1
|
Ebrahimi F, Zavareh S, Nasiri M. The Combination of Estradiol and N-Acetylcysteine Reduces Ischemia-Reperfusion Injuries of Mice Autografted Ovarian Tissue. Biopreserv Biobank 2024; 22:29-37. [PMID: 36827384 DOI: 10.1089/bio.2022.0184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023] Open
Abstract
Ischemia-reperfusion injuries are important issues after ovarian tissue transplantation (OTT). Our study examined the effects of N-acetylcysteine (NAC) and estradiol (E2) on mouse ovarian autografts. Mice (6-8 weeks) were divided into ovarian autograft as follows: Control: fresh OTT; Sham: cryopreserved/warmed OTT; NAC: cryopreserved/warmed OTT with NAC treatment; E2: cryopreserved/warmed OTT with E2 treatment; NAC+E2: cryopreserved/warmed OTT with the treatment of NAC and E2. In all groups, grafts were harvested on days 2, 7, and 28 after transplantation to evaluate histological parameters, inflammation relative to genes expression, and oxidative status. Histological analysis showed that NAC, E2, and a combination of NAC+E2 significantly increased the primordial, preantral, and antral follicular number. When NAC was used, it significantly reduced the expression of Tnf-α and Fgf-2, whereas it increased Il-1β, Il-6, and Vegf expression levels. The levels of Il-6, Fgf-2, and VEGF were dramatically increased in the E2-treated group. The combination of NAC and E2 significantly increased levels of Il-1β, Il-6, Fgf-2, and Vegf. NAC and E2 alone or in combination significantly increased total antioxidant capacity but did not affect the superoxide dismutase and glutathione peroxidase activities. In conclusion, after transplantation, NAC and E2 alone or in combination, could improve follicular development and angiogenesis as well as decline inflammation and ovarian oxidative damage.
Collapse
Affiliation(s)
| | - Saeed Zavareh
- School of Biology, Damghan University, Damghan, Iran
- Institute of Biological Sciences, Damghan University, Damghan, Iran
| | - Meysam Nasiri
- School of Biology, Damghan University, Damghan, Iran
- Institute of Biological Sciences, Damghan University, Damghan, Iran
| |
Collapse
|
2
|
Bedir Z, Ozkaloglu Erdem KT, Doymus O, Suleyman H, Yavuzer B, Cicek B, Altuner D, Mammadov R, Yilmaz M, Coban TA, Suleyman B, Bulut S. Effects of benidipine, paracetamol, and their combination on postoperative and normal tissue pain thresholds. Front Pharmacol 2024; 14:1326128. [PMID: 38249347 PMCID: PMC10796563 DOI: 10.3389/fphar.2023.1326128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 12/14/2023] [Indexed: 01/23/2024] Open
Abstract
Introduction: In clinical practice, inadequate pain inhibition leads to increased morbidity and mortality. Increased intracellular calcium, oxidants, and proinflammatory cytokines are known to play a role in the pathogenesis of postoperative pain. Therefore, we investigated the analgesic effects of benidipine, paracetamol, and benidipine-paracetamol combination (BPC) on postoperative and normal pain thresholds in rats. Material and methods: Sixty-four male albino Wistar rats weighing 285-295 g were used. The without-incision rats were divided into 4 subgroups: healthy control, benidipine alone, paracetamol alone, and BPC. The scalpel-incision rats were divided into 4 subgroups: scalpel incision, scalpel incision + benidipine, scalpel incision + paracetamol, and scalpel incision + BPC. Paw pain thresholds of rats were measured using a Basile algesimeter. Biochemical analyses were performed on the paw tissues of 6 rats randomly taken from the experimental groups, each containing 8 rats. Rats were sacrificed immediately after the measurements. After the pain threshold tests were finished, the paw tissues were removed and malondialdehyde (MDA), total glutathione (tGSH), cyclooxygenase (COX), and interleukin-6 (IL-6) levels were measured. Results: There was no significant difference between the groups in paw pain threshold and measured biochemical parameters in rats without incision. The decrease in the pain threshold of the incised paw was also best prevented by BPC, followed by benidipine and then paracetamol. Furthermore, increases in scalpel-incised paw tissue MDA, COX-2, and IL-6 levels and the decrease in tGSH were significantly suppressed by benidipine and BPC, while paracetamol could only significantly inhibit the increase in IL-6 production. Conclusion: The combination of the L-type Ca2+ channel blocker benidipine and paracetamol (BPC) may provide potent analgesia. Our experimental results support that BPC may be useful in the treatment of severe pain that cannot be adequately inhibited by paracetamol.
Collapse
Affiliation(s)
- Zehra Bedir
- Department of Anaesthesiology and Reanimation, University of Health Sciences, Erzurum State Hospital, Erzurum, Türkiye
| | - Kezban Tuna Ozkaloglu Erdem
- Department of Anaesthesiology and Reanimation, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Türkiye
| | - Omer Doymus
- Department of Anaesthesiology and Reanimation, University of Health Sciences, Erzurum State Hospital, Erzurum, Türkiye
| | - Halis Suleyman
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Türkiye
| | - Bulent Yavuzer
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Türkiye
| | - Betul Cicek
- Department of Physiology, Faculty of Medicine, Erzincan Binali Yildirim University, Türkiye
| | - Durdu Altuner
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Türkiye
| | - Renad Mammadov
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Türkiye
| | - Mehmet Yilmaz
- Department of Orthopaedics and Traumatology, Private Deva Hospital, Gaziantep, Türkiye
| | - Taha Abdulkadir Coban
- Department of Biochemistry, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Türkiye
| | - Bahadir Suleyman
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Türkiye
| | - Seval Bulut
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Türkiye
| |
Collapse
|
3
|
Yapca OE, Yildiz GA, Mammadov R, Kurt N, Gundogdu B, Arslan YK, Suleyman H, Cetin N. The effects of metyrosine on ischemia-reperfusion-induced oxidative ovarian injury in rats: Biochemical and histopathological assessment. AN ACAD BRAS CIENC 2023; 95:e20201586. [PMID: 37018835 DOI: 10.1590/0001-3765202320201586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 12/08/2020] [Indexed: 04/07/2023] Open
Abstract
The aim of this study is to investigate the effect of metyrosine on ischemia-reperfusion (I/R) induced ovarian injury in rats in terms of biochemistry and histopathology. Rats were divided into: ovarian I/R (OIR), ovarian I/R+50 mg/kg metyrosine (OIRM) and sham (SG) operations. OIRM group received 50 mg/kg metyrosine one hour before the application of the anesthetic agent, OIR and SG group rats received equal amount of distilled water to be used as a solvent orally through cannula. Following the application of the anesthetic agent, ovaries of OIRM and OIR group rats were subjected to ischemia and reperfusion, each of which took two hours. This biochemical experiment findings revealed high levels of malondialdehyde (MDA) and cyclo-oxygenase-2 (COX-2) and low levels of total glutathione (tGSH), superoxide dismutase (SOD) and cyclo-oxygenase-1 (COX-1) in the ovarian tissue of OIR group, with significant histopathological injury. In metyrosine group, MDA and COX-2 levels were lower than the OIR group whereas tGSH, SOD and COX-1 levels were higher, with slighter histopathological injury. Our experimental findings indicate that metyrosine inhibits oxidative and pro-inflammatory damage associated with ovarian I/R in rats. These findings suggest that metyrosine could be useful in the treatment of ovarian injury associated with I/R.
Collapse
Affiliation(s)
- Omer E Yapca
- Department of Obstetrics and Gynaecology, Faculty of Medicine, Atatürk University, 25240, Erzurum, Turkey
| | - Gulsah A Yildiz
- Department of Obstetrics and Gynaecology, Faculty of Medicine, Atatürk University, 25240, Erzurum, Turkey
| | - Renad Mammadov
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, 24100, Erzincan, Turkey
| | - Nezahat Kurt
- Department of Biochemistry, Faculty of Medicine, Erzincan Binali Yildirim University, 24100, Erzincan, Turkey
| | - Betul Gundogdu
- Department of Pathology, Faculty of Medicine, Atatürk University, 25240, Erzurum, Turkey
| | - Yusuf K Arslan
- Department of Biostatistics, Faculty of Medicine, Erzincan Binali Yildirim University, 24100, Erzincan, Turkey
| | - Halis Suleyman
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, 24100, Erzincan, Turkey
| | - Nihal Cetin
- Department of Pharmacology, Faculty of Medicine, Selcuk University, 42131, Konya, Turkey
| |
Collapse
|
4
|
Uzel K, Lakhno I, Turkler C, Kuzucu M, Yazici GN, Mammadov R, Suleyman B, Kale A, Suleyman H. Tocilizumab is effective in preventing ovarian injury induced by ischemia- reperfusion in rats. AN ACAD BRAS CIENC 2023; 95:e20220442. [PMID: 37194914 DOI: 10.1590/0001-3765202320220442] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 08/01/2022] [Indexed: 05/18/2023] Open
Abstract
Ovarian torsion can be defined as the bending of the ovaries on the supporting ligament, disrupting both venous and arterial blood circulation. Insufficient blood flow causes ovarian tissue hypoxia and leads to ischemia. This study aimed to investigate whether tocilizumab has a protective effect on ischemia-reperfusion injury due to ovarian torsion in rats. Eighteen female Wistar albino rats were divided into three equal groups (Sham (SG), ischemia-reperfusion (OIR), and ischemia-reperfusion+tocilizumab (OIRT)). Degeneration, necrosis, vascular dilatation/congestion, interstitial edema, hemorrhage, and polymorphonuclear lymphocyte (PMNL) infiltration scores were significantly different between the groups (p=0.001 for all parameters). Moreover, the OIRT group had a significant improvement in these criteria compared to the OIR group (p<0.05). Additionally, there was a considerable difference between OIRT and OIR groups in the number of primordial, developing, and atretic follicles groups (p<0.05), while there was no difference in the number of corpus luteum (p=0.052). Stress markers or cytokines, such as MDA, tGSH, NF-κB, TNF-α, IL-1β, and IL-6, were significantly different between groups (p<0.05). Furthermore, a significant improvement was found in the measured variables when the OIRT group was compared with the OIR group (p<0.05). Tocilizumab may be an alternative option for treating ischemia-reperfusion injury due to ovarian torsion.
Collapse
Affiliation(s)
- Kemine Uzel
- Erzincan Binali Yıldırım University Mengucek Gazi Training and Research Hospital, Department of Obstetrics and Gynecology, Basbaglar District, Haci Ali Akin Street, 32, 24100, Center, Erzincan, Turkey
| | - Igor Lakhno
- Kharkiv Medical Academy of Postgraduate Education, Department of Obstetrics and Gynecology, 58, Amosova str, 61176, Kharkiv, Ukraine
| | - Can Turkler
- Erzincan Binali Yıldırım University Mengucek Gazi Training and Research Hospital, Department of Obstetrics and Gynecology, Basbaglar District, Haci Ali Akin Street, 32, 24100, Center, Erzincan, Turkey
| | - Mehmet Kuzucu
- Erzincan Binali Yildirim University, Department of Molecular Biology, Faculty of Medicine, Basbaglar District, Haci Ali Akin Street, 32, 24100, Center, Erzincan, Turkey
| | - Gulce Naz Yazici
- Erzincan Binali Yildirim University, Department of Histology and Embryology, Faculty of Medicine, Basbaglar District, Haci Ali Akin Street, 32, 24100, Center, Erzincan, Turkey
| | - Renad Mammadov
- Erzincan Binali Yildirim University, Department of Pharmacology, Faculty of Medicine, Basbaglar District, Haci Ali Akin Street, 32, 24100, Center, Erzincan, Turkey
| | - Bahadir Suleyman
- Erzincan Binali Yildirim University, Department of Pharmacology, Faculty of Medicine, Basbaglar District, Haci Ali Akin Street, 32, 24100, Center, Erzincan, Turkey
| | - Ahmet Kale
- University of Health Science Kartal Dr. Lutfi Kirdar City Hospital, Department of Obstetrics and Gynecology, D-100 North Sideway N:47 Cevizli, 34865, Kartal, Istanbul, Turkey
| | - Halis Suleyman
- Erzincan Binali Yildirim University, Department of Pharmacology, Faculty of Medicine, Basbaglar District, Haci Ali Akin Street, 32, 24100, Center, Erzincan, Turkey
| |
Collapse
|
5
|
Bilici S, Gokalp Tas H, Mamedov R, Suleyman B, Kuyrukluyi U, Yavuzer B, Bulut S, Coban A, Suleyman H. Is Benidipine Effective in Preventing Gastric Ischemia/ Reperfusion Injury? INT J PHARMACOL 2022. [DOI: 10.3923/ijp.2022.1271.1277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
|
6
|
Refaie MMM, El-Hussieny M, Shehata S. TLR4/NF-κB/TNFα and cAMP/SIRT1 signaling cascade involved in mediating the dose-dependent effect of cilostazol in ovarian ischemia reperfusion-induced injury. Immunopharmacol Immunotoxicol 2022; 44:338-346. [PMID: 35209787 DOI: 10.1080/08923973.2022.2043901] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND One of the most dangerous gynecological emergencies is ovarian ischemia that commonly occurs during surgical manipulation or presence of ovarian masses. OBJECTIVES finding new therapies to prevent the associated harmful effects of ischemia/reperfusion-induced damage is still a critical need. For the first time, we aimed to evaluate the possible role of phosphodiesterase (PDE) 3 A inhibitor (PDEI), cilostazol (CLZ) in the treatment of ovarian ischemia reperfusion induced damage (OIR). METHODS Rats were divided into five groups; sham, OIR group; CLZ (5, 10, 20 mg/kg) was given orally with induced OIR. Different biochemical parameters were detected such as total anti-oxidant capacity (TAC), reduced glutathione (GSH), malondialdehyde (MDA), cyclic adenosine monophosphate (cAMP), sirtuin1 (SIRT1), toll like receptor 4 (TLR4), nuclear factor kappa b (NF-κB) and tumor necrosis factor alpha (TNFα). In addition, histopathological features, ovarian weight changes and casapse3 immunoexpression were detected. RESULTS Data revealed significant increase in ovarian weight changes, MDA, TLR4, TNFα, NF-κB and caspase 3 expressions in OIR induced group. Moreover, OIR group had histopathological features of ovarian damage with depletion of cAMP, SIRT1, TAC and GSH. CONCLUSION CLZ could ameliorate OIR-induced damage due to PDE inhibition, anti-oxidant, anti-inflammatory and anti-apoptotic properties with modulation of TLR4/NF-κB/TNFα and cAMP/SIRT1 signaling pathways.
Collapse
Affiliation(s)
- Marwa M M Refaie
- Department of Pharmacology, Faculty of Medicine, Minia University, El-Minia, Egypt
| | - Maram El-Hussieny
- Department of Pathology, Faculty of Medicine, Minia University, El-Minia, Egypt
| | - Sayed Shehata
- Department of Cardiology, Faculty of Medicine, Minia University, El-Minia, Egypt
| |
Collapse
|
7
|
Topcu A, Balik G, Atak M, Mercantepe T, Uydu HA, Tumkaya L. An investigation of the effects of metformin on ovarian ischemia-reperfusion injury in rats. Eur J Pharmacol 2019; 865:172790. [PMID: 31730761 DOI: 10.1016/j.ejphar.2019.172790] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 11/04/2019] [Accepted: 11/07/2019] [Indexed: 01/08/2023]
Abstract
Damage to the ovaries or tissue torsion can significantly reduce the ovarian reserve and thus cause severe gynecological and hormonal deficiencies. The discovery of new agents is always needed in the treatment of this condition. Metformin (MET) has been shown to be beneficial in attenuating ovarian ischemia-reperfusion injury. Fifty-six female Sprague Dawley rats were divided into seven groups. Group 1 represented the control group (C), Group 2, the ischemia group (I), and Group 3, the ischemia/reperfusion group (I/R). Group 4, the ischemia (I)+250 group, and Group 5, the ischemia (I)+500 group, received 250 mg/kg and 500 mg/kg MET, respectively. Group 6, the ischemia/reperfusion (I/R)+250 group, and Group 7, the ischemia/reperfusion (I/R)+500 group, received 250 mg/kg and 500 mg/kg MET, respectively. Tissue malondialdehyde (MDA), glutathione (GSH), and tumor necrosis factor-alpha (TNF-α) levels in ovarian tissue increased following I/R, while estradiol (E2) levels decreased. Moreover, infiltration and diffuse edematous areas were observed in addition to diffuse vascular congestion and hemorrhage findings. Caspase-3 and nuclear factor kappa B (NF-κβ) expression levels also increased. MDA and TNF-α concentrations decreased in the MET treatment groups, while GSH and E2 levels increased. The findings showed that I/R causes ovarian damage through the induction of oxidative stress, inflammation, and apoptosis. However, MET application was effective in preventing damage in ovarian tissue by reducing levels of reactive oxygen species, proinflammatory cytokines, caspase-3 and NF-κβ.
Collapse
Affiliation(s)
- Atilla Topcu
- Recep Tayyip Erdogan University, Faculty of Medicine, Department of Pharmacology, 53100, Rize, Turkey.
| | - Gulsah Balik
- Recep Tayyip Erdogan University, Faculty of Medicine, Department of Gynecology and Obstetrics, 53100, Rize, Turkey
| | - Mehtap Atak
- Recep Tayyip Erdogan University, Faculty of Medicine, Department of Medical Biochemistry, 53100, Rize, Turkey
| | - Tolga Mercantepe
- Recep Tayyip Erdogan University, Faculty of Medicine, Department of Histology and Embryology, 53100, Rize, Turkey
| | - Huseyin Avni Uydu
- Recep Tayyip Erdogan University, Faculty of Medicine, Department of Medical Biochemistry, 53100, Rize, Turkey
| | - Levent Tumkaya
- Recep Tayyip Erdogan University, Faculty of Medicine, Department of Histology and Embryology, 53100, Rize, Turkey
| |
Collapse
|
8
|
Cimen O, Eken H, Keskin Cimen F, Ozbek Bilgin A, Pehlivanoglu K, Kurnaz E, Gülaboglu M, Suleyman B, Suleyman H. Benidipine can prevent liver ischemia reperfusion injury in rats: a biochemical and histopathological evaluation. BIOTECHNOL BIOTEC EQ 2019. [DOI: 10.1080/13102818.2019.1691467] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Affiliation(s)
- Orhan Cimen
- Department of General Surgery, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Hüseyin Eken
- Department of General Surgery, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Ferda Keskin Cimen
- Department of Pathology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Asli Ozbek Bilgin
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Kamil Pehlivanoglu
- Department of General Surgery, Mengücek Gazi Training and Research Hospital, Erzincan, Turkey
| | - Eray Kurnaz
- Department of General Surgery, Mengücek Gazi Training and Research Hospital, Erzincan, Turkey
| | - Mine Gülaboglu
- Department of Biochemistry, Faculty of Pharmacy, Atatürk University, Erzurum, Turkey
| | - Bahadir Suleyman
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Halis Suleyman
- Department of Pharmacology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| |
Collapse
|
9
|
Nayki C, Nayki U, Keskin Cimen F, Kulhan M, Yapca OE, Kurt N, Bilgin Ozbek A. The effect of rutin on ovarian ischemia-reperfusion injury in a rat model. Gynecol Endocrinol 2018; 34:809-814. [PMID: 29564969 DOI: 10.1080/09513590.2018.1450378] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
The effect of rutin on ovarian ischemia-reperfusion (I/R) injury was investigated in this experimental study. Eighteen Wistar albino female rats were divided into three groups as follows: I/R group (IRG; n = 6), 50 mg/kg rutin + I/R group (RG; n = 6), and a healthy control group scheduled for a sham operation (SG; n = 6). 2 h of ischemia and following 2 h of reperfusion were created in the IRG and RG by using a torsion model involving atraumatic vascular clips. Rutin, a flavonoid glycoside, was injected intraperitoneally at the dose of 50 mg/kg to RG group 1 h before reperfusion. Then, rats were euthanized and their ovaries were removed for biochemical and histopathological examination and also assessment of the gene expressions. IRG group had a significant increase in malondialdehyde (MDA) levels, in the expressions of tumor necrosis factor alpha (TNF-α) and interleukin 1 beta (IL-1β), and also in the activity of cyclooxygenase 2 (COX-2) unlike the significant decrease in total glutathione (tGSH) levels and the activity of COX-1 when compared to the SG group. However, rutin significantly decreased MDA levels, the expressions of TNF-α and IL-1β, and also the activity of COX-2 while it increased significantly tGSH levels and the activity of COX-1 in the RG group in comparison with the IRG group. Rutin ameliorated the I/R-induced ovarian injury in rats via its possible antioxidative and anti-inflammatory effects.
Collapse
Affiliation(s)
- Cenk Nayki
- a Department of Obstetrics and Gynecology, Medical Faculty , Erzincan University , Erzincan , Turkey
| | - Umit Nayki
- a Department of Obstetrics and Gynecology, Medical Faculty , Erzincan University , Erzincan , Turkey
| | - Ferda Keskin Cimen
- b Department of Pathology, Medical Faculty , Erzincan University , Erzincan , Turkey
| | - Mehmet Kulhan
- a Department of Obstetrics and Gynecology, Medical Faculty , Erzincan University , Erzincan , Turkey
| | - Omer Erkan Yapca
- c Department of Obstetrics and Gynecology, Medical Faculty , Atatürk University , Erzurum , Turkey
| | - Nezahat Kurt
- d Department of Biochemistry, Medical Faculty , Atatürk University , Erzurum , Turkey
| | - Aslı Bilgin Ozbek
- e Department of Pharmacology, Medical Faculty , Erzincan University , Erzincan , Turkey
| |
Collapse
|
10
|
Refaie MMM, El-Hussieny M. Protective effect of pioglitazone on ovarian ischemia reperfusion injury of female rats via modulation of peroxisome proliferator activated receptor gamma and heme-oxygenase 1. Int Immunopharmacol 2018; 62:7-14. [PMID: 29966944 DOI: 10.1016/j.intimp.2018.06.037] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2018] [Revised: 06/25/2018] [Accepted: 06/26/2018] [Indexed: 12/15/2022]
Abstract
Ovarian torsion is a dangerous gynecological emergency condition. Early diagnosis of this case is necessary to preserve the function of the ovaries and fallopian tubes and prevent further damage. Ovarian torsion means complete or partial rotation of the adnexa with ischemia followed by reperfusion period. Ovarian torsion affects 2%-15% of patients who have surgical treatment of adnexal masses. We investigated the effect of pioglitazone (PIO) on induced ovarian ischemia reperfusion (OIR). PIO (10, 30 mg/kg) was administered orally in the presence or absence of induced OIR. We measured ovarian tissue malondialdehyde (MDA), total nitrites (NOx), reduced glutathione (GSH), heme-oxygenase 1 (HO-1), and gene expressions of peroxisome proliferator activated receptor gamma (PPARγ), tumor necrosis factor alpha (TNFα), inducible nitric oxide synthase (iNOS) and endothelial nitric oxide synthase (eNOS). Moreover, expression of p53 and histopathological changes were also evaluated. Results showed increase in the ovarian tissue levels of MDA and NOx and gene expressions of p53, TNFα, and iNOS in the induced OIR group. The induced OIR group showed the histopathological changes associated with cell injury, marked ovarian edema, hemorrhage and congestion. In addition, there was reduction in the GSH, HO-1 levels and PPARγ, eNOS gene expressions. PIO was able to reduce these induced OIR changes to levels insignificant from control group. This protective effect of PIO may be attributed to its PPARγ agonist effect, anti-inflammatory, anti-apoptotic and anti-oxidant properties.
Collapse
Affiliation(s)
- Marwa M M Refaie
- Department of Pharmacology, Faculty of Medicine, Minia University, 61511 Minia, Egypt.
| | - Maram El-Hussieny
- Department of Pathology, Faculty of Medicine, Minia University, Minia, Egypt
| |
Collapse
|