Protective effects of erythropotein and methylprednisolone on lung damage after experimental head injury

Amaç: Sıçanlarda kafa travması sonrası gelişen akciğer hasarında, eritropoetin ve metilprednizolonun akciğer lipid peroksidasyonu ve miyeloperoksidaz seviyesine etkileri araştırıldı. Çalışma planı: Yetmiş altı adet 180-220 gr ağırlığında, dişi Wistar-Albino sıçan 10 gruba ayrıldı. Kafa travması oluşturmak için ağırlık düşürme yöntemi kullanıldı. Örnekler, hasar oluşturulduktan 24 saat sonra sol akciğerden alındı. Akciğer doku miyeloperoksidaz aktivitesi ve lipid peroksidasyon seviyeleri ölçüldü. Lipid peroksidasyon seviyelerindeki ve miyeloperoksidaz aktivitesindeki gruplar arası farklılıkları analiz etmek için tek yönlü varyans analizi (ANOVA) kullanıldı. Daha sonra, post-hoc karşılaştırma yapıldı. Bulgular: Öncelikle, şiddetli travma grubunda lipid peroksidasyon seviyesi ve miyeloperoksidaz aktivitesi önemli ölçüde yüksek bulundu (p

Deneysel kafa travması sonrası gelişen akciğer hasarında, eritropoetin ve metilprednizolonun koruyucu etkisi

Background: The effects of erythropoietin and methylprednisolone on pulmonary lipid peroxidation and myeloperoxidase activity in lung injury following experimental head trauma in rats. Study design: Seventy-six female Wistar-Albino rats, weighing 180-220 gr, were evenly allocated into ten groups. A weight-drop method was used to achieve head trauma. Samples were obtained from the left lung 24-h after the injury. Lung tissue-associated myeloperoxidase activity and lipid peroxidation levels were measured. A one-way analysis of variance (ANOVA) was applied to test the differences in the lipid peroxidation levels and myeloperoxidase activities between groups. Then, post-hoc comparison was performed. Results: Firstly, head trauma substantially elevated lipid peroxidation and myeloperoxidase activity in lung tissue in the severe trauma group (p

___

  • 1. Gamberoni C, Colombo G, Aspesi M, Mascheroni C, Severgnini P, Minora G, et al. Respiratory mechanics in brain injured patients. Minerva Anestesiol 2002;68:291-6.
  • 2. Papadakos PJ, Lachmann B. The open lung concept of alveolar recruitment can improve outcome in respiratory failure and ARDS. Mt Sinai J Med 2002;69:73-7.
  • 3.Shapiro MB, Anderson HL 3rd, Bartlett RH. Respiratory failure. Conventional and high-tech support. Surg Clin North Am2000;80:871-83.
  • 4.Munro N. Pulmonary challenges in neurotrauma. Crit Care Nurs Clin North Am 2000; 12:457-64.
  • 5.Gilgun-Sherki Y, Rosenbaum Z, Melamed E, Offen D. Antioxidant therapy in acute central nervous system injury: current state. Pharmacol Rev 2002;54:271-84.
  • 6- Yildirim E, Kaptanoglu E, Ozisik K, Beskonakli E, Okutan O, S argon MF, et al. Ultrastructural changes in pneumocyte type II cells following traumatic brain injury in rats. Eur J Cardiothorac Surg 2004;25:523-9.
  • 7- Allen AR. Surgery of experimental lesion of spinal cord equivalent to crush injury of fracture "dislocation of spinal column. JAMA 1911;57:878-80.
  • 8. Mihara M, Uchiyama M. Evaluation of thiobarbituric acid (TB A) value as an index of lipid peroxidation in CC14-intoxicated rat liver (author's transl). Yakugaku Zasshi 1981;101:221-6. [Abstract]
  • 9. Suzuki K, Ota H, Sasagawa S, Sakatani T, Fujikura T. Assay method for myeloperoxidase in human polymorphonuclear leukocytes. Anal Biochem 1983;132:345-52.
  • 10. Holland MC, Mackersie RC, Morabito D, Campbell AR, Kivett VA, Patel R, et al. The development of acute lung injury is associated with worse neurologic outcome in patients with severe traumatic brain injury. J Trauma 2003;55:106-11.
  • 11. Exposito-Tirado JA, Forastero Fernandez Salguero P, Cruz Reina MC, Del Pino-Algarrada R, Fernandez-Luque A, Olmo-Vega JA, et al. Complications arising from traumatic brain injuries in a hospital rehabilitation unit: a series of 126 cases. Rev Neurol 2003;36:1126-32.
  • 12. Bodenham A, Berridge JC, Park GR. Brain stem death and organ donation. BMJ 1989;299:1009-10.
  • 13. Siegel JH, Gens DR, Mamantov T, Geisler FH, Goodarzi S, MacKenzie EJ. Effect of associated injuries and blood volume replacement on death, rehabilitation needs, and disability in blunt traumatic brain injury. Crit Care Med 1991;19:1252-65.
  • 14. Bratton SL, Davis RL. Acute lung injury in isolated traumatic brain injury. Neurosurgery 1997;40:707-12.
  • 15. Edmonds HL Jr, Cannon HC Jr, Garretson HD, Dahlquist G. Effects of aerosolized methylprednisolone on experimental neurogenic pulmonary injury. Neurosurgery 1986; 19:36-40.
  • 16. Dettbarn CL, Davidson LJ. Pulmonary complications in the patient with acute head injury: neurogenic pulmonary edema. Heart Lung 1989; 18:583-9.
  • 17. Kaptanoglu E, Sen S, Beskonakli E, Surucu HS, Tuncel M, Kiline K, et al. Antioxidant actions and early ultrastructural findings of thiopental and propofol in experimental spinal cord injury. J Neurosurg Anesthesiol 2002; 14:114-22.
  • 18. Liener UC, Knoferl MW, Strater J, Barth TF, Pauser EM, Nussler AK, et al. Induction of apoptosis following blunt chest trauma. Shock 2003;20:511-6.
  • 19. Avlonitis VS, Fisher AJ, Kirby JA, Dark JH. Pulmonary transplantation: the role of brain death in donor lung injury. Transplantation 2003;75:1928-33.
  • 20. Corman J, Clermont MJ, Dandavino R, Daloze P, Lachance JG, Mangel R, et al. Development of organ transplantation in Quebec from 1985 to January 1990. Ann Chir 1991;45:791-5.
  • 21. Novick RJ, Gehman KE, Ali IS, Lee J. Lung preservation: the importance of endothelial and alveolar type II cell integrity. Ann Thorac Surg 1996;62:302-14.
  • 22. Bany-Mohammed FM, Slivka S, Hallman M. Recombinant human erythropoietin: possible role as an antioxidant in premature rabbits. Pediatr Res 1996;40:381-7.
  • 23. Emir M, Ozisik K, Cagli K, Misirlioglu M, Ozisik P, Iscan Z, et al. Effect of erythropoietin on bcl-2 gene expression in rat cardiac myocyteş after traumatic brain injury. Transplant Proc 2004;36:2935-8.
  • 24. Koc RK, Akdemir H, Karakucuk El, Oktem IS, Menku A. Effect of methylprednisolone, tirilazad mesylate and vitamin E on lipid peroxidation after experimental spinal cord injury. Spinal Cord 1999;37:29-32.
Türk Göğüs Kalp Damar Cerrahisi Dergisi-Cover
  • ISSN: 1301-5680
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1991
  • Yayıncı: Bayçınar Tıbbi Yayıncılık
Sayıdaki Diğer Makaleler

Surgical treatment of aortic regurgitation accompanying ventricular septal defect and long term results

Denyan MANSUROĞLU, Altuğ TUNÇER, Mete ALP, Cevat YAKUT, Gökhan İPEK, Hasan Basri ERDOĞAN, Suat Nail ÖMEROĞLU

Minor travmaya ikincil gelişen özofagus perforasyonu: Olgu sunumu

Ali ÇİFTÇİ, Metin ER, Ahmet Feridun IŞIK, Serkan SAĞAY

Oral L-arginine reduces lung injury following reperfusion after ischemia in the lower torso rats

Metin AKBULUT, Ercan GÜRSES, Oya RENDECİ, Şeyda KAYA, A. Vefa ÖZCAN, Ahmet BALTALARLI, Gökhan ÖNEM, Mustafa SAÇAR

Aort koarktasyonu cerrahi tedavisi: Yirmi yıllık deneyim

Mehmet BALKANAY, Denyan MANSUROĞLU, Adil POLAT, Akın İZGİ, Mesut ŞİŞMANOĞLU, Arzu ANTAL, Hasan ARDAL, Esat AKINCI, Cevat YAKUT, Gökhan İPEK, Hasan Basri ERDOĞAN, Suat Nail ÖMEROĞLU

Travmatik vasküler yaralanmalarda endovasküler ve kısa dönem sonuçları

Sinan ŞAHİN, Ahmet MEMİŞ, Mustafa PARILDAR, Bayer ÇINAR, Ahmet Müfid OKBAY, Şule Nurdan BİLGİN, Abdullah Kemal TUYGUN, Cüneyt KONURALP

Protective effects of erythropotein and methylprednisolone on lung damage after experimental head injury

Pınar ÖZIŞIK, Engin YILDIRIM, Mustafa EMİR, Kamer KILINÇ, Erkan YILDIRIM, Kanat ÖZIŞIK

Koroner arter bypass ameliyatlarında yüksek torakal epidural anestezi surgery

Demet AŞKIN, Mukadder DEMİROK, İlter EMİN

Surgical correction of reoccurred aortic stump blow-out: A case report

Bahadır DAĞLAR, Hakkı KAZAZ, Mehmet Adnan CELKAN, İlyas BASKONUŞ, Hasan KOÇOĞLU

Geç tanınan travmatik sağ diyafram hernisi

Burçin ÇELİK, Hasan DEMİR

Aorto-pulmoner pencere ile kompanse erişkin fallot tetralojisi

Eralp ULUSOY, Sibel POÇAN, Soner SANİOĞLU, Mehmet YILMAZ, Adem GÜLER, Mutasım SÜNGÜN, Melih Hulusi US