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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Surgery 1/2015

The effect of melatonin on bacterial translocation following ischemia/reperfusion injury in a rat model of superior mesenteric artery occlusion

Zeitschrift:
BMC Surgery > Ausgabe 1/2015
Autoren:
Murat Ozban, Cagatay Aydin, Nural Cevahir, Cigdem Yenisey, Onur Birsen, Gulistan Gumrukcu, Berrin Aydin, Ibrahim Berber
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

MO coordinated and drafted the manuscript. CA conceived of the study, and participated in its design. NC carried out microbiological analyses. CY carried out the biochemical analyses. OB participated in the design of the study. GG carried out the pathological evaluation. BA performed the statistical analysis. IB help to design the study and execute the animal laboratory part. All authors read and approved the final manuscript.

Abstract

Background

Acute mesenteric ischemia is a life-threatening vascular emergency resulting in tissue destruction due to ischemia-reperfusion injury. Melatonin, the primary hormone of the pineal gland, is a powerful scavenger of reactive oxygen species (ROS), including the hydroxyl and peroxyl radicals, as well as singlet oxygen, and nitric oxide. In this study, we aimed to investigate whether melatonin prevents harmful effects of superior mesenteric ischemia-reperfusion on intestinal tissues in rats.

Methods

Rats were randomly divided into three groups, each having 10 animals. In group I, the superior mesenteric artery (SMA) was isolated but not occluded. In group II and group III, the SMA was occluded immediately distal to the aorta for 60 minutes. After that, the clamp was removed and the reperfusion period began. In group III, 30 minutes before the start of reperfusion, 10 mg/kg melatonin was administered intraperitonally. All animals were sacrified 24 hours after reperfusion. Tissue samples were collected to evaluate the I/R-induced intestinal injury and bacterial translocation (BT).

Results

There was a statistically significant increase in myeloperoxidase activity, malondialdehyde levels and in the incidence of bacterial translocation in group II, along with a decrease in glutathione levels. These investigated parameters were found to be normalized in melatonin treated animals (group III).

Conclusion

We conclude that melatonin prevents bacterial translocation while precluding the harmful effects of ischemia/reperfusion injury on intestinal tissues in a rat model of superior mesenteric artery occlusion.
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