Rat, akut peritonit modelinde klinik semptomlar ve hastalığın tedavisine oral strontium ranilat uygulamalarının etkilerinin araştırılması
Öz
Amaç: Cerrahi ve yoğun bakım tedavilerinde ki gelişmelere
rağmen sepsis ve sistemik inflamatuar cevap sendromu(SIRS) yetişkin yoğun bakım
ünitelerinde ensık ölüm sebeplerindendir. Bu sebeple peritonit ve sepsis için
deney hayvanı modelinde stronsiyum ranilat’ın iyileşme üzerine etkisini
biyokimyasal ve histopatolojik olarak ortaya koymayı amaçladık.
Yöntem:
Wistar-Albino cinsi 40 adet dişi sıçan kullanıldı. Sıçanlar; kontrol,
sham[çekum ligasyon perforasyon(ÇLP)], ÇLP + Stronsiyum(S) ve S + ÇLP + S olmak üzere 4 gruba ayrıldı. Sıçanlar 7. günde
ötanazi uygulandı. Peritoneal inflamasyon evrelemesi yapıldı. Patoloji için
ileum rezeksiyonu yapıldı, biokimyasal inceleme için kan örnekleri alınarak
IL-1, IL-6, IL- 10 ve TNF-alpha, bakıldı.
Bulgular: Peritoneal inflamasyon
skoru en düşük kontrol grubunda, en yüksek CLP grubunda
bulundu. ÇLP+S grubunda ÇLP grubuna göre iyileşme, S+ÇLP+S grubunda ise ÇLP+S
grubuna göre daha fazla iyileşme vardı. Histopatolojik değerlendirmeye göre
de incebarsak hasarı en düşük kontrol grubunda, en yüksek ÇLP grubunda bulundu.
ÇLP+S grubunda ÇLP grubuna göre daha hafif hasar,
S+ÇLP+S grubunda ise ÇLP+S grubuna göre daha hafif hasar vardı. TNF-α, IL-1,
IL-6 ve Il-10 değerleri karşılaştırıldığında fark yoktu.
Sonuç: Stronsiyum ranilat sepsis riski olan ve
sepsis gelişmiş hastalarda proflaktik tedavi ile mortalite ve morbiditeyi
azaltabilir.
Anahtar Kelimeler
Kaynakça
- 1- Pieracci, F.M., Barie, P.S.Intra-abdominal infections. Curr. Opin. Crit. Care 2007;13, 440-9.
- 2- Topal F, Yonem O, Tuzcu N, et al. Strontium chloride: canit be a new treatment option for ulcerative colitis? Biomed Res Int 2014: 530687. doi:10.1155/2014/530687.
- 3- Collaert B. and Fischer C. “Dentine hypersensitivity: a review,” Endodontics & Dental Traumatology 1991; 7: 145-52.
- 4- Autio HKA, Scher I, and Morris MJ. “Therapeutic strategies for bone metastases and their clinical sequelae in prostate cancer,” Current Treatment Options in Oncology 2012;13: 174-88.
- 5- Huang C, Li L, Yu X. et al. The inhibitory effect of strontiumdoped calcium polyphosphate particles on cytokines from macrophages and osteoblasts leading to aseptic loosening in vitro. BiomedicalMaterials 2014; 9, Article ID025010.
- 6- Yamaguchi M, Weitzmann MN. The intact strontium ranelate complex stimulates osteoblastogenesis and suppresses osteoclastogenesis by antagonizing NF-𝜅B activation.Molecular and Cellular Biochemistry 2012; 359: 399-07.
- 7- Buache E, Velard F, Bauden E et al. “Effect of strontium substituted biphasic calcium phosphate on inflammatory mediators production by humanmonocytes,” Acta Biomaterialia 2012; 8: 3113-9.
- 8- Rittirsch D, Hoesel LM, Ward PA. The disconnect between animal models of sepsis and human sepsis. J Leukoc Biol 2007; 81: 137-43.
- 9- Simon R, Wetzel W, Winsey K, et al. Supplemental dietary tyrosine in sepsis and acute hemorrhagic shock. Arch Surg, 1987; 122: 78–81.
- 10- Chui CJ, McArdle AH, Brown R, et al. Intestinal mucosal lesion in lowflow states. A morphological, hemodynamic and metabolic reappraisal. Arch Surg 1970;101(4):478-83.
- 11- Parker SJ, Watkins PE. Experimental models of gram-negative sepsis. Br J Surg 2001; 88: 22-30.
- 12- Cavaillon JM, Annane D. Compartmentalization of the inflammatory response in sepsis and SIRS. J Endotoxin Res 2006; 12: 151-70.
- 13- Van der Wal JB, Jeekel J. Biology of the peritoneum in normal homeostasis and after surgical trauma. Colorectal Dis 2007; 9: 9-13.
- 14- Michie HR, Manogue KR, Spriggs DR, et al. Detection of circulating tumor necrosis factor after endotoxin administration. N Eng J Med 1988; 318: 1481-86.
- 15- Chowers Y, Cahalon L, Lahav M, et al. Somatostatin through its specific receptor inhibits spontaneous and TNF-alpha- and bacteria-induced IL-8 and IL-1 beta secretion from intestinal epithelial cells. J Immunol 2000, 15; 165: 2955-61.
- 16- Messer J, Eyer D, Donato L, et al. Evaluation of IL-6 and soluble receptors of TNF for early diagnosis of neonatal infection. J Pediatr 1996; 129: 574-80.
- 17- Panero A, Pacifico L, Rossi N, et al. IL-6 in neonates with early and late onset infection. Pediatr Infect Dis J 1997; 16: 370-5.
- 18- Şahin Y, Şahin DA. Yenidoğan sepsisinin erken tanısında C-reaktif protein ve interlökin-6’nın rolü. Türk Pediatri Arşivi 2004; 39: 171-7.
- 19- Pérez Fernández R, Kaski JC. Interleukin-10 and coronary disease. Rev Esp Cardiol 2002; 55: 738-50.
Clinical symptoms of rat acute peritonitis model and study over effects of oral strontium ranelate administration for the treatment
Öz
Objective: Despite the improvements in the treatments of
surgical and intensive care, sepsis and systemic inflammatory response syndrome
are the most common cause of mortality. Therefore in the experimental animal
model, we aimed to reveal biochemical and histopathologic effects of strontium
ranelate on healing in experimental animal model for peritonitis and sepsis.
Method: 20 female Wistar-Albino rats were used.Rats were
seperated into 4 groups; control, sham [ceacum ligation perforation (CLP)], CLP
+ Strontium (S) (CLP+S) and S+CLP+S. Rats were euthanised on 7th day.
Peritoneal inflammation staging and ileum resection was performed. Blood
samples were taken for biochemical screening and IL-1, IL-6, IL-10 and
TNF-alpha tests were evaluated.
Results: Peritoneal inflammation score was the highest at CLP group and the lowest at
control group. There was healing in CLP+S group compared to CLP group, and more
healing in S+CLP+S group compared to CLP+S group. According to
histopathological evaluation, ileum injury was the lowest in the control group
and the highest in CLP group. Less injury was found in CLP+S group compared to
CLP group, and less injury was found in S+CLP+S group compared to CLP+S group. No difference was found when
TNF-alpha, IL-1, IL-6 and IL-10 values were compared.
Conclusions: Strontium ranelate may reduce mortality and
morbidity by prophylactic treatment in patients at risk of sepsis and patients
with sepsis.
Anahtar Kelimeler
Kaynakça
- 1- Pieracci, F.M., Barie, P.S.Intra-abdominal infections. Curr. Opin. Crit. Care 2007;13, 440-9.
- 2- Topal F, Yonem O, Tuzcu N, et al. Strontium chloride: canit be a new treatment option for ulcerative colitis? Biomed Res Int 2014: 530687. doi:10.1155/2014/530687.
- 3- Collaert B. and Fischer C. “Dentine hypersensitivity: a review,” Endodontics & Dental Traumatology 1991; 7: 145-52.
- 4- Autio HKA, Scher I, and Morris MJ. “Therapeutic strategies for bone metastases and their clinical sequelae in prostate cancer,” Current Treatment Options in Oncology 2012;13: 174-88.
- 5- Huang C, Li L, Yu X. et al. The inhibitory effect of strontiumdoped calcium polyphosphate particles on cytokines from macrophages and osteoblasts leading to aseptic loosening in vitro. BiomedicalMaterials 2014; 9, Article ID025010.
- 6- Yamaguchi M, Weitzmann MN. The intact strontium ranelate complex stimulates osteoblastogenesis and suppresses osteoclastogenesis by antagonizing NF-𝜅B activation.Molecular and Cellular Biochemistry 2012; 359: 399-07.
- 7- Buache E, Velard F, Bauden E et al. “Effect of strontium substituted biphasic calcium phosphate on inflammatory mediators production by humanmonocytes,” Acta Biomaterialia 2012; 8: 3113-9.
- 8- Rittirsch D, Hoesel LM, Ward PA. The disconnect between animal models of sepsis and human sepsis. J Leukoc Biol 2007; 81: 137-43.
- 9- Simon R, Wetzel W, Winsey K, et al. Supplemental dietary tyrosine in sepsis and acute hemorrhagic shock. Arch Surg, 1987; 122: 78–81.
- 10- Chui CJ, McArdle AH, Brown R, et al. Intestinal mucosal lesion in lowflow states. A morphological, hemodynamic and metabolic reappraisal. Arch Surg 1970;101(4):478-83.
- 11- Parker SJ, Watkins PE. Experimental models of gram-negative sepsis. Br J Surg 2001; 88: 22-30.
- 12- Cavaillon JM, Annane D. Compartmentalization of the inflammatory response in sepsis and SIRS. J Endotoxin Res 2006; 12: 151-70.
- 13- Van der Wal JB, Jeekel J. Biology of the peritoneum in normal homeostasis and after surgical trauma. Colorectal Dis 2007; 9: 9-13.
- 14- Michie HR, Manogue KR, Spriggs DR, et al. Detection of circulating tumor necrosis factor after endotoxin administration. N Eng J Med 1988; 318: 1481-86.
- 15- Chowers Y, Cahalon L, Lahav M, et al. Somatostatin through its specific receptor inhibits spontaneous and TNF-alpha- and bacteria-induced IL-8 and IL-1 beta secretion from intestinal epithelial cells. J Immunol 2000, 15; 165: 2955-61.
- 16- Messer J, Eyer D, Donato L, et al. Evaluation of IL-6 and soluble receptors of TNF for early diagnosis of neonatal infection. J Pediatr 1996; 129: 574-80.
- 17- Panero A, Pacifico L, Rossi N, et al. IL-6 in neonates with early and late onset infection. Pediatr Infect Dis J 1997; 16: 370-5.
- 18- Şahin Y, Şahin DA. Yenidoğan sepsisinin erken tanısında C-reaktif protein ve interlökin-6’nın rolü. Türk Pediatri Arşivi 2004; 39: 171-7.
- 19- Pérez Fernández R, Kaski JC. Interleukin-10 and coronary disease. Rev Esp Cardiol 2002; 55: 738-50.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Surgical Science Research Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Mart 2018 |
| Kabul Tarihi | 15 Mart 2018 |
| Yayımlandığı Sayı | Yıl 2018Cilt: 40 Sayı: 1 |