Healing effects of L-carnitine on experimental colon anastomosis wound

Healing effects of L-carnitine on experimental colon anastomosis wound

Objective: The purpose of this study is to examine the effects of L-carnitine on healing of experimental colon anastomosis injury in early and late period. Materials and Methods: Forty female Wistar-Albino rats were used in this study. The rats were divided into 4 groups (CONT-3, CONT- 7, CARN-3, and CARN-7). Injury healing was evaluated for CONT-3 group on the 3rd day and for CONT-7 group on the 7th day following the anastomosis. Following the operation, CARN-3 and CARN-7 groups were intraperitoneally administered with 100 mg/ kg/day L-carnitine and injury healing was evaluated on the 3rd and 7th days. Injury strength, histological evaluation and antioxidant enzyme activities and oxidant damage were determined in tissue samples of anastomosis area. Results: Bursting pressure levels and histological scoring values of CARN-3 group were found to be higher than the CONT-3 group (p<0.05). Antioxidant enzyme activities were found to be high in groups which were administered with L-carnitine, and oxidant damage was found to be significantly low in CARN-7 group (p<0.05). Conclusion: It was seen that L-carnitine speeds up the injury healing process and increases the injury strength and antioxidant capacity in early period. Increase in antioxidant enzyme activities was observed to be continued in late period as well.

___

  • Kirchhoff P, Clavien PA, Hahnloser D. Complications in colorectal surgery: risk factors and preventive strategies. Patient Saf Surg 2010; 4:5. doi: 10.1186/1754-9493-4-5
  • Ruiz-Tovar J, Morales-Castiñeiras V, Lobo-Martínez E. Postoperative complicactions of colon surgery. Cir Cir 2010; 78:283-91.
  • Gülçin I. Antioxidant and antiradical activities of L-carnitine. Life Sci 2006; 78:803-11. doi: 10.1016/j.lfs.2005.05.103
  • Kutluay Köklü AH, Küpeli Akkol E, Uğar Çankal DA. Biochemical and biomechanical assessment of effects of L-carnitine on oral mucosal wounds. Clin Oral Investig 2015; 19:1101-6. doi: 10.1007/s00784.014.1329-8
  • Bell FP, Vidmar TJ, Raymond TL. L-carnitine administration and withdrawal affect plasma and hepatic carnitine concentrations, plasma lipid and lipoprotein composition, and in vitro hepatic lipogenesis from labeled mevalonate in normal rabbits. J Nutr 1992; 122:959-66. doi: 10.1093/ jn/122.4.959
  • Mayes PA. Lipids of physiologic significance. In: Murray RK. Granner DK. Mayes PA. Rodwell VW, eds. Harper’s Biochemistry. Appleton and Lange: Stamford, 2000: 160,171.
  • Arduini A. Carnitine and its acyl esters as secondary antioksidants? Am Heart J 1992; 123:1726-7. doi: 10.1016/0002-8703(92)90850-u
  • Sabry MM, Ahmed MM, Maksoud OMA, et al. Carnitine, apelin and resveratrol regulate mitochondrial quality control (QC) related proteins and ameliorate acute kidney injury: role of hydrogen peroxide. Arch Physiol Biochem 2020; 13:1-10. doi: 10.1080/13813.455.2020.1773504
  • Zhao T, Chen S, Wang B, Cai D. L-Carnitine Reduces Myocardial Oxidative Stress and Alleviates Myocardial Ischemia-Reperfusion Injury by Activating Nuclear Transcription-Related Factor 2 (Nrf2)/Heme Oxygenase-1 (HO-1) Signaling Pathway. Med Sci Monit 2020; 26:e923251. doi: 10.12659/MSM.923251
  • Akkus A, Aydinuraz K, Daphan C, et al. Effect of carnitine on cutaneous wound healing in immunosuppressed rats. J Surg Res 2009; 155:301-5. doi: 10.1016/j.jss.2008.06.010
  • Choi BS, Song HS, Kim HR, et al. Effect of coenzyme Q10 on cutaneous healing in skin-incised mice. Arch Pharm Res 2009; 32:907-13. doi: 10.1007/s12272.009.1613-3
  • Cakmak GK, Irkorucu O, Ucan BH, et al. The effects of resveratrol on the healing of left colonic anastomosis. J Invest Surg 2009(a); 22:353-61. doi: 10.1080/089.419.30903214701
  • Kabali B, Girgin S, Gedik E, Ozturk H, Kale E, Buyukbayram H. N-Acetylcysteine prevents deleterious effects of ıschemia/ reperfusion ınjury on healing of colonic anastomosis in rats. Eur Surg Res 2009; 43:8–12. doi: 10.1159/000210673
  • Zeytin K, Çiloğlu NS, Ateş F, Aker VF, Ercan F. Resveratrolün diyabetik sıçanlarda tendon iyileşmesi üzerine etkileri. Acta Orthop Traumatol Turc 2014;48(3):355-62. doi: 10.3944/ AOTT.2014.13.0096
  • Cakmak GK, Irkorucu O, Ucan BH, et al. Simvastatin improves wound strength after intestinal anastomosis in the rat. J Gastrointest Surg 2009(b); 13:1707-16. doi: 10.1007/ s11605.009.0951-2
  • Kurahashi T, Fujii J. Roles of Antioxidative Enzymes in Wound Healing. J Dev Biol 2015; 3:57-70. https://doi.org/10.3390/ jdb3020057
  • Xu Z, Han S, Gu Z, Wu J. Advances and Impact of Antioxidant Hydrogel in Chronic Wound Healing. Adv Healthc Mater 2020; 9:e1901502. doi: 10.1002/adhm.201901502
  • Charan J, Kantharia ND. How to calculate sample size in animal studies? J Pharmacol Pharmacother 2013; 4:303-6. doi:10.4103/0976-500X.119726
  • Arifin WN, Zahiruddin WM. Sample Size Calculation in Animal Studies Using Resource Equation Approach. Malays J Med Sci 2017; 24:101-5. doi: 10.21315/mjms2017.24.5.11
  • Demir U, Edremitlioğlu M, Kandaş E, Şehitoğlu MH, Kılınç N. Quercetin associated with dimethylsulfoxide has a curative effect on experimental colon anastomosis injury. Acta Cir Bras 2020; 35:e202000602. doi: 10.1590/ s0102.865.0202000.600.00002
  • Goel SA, Nagpal P, Nagarajan P, Panda A K, Chhabra HS. Lateral approach to the lumbar spine of sprague dawley rat: development of a novel animal model for spine surgery. Indian Spine J 2019; 2:134-37.
  • Irvin TT, Hunt TK. Pathogenesis and prevention of disruption of colonic anastomoses in traumatized rats. Br J Surg 1974; 61:437-39. doi: 10.1002/bjs.180.061.0605.
  • Yagi K. Assay of lipid peroxidation in blood plasma or serum. Methods Enzymol 1984; 105: 328-31. doi: 10.1016/s0076- 6879(84)05042-4
  • Chiu CJ, McArdle AH, Brown R, Scott HJ, Gurd FN. Intestinal mucosal lesion in low-flow states. I. A morphological, hemodynamic, and metabolic reappraisal. Arch Surg 1970; 101:478-83. doi: 10.1001/archsurg.1970.013.40280030009
  • Poon P, Law WL, Chu KW, Wong J. Emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma in the elderly. Br J Surg 1998; 85:1539-42. doi: 10.1046/j.1365-2168.1998.00903.x
  • Thornton FJ, Barbul A. Healing in the gastrointestinal tract. Surg Clin North Am 1997; 77: 549-73. doi: 10.1016/s0039- 6109(05)70568-5
  • Oines MN, Krarup PM, Jorgensen LN, Agren MS. Pharmacological interventions for improved colonic anastomotic healing: a meta-analysis. World J Gastroenterol 2014;20:12637-48. doi: 10.3748/wjg.v20.i35.12637.
  • Hensley K, Kotake Y, Sang H, et al. Dietary choline restriction causes complex I dysfunction and increased H(2)O(2) generation in liver mitochondria. Carcinogenesis 2000; 21:983-9. doi: 10.1093/carcin/21.5.983
  • Blokhina O, Virolainen E, Fagerstedt KV. Antioxidants, oxidative damage and oxygen deprivation stress: a review. Ann Bot 2003; 91:179-94. doi: 10.1093/aob/mcf118
  • Bayir H. Reactive oxygen species. Crit Care Med 2005; 33(12 Suppl):S498-501. doi: 10.1097/01.ccm.000.018.6787.64500.12
  • Yager DR, Kulina RA, Gilman LA. Wound fluids: a window into the wound environment? Int J Low Extrem Wounds 2007; 6:262-72. doi: 10.1177/153.473.4607307035
  • Moradi M, Moradi A, Alemi M, et al. Safety and efficacy of clomiphene citrate and L-carnitine in idiopathic male infertility: a comparative study. Urology J 2010; 7:188-93. doi:10.22037/UJ.V7I3.750
  • Kunnavatana SS, Quan SY, Koch RJ. Combined effect of hyberbaric oxygen and N-acetylcysteine on fibroblast proliferation. Arch Otolaryngol Head Neck Surg 2005;131:809- 14. doi: 10.1001/archotol.131.9.809
  • Broughton G II, Janis JE, Attinger CE. The basic science of wound healing, Plast Reconstr Surg 2006;117: 12-34. doi: 10.1097/01.prs.000.022.5430.42531.c2
  • Ercan U, Kiraz A, Çikman Ö, et al. The effect of systemic carnitine administration on colon anastomosis healing in an experimental sepsis model. J Invest Surg 2015; 28:334-40. doi: 10.3109/08941.939.2015.1029652
  • Fang AH, Chao W, Ecker M. Review of colonic anastomotic leakage and prevention methods. J Clin Med 2020; 9:4061. doi: 10.3390/jcm9124061
  • Fathizadeh H, Milajerdi A, Reiner Ž, et al. The effects of L-carnitine supplementation on indicators of inflammation and oxidative stress: a systematic review and meta-analysis of randomized controlled trials. J Diabetes Metab Disord 2020; 19:1879-94. doi: 10.1007/s40200.020.00627-9
  • Cronin K, Jackson DS, Dunphy JE. Changing bursting strength and collagen content of the healling colon. Surg Gynecal obstent 1968; 126 : 747 – 53.
Marmara Medical Journal-Cover
  • ISSN: 1019-1941
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1988
  • Yayıncı: Marmara Üniversitesi
Sayıdaki Diğer Makaleler

An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale

Ben Azir Begum HYMABACCUS, Rana Tuna DOGRUL, Cafer BALCI, Cemile OZSUREKCI, Hatice CALISKAN, Erdem KARABULUT, Meltem HALIL, Mustafa CANKURTARAN, Burcu Balam DOGU

Assessments of energy, macro and micronutrient intakes in children and adolescents with type 1 diabetes mellitus

Volkan OZKAYA, Sebnem OZGEN OZKAYA

Is neurofibromatosis type 1 diagnosed in every patient who presents with café au lait macules? A single-center experience

Nursah EKER, Ayse Gulnur TOKUC, Burcu TAS TUFAN, Emel SENAY

Healing effects of L-carnitine on experimental colon anastomosis wound

Emel KANDAS, Mustafa EDREMITLIOGLU, Ufuk DEMIR, Guven ERBIL, Muserref Hilal SEHITOGLU

Formation and branching patterns of deep palmar arch

Rasim HAMUTOGLU, Sukru Turan PESTEMALCI, Mehmet YILDIRIM

Incidental findings detected on magnetic resonance imaging scans of the cervical, thoracic and lumbar spine of patients prediagnosed with discopathy

Samet Sancar KAYA, Hakan HATIRLI, Muhammed Azad SAHIN, Samet GENEZ, Mehmet OKCU

A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness

Adnan BARUTCU, Ceren ORNEK, Erkan KOZANOGLU

The factors affecting the quality of life among women during the postpartum period

Gulsum Seyma KOCA, Yusuf CELIK, Huseyin Levent KESKIN, Pinar YALCIN BALCIK

Morphological and biochemical evaluation of effects of Myrtus communis L. extract on heart and aorta in high fat-diet-induced obese rats

Nagehan OZYILMAZ YAY, Nurdan BULBUL AYCI, Rumeysa KELES KAYA, Ali SEN, Goksel SENER, Feriha ERCAN

The effect of serum activated ghrelin hormone on glycemic control in the diabetic patients with excessive body mass index

Yilmaz FAKI, Semih KALYON