KONTRASTLA İNDÜKLENEN NEFROPATİNİN TAVŞAN MODELİNDE CURCUMİNİN KORUYUCU ETKİSİNİN ARAŞTIRILMASI
Yıl 2022,
, 326 - 334, 18.07.2022
Zülfükar Sarıtaş
,
Hazen Sarıtaş
,
Musa Korkmaz
,
Hasan Hüseyin Demirel
,
Aziz Bülbül
,
Tuba Berra Sarıtaş
,
Fatma Görücü
Öz
AMAÇ: Tavşanlarda curcuminin kontrast nefropatisi üzerine etkilerinin araştırılması.
GEREÇ VE YÖNTEM: Bu çalışmada 14 yetişkin, 2,5-3 kg beyaz erkek Yeni Zelanda tavşanı rastgele 3 gruba ayrıldı. Gruplar kontrol grubu (n=2), kontrastla indüklenen nefropati grubu (n=6) ve Curcumin grubundan (n=6) oluşturuldu. Curcumin grubunda kontrast madde verilmesinden bir gün önce ve kontrast maddenin verildiği gün 500 mg/kg Curcumin gastrik gavaj ile uygulandı. İopromid kontrast nefropatisini oluşturmak için 30 dakikalık süre boyunca Vena auricularis marginalise bir katater yerleştirilerek 8 g/kg dozda intravenöz olarak enjekte edildi.
BULGULAR: Kontrastla indüklenen nefropati grubunda Miyeloperoksidaz düzeyi 0. Saatte 4,899±0,424ng/ml bulunurken 48 saat sonra anlamlı bir artış (7,467±0.353 ng/ml) gözlendi (p=0,002). Kontrastla indüklenen nefropati grubunda glomerüllerin vakuolizasyonu, tübüler epitel hücrelerinin vakuoler dejenerasyonu, hiyalin silindirleri ve tübül lümeninde tübüler nekroz Curcumin grubuna göre istatistiksel anlamlı olarak yüksekti (P=0,000).
SONUÇ: Bu sonuçlara dayanarak, güçlü bir antioksidan olan Curcuminin 24 ve 48 saat sonra kontrastla indüklenen nefropatiye karşı önemli bir koruyucu etkiye sahip olduğu sonucuna varıldı. Bu nedenle kontrast maddelerin kullanılmasından önce Curcumin uygulanması, seçilmiş vakalarda kontrastla indüklenen nefropatiyi önlemek için yararlı olabilir.
Destekleyen Kurum
Afton Kocatepe Üniversitesi BAP
Proje Numarası
AKU BAPK 17.Kariyer.238
Teşekkür
Araştırmamıza destek veren Afton Kocatepe Üniversitesi BAP 'e teşekkür ederiz
Kaynakça
- 1. Solomon R. Contrast-medium-induced acute renal failure. Kidney Int. 1998;53(1):230–42.
- 2. Tublin ME, Murphy ME, Tessler FN. Current concepts in contrast media-induced nephropathy. Am J Roentgenol. 1998;171 (4):933-39.
- 3. Thomsen HS, Morcos SK. Contrast media and the kidney: European Society of Urogenital Radiology (ESUR) guidelines. Br J Radiol. 2003;76(908):513-18.
- 4. Persson PB, Hansell P, Liss P. Pathophysiology of contrast medium-induced nephropathy. Kidney Int. 2005;68(1):14-22.
- 5. Merten GJ, Burgess WP, Gray L, et al. Prevention of contrast-induced nephropathy with sodium bicarbonate: A randomized controlled trial. J Am Med Assoc.
2004;291(19):2328-34.
- 6. Efrati S, Dishy V, Averbukh M, et al. The effect of N-acetylcysteine on renal function, nitric oxide, and oxidative stress after angiography. Kidney Int. 2003;64(6):2182–87.
- 7. Erley CM, Duda SH, Schlepckow S, et al. Adenosine antagonist theophylline prevents the reduction of glomerular filtration rate after contrast media application. Kidney Int.
1994;45(5):1425–31.
- 8. Spargias K, Alexopoulos E, Kyrzopoulos S, et al. Ascorbic acid prevents contrast-mediated nephropathy in patients with renal dysfunction undergoing coronary
angiography or intervention. Circulation. 2004;110(18):2837-42.
- 9. Kolonko A, Wiecek A, Kokot F. The nonselective adenosine antagonist theophylline does prevent renal dysfunction induced by radiographic contrast agents. J Nephrol.
1998;11(3):151-56.
- 10. Wang A, Holcslaw T, Bashore TM, et al. Exacerbation of radiocontrast nephrotoxicity by endothelin receptor antagonism. Kidney Int. 2000;57(4):1675-80.
- 11. Pandya U, Saini MK, Jin GF, et al. Dietary curcumin prevents ocular toxicity of naphthalene in rats. Toxicol Lett. 2000;115(3):195-204.
- 12. Wright JS. Predicting the antioxidant activity of curcumin and curcuminoids. J Mol Struct Theochem. 2002;591(1-3):207-17.
- 13. Thiyagarajan M, Sharma SS. Neuroprotective effect of curcumin in middle cerebral artery occlusion induced focal cerebral ischemia in rats. Life Sci. 2004;74(8):969-85.
- 14. Miquel J, Bernd A, Sempere JM, et al. The curcuma antioxidants: Pharmacological effects and prospects for future clinical use. A review. Arch Gerontol Geriatr.
2002;34(1):37-46.
- 15. Antunes LMG, Darin JDAC, Bianchi MDLP. Effects of the antioxidants curcumin or selenium on cisplatin-induced nephrotoxicity and lipid peroxidation in rats. Pharmacol
Res. 2001;43(2):145–50.
- 16. Saritas Z, Saritas H, Korkmaz M, et al. (2018) Ratlarda Renal İskemi/Reperfüzyon Hasarında Curcumin’in Etkileri. Kocatepe Veterinary Journal. 2018;11(3):215–22.
- 17. Saritas TB, Saritas H, Korkmaz M, et al. Investigation of the effects of boron on a renal ischemia / reperfusion injury in rats. Int J Clin Exp Med. 2019;12(1):899–906.
- 18. Draper HH, Hadley M. Malondialdehyde determination as index of lipid peroxidation. Methods. Enzymol.1990;186(1990):421–31.
- 19. Sun Y, Oberley LW, Li YA. Simple method for clinical assay of superoxide dismutase. Clin Chem. 1988;34(3):497-500.
- 20. Miranda KM, Espey MG, Wink DA. A rapid, simple spectrophotometric method for simultaneous detection of nitrate and nitrite. Nitric Oxide-Biol Ch. 2001;5(1):62-71.
- 21. Goldenberg I, Matetzky S. Nephropathy induced by contrast media: Pathogenesis, risk factors and preventive strategies. CMAJ. 2005;172(11):1461-71.
- 22. Mamoulakis C, Tsarouhas K, Fragkiadoulaki I, et al. Contrast-induced nephropathy: Basic concepts, pathophysiological implications and prevention strategies.
Pharmacol Ther. 2017;180(2017):99-112.
- 23. Alessandri N, Lanzi L, Garante CM, et al. Prevention of acute renal failure post-contrast imaging in cardiology: a randomized study. Eur Rev Med Pharmacol Sci.
2013;17(1):13–21.
- 24. Kongkham S, Sriwong S, Tasanarong A. Protective effect of alpha tocopherol on contrast-induced nephropathy in rats. Nefrologia. 2013;33(1):116-23.
- 25. Boyacioglu M, Turgut H, Akgullu C, et al. The effect of L-carnitine on oxidative stress responses of experimental contrast- induced nephropathy in rats. J Vet Med Sci.
2014;76(1):1-8.
- 26. Buyuklu M, Kandemir FM, Ozkaraca M, et al. Protective effect of curcumin against contrast induced nephropathy in rat kidney: What is happening to oxidative stress,
inflammation, autophagy and apoptosis? Eur Rev Med Pharmacol Sci. 2014;18(4):461–70.
- 27. Tervahartiala P, Kivisaari L, Kivisaari R, et al. Structural changes in the renal proximal tubular cells induced by lodinated contrast media. Nephron. 1997;76(1):96-102.
- 28. Hizoh I, Haller C. Radiocontrast-induced renal tubular cell apoptosis: Hypertonic versus oxidative stress. Invest Radiol. 2002;37(8):428–34.
- 29. Waseem M, Parvezi S. Mitochondrial dysfunction mediated cisplatin induced toxicity: Modulatory role of curcumin. Food Chem Toxicol. 2013;53(1):334-42.
- 30. Sagiroglu T, Kanter M, Yagci MA, et al. Protective effect of curcumin on cyclosporin A-induced endothelial dysfunction, antioxidant capacity, and oxidative damage.
Toxicol Ind Health. 2014;30(4):316-27.
- 31. Gazi S, Altun A, Erdogan O. Contrast-induced nephropathy: Preventive and protective effects of melatonin. J Pineal Res. 2006;41(1):53–7.
- 32. Toprak O, Cirit M, Tanrisev M, et al. Preventive effect of nebivolol on contrast-induced nephropathy in rats. Nephrol Dial Transplant. 2008;23(3):853-59.
- 33. Greggi Antunes LM, Darin JDAC, Bianchi MDLP. Effects of the antioxidants curcumin or selenium on cisplatin-induced nephrotoxicity and lipid peroxidation in rats.
Pharmacol Res. 2001; 43(2):145–50.
- 34. Ellidag HY, Eren E, Yilmaz N, et al. Ischemia modified albumin levels and increased oxidative stress in patients with multiple myeloma. J Med Biochem. 2013;33(2):175–80.
- 35. Roy D, Quiles J, Gaze DC, et al. Role of reactive oxygen species on the formation of the novel diagnostic marker ischaemia modified albumin. Heart. 2006;92(1):113-14.
INVESTIGATION OF THE PROTECTIVE EFFECT OF CURCUMIN IN A RABBIT MODEL OF CONTRAST - INDUCED NEPHROPATHY
Yıl 2022,
, 326 - 334, 18.07.2022
Zülfükar Sarıtaş
,
Hazen Sarıtaş
,
Musa Korkmaz
,
Hasan Hüseyin Demirel
,
Aziz Bülbül
,
Tuba Berra Sarıtaş
,
Fatma Görücü
Öz
OBJECTIVE: To evaluate the effects of curcumin on contrast nephropathy in rabbits.
MATERIAL AND METHODS: In this study, 14 adult, 2.5-3 kg white male New Zealand rabbits were randomly divided into 3 groups. Goups consisted of the control group (n=2) consisted of the contrast-induced nephropathy group (n=6) and the Curcumin group (n=6). In the curcumin group, curcumin was administered via gastric gavage at a dose of 500 mg/kg one day before and on the day of contrast agent administration. Iopromide was injected intravenously at a dose of 8 g/kg via a catheter in the V. auricularis marginalis over a period of 30 minutes at a slow rate to induce contrast nephropathy.
RESULTS: Myeloperoxidase was 4,899 ± 0,424 ng/ml at hour 0 in the contrast-induced nephropathy group and a significant increase was observed after 48 hours (7.467 ± 0.353 ng/mL) (p=0.002). In the contrast-induced nephropathy group, vacuolization of the glomeruli, vacuolar degeneration of the tubular epithelial cells, hyaline casts, necrotic tubular epithelial cells in the tubules was statistically higher compared to the curcumin groups (P=0.000).
CONCLUSIONS: Based upon these results, it was concluded that curcumin, which is a strong antioxidant, had a significant protective effect against contrast-induced nephropathy after 24 and 48 hours. Therefore, the administration of curcumin before the contrast material administration may be beneficial to prevent nephropathy in selected cases
Proje Numarası
AKU BAPK 17.Kariyer.238
Kaynakça
- 1. Solomon R. Contrast-medium-induced acute renal failure. Kidney Int. 1998;53(1):230–42.
- 2. Tublin ME, Murphy ME, Tessler FN. Current concepts in contrast media-induced nephropathy. Am J Roentgenol. 1998;171 (4):933-39.
- 3. Thomsen HS, Morcos SK. Contrast media and the kidney: European Society of Urogenital Radiology (ESUR) guidelines. Br J Radiol. 2003;76(908):513-18.
- 4. Persson PB, Hansell P, Liss P. Pathophysiology of contrast medium-induced nephropathy. Kidney Int. 2005;68(1):14-22.
- 5. Merten GJ, Burgess WP, Gray L, et al. Prevention of contrast-induced nephropathy with sodium bicarbonate: A randomized controlled trial. J Am Med Assoc.
2004;291(19):2328-34.
- 6. Efrati S, Dishy V, Averbukh M, et al. The effect of N-acetylcysteine on renal function, nitric oxide, and oxidative stress after angiography. Kidney Int. 2003;64(6):2182–87.
- 7. Erley CM, Duda SH, Schlepckow S, et al. Adenosine antagonist theophylline prevents the reduction of glomerular filtration rate after contrast media application. Kidney Int.
1994;45(5):1425–31.
- 8. Spargias K, Alexopoulos E, Kyrzopoulos S, et al. Ascorbic acid prevents contrast-mediated nephropathy in patients with renal dysfunction undergoing coronary
angiography or intervention. Circulation. 2004;110(18):2837-42.
- 9. Kolonko A, Wiecek A, Kokot F. The nonselective adenosine antagonist theophylline does prevent renal dysfunction induced by radiographic contrast agents. J Nephrol.
1998;11(3):151-56.
- 10. Wang A, Holcslaw T, Bashore TM, et al. Exacerbation of radiocontrast nephrotoxicity by endothelin receptor antagonism. Kidney Int. 2000;57(4):1675-80.
- 11. Pandya U, Saini MK, Jin GF, et al. Dietary curcumin prevents ocular toxicity of naphthalene in rats. Toxicol Lett. 2000;115(3):195-204.
- 12. Wright JS. Predicting the antioxidant activity of curcumin and curcuminoids. J Mol Struct Theochem. 2002;591(1-3):207-17.
- 13. Thiyagarajan M, Sharma SS. Neuroprotective effect of curcumin in middle cerebral artery occlusion induced focal cerebral ischemia in rats. Life Sci. 2004;74(8):969-85.
- 14. Miquel J, Bernd A, Sempere JM, et al. The curcuma antioxidants: Pharmacological effects and prospects for future clinical use. A review. Arch Gerontol Geriatr.
2002;34(1):37-46.
- 15. Antunes LMG, Darin JDAC, Bianchi MDLP. Effects of the antioxidants curcumin or selenium on cisplatin-induced nephrotoxicity and lipid peroxidation in rats. Pharmacol
Res. 2001;43(2):145–50.
- 16. Saritas Z, Saritas H, Korkmaz M, et al. (2018) Ratlarda Renal İskemi/Reperfüzyon Hasarında Curcumin’in Etkileri. Kocatepe Veterinary Journal. 2018;11(3):215–22.
- 17. Saritas TB, Saritas H, Korkmaz M, et al. Investigation of the effects of boron on a renal ischemia / reperfusion injury in rats. Int J Clin Exp Med. 2019;12(1):899–906.
- 18. Draper HH, Hadley M. Malondialdehyde determination as index of lipid peroxidation. Methods. Enzymol.1990;186(1990):421–31.
- 19. Sun Y, Oberley LW, Li YA. Simple method for clinical assay of superoxide dismutase. Clin Chem. 1988;34(3):497-500.
- 20. Miranda KM, Espey MG, Wink DA. A rapid, simple spectrophotometric method for simultaneous detection of nitrate and nitrite. Nitric Oxide-Biol Ch. 2001;5(1):62-71.
- 21. Goldenberg I, Matetzky S. Nephropathy induced by contrast media: Pathogenesis, risk factors and preventive strategies. CMAJ. 2005;172(11):1461-71.
- 22. Mamoulakis C, Tsarouhas K, Fragkiadoulaki I, et al. Contrast-induced nephropathy: Basic concepts, pathophysiological implications and prevention strategies.
Pharmacol Ther. 2017;180(2017):99-112.
- 23. Alessandri N, Lanzi L, Garante CM, et al. Prevention of acute renal failure post-contrast imaging in cardiology: a randomized study. Eur Rev Med Pharmacol Sci.
2013;17(1):13–21.
- 24. Kongkham S, Sriwong S, Tasanarong A. Protective effect of alpha tocopherol on contrast-induced nephropathy in rats. Nefrologia. 2013;33(1):116-23.
- 25. Boyacioglu M, Turgut H, Akgullu C, et al. The effect of L-carnitine on oxidative stress responses of experimental contrast- induced nephropathy in rats. J Vet Med Sci.
2014;76(1):1-8.
- 26. Buyuklu M, Kandemir FM, Ozkaraca M, et al. Protective effect of curcumin against contrast induced nephropathy in rat kidney: What is happening to oxidative stress,
inflammation, autophagy and apoptosis? Eur Rev Med Pharmacol Sci. 2014;18(4):461–70.
- 27. Tervahartiala P, Kivisaari L, Kivisaari R, et al. Structural changes in the renal proximal tubular cells induced by lodinated contrast media. Nephron. 1997;76(1):96-102.
- 28. Hizoh I, Haller C. Radiocontrast-induced renal tubular cell apoptosis: Hypertonic versus oxidative stress. Invest Radiol. 2002;37(8):428–34.
- 29. Waseem M, Parvezi S. Mitochondrial dysfunction mediated cisplatin induced toxicity: Modulatory role of curcumin. Food Chem Toxicol. 2013;53(1):334-42.
- 30. Sagiroglu T, Kanter M, Yagci MA, et al. Protective effect of curcumin on cyclosporin A-induced endothelial dysfunction, antioxidant capacity, and oxidative damage.
Toxicol Ind Health. 2014;30(4):316-27.
- 31. Gazi S, Altun A, Erdogan O. Contrast-induced nephropathy: Preventive and protective effects of melatonin. J Pineal Res. 2006;41(1):53–7.
- 32. Toprak O, Cirit M, Tanrisev M, et al. Preventive effect of nebivolol on contrast-induced nephropathy in rats. Nephrol Dial Transplant. 2008;23(3):853-59.
- 33. Greggi Antunes LM, Darin JDAC, Bianchi MDLP. Effects of the antioxidants curcumin or selenium on cisplatin-induced nephrotoxicity and lipid peroxidation in rats.
Pharmacol Res. 2001; 43(2):145–50.
- 34. Ellidag HY, Eren E, Yilmaz N, et al. Ischemia modified albumin levels and increased oxidative stress in patients with multiple myeloma. J Med Biochem. 2013;33(2):175–80.
- 35. Roy D, Quiles J, Gaze DC, et al. Role of reactive oxygen species on the formation of the novel diagnostic marker ischaemia modified albumin. Heart. 2006;92(1):113-14.