Alt ekstremite iskemi reperfüzyonu sonrası karaciğer hasarı ne kadar önemlidir? Sıçan modelinde deneysel bir çalışma

Amaç: Bu çalışmada bir sıçan modelinde alt ekstremite iskemi reperfüzyonunun karaciğer üzerindeki etkisi ile karaciğerin spesifik iskemi reperfüzyonunun karaciğer üzerindeki etkisi karşılaştırıldı. Çalışma planı: Otuz adet Sprague-Dawley tipi erkek sıçan 10’arlı olarak rastgele üç gruba ayrıldı: kontrol grubu (Grup 1), alt ekstremite iskemi reperfüzyon grubu (Grup 2) ve karaciğer iskemi reperfüzyon grubu (Grup 3). Grup 2’de sol alt ekstremiteye bir saat süreyle iskemi uygulandı. Grup 3’te karaciğere bir saat süreyle iskemi ve ardından 24 saat süreyle reperfüzyon uygulandı. Reperfüzyon sonrası karaciğer dokuları çıkarıldı ve gruplar biyokimyasal ve histolojik olarak değerlendirildi. Bulgular: Karaciğer malondialdehit düzeyleri Grup 2 ve Grup 3’te kontrol grubuna kıyasla anlamlı olarak yüksek idi (p

How important is the damage to the liver after lower limb ischemia-reperfusion? An experimental study in a rat model

Background: The aim of this study was to compare the effect of lowerextremity ischemia reperfusion on the liver and the effect of ischemiareperfusionon the liver itself in a rat model.Methods: Thirty Sprague-Dawley male rats were randomly divided intothree groups including 10 in each group: sham (Group 1), lower limbischemia-reperfusion (Group 2), and liver ischemia-reperfusion (Group 3).In Group 2, one hour of left lower limb ischemia was performed. InGroup 3, one hour of ischemia in the liver was performed, followed by24 hours of reperfusion. After reperfusion, the liver tissues were removed,and the groups were evaluated biochemically and histologically.Results: The liver malondialdehyde levels were significantly higherin Groups 2 and 3 than in the sham group (p

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  • 1. Foster AD, Vicente D, Sexton JJ, Johnston L, Clark N, Leonhardt C, et al. Administration of FTY720 during Tourniquet-Induced Limb Ischemia Reperfusion Injury Attenuates Systemic Inflammation. Mediators Inflamm 2017;2017:4594035.
  • 2. Gokalp O, Yurekli I, Kiray M, Bagriyanik A, Yetkin U, Yurekli BS, et al. Assessment of protective effects of pheniramine maleate on reperfusion injury in lung after distant organ ischemia: a rat model. Vasc Endovascular Surg 2013;47:219-24.
  • 3. Mansour Z, Charles AL, Kindo M, Pottecher J, Chamaraux- Tran TN, Lejay A, et al. Remote effects of lower limb ischemia-reperfusion: impaired lung, unchanged liver, and stimulated kidney oxidative capacities. Biomed Res Int 2014;2014:392390.
  • 4. Nishikata R, Kato N, Hiraiwa K. Oxidative stress may be involved in distant organ failure in tourniquet shock model mice. Leg Med (Tokyo) 2014;16:70-5.
  • 5. Vinten-Johansen J. Involvement of neutrophils in the pathogenesis of lethal myocardial reperfusion injury. Cardiovasc Res 2004;61:481-97.
  • 6. Li J, Gong Q, Zhong S, Wang L, Guo H, Xiang Y, et al. Neutralization of the extracellular HMGB1 released by ischaemic damaged renal cells protects against renal ischaemia-reperfusion injury. Nephrol Dial Transplant 2011;26:469-78.
  • 7. Taha MO, Caricati-Neto A, Ferreira RM, Simões Mde J, Monteiro HP, Fagundes DJ. L-arginine in the ischemic phase protects against liver ischemia-reperfusion injury. Acta Cir Bras 2012;27:616-23.
  • 8. Ozdemir D, Aksu I, Baykara B, Ates M, Sisman AR, Kiray M, et al. Effects of administration of subtoxic doses of acetaminophen on liver and blood levels of insulin-like growth factor-1 in rats. Toxicol Ind Health 2016;32:39-46.
  • 9. Kiray M, Ergur BU, Bagriyanik A, Pekcetin C, Aksu I, Buldan Z. Suppression of apoptosis and oxidative stress by deprenyl and estradiol in aged rat liver. Acta Histochem 2007;109:480-5.
  • 10. Kragh JF Jr, Dubick MA. Bleeding control with limb tourniquet use in the wilderness setting: Review of science. Wilderness Environ Med 2017;28:S25-S32.
  • 11. Inaba K, Siboni S, Resnick S, Zhu J, Wong MD, Haltmeier T, et al. Tourniquet use for civilian extremity trauma. J Trauma Acute Care Surg 2015;79:232-7.
  • 12. Smith AA, Ochoa JE, Wong S, Beatty S, Elder J, Guidry C, et al. Prehospital tourniquet use in penetrating extremity trauma: Decreased blood transfusions and limb complications. J Trauma Acute Care Surg 2019;86:43-51.
  • 13. Kragh JF Jr, Walters TJ, Baer DG, Fox CJ, Wade CE, Salinas J, et al. Practical use of emergency tourniquets to stop bleeding in major limb trauma. J Trauma 2008;64:S38-49.
  • 14. Kragh JF Jr, O’Neill ML, Walters TJ, Jones JA, Baer DG, Gershman LK, et al. Minor morbidity with emergency tourniquet use to stop bleeding in severe limb trauma: research, history, and reconciling advocates and abolitionists. Mil Med 2011;176:817-23.
  • 15. Barry MC, Kelly C, Burke P, Sheehan S, Redmond HP, Bouchier-Hayes D. Immunological and physiological responses to aortic surgery: effect of reperfusion on neutrophil and monocyte activation and pulmonary function. Br J Surg 1997;84:513-9.
  • 16. Jaeschke H. Molecular mechanisms of hepatic ischemiareperfusion injury and preconditioning. Am J Physiol Gastrointest Liver Physiol 2003;284:G15-26.
  • 17. Ucar M, Aydogan MS, Vardı N, Parlakpınar H. Protective effect of dexpanthenol on ischemia-reperfusion-induced liver injury. Transplant Proc 2018;50:3135-43.
  • 18. Nastos C, Kalimeris K, Papoutsidakis N, Tasoulis MK, Lykoudis PM, Theodoraki K, et al. Global consequences of liver ischemia/reperfusion injury. Oxid Med Cell Longev 2014;2014:906965.
  • 19. Garcea G, Gescher A, Steward W, Dennison A, Berry D. Oxidative stress in humans following the Pringle manoeuvre. Hepatobiliary Pancreat Dis Int 2006;5:210-4.
  • 20. Collard CD, Gelman S. Pathophysiology, clinical manifestations, and prevention of ischemia-reperfusion injury. Anesthesiology 2001;94:1133-8.
  • 21. Wunder C, Brock RW, McCarter SD, Bihari A, Harris K, Eichelbrönner O, et al. Inhibition of haem oxygenase activity increases leukocyte accumulation in the liver following limb ischaemia-reperfusion in mice. J Physiol 2002;540:1013-21.
  • 22. Adachi J, Kurisaki E, Kudo R, Nakagawa K, Hatake K, Hiraiwa K, et al. Enhanced lipid peroxidation in tourniquetrelease mice. Clin Chim Acta 2006;371:79-84.
  • 23. Rosenbloom AJ, Pinsky MR, Bryant JL, Shin A, Tran T, Whiteside T. Leukocyte activation in the peripheral blood of patients with cirrhosis of the liver and SIRS. Correlation with serum interleukin-6 levels and organ dysfunction. JAMA 1995;274:58-65.
  • 24. Chang YK, Huang SC, Kao MC, Huang CJ. Cepharanthine alleviates liver injury in a rodent model of limb ischemiareperfusion. Acta Anaesthesiol Taiwan 2016;54:11-5.
Türk Göğüs Kalp Damar Cerrahisi Dergisi-Cover
  • ISSN: 1301-5680
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1991
  • Yayıncı: Bayçınar Tıbbi Yayıncılık
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