Etanercept Tedavisinin Deneysel Endometriozisli Sıçan Modelinde Serum Malonaldialdehid Düzeylerine Etkisi

Yıl 2015, , 26 - 29, 30.09.2015

Fatma Ceyla Eraldemir Cihan Deniz Keleş Tuğba Kum Birol Vural Canan Baydemir

https://doi.org/10.30934/kusbed.349539

Öz

Amaç: Amacımız oluşturulan deneysel endometriozisli sıçan modelinde etanerceptin endometriozisi tedavi edebilme
yeteneğini serum lipid peroksidasyonuna olan etkisi üzerinden değerlendirmekti.

Yöntem: Bu deneysel çalışmada 30 adet Wistar albino cinsi dişi sıçan kullanıldı. Sıçanlardan 20’sinde endometriozis
modeli cerrahi olarak oluşturulurken, 10’unda ise anestezi ve cerrahinin etkisini dışlamak amacıyla yalancı
operasyon uygulandı. İlk operasyondan 4 hafta sonra sıçanların ektopik endometrial doku volümleri ikinci bir
operasyonla değerlendirildi ve kan alındı. Daha sonra sıçanlar 3 gruba ayrıldı: Grup I (herhangi bir tedavi almamış,
yalancı operasyon, n=10), grup II (2 ml/gün subkutan serum fizyolojik, endometriozis modeli, n=10), grup III (2
mg/kg/haftada 3 kez, subkutan etanercept, endometriozis modeli, n=10). İki haftalık tedavi sonrası sıçanların 3.
operasyonla ektopik endometrial doku volümleri değerlendirildi ve 2. kanları alındı. Serum malondialdehid (MDA)
düzeyleri spektrofotometrik olarak analiz edildi.

Bulgular: Tedavi sonrası dönemde ektopik endometrial doku volümleri karşılaştırıldığında grup III te grup II ye göre
anlamlı düşük sonuçlar elde edildi (p=0.000). Aynı zamanda grup III tedavi sonrası dönemde, tedavi öncesi döneme
göre anlamlı düşük doku volüm değerleri gösterdi (p=0.005). Tedavi sonrası dönemde ise MDA düzeylerinde gruplar
arası anlamlı farklılık mevcuttu (p=0.001). Tedavi sonrası dönemde MDA düzeyleri Grup III te grup II ye göre
anlamlı düşüktü (p=0.001). Ek olarak, grup III te MDA düzeyleri tedavi sonrası dönemde öncesine göre anlamlı
düşüktü (p=0.028).

Sonuç: Çalışmamızın sonuçları bize etanerceptin serum lipid peroksidasyonu düşürücü etkisini ve endometriozis
tedavisinde etkili bir şekilde kullanılabileceğini düşündürmektedir.

Anahtar Kelimeler

Endometriozis, etanercept, malondialdehid, lipit peroksidasyonu, oksidatif stres

The Effect Of Etanercept Treatment On Serum Malonaldialdehyde Levels In Experimental Endometriosis Rats Model

Öz

Objectives: The purpose of this study was to evaluate the serum lipid peroxidation in rats with experimental
endometriosis who received etanercept (anti-tumor necrosis factor alpha) treatment.

Methods: In this experimental study, 30 Wistar albino female rats were used. The surgical endometriosis model
operation applied to 20 rats from those, in the 10's sham operation was performed in order to exclude the effects of
anesthesia and surgery. Ectopic endometrial implants volumes of rats 4 weeks after the first operation were
evaluated and blood samples were taken with a second operation. Then the rats were divided into 3 groups: Group I
(did not receive any treatment, false operation, n = 10), group II (2 ml / day subcutaneous saline, endometriosis
model, n = 10), group III (2 mg / kg / week etanercept subcutaneously 3 times, endometriosis model, n = 10). 3. After
two weeks of treatment, ectopic endometrial implants volumes were evaluated with and second blood samples were
taken from rats. Serum malondialdehyde (MDA) levels were analyzed by spectrophotometry.

Results: The ectopic endometrial implant volumes of group III showed significantly lower results than group II in the
post-treatment period (p =0.000). According to the same time group III implants showed significantly lower volume
in the post-treatment period before the treatment (p = 0.005). In the post-treatment period, there was a significant
difference between the groups in the MDA levels (p = 0.001), and group III was showed significantly lower levels of
MDA compared to group II (p = 0.001). In addition, pre-treatment levels of MDA were also significantly lower
compared to post-treatment period in group III (p = 0.028).

Conclusion: In summary, these results suggest that etanercept has protective effects against endometriosis in rats,
which may be attributed to attenuating oxidative stress

Anahtar Kelimeler

Endometriosis, etanercept, malondialdehyde, lipid peroxidation, oxidative stress

Kaynakça

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