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Diabetes Incuced Cognitive Impairment is Associated with Increase of NLRP3 and Nitrotyrosine Levels in the Hippocampus of Rats

Yıl 2019, Cilt: 3 Sayı: 3, 123 - 129, 31.12.2019

Öz

Aim: Diabets mellitus is associated with impaired learning and memory. Neuroinflammation is a pathophysiological hallmark of diabetes which include production of cytokines. It was suggested that nitrative injury has been implicated in the pathophysiologic mechanism of diabetes. Nod-like receptor family pyrin domain-containing (NLRP) inflammasomes are important in the development of inflammatory response through production of IL-1β and IL-18. In the present study was aimed to examine the relationship between NLRP3, IL-1 β, nitrotyrosine levels and cognitive functions in diabetic rats.

Material and Methods: The rats were randomly divided into 2 groups: control and diabetic. Diabetes was induced by a single intraperitoneal injection of 60 mg/kg of streptozotocin (STZ). Body weight and blood glucose level were measured until euthanasia. Morris water maze (MWM)  was used to evaluate the cognitive function in rats. Hippocampal NLRP3, IL-1 β and nitrotyrosine levels were measured. 

Results: The results showed that the elevated  blood glucose was obseved in diabetic group. NLRP3 and nitrotyrosine levels were found to be increased in hippocampus of diabetic rats. There was no statsitical significance in the hippocampal IL-1β level with diabetes.  In the MWM, diabetic rats spent more time to find the submerged platform when compared with control rats,  implying a significant impairment of learning and memory, and this impairment was found to be statistically signifcant at day 5.  

Conclusion: Our results indicate that STZ induced diabetes causes learning and memory impairment in rats probably by generating nitrosative stress and increasing NLRP3 level in the hippocampus. 

Kaynakça

  • 1.Rababa'h AM, Mardini AN, Alzoubi KH, Ababneh MA, Athamneh RY. The effect of cilostazol on hippocampal memory and oxidative stress biomarkers in rat model of diabetes mellitus. Brain Res 2019; 1715:182-187.
  • 2.Zhang S, Yuan L, Zhang L, Li C, Li J. Prophylactic Use of Troxerutin Can Delay the Development of Diabetic Cognitive Dysfunction and Improve the Expression of Nrf2 in the Hippocampus on STZ Diabetic Rats. Behav Neurol 2018; 2018:1-8
  • 3.Wang JQ, Yin J, Song YF, Zhang L, Ren Y.X, Wang DG, Gao LP, Jing YH. Brain aging and AD-like pathology in streptozotocin-induced diabetic rats. J Diabetes Res 2014; 2014:1-12.
  • 4. Omidi G, Karimi SA, Rezvani-Kamran A, Monsef A, Shahidi S, Komaki A. Effect of coenzyme Q10 supplementation on diabetes induced memory deficits in rats. Metab Brain Dis 2019; 34(3):833-840.
  • 5. Wang XP, Ye P, Lv J, Zhou L, Qian ZY, Huang YJ, Mu ZH, Wang X, Liu XJ, Wan Q, Yang ZH, Wang F, Zou YY. Expression changes of NMDA and AMPA receptor subunits in the hippocampus in rats with diabetes induced by streptozotocin coupled with memory impairment. Neurochem Res 2019;44(4):978-993.
  • 6. Ahshin-Majd S, Zamani S, Kiamari T, Kiasalari Z, Baluchnejadmojarad T, Roghani M. Carnosine ameliorates cognitive deficits in streptozotocin-induced diabetic rats: Possible involved mechanisms. Peptides 2016; 86:102-111.
  • 7. Baydas G, Reiter RJ, Yasar A, Tuzcu M, Akdemir I, Nedzvetskii VS. Melatonin reduces glial reactivity in the hippocampus, cortex, and cerebellum of streptozotocin-induced diabetic rats. Free Radic Biol Med 2003; 35(7):797-804.
  • 8. Delkhosh-Kasmaie F, Farshid AA, Tamaddonfard E, Imani M. The effects of safranal, a constitute of saffron, and metformin on spatial learning and memory impairments in type-1 diabetic rats: behavioral and hippocampal histopathological and biochemical evaluations. Biomed Pharmacother 2018; 107:203-211.
  • 9. Sadeghi A, Hami J, Razavi S, Esfandiary E, Hejazi Z. The Effect of Diabetes Mellitus on Apoptosis in Hippocampus: Cellular and Molecular Aspects. Int J Prev Med. 2016; 7: 1-17.
  • 10. Vargas R, Rincón J, Pedreañez A, Viera N, Hernández-Fonseca JP, Peña C, Mosquera J. Role of angiotensin II in the brain inflammatory events during experimental diabetes in rats. Brain Res 2012; 1453:64-76.
  • 11. Li R, Zang A, Zhang L, Zhang H, Zhao L, Qi Z, Wang H. Chrysin ameliorates diabetes-associated cognitive deficits in Wistar rats. Neurol Sci 2014; 35(10):1527-32.
  • 12. Datusalia AK, Sharma SS. Amelioration of diabetes-induced cognitive deficits by GSK-3β inhibition is attributed to modulation of neurotransmitters and neuroinflammation. Mol Neurobiol 2014; 50(2):390-405.
  • 13. Zhou XY, Zhang F, Hu XT, Chen J, Tang RX, Zheng KY, Song YJ. Depression can be prevented by astaxanthin through inhibition of hippocampal inflammation in diabetic mice. Brain Res 2017; 1657:262-268.
  • 14. Wang J, Wang L, Zhou J, Qin A, Chen Z.The protective effect of formononetin on cognitive impairment in streptozotocin (STZ)-induced diabetic mice. Biomed Pharmacother 2018; 106:1250-1257.
  • 15.Chen W, Zhao M, Zhao S, Lu Q, Ni L, Zou C, Lu L, Xu X, Guan H, Zheng Z, Qiu Q. Activation of the TXNIP/NLRP3 inflammasome pathway contributes to inflammation in diabetic retinopathy: a novel inhibitory effect of minocycline. Inflamm Res 2017; 66(2):157-166.
  • 16. Liu D, Zeng X, Li X, Mehta JL3, Wang X4. Role of NLRP3 inflammasome in the pathogenesis of cardiovascular diseases. Basic Res Cardiol. 2017; 113(1):5.
  • 17. Zhang Y, Lv X, Hu Z, Ye X, Zheng X, Ding Y, Xie P, Liu Q. Protection of Mcc950 against high-glucose-induced human retinal endothelial cell dysfunction. Cell Death Dis 2017; 8(7):e2941.
  • 18. Rovira-Llopis S, Apostolova N, Bañuls C, Muntané J, Rocha M, Victor VM. Mitochondria, the NLRP3 Inflammasome, and Sirtuins in Type 2 Diabetes: New Therapeutic Targets. Antioxid Redox Signal 2018; 29(8):749-791.
  • 19. Qiu YY, Tang LQ. Roles of the NLRP3 inflammasome in the pathogenesis of diabetic nephropathy. Pharmacol Res 2016; 114:251-264.
  • 20. Mijnhout GS, Scheltens P, Diamant M, Biessels GJ, Wessels AM, Simsek S, Snoek FJ, Heine RJ. Diabetic encephalopathy: A concept in need of a definition. Diabetologia 2006; 49(6):1447-8.
  • 21. Zhai Y, Meng X, Ye T, Xie W, Sun G, Sun X. Inhibiting the NLRP3 inflammasome activation with MCC950 ameliorates diabetic encephalopathy in db/db mice. Molecules. 2018; 23(3): 1-14
  • 22. Chesnokova V, Pechnick RN, Wawrowsky K. Chronic peripheral inflammation, hippocampal neurogenesis, and behavior. Brain Behav Immun 2016; 58:1-8.
  • 23. Hardigan T, Ward R, Ergul A. Cerebrovascular complications of diabetes: focus on cognitive dysfunction. Clin Sci (Lond) 2016;130(20):1807-22.
  • 24. Biessels GJ, Kamal A, Urban IJ, Spruijt BM, Erkelens DW, Gispen WH. Water maze learning and hippocampal synaptic plasticity in streptozotocin-diabetic rats: Effects of insulin treatment. Brain Res 1998; 800:125–35.
  • 25. Yön B, Belviranlı M, Okudan N. The effect of silymarin supplementation on cognitive impairment induced by diabetes in rats. J Basic Clin Physiol Pharmacol 2019; doi.org/10.1515/jbcpp-2018-0109
  • 26.Gocmez SS, Şahin TD, Yazir Y, Duruksu G, Eraldemir FC, Polat S, Utkan T.Resveratrol prevents cognitive deficits by attenuating oxidative damage and inflammation in rat model of streptozotocin diabetes induced vascular dementia. Physiol Behav 2019; 201:198-207.
  • 27. Liu X, Liu M, Mo Y, Peng H, Gong J, Li Z, Chen J, Xie J. Naringin ameliorates cognitive deficits in streptozotocin-induced diabetic rats. Iran J Basic Med Sci 2016;19(4):417-22.
  • 28. Zhuang J, Wen X, Zhang YQ, Shan Q, Zhang ZF, Zheng GH. TDP-43 upregulation mediated by the NLRP3 inflammasome induces cognitive impairment in 2 2’,4,4’-tetrabromodiphenyl ether (BDE-47)-treated mice. Brain Behav Immun 2017; 65:99-110.
  • 29. Ward R, Li W, Abdul Y, Jackson L, Dong G, Jamil S, Filosa J, Fagan SC, Ergul A. NLRP3 inflammasome inhibition with MCC950 improves diabetes-mediated cognitive impairment and vasoneuronal remodeling after ischemia. Pharmacol Res 2019; 142:237-250.
  • 30. Song W, Wei L, Du Y, Wang Y, Jiang S. Protective effect of ginsenoside metabolite compound K against diabetic nephropathy by inhibiting NLRP3 inflammasome activation and NF-κB/p38 signaling pathway in high-fat diet/streptozotocin-induced diabetic mice. Int Immunopharmacol 2018; 63:227-238.
  • 31. Menu P, Vince JE. The NLRP3 inflammasome in health and disease: the good, the bad and the ugly. Clin Exp Immunol 2011; 166:1–15.
  • 32. Loukovaara S, Piippo N, Kinnunen K, Hytti M, Kaarniranta K, Kauppinen A. NLRP3 inflammasome activation is associated with proliferative diabetic retinopathy. Acta Ophthalmol 2017; 95(8):803-808.
  • 33. Oliveira WH, Nunes AK, França ME, Santos LA, Lós DB, Rocha SW, Barbosa KP, Rodrigues GB, Peixoto CA. Effects of metformin on inflammation and short-term memory in streptozotocin-induced diabetic mice. Brain Res 2016; 1644:149-60.
  • 34. Ramírez-García G, Palafox-Sánchez V, Limón ID. Nitrosative and cognitive effects of chronic L-DOPA administration in rats with intra-nigral 6-OHDA lesion.Neuroscience 2015; 290:492-508.
  • 35. Sadraie S, Kiasalari Z, Razavian M, Azimi S, Sedighnejad L, Afshin-Majd S, Baluchnejadmojarad T, Roghani M. Berberine ameliorates lipopolysaccharide-induced learning and memory deficit in the rat: insights into underlying molecular mechanisms. Metab Brain Dis 2019; 34(1):245-255.
  • 36. Kelly-Cobbs AI, Prakash R, Coucha M, Knight RA, Li W, Ogbi SN, Johnson M, Ergul A. Cerebral myogenic reactivity and blood flow in type 2 diabetic rats: role of peroxynitrite in hypoxia-mediated loss of myogenic tone. J Pharmacol Exp Ther 2012; 342(2):407-15.

Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 ve Nitrotirozin Seviyelerinin Artışı ile İlişkilidir

Yıl 2019, Cilt: 3 Sayı: 3, 123 - 129, 31.12.2019

Öz

Amaç: Diyabetes mellitüs öğrenme ve hafıza bozukluğu ile birliktedir. Nöroinflamasyon sitokinlerin yapımını içeren diyabetin patofizyolojik bir işaretidir. Nitratif hasarın diyabetin patofizyolojik mekanizmasında yer aldığı ileri sürülmektedir. Nod-like receptor family pyrin domain-containing (NLRP), inflamazomlar IL-1β ve IL-18 yapımı ile inflamatuar cevabın gelişiminde önemlidir. Bu çalışmada diyabetik sıçanlarda NLRP3, IL-1 β, nitrotirozin düzeyleri ve kognitif fonksiyonlar arasındaki ilişkinin incelenmesi amaçlandı. 

Gereç ve Yöntemler: Sıçanlar rastgele 2 gruba ayrıldı: Kontrol ve diyabetik. Diyabet tek doz streptozotosin (STZ) uygulaması (60 mg/kg, intraperitoneal) ile oluşturuldu. Hayvanlar feda edilene kadar vücut ağırlıkları ve kan glukoz düzeyleri ölçüldü. Morris Su Labirenti (MWM) kognitif fonksiyonları değerlendirmek için kullanıldı. Hipokampal NLRP3, IL-1β ve nitrotirozin düzeyleri ELISA yöntemiyle belirlendi. 

Bulgular: Diyabetik grupta kan glukoz düzeylerinin yükseldiği gösterildi. NLRP3 ve nitrotirozin seviyelerinin diyabetik sıçanların hipokampüslerinde arttığı bulundu. Diyabet ile hipokampal IL-1β düzeylerinde istatistiksel olarak anlamlı değişiklik saptanmadı. MWM testinde diyabetik hayvanlar kontrollerle karşılaştırıldığında saklı platformu bulmak için daha fazla zaman harcadılar. Bu da öğrenme ve hafızanın anlamlı olarak bozulduğunu gösterdi ve bu bozukluk 5. günde istatistiksel olarak anlamlıydı. 

Sonuç: Sonuçlarımız STZ ile oluşturulan diyabetin muhtemelen hipokampüsde NLRP3 seviyesini artırarak ve nitrozatif stres oluşumu ile sıçanlarda öğrenme ve hafıza bozukluğuna neden olduğunu göstermektedir.

Kaynakça

  • 1.Rababa'h AM, Mardini AN, Alzoubi KH, Ababneh MA, Athamneh RY. The effect of cilostazol on hippocampal memory and oxidative stress biomarkers in rat model of diabetes mellitus. Brain Res 2019; 1715:182-187.
  • 2.Zhang S, Yuan L, Zhang L, Li C, Li J. Prophylactic Use of Troxerutin Can Delay the Development of Diabetic Cognitive Dysfunction and Improve the Expression of Nrf2 in the Hippocampus on STZ Diabetic Rats. Behav Neurol 2018; 2018:1-8
  • 3.Wang JQ, Yin J, Song YF, Zhang L, Ren Y.X, Wang DG, Gao LP, Jing YH. Brain aging and AD-like pathology in streptozotocin-induced diabetic rats. J Diabetes Res 2014; 2014:1-12.
  • 4. Omidi G, Karimi SA, Rezvani-Kamran A, Monsef A, Shahidi S, Komaki A. Effect of coenzyme Q10 supplementation on diabetes induced memory deficits in rats. Metab Brain Dis 2019; 34(3):833-840.
  • 5. Wang XP, Ye P, Lv J, Zhou L, Qian ZY, Huang YJ, Mu ZH, Wang X, Liu XJ, Wan Q, Yang ZH, Wang F, Zou YY. Expression changes of NMDA and AMPA receptor subunits in the hippocampus in rats with diabetes induced by streptozotocin coupled with memory impairment. Neurochem Res 2019;44(4):978-993.
  • 6. Ahshin-Majd S, Zamani S, Kiamari T, Kiasalari Z, Baluchnejadmojarad T, Roghani M. Carnosine ameliorates cognitive deficits in streptozotocin-induced diabetic rats: Possible involved mechanisms. Peptides 2016; 86:102-111.
  • 7. Baydas G, Reiter RJ, Yasar A, Tuzcu M, Akdemir I, Nedzvetskii VS. Melatonin reduces glial reactivity in the hippocampus, cortex, and cerebellum of streptozotocin-induced diabetic rats. Free Radic Biol Med 2003; 35(7):797-804.
  • 8. Delkhosh-Kasmaie F, Farshid AA, Tamaddonfard E, Imani M. The effects of safranal, a constitute of saffron, and metformin on spatial learning and memory impairments in type-1 diabetic rats: behavioral and hippocampal histopathological and biochemical evaluations. Biomed Pharmacother 2018; 107:203-211.
  • 9. Sadeghi A, Hami J, Razavi S, Esfandiary E, Hejazi Z. The Effect of Diabetes Mellitus on Apoptosis in Hippocampus: Cellular and Molecular Aspects. Int J Prev Med. 2016; 7: 1-17.
  • 10. Vargas R, Rincón J, Pedreañez A, Viera N, Hernández-Fonseca JP, Peña C, Mosquera J. Role of angiotensin II in the brain inflammatory events during experimental diabetes in rats. Brain Res 2012; 1453:64-76.
  • 11. Li R, Zang A, Zhang L, Zhang H, Zhao L, Qi Z, Wang H. Chrysin ameliorates diabetes-associated cognitive deficits in Wistar rats. Neurol Sci 2014; 35(10):1527-32.
  • 12. Datusalia AK, Sharma SS. Amelioration of diabetes-induced cognitive deficits by GSK-3β inhibition is attributed to modulation of neurotransmitters and neuroinflammation. Mol Neurobiol 2014; 50(2):390-405.
  • 13. Zhou XY, Zhang F, Hu XT, Chen J, Tang RX, Zheng KY, Song YJ. Depression can be prevented by astaxanthin through inhibition of hippocampal inflammation in diabetic mice. Brain Res 2017; 1657:262-268.
  • 14. Wang J, Wang L, Zhou J, Qin A, Chen Z.The protective effect of formononetin on cognitive impairment in streptozotocin (STZ)-induced diabetic mice. Biomed Pharmacother 2018; 106:1250-1257.
  • 15.Chen W, Zhao M, Zhao S, Lu Q, Ni L, Zou C, Lu L, Xu X, Guan H, Zheng Z, Qiu Q. Activation of the TXNIP/NLRP3 inflammasome pathway contributes to inflammation in diabetic retinopathy: a novel inhibitory effect of minocycline. Inflamm Res 2017; 66(2):157-166.
  • 16. Liu D, Zeng X, Li X, Mehta JL3, Wang X4. Role of NLRP3 inflammasome in the pathogenesis of cardiovascular diseases. Basic Res Cardiol. 2017; 113(1):5.
  • 17. Zhang Y, Lv X, Hu Z, Ye X, Zheng X, Ding Y, Xie P, Liu Q. Protection of Mcc950 against high-glucose-induced human retinal endothelial cell dysfunction. Cell Death Dis 2017; 8(7):e2941.
  • 18. Rovira-Llopis S, Apostolova N, Bañuls C, Muntané J, Rocha M, Victor VM. Mitochondria, the NLRP3 Inflammasome, and Sirtuins in Type 2 Diabetes: New Therapeutic Targets. Antioxid Redox Signal 2018; 29(8):749-791.
  • 19. Qiu YY, Tang LQ. Roles of the NLRP3 inflammasome in the pathogenesis of diabetic nephropathy. Pharmacol Res 2016; 114:251-264.
  • 20. Mijnhout GS, Scheltens P, Diamant M, Biessels GJ, Wessels AM, Simsek S, Snoek FJ, Heine RJ. Diabetic encephalopathy: A concept in need of a definition. Diabetologia 2006; 49(6):1447-8.
  • 21. Zhai Y, Meng X, Ye T, Xie W, Sun G, Sun X. Inhibiting the NLRP3 inflammasome activation with MCC950 ameliorates diabetic encephalopathy in db/db mice. Molecules. 2018; 23(3): 1-14
  • 22. Chesnokova V, Pechnick RN, Wawrowsky K. Chronic peripheral inflammation, hippocampal neurogenesis, and behavior. Brain Behav Immun 2016; 58:1-8.
  • 23. Hardigan T, Ward R, Ergul A. Cerebrovascular complications of diabetes: focus on cognitive dysfunction. Clin Sci (Lond) 2016;130(20):1807-22.
  • 24. Biessels GJ, Kamal A, Urban IJ, Spruijt BM, Erkelens DW, Gispen WH. Water maze learning and hippocampal synaptic plasticity in streptozotocin-diabetic rats: Effects of insulin treatment. Brain Res 1998; 800:125–35.
  • 25. Yön B, Belviranlı M, Okudan N. The effect of silymarin supplementation on cognitive impairment induced by diabetes in rats. J Basic Clin Physiol Pharmacol 2019; doi.org/10.1515/jbcpp-2018-0109
  • 26.Gocmez SS, Şahin TD, Yazir Y, Duruksu G, Eraldemir FC, Polat S, Utkan T.Resveratrol prevents cognitive deficits by attenuating oxidative damage and inflammation in rat model of streptozotocin diabetes induced vascular dementia. Physiol Behav 2019; 201:198-207.
  • 27. Liu X, Liu M, Mo Y, Peng H, Gong J, Li Z, Chen J, Xie J. Naringin ameliorates cognitive deficits in streptozotocin-induced diabetic rats. Iran J Basic Med Sci 2016;19(4):417-22.
  • 28. Zhuang J, Wen X, Zhang YQ, Shan Q, Zhang ZF, Zheng GH. TDP-43 upregulation mediated by the NLRP3 inflammasome induces cognitive impairment in 2 2’,4,4’-tetrabromodiphenyl ether (BDE-47)-treated mice. Brain Behav Immun 2017; 65:99-110.
  • 29. Ward R, Li W, Abdul Y, Jackson L, Dong G, Jamil S, Filosa J, Fagan SC, Ergul A. NLRP3 inflammasome inhibition with MCC950 improves diabetes-mediated cognitive impairment and vasoneuronal remodeling after ischemia. Pharmacol Res 2019; 142:237-250.
  • 30. Song W, Wei L, Du Y, Wang Y, Jiang S. Protective effect of ginsenoside metabolite compound K against diabetic nephropathy by inhibiting NLRP3 inflammasome activation and NF-κB/p38 signaling pathway in high-fat diet/streptozotocin-induced diabetic mice. Int Immunopharmacol 2018; 63:227-238.
  • 31. Menu P, Vince JE. The NLRP3 inflammasome in health and disease: the good, the bad and the ugly. Clin Exp Immunol 2011; 166:1–15.
  • 32. Loukovaara S, Piippo N, Kinnunen K, Hytti M, Kaarniranta K, Kauppinen A. NLRP3 inflammasome activation is associated with proliferative diabetic retinopathy. Acta Ophthalmol 2017; 95(8):803-808.
  • 33. Oliveira WH, Nunes AK, França ME, Santos LA, Lós DB, Rocha SW, Barbosa KP, Rodrigues GB, Peixoto CA. Effects of metformin on inflammation and short-term memory in streptozotocin-induced diabetic mice. Brain Res 2016; 1644:149-60.
  • 34. Ramírez-García G, Palafox-Sánchez V, Limón ID. Nitrosative and cognitive effects of chronic L-DOPA administration in rats with intra-nigral 6-OHDA lesion.Neuroscience 2015; 290:492-508.
  • 35. Sadraie S, Kiasalari Z, Razavian M, Azimi S, Sedighnejad L, Afshin-Majd S, Baluchnejadmojarad T, Roghani M. Berberine ameliorates lipopolysaccharide-induced learning and memory deficit in the rat: insights into underlying molecular mechanisms. Metab Brain Dis 2019; 34(1):245-255.
  • 36. Kelly-Cobbs AI, Prakash R, Coucha M, Knight RA, Li W, Ogbi SN, Johnson M, Ergul A. Cerebral myogenic reactivity and blood flow in type 2 diabetic rats: role of peroxynitrite in hypoxia-mediated loss of myogenic tone. J Pharmacol Exp Ther 2012; 342(2):407-15.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Hale Sayan Özaçmak 0000-0002-3564-0468

Büşra Onar Bu kişi benim 0000-0003-4772-8069

İnci Turan 0000-0003-2211-3914

Veysel Haktan Özaçmak 0000-0003-2651-8353

Yayımlanma Tarihi 31 Aralık 2019
Kabul Tarihi 23 Aralık 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 3 Sayı: 3

Kaynak Göster

APA Sayan Özaçmak, H., Onar, B., Turan, İ., Özaçmak, V. H. (2019). Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 ve Nitrotirozin Seviyelerinin Artışı ile İlişkilidir. Türkiye Diyabet Ve Obezite Dergisi, 3(3), 123-129.
AMA Sayan Özaçmak H, Onar B, Turan İ, Özaçmak VH. Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 ve Nitrotirozin Seviyelerinin Artışı ile İlişkilidir. Turk J Diab Obes. Aralık 2019;3(3):123-129.
Chicago Sayan Özaçmak, Hale, Büşra Onar, İnci Turan, ve Veysel Haktan Özaçmak. “Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 Ve Nitrotirozin Seviyelerinin Artışı Ile İlişkilidir”. Türkiye Diyabet Ve Obezite Dergisi 3, sy. 3 (Aralık 2019): 123-29.
EndNote Sayan Özaçmak H, Onar B, Turan İ, Özaçmak VH (01 Aralık 2019) Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 ve Nitrotirozin Seviyelerinin Artışı ile İlişkilidir. Türkiye Diyabet ve Obezite Dergisi 3 3 123–129.
IEEE H. Sayan Özaçmak, B. Onar, İ. Turan, ve V. H. Özaçmak, “Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 ve Nitrotirozin Seviyelerinin Artışı ile İlişkilidir”, Turk J Diab Obes, c. 3, sy. 3, ss. 123–129, 2019.
ISNAD Sayan Özaçmak, Hale vd. “Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 Ve Nitrotirozin Seviyelerinin Artışı Ile İlişkilidir”. Türkiye Diyabet ve Obezite Dergisi 3/3 (Aralık 2019), 123-129.
JAMA Sayan Özaçmak H, Onar B, Turan İ, Özaçmak VH. Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 ve Nitrotirozin Seviyelerinin Artışı ile İlişkilidir. Turk J Diab Obes. 2019;3:123–129.
MLA Sayan Özaçmak, Hale vd. “Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 Ve Nitrotirozin Seviyelerinin Artışı Ile İlişkilidir”. Türkiye Diyabet Ve Obezite Dergisi, c. 3, sy. 3, 2019, ss. 123-9.
Vancouver Sayan Özaçmak H, Onar B, Turan İ, Özaçmak VH. Diyabete Bağlı Kognitif Bozukluk Sıçanların Hipokampüslerinde NLRP3 ve Nitrotirozin Seviyelerinin Artışı ile İlişkilidir. Turk J Diab Obes. 2019;3(3):123-9.

Zonguldak Bülent Ecevit Üniversitesi Obezite ve Diyabet Uygulama ve Araştırma Merkezi’nin bilimsel yayım organıdır.

Web: https://obdm.beun.edu.tr/  Twitter: https://twitter.com/obezite_diyabet     Instagram: https://www.instagram.com/zbeuobezitediyabet/