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            <front>

                <journal-meta>
                                                                <journal-id>sdü tıp fak derg</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Medical Journal of Süleyman Demirel University</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2602-2109</issn>
                                                                                            <publisher>
                    <publisher-name>Süleyman Demirel Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.17343/sdutfd.1239914</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Clinical Sciences</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Klinik Tıp Bilimleri</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="tr">
                                    <trans-title>ANKAFERD BLOOD STOPPER&#039;IN KADMİYUMA BAĞLI GELİŞEN AKUT BÖBREK HASARINA ETKİSİ</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>PROTECTIVE ROLE OF ANKAFERD BLOOD STOPPER ON CADMIUM-INDUCED ACUTE NEPHROTOXICITY</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-3739-9580</contrib-id>
                                                                <name>
                                    <surname>İlhan</surname>
                                    <given-names>İlter</given-names>
                                </name>
                                                                    <aff>SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-0560-042X</contrib-id>
                                                                <name>
                                    <surname>Büyükbayram</surname>
                                    <given-names>Halil İbrahim</given-names>
                                </name>
                                                                    <aff>SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20230314">
                    <day>03</day>
                    <month>14</month>
                    <year>2023</year>
                </pub-date>
                                        <volume>30</volume>
                                        <issue>1</issue>
                                        <fpage>111</fpage>
                                        <lpage>118</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20230120">
                        <day>01</day>
                        <month>20</month>
                        <year>2023</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20230308">
                        <day>03</day>
                        <month>08</month>
                        <year>2023</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1994, Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi</copyright-statement>
                    <copyright-year>1994</copyright-year>
                    <copyright-holder>Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="tr">
                            <p>AmaçKadmiyum (Kd) insan sağlığı üzerinde zararlı etkilereneden olabilen çok toksik ve kanserojen bir ağırmetaldir. Kd maruziyetine bağlı olarak özellikle böbreklerdetoksisite gelişebilir. Ankaferd blood stopper(ABS), cerrahide hemostatik özelliği nedeniyle kullanılanbitkisel bir karışımdır. Ayrıca ABS’nin yara vedoku iyileşmesini artırdığı gösterilmiştir. Bu çalışmada,ABS&#039;nin Kd kaynaklı böbrek hasarına karşı olasıkoruyucu etkilerini değerlendirmeyi amaçladık.Gereç ve YöntemOtuz iki erkek sıçan rastgele 4 gruba ayrıldı: kontrol,Kd (kadmiyum klorür, 2,5 mg/kg tek doz ip), ABS(ABS, 1,5 ml/kg tek doz ip) ve Kd+ABS (kadmiyumklorür, 2,5 mg/kg tek doz ip-ABS, 1,5 ml/kg tek doz ip).Deney sonunda sıçanların serumlarından üre ve kreatininseviyeleri ölçüldü. Ayrıca böbrek dokularındanspektrofotometrik olarak total oksidan status (TOS),total antioksidan status (TAS) seviyeleri, süperoksitdismutaz (SOD) ve glutatyon peroksidaz (GPx) enzimaktiviteleri ölçüldü. TOS ve TAS düzeylerinden oksidatifstres indeksi (OSI) hesaplandı. Ayrıca sıçanlarınböbrek dokusunda Bcl-2-associated X protein (Bax),B-cell-lymphoma-2 (Bcl-2), silenced information regulator1 (SIRT1) ve p53&#039;ün mRNA ekspresyonundakideğişiklikler qRT-PCR yöntemi ile değerlendirildi.BulgularKadmiyum grubunda serum üre, kreatinin düzeyleri vedoku oksidatif stres belirteçleri, TOS ve OSI değerlerikontrol grubuna göre anlamlı olarak yüksek (p</p></trans-abstract>
                                                                                                                                    <abstract><p>ObjectiveCadmium (Cd) is a very toxic and carcinogenic heavymetal that can cause harmful effects on human health.Toxicity may develop due to Cd exposure, especially inthe kidneys. Ankaferd blood stopper (ABS) is a herbalmix that is used for its hemostatic properties in surgery.Also, ABS enhances wound and tissue healing. In thisstudy, we aimed to evaluate the possible ameliorativeeffects of ABS in Cd-induced renal damage.Material and MethodThirty-two male rats were randomly divided into 4groups: control, Cd (cadmium chloride, 2.5 mg/kgsingle dose, ip), ABS (ABS, 1.5 ml/kg single dose ip),and Cd+ABS (cadmium chloride, 2.5 mg/kg single doseip- ABS, 1.5 ml/kg single dose ip). At the end of theexperiment, urea and creatinine levels were analyzedfrom the rats’ serum. In addition, total oxidant status(TOS), total antioxidant status (TAS) levels, superoxidedismutase (SOD), and glutathione peroxidase (GPx)activity were measured spectrophotometricallyfrom renal tissues. The oxidative stress index (OSI)was calculated from TOS and TAS levels. Also, weevaluated alterations in the mRNA expression of Bcl-2-associated X protein (Bax), B-cell-lymphoma-2 (Bcl-2), silenced information regulator 1 (SIRT1), and p53in kidney tissue of rats by using the qRT-PCR method.ResultsIn the Cd group, serum urea, creatinine levels, andtissue oxidative stress markers, TOS and OSI weresignificantly higher while Gpx activity was significantlylower than in the control group (p</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Urtica dioica</kwd>
                                                    <kwd>  oxidative stress</kwd>
                                                    <kwd>  resveratrol</kwd>
                                                    <kwd>  licorice</kwd>
                                                    <kwd>  thyme</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="tr">
                                                    <kwd>Urtica dioica</kwd>
                                                    <kwd>  resveratrol</kwd>
                                                    <kwd>  meyan</kwd>
                                                    <kwd>  kekik</kwd>
                                                    <kwd>  oksidatif stress</kwd>
                                            </kwd-group>
                                                                                                                                        </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1. Kubier A, Wilkin RT, Pichler T. Cadmium in soils and groundwater:
a review. Applied Geochemistry. 2019;108:104388.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2. Ruoyu W, Panting S, Yahui G, Ping J, Yuliang C, Hang Y, et
al. Cadmium in food: Source, distribution and removal. Food
Chemistry. 2023;405:134666.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3. Zhao D, Wang P, Zhao F-J. Dietary cadmium exposure, risks
to human health and mitigation strategies. Critical Reviews in
Environmental Science and Technology. 2022:1-25.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4. Guo AH, Kumar S, Lombard DB. Epigenetic mechanisms of
cadmium-induced nephrotoxicity. Current Opinion in Toxicology.
2022:100372.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5. Yan L-J, Allen DC. Cadmium-induced kidney injury: Oxidative
damage as a unifying mechanism. Biomolecules. 2021;11(11):1575.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6. Liu J, Qu W, Kadiiska MB. Role of oxidative stress in cadmium
toxicity and carcinogenesis. Toxicology and Applied Pharmacology.
2009;238(3):209-14.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7. Ma Y, Su Q, Yue C, Zou H, Zhu J, Zhao H, et al. The effect of
oxidative stress-induced autophagy by cadmium exposure in
kidney, liver, and bone damage, and neurotoxicity. International
Journal of Molecular Sciences. 2022;23(21):13491.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8. Souza-Arroyo V, Fabián JJ, Bucio-Ortiz L, Miranda-Labra RU,
Gomez-Quiroz LE, Gutiérrez-Ruiz MC. The mechanism of the
cadmium-induced toxicity and cellular response in the liver.
Toxicology. 2022:153339.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9. Gao M, Dong Z, Sun J, Liu W, Xu M, Li C, et al. Liver-derived
exosome-laden lncRNA MT1DP aggravates cadmium-induced
nephrotoxicity. Environmental Pollution. 2020;258:113717.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">10. Ryter SW, Kim HP, Hoetzel A, Park JW, Nakahira K, Wang X, et
al. Mechanisms of cell death in oxidative stress. Antioxidants &amp;
Redox Signaling. 2007;9(1):49-89.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">11. Dong Y-j, Liu N, Xiao Z, Sun T, Wu S-h, Sun W-x, et al. Renal
protective effect of sirtuin 1. Journal of Diabetes Research.
2014;2014.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">12. Ogura Y, Kitada M, Koya D. Sirtuins and renal oxidative stress.
Antioxidants. 2021;10(8):1198.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">13. Alshammari GM, Al-Qahtani WH, AlFaris NA, Albekairi NA,
Alqahtani S, Eid R, et al. Quercetin alleviates cadmium chloride-
induced renal damage in rats by suppressing endoplasmic
reticulum stress through SIRT1-dependent deacetylation
of Xbp-1s and eIF2α. Biomedicine &amp; Pharmacotherapy.
2021;141:111862.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">14. Arab HH, Ashour AM, Eid AH, Arafa E-SA, Al Khabbaz HJ, Abd
El-Aal SA. Targeting oxidative stress, apoptosis, and autophagy
by galangin mitigates cadmium-induced renal damage:
Role of SIRT1/Nrf2 and AMPK/mTOR pathways. Life Sciences.
2022;291:120300.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">15. Dong W, Yan L, Tan Y, Chen S, Zhang K, Gong Z, et al. Melatonin
improves mitochondrial function by preventing mitochondrial
fission in cadmium-induced rat proximal tubular cell injury
via SIRT1–PGC-1α pathway activation. Ecotoxicology and Environmental
Safety. 2022;242:113879.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">16. Kim J-Y, Jo J, Kim K, An H-J, Gwon M-G, Gu H, et al. Pharmacological
activation of Sirt1 ameliorates cisplatin-induced acute
kidney injury by suppressing apoptosis, oxidative stress, and
inflammation in mice. Antioxidants. 2019;8(8):322.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">17. Susnow N, Zeng L, Margineantu D, Hockenbery DM. Bcl-2
family proteins as regulators of oxidative stress. Seminars in
Cancer Biology. 2009;19(1):42-9.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">18. Alsawaf S, Alnuaimi F, Afzal S, Thomas RM, Chelakkot AL, Ramadan
WS, et al. Plant flavonoids on oxidative stress-mediated
kidney inflammation. Biology. 2022;11(12):1717.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">19. Güneş E. Antioxidant effects of ankaferd blood stopper doped
polyvinyl pyrolidon in an experimental model created in insect.
Food and Chemical Toxicology. 2021;148:111935.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">20. Uğur A, Sarac N, Cankal DA, Özle M. The antioxidant and
antimutagenic activities of Ankaferd blood stopper, a natural
hemostatic agent used in dentistry. Turkish Journal of Medical
Sciences. 2016;46(3):657-63.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">21. Koluman A, Akar N, Malkan UY, Haznedaroglu IC. Qualitative/
chemical analyses of Ankaferd hemostat and its antioxidant
content in synthetic gastric fluids. BioMed Research International.
2016;2016.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">22. Koçak E, Akbal E, Taş A, Köklü S, Karaca G, Can M, et al.
Anti-inflammatory efficiency of Ankaferd blood stopper in experimental
distal colitis model. Saudi Journal of Gastroenterology:
Official Journal of the Saudi Gastroenterology Association.
2013;19(3):126.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">23. Hortu I, Ozceltik G, Karadadas E, Erbas O, Yigitturk G, Ulukus
M. The role of ankaferd blood stopper and oxytocin as potential
therapeutic agents in endometriosis: a rat model. Current Medical
Science. 2020;40(3):556-62.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">24. Abdel-Moneim AM, Said KM. Acute effect of cadmium treatment
on the kidney of rats: biochemical and ultrastructural
studies. Pakistan Journal of Biological Sciences: PJBS.
2007;10(20):3497-506.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">25. Erel O. A novel automated direct measurement method for total
antioxidant capacity using a new generation, more stable ABTS
radical cation. Clinical Biochemistry. 2004;37(4):277-85.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">26. Erel O. A new automated colorimetric method for measuring total
oxidant status. Clinical Biochemistry. 2005;38(12):1103-11.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">27. Altindag O, Erel O, Soran N, Celik H, Selek S. Total oxidative/
anti-oxidative status and relation to bone mineral density in
osteoporosis. Rheumatology International. 2008;28(4):317-21.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">28. Embuscado ME. Spices and herbs: Natural sources of antioxidants–
a mini review. Journal of Functional Foods. 2015;18:811-9.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">29. Siouda W, Abdennour C. Can Urtica dioica supplementation attenuate
mercury intoxication in Wistar rats? Veterinary World.2015;8(12):1458.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">30. Aldulaimi AMA, Al Jumaily A-AIH, Husain FF. The effect of aqueous
Urtica dioica extract in male rats exposed to copper sulfate
poisoning. IOP Conference Series: Earth and Environmental
Science. 2021;735:012008.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">31. Katalinic V, Mozina SS, Generalic I, Skroza D, Ljubenkov I,
Klancnik A. Phenolic profile, antioxidant capacity, and antimicrobial
activity of leaf extracts from six Vitis vinifera L. varieties.
International Journal of Food Properties. 2013;16(1):45-60.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">32. Fu B, Zhao J, Peng W, Wu H, Zhang Y. Resveratrol rescues
cadmium-induced mitochondrial injury by enhancing transcriptional
regulation of PGC-1α and SOD2 via the Sirt3/FoxO3a
pathway in TCMK-1 cells. Biochemical and Biophysical Research
Communications. 2017;486(1):198-204.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">33. Cirmi S, Maugeri A, Micali A, Marini HR, Puzzolo D, Santoro G,
et al. Cadmium-induced kidney injury in mice is counteracted
by a flavonoid-rich extract of bergamot juice, alone or in association
with curcumin and resveratrol, via the enhancement of different
defense mechanisms. Biomedicines. 2021;9(12):1797.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">34. Dirican E, Turkez H. In vitro studies on protective effect of Glycyrrhiza
glabra root extracts against cadmium-induced genetic
and oxidative damage in human lymphocytes. Cytotechnology.
2014;66(1):9-16.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">35. Mohamed NE-S. Effect of aqueous extract of glycyrrhiza glabra
on the biochemical changes induced by cadmium chloride in
rats. Biological Trace Element Research. 2019;190(1):87-94.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">36. Mohammed E, Kamel M, El Iraqi K, Tawfik AM, Khattab MS,
Elsabagh M. Zingiber officinale and Glycyrrhiza glabra, individually
or in combination, reduce heavy metal accumulation
and improve growth performance and immune status in
Nile tilapia, Oreochromis niloticus. Aquaculture Research.
2020;51(5):1933-41.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">37. Onoja RI, Chukwudi CU, Emejuo NT, Ugwuanyi HE, Ugwueze
EU. Possible ameliorative effects of hydromethanol extract of
Thymus vulgaris on cadmium induced hepatorenal toxicity in
rats. Notulae Scientia Biologicae. 2020;12(3):568-77.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">38. Abou Asa S, El-Nahass E-S, Abdelhady D. Protective effect of
thymus vulgaris extract against cadmium induced nephrotoxicity
and testicular damage in albino rats. Assiut Veterinary Medical
Journal. 2018;64(156):142-53.</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">39. Sarı H, Çelik S, Çağlar F, Aktaş S, Bozkurt O, Yörükoğlu K, et
al. A candidate antineoplastic herbal agent for bladder cancer:
Ankaferd blood stopper. International Journal of Clinical Practice.
2021;75(11):e14789.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">40. Durhan A, Koşmaz K, Süleyman M, Tez M, Şenlikci A, Ersak
C, et al. Assessment of Ankaferd Blood Stopper in experimental
liver ischemia reperfusion injury. Turkish Journal of Medical
Sciences. 2020;50(5):1421-7.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">41. Buyuktiryaki M, Tayman C, Koyuncu I, Cakir U, Turkmenoglu
TT, Cakir E, et al. Therapeutic and preventative effects of ankaferd
blood stopper in an experimental necrotizing enterocolitis
model. Biomedicine &amp; Pharmacotherapy. 2019;110:105-10.</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">42. Huri E, Haznedaroglu IC, Akgul T, Astarci M, Ustun H, Germiyanoulu
C. Biphasic effects of ankaferd blood stopper on renal
tubular apoptosis in the rat partial nephrectomy model representing
distinct levels of hemorrhage. Saudi Medical Journal.
2010;31(8):864-8.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
