Takrolimusun sıçanlarda miyokardiyal iskemi / reperfüzyon hasarı üzerindeki koruyucu etkisi

Year 2021, , 302 - 308, 29.09.2021

Hakan Çomaklı , Özgür Altınbaş , Ilker Mercan , Ata Niyazi Ecevit , Abdullah Tuncay Demiryürek , Dündar Özalp Karabay

https://doi.org/10.18663/tjcl.940462

Abstract

Amaç: Akut miyokard enfarktüsü, dünya çapında önemli bir morbidite ve mortalite nedenidir. Trombolitik tedavi ve birincil perkütan koroner müdahale, miyokardiyal iskemik hasarı azaltmak ve reperfüzyon sağlayarak enfarktüs boyutunu sınırlamak için terapötik yaklaşımlar olsa da, sürecin kendisi miyokardiyal reperfüzyon hasarı olarak bilinen kardiyomiyosit ölümüne neden olabilir. Organ transplantasyonu için immün baskılama üzerindeki etkilerine ek olarak, takrolimus, iskemi / reperfüzyon (İ / R) hasarında iyileşme ile sonuçlanan çeşitli etkilere sahiptir. Bu çalışmada, takrolimusun sıçanlarda miyokardiyal İ / R hasarı üzerindeki etkilerini değerlendirmeyi amaçladık.
Gereç ve Yöntemler: Erişkin erkek Wistar albino sıçanlar (n = 18; ortalama ağırlık, 252 ± 20 g; yaş, 46-54 gün) bu çalışmaya dahil edildi. Sıçanlar rastgele üç gruba ayrıldı: Grup 1 (şam, n = 4), Grup 2 (İ / R + salin, kontrol, n = 7), Grup 3 (takrolimus + İ / R, n = 7). Takrolimus (0,1 mg / kg) 45 dakikalık iskemi süresinden sonra reperfüzyonun ilk 15 dakikasında intravenöz infüzyon olarak uygulandı.
Bulgular: Risk altındaki alanda değişiklik olmamasına rağmen, kontrol grubuna göre takrolimus grubunda infarkt boyutu belirgin şekilde azaldı (p <0,05). Histopatolojik parametreler (miyofibriler ödem, miyositoliz, fokal kanama ve polimorfonükleer lökosit infiltrasyonu) İ / R kontrol grubunda belirgin şekilde artmış ve takrolimus tedavisi ile önemli ölçüde azalmıştır (p <0,05). Bununla birlikte, biyokimyasal analizde belirgin bir değişiklik olmadı.
Sonuçlar: Bu çalışma, takrolimusun sıçanlarda miyokardiyal İ / R hasarında kardiyoprotektif etkilere sahip olduğunu göstermiştir.

Keywords

takrolimus, oklüzyon, reperfüzyon, infarkt boyutu

Supporting Institution

Yok

Protective effect of tacrolimus on myocardial ischemia/reperfusion injury in rats Tacrolimus in reperfusion Takrolimusun sıçanlarda miyokardiyal iskemi / reperfüzyon hasarı üzerindeki koruyucu etkisi Reperfüzyonda takrolimus

Abstract

Aim: Acute myocardial infarction is a major cause of morbidity and mortality worldwide. Although thrombolytic therapy and primary percutaneous coronary intervention are the therapeutic approaches to reduce the myocardial ischemic injury and limit the infarct size by providing reperfusion, process can itself induce cardiomyocyte death known as myocardial reperfusion injury. In addition to effects on immunsuppression for organ transplantation, tacrolimus has diverse actions that result in amelioration of ischemia/reperfusion (I/R) injury. In this study, we aimed to evaluate the effects of tacrolimus on myocardial I/R injury in rats.
Material and Methods: Adult male Wistar albino rats (n=18; mean weight, 252±20 g; age, 46-54 days) were included to this study. Rats were randomly assigned into three groups: Group 1 (sham, n=4), Group 2 (I/R+saline, control, n=7), Group 3 (tacrolimus+I/R, n=7). Tacrolimus (0.1 mg/kg) was administered as an intravenous infusion in the first 15 min of reperfusion after 45 min ischemia period.
Results: Although there were no change in area at risk, infarct size was markedly reduced in tacrolimus group when compared to control group (p<0.05). Histopathological parameters (myofibrillar edema, myocytolysis, focal hemorrhage and polymorphonuclear leukocyte infiltration) were markedly increased in I/R control group, and significantly reduced by tacrolimus treatment (p<0.05). However, there were no marked changes in biochemical analysis.
Conclusion: This study demonstrated that tacrolimus showed cardioprotective effects in myocardial I/R injury in rats.

Keywords

tacrolimus, occlusion, infarct size, myocardial

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