.7 (2007): 558-565.
  • 5. Rabus, Murat, et al. "Plasma and tissue oxidative stress index in patients with rheumatic and degenerative heart valve disease." Turk Kardiyol Dern Ars 36.8 (2008): 536-540.
  • 6. Aslan, Mehmet, et al. "Evaluation of oxidative status in patients with hyperthyroidism." Endocrine 40.2 (2011): 285-289.
  • 7. Dalle-Donne, Isabella, et al. "Protein carbonyl groups as biomarkers of oxidative stress." Clinica chimica acta 329.1 (2003): 23-38.
  • 8. Berlett, Barbara S., and Earl R. Stadtman. "Protein oxidation in aging, disease, and oxidative stress." Journal of Biological Chemistry 272.33 (1997): 20313-20316.
  • 9. Smith, C. D., et al. "Excess brain protein oxidation and enzyme dysfunction in normal aging and in Alzheimer disease." Proceedings of the National Academy of Sciences 88.23 (1991): 10540-10543.
  • 10. Domínguez, Carmen, et al. "Oxidative stress at onset and in early stages of type 1 diabetes in children and adolescents." Diabetes care 21.10 (1998): 1736-1742.
  • 11. Lih-Brody, Lisa, et al. "Increased oxidative stress and decreased antioxidant defenses in mucosa of inflammatory bowel disease." Digestive diseases and sciences 41.10 (1996): 2078-2086.
  • 12. Mantle, David, Gavin Falkous, and David Walker. "Quantification of protease activities in synovial fluid from rheumatoid and osteoarthritis cases: comparison with antioxidant and free radical damage markers." Clinica chimica acta 284.1 (1999): 45-58.
  • 13. Rutkowska, Magdalena, et al. "Increased protein carbonyl groups in the serum of men with chronic arterial occlusion and the effect of postoperative treatment." Medical science monitor 11.2 (2005): CR79-CR83.
  • 14. Yagi, Kunio. "Lipid peroxides and related radicals in clinical medicine." Free radicals in diagnostic medicine. Springer US, 1994. 1-15.
  • 15. Erel, Ozcan. "A novel automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation." Clinical biochemistry 37.4 (2004): 277-285.
  • 16. Gunduz, Abdulkadir, et al. "Time‐dependent variations in ischemia‐modified albumin levels in mesenteric ischemia." Academic Emergency Medicine 16.6 (2009): 539-543.
  • 17. Abboud B, Daher R, Boujaoude J. Acute mesenteric ischemia after cardio-pulmonary bypass surgery. World J Gastroenterol 2008;14:5361-70.
  • 18. Marshall, John C., et al. "Measures, markers, and mediators: toward a staging system for clinical sepsis. A report of the Fifth Toronto Sepsis Roundtable, Toronto, Ontario, Canada, October 25–26, 2000." Critical care medicine 31.5 (2003): 1560-1567.
  • 19. Gönüllü, Doğan, et al. "pH value and potassium level of diagnostic peritoneal lavage fluid in the early diagnosis of acute mesenteric ischemia secondary to arterial occlusion in rats." Ulusal travma ve acil cerrahi dergisi= Turkish journal of trauma & emergency surgery: TJTES 13.4 (2007): 261-267.
  • 20. Slater TF. Free-radical mechanisms in tissue injury. Biochem J. 1984; 222:1–15.
  • 21. Paterno, Flavio, and Walter E. Longo. "The etiology and pathogenesis of vascular disorders of the intestine." Radiologic Clinics of North America 46.5 (2008): 877-885.
  • 22. Terzi, Alpaslan, et al. "Protective effects of Nigella sativa on intestinal ischemia-reperfusion injury in rats." Journal of Investigative Surgery 23.1 (2010): 21-27.
  • 23. Kılıç, Kemal, et al. "The effects of dexmedetomidine on mesenteric arterial occlusion-associated gut ischemia and reperfusion-induced gut and kidney injury in rabbits." journal of surgical research 178.1 (2012): 223-232.
  • 24. Turkmen, Suha, et al. "The value of signal peptide‐CUB‐EGF domain‐containing protein 1 and oxidative stress parameters in the diagnosis of acute mesenteric ischemia." Academic Emergency Medicine 20.3 (2013): 257-264.
  • 25. Farias Rolim, Marcia, et al. "Colonic healing after portal ischemia and reperfusion: an experimental study with oxidative stress biomarkers." Redox Report 12.6 (2007): 267-274.
  • 26. Tsukimori, Kiyomi, et al. "Serum uric acid levels correlate with plasma hydrogen peroxide and protein carbonyl levels in preeclampsia." American journal of hypertension 21.12 (2008): 1343.

EXAMINATION OF OXIDATIVE STRESS PARAMETERS IN EXPERIMENTAL MESENTERIC ISCHEMIA MODEL

Yıl 2017, Cilt: 19 Sayı: 1, 21 - 29, 24.04.2017
https://doi.org/10.24938/kutfd.292279

Öz

Amaç:

Akut mezenterik iskemi (AMI) tanısında plazma protein karbonil, total antioksidan statüsü (TAS), total oksidan statusu (TOS), oksidatif stres indeksi (OSI) ve malondialdehit (MDA) tanı değerini saptamak.


Yöntem:

Bu randomize kontrollü deneysel çalışmada, 30 olgun dişi Sprague-Dawley sıçan altı gruba ayrıldı. Grup 1, 3 ve 5, sadece laparotomi yapılan kontrol gruplarıydı. Grup 2, 4 ve 6 laparotomi ve üst mezenterik arter ligasyonu yapılan mezenterik iskemi grupları idi. Cerrahi işlem sonrası 30 dakika (grup 1 ve 2), 2 saat (grup 3 ve 4) ve 6 saat (grup 5 ve 6) kan ve doku örnekleri alındı.


Sonuçlar:

İskemi ve kontrol grupları arasındaki fark histopatolojik düzeyde  istatistiksel olarak anlamlıydı (p = 0.007). İskemi grupları üzerinde histopatolojik hasar görüldü. Histopatolojik hasar, kontrol grubuna kıyasla (2 saat ve 6 saatte) iskemi gruplarında anlamlı olarak daha yüksekti (p = 0.002 ve p = 0.006). Oksidatif stres parametreleri plazma protein karbonil, MDA, TAS, TOS veya OSI'de değerlendirildi.Kontrol ve iskemi gruplarında istatistiksel olarak anlamlı farklılık gözlenmedi. 

Sonuç:

MDA, TAS, TOS ve OSI düzeyleri gruplar arasında istatistiksel olarak anlamlı farklılık gözlenmezken,  plazma protein karbonil ve mezenterik iskemi model İskemi ve kontrol grupları gibi oksidatif stresin diğer belirteçleri arasında anlamlı farklılık gösterilmedi.

Kaynakça

  • 1. Oldenburg, W. Andrew, et al. "Acute mesenteric ischemia: a clinical review." Archives of internal medicine 164.10 (2004): 1054-1062.
  • 2. Chang, Robert W., John B. Chang, and Walter E. Longo. "Update in management of mesenteric ischemia." World journal of gastroenterology 12.20 (2006): 3243.
  • 3. Rosero, Olivér, László Harsányi, and Attila Szijártó. "Acute mesenteric ischemia: Do biomarkers contribute to diagnosis?." Orvosi hetilap 155.41 (2014): 1615-1623.
  • 4. Akalιn, Ferda Alev, et al. "Lipid peroxidation levels and total oxidant status in serum, saliva and gingival crevicular fluid in patients with chronic periodontitis." Journal of clinical periodontology 34.7 (2007): 558-565.
  • 5. Rabus, Murat, et al. "Plasma and tissue oxidative stress index in patients with rheumatic and degenerative heart valve disease." Turk Kardiyol Dern Ars 36.8 (2008): 536-540.
  • 6. Aslan, Mehmet, et al. "Evaluation of oxidative status in patients with hyperthyroidism." Endocrine 40.2 (2011): 285-289.
  • 7. Dalle-Donne, Isabella, et al. "Protein carbonyl groups as biomarkers of oxidative stress." Clinica chimica acta 329.1 (2003): 23-38.
  • 8. Berlett, Barbara S., and Earl R. Stadtman. "Protein oxidation in aging, disease, and oxidative stress." Journal of Biological Chemistry 272.33 (1997): 20313-20316.
  • 9. Smith, C. D., et al. "Excess brain protein oxidation and enzyme dysfunction in normal aging and in Alzheimer disease." Proceedings of the National Academy of Sciences 88.23 (1991): 10540-10543.
  • 10. Domínguez, Carmen, et al. "Oxidative stress at onset and in early stages of type 1 diabetes in children and adolescents." Diabetes care 21.10 (1998): 1736-1742.
  • 11. Lih-Brody, Lisa, et al. "Increased oxidative stress and decreased antioxidant defenses in mucosa of inflammatory bowel disease." Digestive diseases and sciences 41.10 (1996): 2078-2086.
  • 12. Mantle, David, Gavin Falkous, and David Walker. "Quantification of protease activities in synovial fluid from rheumatoid and osteoarthritis cases: comparison with antioxidant and free radical damage markers." Clinica chimica acta 284.1 (1999): 45-58.
  • 13. Rutkowska, Magdalena, et al. "Increased protein carbonyl groups in the serum of men with chronic arterial occlusion and the effect of postoperative treatment." Medical science monitor 11.2 (2005): CR79-CR83.
  • 14. Yagi, Kunio. "Lipid peroxides and related radicals in clinical medicine." Free radicals in diagnostic medicine. Springer US, 1994. 1-15.
  • 15. Erel, Ozcan. "A novel automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation." Clinical biochemistry 37.4 (2004): 277-285.
  • 16. Gunduz, Abdulkadir, et al. "Time‐dependent variations in ischemia‐modified albumin levels in mesenteric ischemia." Academic Emergency Medicine 16.6 (2009): 539-543.
  • 17. Abboud B, Daher R, Boujaoude J. Acute mesenteric ischemia after cardio-pulmonary bypass surgery. World J Gastroenterol 2008;14:5361-70.
  • 18. Marshall, John C., et al. "Measures, markers, and mediators: toward a staging system for clinical sepsis. A report of the Fifth Toronto Sepsis Roundtable, Toronto, Ontario, Canada, October 25–26, 2000." Critical care medicine 31.5 (2003): 1560-1567.
  • 19. Gönüllü, Doğan, et al. "pH value and potassium level of diagnostic peritoneal lavage fluid in the early diagnosis of acute mesenteric ischemia secondary to arterial occlusion in rats." Ulusal travma ve acil cerrahi dergisi= Turkish journal of trauma & emergency surgery: TJTES 13.4 (2007): 261-267.
  • 20. Slater TF. Free-radical mechanisms in tissue injury. Biochem J. 1984; 222:1–15.
  • 21. Paterno, Flavio, and Walter E. Longo. "The etiology and pathogenesis of vascular disorders of the intestine." Radiologic Clinics of North America 46.5 (2008): 877-885.
  • 22. Terzi, Alpaslan, et al. "Protective effects of Nigella sativa on intestinal ischemia-reperfusion injury in rats." Journal of Investigative Surgery 23.1 (2010): 21-27.
  • 23. Kılıç, Kemal, et al. "The effects of dexmedetomidine on mesenteric arterial occlusion-associated gut ischemia and reperfusion-induced gut and kidney injury in rabbits." journal of surgical research 178.1 (2012): 223-232.
  • 24. Turkmen, Suha, et al. "The value of signal peptide‐CUB‐EGF domain‐containing protein 1 and oxidative stress parameters in the diagnosis of acute mesenteric ischemia." Academic Emergency Medicine 20.3 (2013): 257-264.
  • 25. Farias Rolim, Marcia, et al. "Colonic healing after portal ischemia and reperfusion: an experimental study with oxidative stress biomarkers." Redox Report 12.6 (2007): 267-274.
  • 26. Tsukimori, Kiyomi, et al. "Serum uric acid levels correlate with plasma hydrogen peroxide and protein carbonyl levels in preeclampsia." American journal of hypertension 21.12 (2008): 1343.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Özgür Tatlı

Yunus Karaca

Ahmet Alver

Ahmet Menteşe

Esin Yuluğ Bu kişi benim

Mücahit Günaydın

Aynur Şahin

Umut Eryiğit Bu kişi benim

Samad Shams Vahdadi Bu kişi benim

Ali Aygün

Yayımlanma Tarihi 24 Nisan 2017
Gönderilme Tarihi 15 Şubat 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 19 Sayı: 1

Kaynak Göster

APA Tatlı, Ö., Karaca, Y., Alver, A., Menteşe, A., vd. (2017). Deneysel Mezenterik İskemi Modelinde Oksidatif stress Parametrelerinin değerelendirilmesi. The Journal of Kırıkkale University Faculty of Medicine, 19(1), 21-29. https://doi.org/10.24938/kutfd.292279
AMA Tatlı Ö, Karaca Y, Alver A, Menteşe A, Yuluğ E, Günaydın M, Şahin A, Eryiğit U, Vahdadi SS, Aygün A. Deneysel Mezenterik İskemi Modelinde Oksidatif stress Parametrelerinin değerelendirilmesi. Kırıkkale Üni Tıp Derg. Nisan 2017;19(1):21-29. doi:10.24938/kutfd.292279
Chicago Tatlı, Özgür, Yunus Karaca, Ahmet Alver, Ahmet Menteşe, Esin Yuluğ, Mücahit Günaydın, Aynur Şahin, Umut Eryiğit, Samad Shams Vahdadi, ve Ali Aygün. “Deneysel Mezenterik İskemi Modelinde Oksidatif Stress Parametrelerinin değerelendirilmesi”. The Journal of Kırıkkale University Faculty of Medicine 19, sy. 1 (Nisan 2017): 21-29. https://doi.org/10.24938/kutfd.292279.
EndNote Tatlı Ö, Karaca Y, Alver A, Menteşe A, Yuluğ E, Günaydın M, Şahin A, Eryiğit U, Vahdadi SS, Aygün A (01 Nisan 2017) Deneysel Mezenterik İskemi Modelinde Oksidatif stress Parametrelerinin değerelendirilmesi. The Journal of Kırıkkale University Faculty of Medicine 19 1 21–29.
IEEE Ö. Tatlı, “Deneysel Mezenterik İskemi Modelinde Oksidatif stress Parametrelerinin değerelendirilmesi”, Kırıkkale Üni Tıp Derg, c. 19, sy. 1, ss. 21–29, 2017, doi: 10.24938/kutfd.292279.
ISNAD Tatlı, Özgür vd. “Deneysel Mezenterik İskemi Modelinde Oksidatif Stress Parametrelerinin değerelendirilmesi”. The Journal of Kırıkkale University Faculty of Medicine 19/1 (Nisan 2017), 21-29. https://doi.org/10.24938/kutfd.292279.
JAMA Tatlı Ö, Karaca Y, Alver A, Menteşe A, Yuluğ E, Günaydın M, Şahin A, Eryiğit U, Vahdadi SS, Aygün A. Deneysel Mezenterik İskemi Modelinde Oksidatif stress Parametrelerinin değerelendirilmesi. Kırıkkale Üni Tıp Derg. 2017;19:21–29.
MLA Tatlı, Özgür vd. “Deneysel Mezenterik İskemi Modelinde Oksidatif Stress Parametrelerinin değerelendirilmesi”. The Journal of Kırıkkale University Faculty of Medicine, c. 19, sy. 1, 2017, ss. 21-29, doi:10.24938/kutfd.292279.
Vancouver Tatlı Ö, Karaca Y, Alver A, Menteşe A, Yuluğ E, Günaydın M, Şahin A, Eryiğit U, Vahdadi SS, Aygün A. Deneysel Mezenterik İskemi Modelinde Oksidatif stress Parametrelerinin değerelendirilmesi. Kırıkkale Üni Tıp Derg. 2017;19(1):21-9.

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