Capparis spinosa’nın yara iyileşmesi üzerindeki etkisi: Sıçanlarda klinik ve histomorfometrik bir çalışma

Amaç: Capparis spinosa (C. Spinosa) antioksidan, antienﬂamatuar, antialerjik, antiviral ve antikanserojenik özelliği gösteren ﬂavanoit molekülü içerir. Bu çalışmanın amacı sıçanlarda palatinal bölgede oluşturulan yara modelinde C. spinosanın yara iyileşmesi üzerindeki etkisinin değerlendirilmesidir. Yöntem: Çalışmada 60 adet erkek Wistar sıçan kullanıldı. Başlangıçta iyileşme referansı olarak (0 gün) altı hayvan sakriﬁye edildi. Sıçanlar C. spinosa, Klorheksidin (Klx) ve Kontrol (K) grubu olarak üç gruba ayrıldı. Tüm gruptaki denekler rastgele seçilerek altışar sıçandan oluşan dokuz alt grup oluşturuldu. Anestezi altına sıçanların damaklarının tam ortasında punch ile 3 mm çapında sirküler eksizyonel yara yüzeyleri oluşturuldu. Mukoperiosteal kısım keskin diseksiyonla uzaklaştırıldı ve açık kemik yüzeyindeki alan sekonder iyileşmeye bırakıldı. C. Spinosa, 1 ml/gün olacak şeklide gavaj yoluyla lokal olarak uygulandı. Sıçanlar yedinci, 14. ve 21. günlerde sakriﬁye edildi ve yara bölgesinin fotoğraﬂarı çekildi. Her bir fotoğraf özel bir programa aktarılarak defekt bölgesindeki yara alanı ölçüldü. Histolojik kesitler alınarak enﬂamatuar hücre varlığı, epitelizasyon ve iyileşme düzeylerine bakıldı. Bulgular: Epitelyal marjinler arasındaki ortalama yara alanı, tüm gruplarda zamanla önemli ölçüde azaldı (p <0.05). C. Spinosa grubu, Klx ve K grubu ile karşılaştırıldığında yedi, 14 ve 21. günlerde (sırasıyla 6.43±0.65; 3.87±0.50; 0.94±0.39) belirgin bir yara alanı azalması gözlemlenmiştir. 21. günde, kontrol grubunda hala enﬂamatuar hücreler gözlenmiştir. Sonuç: Çalışmanın bulguları ışığında C. Spinosa yara iyileşmesini hızlandırarak yumuşak dokunun iyileşmesinde olumlu etkileri gözlenmiştir.

Anahtar Kelimeler:

Capparis spinosa, klorheksidin, yara iyileşmesi

Effect ofCapparis spinosa on wound healing: A clinical and histomorphometric study in rat

Aim: Capparis spinose (C. Spinosa) contains ﬂavanoids and quercetin monoliths showing antioxidant, antiinﬂammatory, antiallergic, antiviral and anticarcinogenic properties. The aim of this study was to investigate wound healing effects of Capparis Spinosa on rat palatal mucosa. Methods: Sixty male Wistar rats were used to study. Six animals were sacriﬁced at baseline as baseline wound (0 day). The rats were divided into three groups as C. Spinosa, Chlorhexidine (Clx) and Control (C). Subjects in all three groups were randomly selected to form nine subgroups consisting of six rats. Under anesthesia, circular excisional wound surfaces of 3 mm in diameter were formed by punching in the middle of the rat’s palate. The mucoperiosteal part was removed with sharp dissection and the area on the open bone surface was left to heal the secondary. C. Spinosa was locally administered at a rate of 1 ml/day. The rats were sacriﬁced on days seven, 14 and 21 and pictures of the wound area were taken. Each photograph was transferred to a special programe to measure the defect area. Histologic sections were taken and the presence of inﬂammatory cells, epithelization and healing levels were evaluated. Results: The mean wound area between the epithelial margins decreased signiﬁcantly with time in all groups (p < 0.05). A signiﬁcant rate of wound area reduction was observed following the use of C. Spinosaat seven, 14 and 21 days (respectively 6.43±0.65; 3.87±0.50; 0.94±0.39)compared to Clx and Control. On day 21, the inﬂammatory cells were observed still in control group. Conclusion: The ﬁndings of the study showed that C. Spinosa had a positive effect on the healing of soft tissue by accelerating wound healing.

Keywords:

C. Spinosa, chlorhexidine, oral wound healing,

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