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Erschienen in: Comparative Clinical Pathology 2/2018

27.11.2017 | Original Article

Evaluation of combination therapy with hydrocortisone, vitamin C, and vitamin E in a rat model of intestine ischemia-reperfusion injury

verfasst von: Mehdi Tavasoli, Omid Azari, Reza Kheirandish, Mohammad Farajli Abbasi

Erschienen in: Comparative Clinical Pathology | Ausgabe 2/2018

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Abstract

This study was designed to use different antioxidant as hydrocortisone, vitamin C, vitamin E, and combination of them against experimental intestine ischemia-reperfusion (IR) for decrease free radical damage in soft tissue. Thirty adult male Wistar rats were selected randomly and divided into six equal groups. Group Sham: intact group, group control: IR group with 45 min of ischemia followed by 1 h of reperfusion, group vitamin C: IR plus vitamin C (50 mg/kg, IV) treatment immediately after reperfusion, group vitamin E: IR plus vitamin E (20 mg/kg, IM) treatment 15 min before reperfusion, group hydrocortisone: IR plus hydrocortisone (50 mg/kg, IV) treatment immediately after reperfusion and group combination: IR plus combination of vitamin C, E, and hydrocortisone. Ischemia was induced by clamping the supraciliac artery. In the end of time of reperfusion, the proximal segment of jejunum was collected as a tissue specimen for histopathologic examination. In histopathological study, severe damage was detected in intestinal mucosa to all control and treatment groups, and histopathologic score was significantly decreased in the treatment groups. Analysis of the histopathological results showed that in the all treatment groups, the intestinal mucosal injury was decreased compared to the control group and in the combination group, the protection was better than the other treatment groups. The results showed simultaneous administration of vitamin C, E, and hydrocortisone combination before reperfusion of blood flow to the ischemic tissue could improve the deleterious effects of IR injuries in intestinal mucosa.
Literatur
Zurück zum Zitat Akinrinmade J, Akinrinde A (2013) Effect of oral administration of methanolic extract of Ocimum gratissimum on intestinal ischemia-reperfusion injury in rats Akinrinmade J, Akinrinde A (2013) Effect of oral administration of methanolic extract of Ocimum gratissimum on intestinal ischemia-reperfusion injury in rats
Zurück zum Zitat Bakker MF, Peeters PH, Klaasen VM, Bueno-de-Mesquita HB, Jansen EH, Ros MM, . . . Overvad K (2016) Plasma carotenoids, vitamin C, tocopherols, and retinol and the risk of breast cancer in the European prospective investigation into cancer and nutrition cohort. Am J Clin Nutr, 103(2), 454–464, DOI: https://doi.org/10.3945/ajcn.114.101659 Bakker MF, Peeters PH, Klaasen VM, Bueno-de-Mesquita HB, Jansen EH, Ros MM, . . . Overvad K (2016) Plasma carotenoids, vitamin C, tocopherols, and retinol and the risk of breast cancer in the European prospective investigation into cancer and nutrition cohort. Am J Clin Nutr, 103(2), 454–464, DOI: https://​doi.​org/​10.​3945/​ajcn.​114.​101659
Zurück zum Zitat Daly MC, Atkinson SJ, Varisco BM, Klingbeil L, Hake P, Lahni P, . . . Zingarelli B (2016) Role of matrix metalloproteinase-8 as a mediator of injury in intestinal ischemia and reperfusion. FASEB J, 30(10), 3453–3460, DOI: https://doi.org/10.1096/fj.201600242R Daly MC, Atkinson SJ, Varisco BM, Klingbeil L, Hake P, Lahni P, . . . Zingarelli B (2016) Role of matrix metalloproteinase-8 as a mediator of injury in intestinal ischemia and reperfusion. FASEB J, 30(10), 3453–3460, DOI: https://​doi.​org/​10.​1096/​fj.​201600242R
Zurück zum Zitat Erkut B, Özyazıcıoğlu A, Karapolat BS, Koçoğulları CU, Keles S, Ateş A, . . . Kocak H (2007) Effects of ascorbic acid, alpha-tocopherol and allopurinol on ischemia-reperfusion injury in rabbit skeletal muscle: an experimental study. Drug Target Insights, 2, 249, 258 Erkut B, Özyazıcıoğlu A, Karapolat BS, Koçoğulları CU, Keles S, Ateş A, . . . Kocak H (2007) Effects of ascorbic acid, alpha-tocopherol and allopurinol on ischemia-reperfusion injury in rabbit skeletal muscle: an experimental study. Drug Target Insights, 2, 249, 258
Zurück zum Zitat Gabriel SA, Antonangelo L, Capelozzi VL, Beteli CB, Camargo Júnior O d, Aquino JLB d, Caffaro RA (2015) Hydrocortisone supresses inflammatory activity of metalloproteinase-8 in carotid plaque. Braz J Cardiovasc Surg 30(3):295–303 Gabriel SA, Antonangelo L, Capelozzi VL, Beteli CB, Camargo Júnior O d, Aquino JLB d, Caffaro RA (2015) Hydrocortisone supresses inflammatory activity of metalloproteinase-8 in carotid plaque. Braz J Cardiovasc Surg 30(3):295–303
Zurück zum Zitat Krause P, Morris V, Greenbaum JA, Park Y, Bjoerheden U, Mikulski Z, . . . Liu Y-C (2015) IL-10 producing intestinal macrophages prevent excessive anti-bacterial innate immunity by limiting IL-23 synthesis. Nat Commun, 6, 7055, DOI: https://doi.org/10.1038/ncomms8055 Krause P, Morris V, Greenbaum JA, Park Y, Bjoerheden U, Mikulski Z, . . . Liu Y-C (2015) IL-10 producing intestinal macrophages prevent excessive anti-bacterial innate immunity by limiting IL-23 synthesis. Nat Commun, 6, 7055, DOI: https://​doi.​org/​10.​1038/​ncomms8055
Zurück zum Zitat Martinez FO, Gordon S (2014) The M1 and M2 paradigm of macrophage activation: time for reassessment. F1000prime reports, 6, DOI: 10.12703/P6-13 Martinez FO, Gordon S (2014) The M1 and M2 paradigm of macrophage activation: time for reassessment. F1000prime reports, 6, DOI: 10.​12703/​P6-13
Zurück zum Zitat Mastoraki A, Mastoraki S, Tziava E, Touloumi S, Krinos N, Danias N, . . . Arkadopoulos N (2016) Mesenteric ischemia: pathogenesis and challenging diagnostic and therapeutic modalities. World J gastrointest pathophysiol, 7(1), 125, 130, DOI: https://doi.org/10.4291/wjgp.v7.i1.125 Mastoraki A, Mastoraki S, Tziava E, Touloumi S, Krinos N, Danias N, . . . Arkadopoulos N (2016) Mesenteric ischemia: pathogenesis and challenging diagnostic and therapeutic modalities. World J gastrointest pathophysiol, 7(1), 125, 130, DOI: https://​doi.​org/​10.​4291/​wjgp.​v7.​i1.​125
Zurück zum Zitat MohanKumar K, Killingsworth CR, McILwain RB, Timpa JG, Jagadeeswaran R, Namachivayam K, . . . Maheshwari A (2014) Intestinal epithelial apoptosis initiates gut mucosal injury during extracorporeal membrane oxygenation in the newborn piglet. Lab investig J Tech Methods Pathol, 94(2), 150, 160, DOI: https://doi.org/10.1038/labinvest.2013.149 MohanKumar K, Killingsworth CR, McILwain RB, Timpa JG, Jagadeeswaran R, Namachivayam K, . . . Maheshwari A (2014) Intestinal epithelial apoptosis initiates gut mucosal injury during extracorporeal membrane oxygenation in the newborn piglet. Lab investig J Tech Methods Pathol, 94(2), 150, 160, DOI: https://​doi.​org/​10.​1038/​labinvest.​2013.​149
Zurück zum Zitat Molina A, Ubeda M, Escribese MM, García-Bermejo L, Sancho D, de Lema GP, . . . Mampaso F (2005) Renal ischemia/reperfusion injury: functional tissue preservation by anti-activated β1 integrin therapy. J Am Soc Nephrol, 16(2), 374–382, DOI: https://doi.org/10.1681/ASN.2004070528 Molina A, Ubeda M, Escribese MM, García-Bermejo L, Sancho D, de Lema GP, . . . Mampaso F (2005) Renal ischemia/reperfusion injury: functional tissue preservation by anti-activated β1 integrin therapy. J Am Soc Nephrol, 16(2), 374–382, DOI: https://​doi.​org/​10.​1681/​ASN.​2004070528
Zurück zum Zitat Nermine Saleh, Magda Youssef (2012) Myocardial ischemia-reperfusion/injury, In U. Lakshmanadoss (Ed.), Novel Strategies in Ischemic Heart Disease (1 ed., pp. 163–186.): InTech Nermine Saleh, Magda Youssef (2012) Myocardial ischemia-reperfusion/injury, In U. Lakshmanadoss (Ed.), Novel Strategies in Ischemic Heart Disease (1 ed., pp. 163–186.): InTech
Zurück zum Zitat Soliman A, Michelsen KS, Karahashi H, Lu J, Meng FJ, Qu X, . . . Caplan MS (2010) Platelet-activating factor induces TLR4 expression in intestinal epithelial cells: implication for the pathogenesis of necrotizing enterocolitis. PLoS One, 5(10), e15044, DOI: https://doi.org/10.1371/journal.pone.0015044 Soliman A, Michelsen KS, Karahashi H, Lu J, Meng FJ, Qu X, . . . Caplan MS (2010) Platelet-activating factor induces TLR4 expression in intestinal epithelial cells: implication for the pathogenesis of necrotizing enterocolitis. PLoS One, 5(10), e15044, DOI: https://​doi.​org/​10.​1371/​journal.​pone.​0015044
Metadaten
Titel
Evaluation of combination therapy with hydrocortisone, vitamin C, and vitamin E in a rat model of intestine ischemia-reperfusion injury
verfasst von
Mehdi Tavasoli
Omid Azari
Reza Kheirandish
Mohammad Farajli Abbasi
Publikationsdatum
27.11.2017
Verlag
Springer London
Erschienen in
Comparative Clinical Pathology / Ausgabe 2/2018
Print ISSN: 1618-5641
Elektronische ISSN: 1618-565X
DOI
https://doi.org/10.1007/s00580-017-2610-4

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