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Tuncay A, Sivgin V, Ozdemirkan A, Sezen SC, Boyunaga H, Kucuk A, Gunes I, Arslan M. The Effect of Cerium Oxide on Lung Tissue in Lower Extremity Ischemia Reperfusion Injury in Sevoflurane Administered Rats. Int J Nanomedicine 2020; 15:7481-7489. [PMID: 33116483 PMCID: PMC7547779 DOI: 10.2147/ijn.s263001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 08/21/2020] [Indexed: 11/23/2022] Open
Abstract
Introduction We aimed to investigate the effects of cerium oxide, applied before the sevoflurane anesthesia, on lung tissue in rats with lower extremity ischemia-reperfusion (IR). Materials and Methods A total of 30 rats were randomly divided into five groups as; control (C), IR, cerium oxide-IR (CO-IR), IR-sevoflurane (IRS), and cerium oxide-IR-sevoflurane (CO-IRS). In the CO-IR group, 30 minutes after the injection of cerium oxide (0.5 mg/kg, intraperitoneal (i.p)), an atraumatic microvascular clamp was placed on the infrarenal abdominal aorta for 120 minutes. Then, the clamp was removed and reperfused for 120 minutes. Sevoflurane was applied in 100% oxygen at a rate of 2.3% at 4 L/min during IR. The blood samples were taken for biochemical analysis and the lung tissue samples were taken for histological analysis. Results Neutrophil infiltration/aggregation was significantly higher in the IR group than in the C and CO-IRS groups. The alveolar wall thickness and total lung injury scores were significantly higher in the IR group than in the C, IRS, CO-IR and CO-IRS groups. Discussion We determined that the administration of 0.5 mg/kg dose of cerium oxide with sevoflurane reduces the oxidative stress and corrects IR-related damage in lung tissue. Our results show that the administration of cerium oxide before IR and the administration of sevoflurane during IR have a protective effect in rats.
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Affiliation(s)
- Aydin Tuncay
- Faculty of Medicine, Department of Cardiovascular Surgery, Erciyes University, Kayseri, Turkey
| | - Volkan Sivgin
- Faculty of Medicine, Department of Anesthesiology and Reamination, Gazi University, Ankara, Turkey
| | - Aycan Ozdemirkan
- Faculty of Medicine, Department of Anesthesiology and Reamination, Gazi University, Ankara, Turkey
| | - Saban Cem Sezen
- Faculty of Medicine, Department of Histology and Embryology, Kırıkkale University, Kırıkkale, Turkey
| | - Hakan Boyunaga
- Faculty of Medicine, Department of Medical Biochemistry, Kırıkkale University, Kırıkkale, Turkey
| | - Aysegul Kucuk
- Faculty of Medicine, Department of Physiology, Kütahya Health Science University, Kütahya, Turkey
| | - Isin Gunes
- Faculty of Medicine, Department of Anesthesiology and Reamination, Erciyes University, Kayseri, Turkey
| | - Mustafa Arslan
- Faculty of Medicine, Department of Anesthesiology and Reamination, Gazi University, Ankara, Turkey
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Weng C, Lan K, Li T, Zhang L, Wang J, Lai X. Regional hypothermia attenuates secondary-injury caused by time-out application of tourniquets following limb fragments injury combined with hemorrhagic shock. Scand J Trauma Resusc Emerg Med 2019; 27:104. [PMID: 31752982 PMCID: PMC6873525 DOI: 10.1186/s13049-019-0678-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Accepted: 10/10/2019] [Indexed: 01/04/2023] Open
Abstract
Background Tourniquet is the most widely used and effective first-aid equipment for controlling hemorrhage of injured limb in battlefield. However, time-out application of tourniquets leads to ischemic-necrosis of skeletal muscles and ischemia-reperfusion injury. Regional hypothermia (RH) on wounded limb can relieve the injury on local tissue and distant organs. We aimed to investigate the protective effects of RH on rabbits’ limbs injured by a steel-ball combined with hemorrhagic-shock, and then employed tourniquet over-time, tried to identify the optimal treatment RH. Methods Thirty rabbits were randomly divided into 5 groups. All rabbits were anesthetized, intubated femoral artery and vein in right-hind limbs. Sham operation group (Sham): only femoral arteriovenous cannula in right-hind limb. None RH group (NRH): rabbits were intubated as Sham group, then the soft tissues of rabbits’ left-hinds were injured by a steel-ball shooting, and were exsanguinated until shock, then bundled with rubber tourniquets for 4 h. Three RH subgroups: rabbits were injured as mentioned above, the injured limbs were bundled with rubber tourniquets and treated with different temperature (5 ± 1 °C, 10 ± 1 °C, and 20 ± 1 °C, respectively) for 4 h. The injury severity of lung and regional muscle was assessed by histologic examination. Activity of adenosine triphosphatase (ATPase) and content of malondialdehyde (MDA) in muscle, inflammatory cytokines, myoglobin, creatine kinase-MM (CK-MM), Heme, Heme oxygenase 1 (HO-1), lactic acid (Lac), and lectrolyte ion in serum were detected. Results Following with RH treatment, the injury of lung and local muscle tissue was alleviated evidencing by mitigation of histopathological changes, significant decrease of water-content and MDA content, and increase of ATPase activity. Lower level of Lac, Potassium (K+), inflammatory cytokines, Heme, CK-MM, myoglobin content, and higher level of Calcium (Ca2+), HO-1 content were shown in RH treatment. 10 °C was the most effective RH to increase ATPase activity, and decrease MDA, myoglobin, CK-MM content. Conclusion Transient RH (4 h) had a “long-term mitigation effects” (continued for 6 h) on time-out application of tourniquet with the fluid resuscitation and core temperature maintenance, and the most effective temperature for reducing the side effects on tourniquet time-out application was 10 °C.
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Affiliation(s)
- Changmei Weng
- Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.,State Key Laboratory of Trauma, Burn and Combined Injury Research Institute, Third Military Medical University, Chongqing, 400042, China
| | - Kai Lan
- State Key Laboratory of Trauma and Burns, Surgery Research Institute; Research Institute of Surgery, Daping Hospital, Third Military Medical University, 10 Changjiang Road, Chongqing, 400042, China
| | - Tao Li
- Joint Surgery Center, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China
| | - Liangchao Zhang
- Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.,State Key Laboratory of Trauma, Burn and Combined Injury Research Institute, Third Military Medical University, Chongqing, 400042, China
| | - Jianmin Wang
- Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.,State Key Laboratory of Trauma, Burn and Combined Injury Research Institute, Third Military Medical University, Chongqing, 400042, China
| | - Xinan Lai
- Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing, 400042, China. .,State Key Laboratory of Trauma, Burn and Combined Injury Research Institute, Third Military Medical University, Chongqing, 400042, China.
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Cukurova Z, Cetingok H, Ozturk S, Gedikbasi A, Hergunsel O, Ozturk D, Don B, Cefle K, Palanduz S, Ertem DH. DNA damage effects of inhalation anesthetics in human bronchoalveolar cells. Medicine (Baltimore) 2019; 98:e16518. [PMID: 31393354 PMCID: PMC6708896 DOI: 10.1097/md.0000000000016518] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND The main objective was to evaluate and compare the local genotoxicity of sevoflurane and desflurane in bronchoalveolar cells, while the secondary outcome was to detect systemic oxidative DNA damage. To our knowledge, our study is the first one to evaluate the local effects of inhalation anesthetics in human bronchoalveolar cells in patients. METHODS American Society of Anesthesiologists group I-II patients scheduled for lumbar discectomy surgery were enrolled in this randomized prospective study. Patients were randomized to sevoflurane or desflurane for anesthesia maintenance. Bronchoalveolar lavage samples and peripheral blood samples were taken at 2-time points: the first point (baseline, T1); and the second point (postexposure, T2). Final number of 48 samples were the sevoflurane (n = 22) and desflurane (n = 26) groups. Comet assay was applied to examine genotoxic properties. Oxidative DNA damage in plasma was measured with 8-hydroxy-2'-deoxyguanosine (8-OHdG). RESULTS T2 values were higher than baseline values in both the desflurane group (tail-length: 66 ± 24, %DNA in tail: 72 ± 60, tail moment: 47.52 ± 14.4; P = .001, P = .005, P = .001, respectively) and the sevoflurane group (tail-length: 58 ± 33, %DNA in tail: 88 ± 80, tail moment: 51.04 ± 26.4; P = .001, P = .012, P = .001, respectively). T2 plasma 8-OHdG levels were also higher than baseline levels in the desflurane group (3.91 ± 0.19 ng/ml vs 1.32 ± 0.20 ng/ml, P = .001) and sevoflurane group (3.98 ± 0.18 ng/ml vs 1.31 ± 0.11 ng/ml, P = .001). There were no differences between the 2 groups in comet parameters and 8-OHdG levels. CONCLUSION Our results indicate that both inhalation agents cause DNA damage in the bronchoalveolar cells. Also, we detected increases in plasma 8-OHdG concentrations. Local genotoxicity and systemic oxidized DNA damage were similar in both groups.
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Affiliation(s)
- Zafer Cukurova
- Bakirköy Sadi Konuk Training and Research Hospital, Department of Anesthesiology and Intensive Care
| | - Halil Cetingok
- Istanbul University Medical Faculty, Department of Anesthesiology
| | - Sukru Ozturk
- Istanbul University Medical Faculty, Department of Internal Medicine, Division of Medical Genetics, Bakirköy Sadi Konuk Training and Research Hospital, Biochemistry Lab
| | - Asuman Gedikbasi
- Istanbul University Medical Faculty, Department of Internal Medicine, Division of Medical Genetics, Bakirköy Sadi Konuk Training and Research Hospital, Biochemistry Lab
| | - Oya Hergunsel
- Bakirköy Sadi Konuk Training and Research Hospital, Department of Anesthesiology and Intensive Care
| | - Derya Ozturk
- Istanbul University Medical Faculty, Department of Internal Medicine, Division of Medical Genetics, Bakirköy Sadi Konuk Training and Research Hospital, Biochemistry Lab
| | - Burak Don
- Istanbul University Medical Faculty, Department of Internal Medicine, Division of Medical Genetics, Bakirköy Sadi Konuk Training and Research Hospital, Biochemistry Lab
| | - Kivanc Cefle
- Istanbul University Medical Faculty, Department of Internal Medicine, Division of Medical Genetics, Bakirköy Sadi Konuk Training and Research Hospital, Biochemistry Lab
| | - Sukru Palanduz
- Istanbul University Medical Faculty, Department of Internal Medicine, Division of Medical Genetics, Bakirköy Sadi Konuk Training and Research Hospital, Biochemistry Lab
| | - Devrimsel Harika Ertem
- University of Health Science, Sisli Hamidiye Etfal Research and Training Hospital, Department of Neurology, Istanbul, Turkey
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Liu TJ, Zhang JC, Gao XZ, Tan ZB, Wang JJ, Zhang PP, Cheng AB, Zhang SB. Effect of sevoflurane on the ATPase activity of hippocampal neurons in a rat model of cerebral ischemia-reperfusion injury via the cAMP-PKA signaling pathway. Kaohsiung J Med Sci 2017; 34:22-33. [PMID: 29310813 DOI: 10.1016/j.kjms.2017.09.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Revised: 09/05/2017] [Accepted: 09/13/2017] [Indexed: 01/01/2023] Open
Abstract
We aim to investigate the effects of sevoflurane on the ATPase activity of the hippocampal neurons in rats with cerebral ischemia-reperfusion injury (IRI) via the cyclic adenosine monophosphate (cAMP) and protein kinase A (PKA) signaling pathway. Sixty rats were assigned into the normal, model and sevoflurane groups (n = 20, the latter two groups were established as focal cerebral IRI models). The ATPase activity was detected using an ultramicro Na (+)-K (+)-ATP enzyme kit. Immunohistochemical staining was used to detect the positive protein expression of cAMP and PKA. The hippocampal neurons were assigned to the normal, IRI, IRI + sevoflurane, IRI + forskolin, IRI + H89 and IRI + sevoflurane + H89 groups. qRT-PCR and Western blotting were performed for the expressions of cAMP, PKA, cAMP-responsive element-binding protein (CREB) and brain derived neurotrophic factor (BDNF). The normal and sevoflurane groups exhibited a greater positive protein expression of cAMP and PKA than the model group. Compared with the normal group, the expressions of cAMP, PKA, CREB and BDNF all reduced in the IRI, model and IRI + H89 groups. The sevoflurane group showed higher cAMP, PKA, CREB and BDNF expressions than the model group. Compared with the IRI group, ATPase activity and expressions of cAMP, PKA, CREB and BDNF all increased in the normal, IRI + sevoflurane and IRI + forskolin groups but decreased in the IRI + H89 group. It suggests that sevoflurane could enhance ATPase activity in hippocampal neurons of cerebral IRI rats through activating cAMP-PKA signaling pathway.
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Affiliation(s)
- Tie-Jun Liu
- Department of Anesthesia, The Affiliated Hospital of North China University of Science and Technology, Tangshan, PR China
| | - Jin-Cun Zhang
- Department of Urology Surgery, The Affiliated Hospital of North China University of Science and Technology, Tangshan, PR China
| | - Xiao-Zeng Gao
- Department of Anesthesia, The Affiliated Hospital of North China University of Science and Technology, Tangshan, PR China
| | - Zhi-Bin Tan
- Department of Anesthesia, The Affiliated Hospital of North China University of Science and Technology, Tangshan, PR China
| | - Jian-Jun Wang
- Department of Critical Care Medicine, The Affiliated Hospital of North China University of Science and Technology, Tangshan, PR China
| | - Pan-Pan Zhang
- Department of Respiratory Medicine, The Affiliated Hospital of North China University of Science and Technology, Tangshan, PR China
| | - Ai-Bin Cheng
- Department of Critical Care Medicine, The Affiliated Hospital of North China University of Science and Technology, Tangshan, PR China
| | - Shu-Bo Zhang
- Department of Anesthesia, The Affiliated Hospital of North China University of Science and Technology, Tangshan, PR China.
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