In vitro effects of intravenous propofol infusion on cytokine gene expression in rats

Amaç: Bu çalışmanın amacı; sıçanlarda intravenöz propofol infüzyonunun sitokin gen ekspresyonuna etkisinin invitro araştırılmasıdır. Metod: 300-320 g ağırlığında, 20 adet, erkek, Spraque-Dawley cinsi sıçan iki gruba ayrıldı (n:10). Her iki gruba orta hat laparotomi insizyonu uygulandıktan sonra 90 dakika süre ile Grup I'e 5ml/kg/s serum fizyolojik infüzyonu, Grup II'ye 5ml/kg/s propofol infüzyonu verildi. İnfüzyon bitiminde mezenter lenf nodu kemik iliği aspiratları IL-1, IL-6 and TNFα ölçümleri için alındı. Ölçümler; real time polimeraz zincir reaksiyonu (RT-PCR) yöntemi ile yapıldı. Bulgular: Mezenter lenf nodlarında IL-1 (p

Sıçanlarda intravenöz propofol infüzyonunun sitokin gen ekspresyonuna etkisinin invitro araştırılması

Objective: The aim of this study was to evaluate the effects of propofol infusion on cytokine gene expression levels of bone marrow and mesentheric lymph nodes in rats after surgical trauma. Methods: Twenty male Sprague-Dawley rats weighing between 300-320 g were divided into two groups (n=10). Midline laparatomy incision was performed to both groups. Group I received 5 ml/kg/hr iv serum physiologic infusion. Group II received 5 mg/kg/hr iv propofol infusion. After infusions, mesentheric lymph node and bone marrow samples were obtained for the measurement of IL-1, IL-6 and TNF&#945; gene expression levels by real time polymerase chain reaction (RT-PCR) method. Results: IL-1 (p<0.002) and TNF&#945; (p<0.018) levels of the mesentheric lymph node were significantly lower in group II compared with group I. TNF&#945; gene expression level in the bone marrow was also significantly lower in group II compared with group I (p<0.0015). Conclusion: Propofol infusion during surgery caused significantly more proinflammatory cytokine gene expression supression in mesentheric lymph nodes compared to bone marrow in rats. We concluded that propofol infusion may have a limited and especially local immune supressive effect.

___

  • 1) Park SK, Brody JI, Wallace HA, Blakemore WS. Immunosuppressive effect of surgery. Lancet 1971; 9: 53-55.
  • 2) Glen JB, Hunter SC. Pharmacology of an emulsion ICI 35: 868. Br J Anaesth 1984; 56: 617-626.
  • 3) Cocksshott ID. Propofol (Diprivan): Pharmacokinetics and metabolism-an overview. Postgrad Med J 1985; 61 (Suppl 3): 45-50.
  • 4) Baldi P. DNA Microarrays and Gene Expression. Cambridge Catalogue Sep. 2002
  • 5) Schneemilch CE, Ansorge S, Hachenberg T. Effect of anesthetic techniques on the postoperative proinflammatory and antiinflammatory cytokine response and cellular immune function to minor surgery. J Clin Anesth 2005; 17: 517-527.
  • 6) Mikawa K, Akamatsu H, Nishina K, Shiga M. Propofol inhibits human neutrophil functions. Anesth Analg 1998; 87: 695-700.
  • 7) Takemoto Y. Dose effects of propofol on hemodynamic and cytokine responses to endotoxemia in rats. J Anesth 2005; 19: 40-44.
  • 8) Taniguchi T, Yamamoto K, Ohmoto N. Effects of propofol on hemodynamic and inflammatory responses to endotoxemia in rats. Critical Care Medicine 2000; 28: 1101-1106.
  • 9) Takaono M, Yogosawa T, Okawa-Takatsuji M, Aotsuka S. Effects of intravenous anesthetics on interleukin IL-6 and IL-10 production by lipopolysaccharide- stimulated mononuclear cells from healthy volunteers. Acta Anaesthesiol Scand 2002; 46: 176-179.
  • 10) Crozier TA, Muller JE, Quittkat D, Sydow M, Wuttke W, Ketler D. Effect of anaesthesia on the cytokine responses to abdominal surgery. Br J Anaesth. 1994; 72: 280-285.
  • 11) Taylor NM, Lacoumenta S, Hall GM. Fentanyl and the interleukin- 6 response to surgery. Anaesthesia 1997; 52: 112-115.
  • 12) Brix- Christensen V, Vestergoord C, Chew M. Plasma cytokines do not reflect expression of pro-and anti-inflammatory cytokine mRNA at organ level after cardiopulmonary bypass in neonatal pigs. Acta Anaesthesiol Scand. 2003; 47: 525-531.
  • 13) Sheeran P, Hall GM. Cytokines in anaesthesia. Br J Anaesth 1997; 78: 201-219.
  • 14) Badia JM, Whawell SA, Scott-Coombes DM. Peritoneal and systemic cytokine response to laparatomy. Br J Surg 1996; 83: 347-348.
  • 15) Desborough JP. The stress response to trauma and surgery. B J Anaesth 2000; 85: 109-117.
  • 16) Kato M, Suzuki H, Murakami M, Akama M, Matsukawa S, Hashimoto Y. Elevated plasma levels of interleukin-6, interleukin-8, and granulocyte colony-stimulating factor during and after major abdominal surgery. J Clin Anesth 1998; 10: 179-180.
Marmara Medical Journal-Cover
  • ISSN: 1019-1941
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1988
  • Yayıncı: Marmara Üniversitesi
Sayıdaki Diğer Makaleler

İNSİDENTAL SPLENEKTOMİYLE SONUÇLANAN İATROJENİK YARALANMALARDA ALTTA YATAN NEDENLER NELERDİR?

Ünal AYDIN, Pınar YAZICI, ALPER UĞUZ, Murat SÖZBİLEN, MUHTAR SİNAN ERSİN, Hasan KAPLAN

75 YAŞ VE ÜZERİ LOKAL İLERİ VE METASTATİK KÜÇÜK HÜCRELİ DIŞI AKCİĞER KANSERİNDE PRİMER VE PALYATİF TEDAVİ OLARAK RADYOTERAPİ UYGULAMASI: 45 VAKANIN DEĞERLENDİRİLMESİ VE LİTERATÜR İNCELEMESİ

Görkem AKSU, Merdan FAYDA, Mert SAYNAK, Esra KAYTAN SAGLAMER, Ethem NEZİH ORAL, Ahmet KİZİR, Ahmet KARADENİZ

Brucella epididymo-orchitis as the first presenting sign of brucellosıs: A case report and review of the literature

Yılören TANIDIR, Abdülkadir GÜMRAH, Cem AKBAL, Tufan TARCAN

Granulocyte colony stimulating factor ameliorates radiation-induced morphological destruction of intestinal mucosa in rats

Beste M. ATASOY, Güngör Mine GÜLLÜOĞLU, Ufuk ABACIOĞLU, Mustafa DENİZ, Meriç SENGÖZ, Berrak YEĞEN

PARADOKSİKAL MİYOKARD İNFARKTÜSU TEKRAR ZİYARETTE

Atilla Ener RASIH, Behnam BOZORGNIA, Babak BOZORGNIA

İNTRASKROTAL EKSTRATESTİKÜLER NÖROFİBROMA: OLGU SUNUMU

Fikret ERDEMİR, Bekir Süha PARLAKTAŞ, Nihat ULUOCAK, Nurpek Onuk FİLİZ, Berat ACU, REŞİT DOĞAN KÖSEOĞLU, Başar SARIKAYA

İstanbul’da bir tıp fakültesi hastanesinde yatan hastaların memnuniyet düzeyi

Muhammet Fatih ÖNSÜZ, Ahmet TOPUZOĞLU, Utku Can CÖBEK, Sercan ERTÜRK, FATMA GAYE GÖKALP YILMAZ, Selim BİROL

İSTANBUL’DA BİR TIP FAKÜLTESİ HASTANESİNDE YATAN HASTALARIN MEMNUNİYET DÜZEYİ

Muhammed ÖNSÜZ, Ahmet TOPUZOĞLU, Utku CÖBEK, Sercan ERTÜRK, Fatma YILMAZ, Selim BİROL

SOLİD ORGAN (BÖBREK, KARACİĞER, PANKREAS-BÖBREK, KALP, AKCİĞER VE KALP-AKCİĞER) TRANSPLANTASYONU VE GEBELİK

Yusuf YILDIRIM, Seyhan SÖNMEZ, Emrah TÖZ, Murat İNAL, Ahmet AYKAS, Adam USLU

Acil servise başvuran zehirlenme olgularının geriye dönük analizi

Onur YEŞİL, Haldun Akoglu, Özge ONUR, ÖZLEM GÜNEYSEL