Hakan PARLAKPINAR, Mehmet Hamdi ÖRÜM, Ahmet ACET

Kafeik Asit Fenetil Ester KAFE ve Miyokardiyal İskemi Reperfüzyon Mİ/R Hasarı

İskemi, doku hasarı ile sonuçlanan, dokuya yetersiz oksijen ve besin desteğine yol açan kan akımı durması veya azalmasını ifade eder. Miyokard dokusunun yaşamının devam edebilmesi için iskemik alanın erken reperfüzyonu önemlidir. Ancak reperfüzyonun kendisi de, reperfüzyon hasarı olarak adlandırılan miyokard hücrelerinin ölümü ile sonuçlanır. Miyokardiyal iskemi-reperfüzyon Mİ/R hasarının özellikle reperfüzyon dönemindeki artmış serbest radikal üretimi ve hücre içi aşırı kalsiyum yüklenmesi ile ilişkili olduğuna inanılmaktadır. Araştırmacılar, Mİ/R hasarını önlemek için kullanılabilecek ajanlar üzerinde pek çok çalışmalar yapmaktadır. Bal arısı kovanlarından elde edilen propolisin aktif bir bileşeni olan kafeik asit fenetil ester KAFE ’ nin antikarsinojenik, immünomodülatör, antiinflamatuvar ve antioksidan özelliklerinin olduğu bilinmektedir. KAFE, serbest radikalleri süpüren ve antioksidan enzimleri aktive eden bir ajandır. Bu bulgular KAFE’ nin iskemik kalp hastalıklarının önlenmesi ve tedavisinde, özellikle hayatı tehdit eden reperfüzyon aritmilerinde ve ileriki yaşam kalitesini etkileyebilen infarkt alanının önlenmesinde klinik olarak test edilebileceğini düşündürmektedir. Bu derlemede Mİ/R hasarının mekanizmaları ve KAFE’ nin Mİ/R ile ilgili hasar üzerindeki etkilerinin gözden geçirilmesi amaçlandı

Anahtar Kelimeler:

Kafeik asit fenetil ester, Miyokardiyal iskemi/reperfüzyon, Propolis

Caffeic Acid Phenethyl Ester CAPE and Myocardial Ischemia Reperfusion MI/R Injury

Ischemia refers to lack of or decreased blood flow, which leads insufficient oxygen and nutrient supply to the tissue, which in turn results in tissue damage. Early reperfusion of the ischemic area is important in viability of the myocardial tissue. However, reperfusion also often results in injury to the myocardial cells, which has been termed reperfusion injury. It is believed that MI/R injury is related to increased free radical formation and calcium overloading especially during the reperfusion period. Researchers are working on the agents that can be used to prevent MI/R injury. Caffeic acid phenethyl ester CAPE , an active component of propolis from honeybee hives, is known to have anticarcinogenic, immunomodulatory, antiinflammatory, and antioxidant properties. It has been demonstrated that CAPE is an agent which is a free radical scavenger and activates antioxidant enzymes. These findings thought that CAPE would be valuable to test in clinical trials for prevention and of possible MI/R-induced injury, especially life threatening reperfusion-induced arrhythmias and infarct size effecting life quality. In this review we have summarized the mechanisms of MI/R injury and the effects of CAPE on myocardial damage that related to MI/R injury

Keywords:

Caffeic acid phenethyl ester, Myocardial ischemia/reperfusion, Propolis,

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