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    Amantadinin alt ekstremite iskemi/reperfüzyon sıçan modelinde akciğer dokusu üzerindeki etkileri
    (2021) Orhan, Mustafa; Tuna, Ayça Taş; Ünal, Yusuf; Arslan, Mustafa; Yazar, Hayrullah; Sezen, Şaban Cem; Gözükara, Sezen Irmak
    Amaç: Bu çalışmada, sıçanlarda alt ekstremite iskemi/reperfüzyon\rhasarından sonra amantadinin akciğer dokusu üzerindeki etkisi araştırıldı.\rÇalışma\rplanı:\rToplam 24 adet Wistar cinsi sıçan her grupta altı\rsıçan olacak şekilde dört eşit gruba ayrıldı: Sham grubu (Grup S),\ramantadin grubu (Grup A), iskemi/reperfüzyon grubu (Grup I/R) ve\rI/R+amantadin grubu (Grup I/R-A). Tüm gruplara orta abdominal insizyon\ruygulandı. Grup I/R ve I/R-A?da infrarenal abdominal aorta 120 dk.\rsüreyle klemplendi ve ardından klemp kaldırılarak 120 dk. süreyle\rreperfüze edildi. Grup A ve I/R-A?daki sıçanlara 45 mg/kg amantadin\rhidroklorür cerrahiden 15 dk. önce intraperitoneal olarak uygulandı.\rReperfüzyon periyodu sonunda (240 dk.) tüm sıçanlar sakrifiye edildi ve\rakciğer dokuları alındı. Akciğer dokusunda katalaz ve süperoksit dismutaz\raktiviteleri ve glutatyon S-transferaz ve malondialdehit düzeyleri çalışıldı.\rAkciğer dokuları histopatolojik olarak incelendi.\rBulgular:\rKatalaz aktivitesi Grup A, I/R ve I/R-A?da, Grup S’ye kıyasla\rdaha düşüktü. Süperoksit dismutaz aktivitesi Grup I/R?de, Grup S?ye kıyasla\rdaha yüksekti. Grup I/R-A ve A?da, Grup S ve I/R?ye kıyasla, süperoksit\rdismutaz aktivitesi azaldı. Glutatyon S-transferaz düzeyleri Grup I/R ve\rA?da, Grup S’ye kıyasla azaldı. Glutatyon S-transferaz düzeyleri, Grup I/RA’da,\rGrup I/R ve A’ya kıyasla daha yüksekti. Malondialdehit düzeyleri,\rGrup I/R’de en yüksek ve Grup IR-A?da en düşük izlendi. Histopatolojik\rincelemeye göre, Grup S?de infiltrasyon skoru Grup I/R ve Grup I/R-A?ya\rkıyasla, anlamlı düzeyde daha düşüktü (sırasıyla. p=0.009 ve p=0.011).\rGrup I/R?de alveol duvar kalınlaşması skoru, Grup S ve Grup A?ya kıyasla,\ranlamlı düzeyde yüksekti (sırasıyla, p=0.001 ve p=0.001).\rSonuç:\rAkciğer dokusu iskemi/reperfüzyon hasarından etkilenebilir ve bu\rhasar amantadin kullanımı ile geri döndürülebilir.
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    Assessment of erythrocyte morphology in patients with type 2 diabetes mellitus: a pilot study of electron microscopy-based analysis in relation to healthy controls
    (Tubitak Scientific & Technological Research Council Turkey, 2021) Mortaş, Tülay; Durmaz, Şenay Arıkan; Sezen, Şaban Cem; Savranlar, Yasemin
    Background/aim: The present study aimed to assess erythrocyte morphology in newly diagnosed type 2 diabetes mellitus patients using scanning electron microscopy. Materials and methods: In total, 30 patients admitted to endocrine outpatient clinics were included in the study. The patients were divided into two groups according to their fasting blood glucose levels: type 2 diabetes mellitus (n = 15, fasting blood glucose levels >= 126 mg/dL) and control (n = 15, fasting blood glucose levels < 99 mg/dL). The patient's demographic characteristics, haemoglobin A1c levels, and scanning electron microscopy findings regarding erythrocyte morphology were recorded. Results: There was no significant difference between the control and type 2 diabetes mellitus group in terms of the participants' age (51.13 +/- 8.53 vs. 50.33 +/- 8.72 years, p = 0.8) and the male/female ratio (9/6 vs. 9/6). In the control group, discocytes were abundant, echinocytes were rare, and spherocytes were absent. On the other hand, discocytes were less common and echinocyte-shaped erythrocytes were more common in the type 2 diabetes mellitus group than in the control group. In addition, spherocytes were detected in the type 2 diabetes mellitus group. Moreover, the diameter of discocytes was significantly lower (p = 0.014), and blood glucose and haemoglobin A1c levels were significantly higher (p < 0.05 for both) in the type 2 diabetes mellitus group than in the control group. Conclusion: Our findings indicate that high glucose levels in type 2 diabetes mellitus patients lead to significant alterations in erythrocyte morphology, including decreased erythrocyte deformability and the formation of echinocytes and spherocytes due to eryptosis. The possibility of decreased erythrocyte deformability due to excessive eryptosis may disturb microcirculation in newly diagnosed, treatment-naive type 2 diabetes mellitus patients who do not have any complications.
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    Diyabetik Ratlarda Propofol ve C Vitamini Uygulamasının Karaciğer ve Böbrek Dokusu Üzerindeki Etkisinin Araştırılması
    (2015) Arslan, Mustafa; Bilge, Mustafa; Sezen, Şaban Cem; Öztürk, Levent; Işık, Berrin; Çomu, Faruk Metin; Alkan, Metin
    Amaç: Diyabet komplikasyonları ile lipid peroksidasyonu arasında yakın ilişki olduğu bilinmektedir. Diyabetik ratlarda propofol farmako-dinamisi ve farmako-kinetiğinin değiştiği gösterilmiştir. Bu çalışmada diyabetik ratlarda propofol ve C vitaminin karaciğer ve böbrek dokusuna etkisini araştırmayı amaçladık. Yöntemler: Çalışmada 28 Wistar Albino sıçan kullanıldı. Hayvanlar randomize olarak 4 gruba ayrıldı. Kontrol (K) grubuna sadece intraperitoneal salin verildi. Diyabet oluşturulacak 3 gruptaki hayvanlara ise tek doz streptozotosin verilerek (60 mg/kg) deneysel diyabet oluşturuldu. Diyabet-propofol grubu (DP) için hayvanlara intarperitoneal olarak 150 mg/kg propofol verildi. Diyabet-propofol ve C vitamini (DP+Vit C) verilen gruptaki hayvanlara 150 mg/kg propofol verilmeden 30 dakika önce 100 mg/kg C vitamini verildi. Diyabet Kontrol (DK) grubuna ise diyabet oluşturulduktan sonra sadece intraperitoneal salin verildi. İlaç uygulamadan sonra hayvanlar sakrifiye edilerek karaciğer ve böbrek doku preperatları histolojik ve biyokimyasal değerlendirme için hazırlandı. Antioksidan enzimler süperoksit dismutaz (SOD), katalaz (CAT), glutatyon peroksidaz (GST) aktiviteleri ve malondialdehid (MDA) konsantrasyonları karaciğer ve böbrek dokusunda ölçüldü. Bulgular: Karaciğer MDA düzeyleri; Diyabet kontrol (DK) grubunda DP, DP+Vit C ve K gruplarına göre yüksek bulundu (p=0.024, p=0.008, p=0.016). Kontrol grubu ve DP+ Vit C grubunda karaciğer SOD aktivitesi DK grubundan anlamlı olarak daha düşük bulundu (p=0.011, p=0.038). Kontrol grubu ile karşılaştırıldığında DP+ Vit C grubundaki karaciğer GST aktivitesi daha düşük olarak bulundu (p = 0.011). Karaciğer CAT aktivitesi açısından gruplar arasında anlamlı fark bulunamadı. DK grubundaki böbrek MDA düzeyleri DP+ Vit C ve K grubuna göre daha yüksek olarak bulundu (p=0.016, p=0.010). DK grubundaki böbrek SOD aktivitesi diğer üç gruba göre daha düşük bulundu (p=0.028, p=0.019, p=0.009). Böbrek dokusunda bakılan GST ve CAT aktiviteleri açısından gruplar arasında anlamlı fark bulunamadı. DP grubundaki histopatolojik hasarlanma düzeyi kontrol grubundan anlamlı olarak yüksek bulundu. Sonuç: Diyabet kliniğinde lipid peroksidasyonu artmakta ve antioksidan aktivite azalmaktadır. Bununla birlikte C vitamini uygulaması bu durumdaki lipid peroksidasyonunu azaltırken antioksidan aktiviteyi de artırmaktadır. Çalışmamızın sonuçlarının diğer deneysel çalışmalarla desteklenmesi gerekmektedir
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    Effects of Dexmedetomidine Administered Through Different Routes on Kidney Tissue in Rats with Spinal Cord Ischaemia–Reperfusion Injury
    (Dove Medical Press Ltd, 2022) Şengel, Necmiye; Köksal, Zeynep; Dursun, Ali Doğan; Arslan, Mustafa; Kavutçu, Mustafa; Kurtipek, Ömer; Sezen, Şaban Cem
    Background: Ischaemia–reperfusion (IR) injury, which can be encountered during surgical procedures involving the abdominal aorta, is a complex process that affects distant organs, such as the heart, liver, kidney, and lungs, as well as the lower extremities. In this study, we aimed to contribute to the limited literature by investigating the protective effect of dexmedetomidine, which was administered through different routes, on kidney tissue in rats with spinal cord IR injury. Methods: A total of 30 rats were randomly divided into five groups: control (C group), IR (IR group), IR-intraperitoneal dexmedetomidine (IRIPD group), IR-intrathecal dexmedetomidine (IRITD group), and IR-intravenous dexmedetomidine (IRIVD group). The spinal cord IR model was established. Dexmedetomidine was administered at doses of 100 µg/kg intraperitoneally, 3 µg/ kg intrathecally, and 9 µg/kg intravenously. Histopathologic parameters in kidney tissue samples taken at the end of the reperfusion period and biochemical parameters in serum were evaluated. Results: When examined histopathologically, tubular dilatation was found to be significantly reduced in the IRIVD, IRITD, and IRIPD groups compared with the IR group (p = 0.012, all). Vascular vacuolization and hypertrophy were significantly decreased in the IRIVD, IRITD, and IRIPD groups compared with the IR group (p = 0.006, all). Tubular cell degeneration and necrosis were significantly reduced in the IRIVD, IRITD, and IRIPD groups compared with the IR group (p = 0.008, p = 0.08, and p = 0.030, respectively). Lymphocyte infiltration was significantly decreased in the IRIVD and IRITD groups compared with the IR group (p = 0.006 and p = 0.06, respectively). Conclusion: It was observed that dexmedetomidine administered by different routes improved the damage caused by IR in kidney histopathology. We think that the renoprotective effects of dexmedetomidine administered intravenously and intrathecally before IR in rats are greater. © 2022 Şengel et al.
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    Effects of esmolol on lung injury induced by lower extremity Ischemia-reperfusion
    (Bayrakol Medical Publisher, 2022) Sabuncu, Ülkü; Sezen, Şaban Cem; Küçük, Ayşegül; Salman, Nevriye; Sabuncu, Timucin; Kip, Gülay; Kurtipek, Ömer
    Aim: After hind limb ischemia-reperfusion (I/R), impairments in remote organs are frequent. Lung tissue is the organ most affected by the remote organ damage. The lung damage increases ventilatory support, the need for inotropic agents and mortality. Many drugs and methods have been used in attempts to prevent or reduce this damage. The aim of this study is to investigate the protective effects of esmolol infusion on lung tissue prior to I/R created in the lower extremity. Material and Methods: The study was performed between 11 and 14 April 2018 in Gazi University Experimental Animal Research Center, Ankara, Turkey. After obtaining ethics committee approval, 24 rats were randomly divided into 4 groups: Control (Group C), Esmolol (Group E), Ischemia-reperfusion (Group I/R), and I/R-Esmolol (Group I/RE). Esmolol (200 mu g/kg/min intravenous) was applied 30 minutes before the procedure. The biochemical and histopathological parameters of lung tissue samples were compared. Results: Neutrophil infiltration/aggregation, alveolar wall thickness, and total lung injury scores were significantly higher in the I/R group than in the C and E groups. In addition, neutrophil infiltration/aggregation, alveolar wall thickness, and total lung injury scores in the I/R group were statistically higher than in the I/R-E group (p=0.030, p=0.010, p=0.001, respectively). Malondialdehyde levels, catalase (CAT) and paraoxonase (PON) enzyme activities in the I/R group were significantly higher than in the C, E, and I/R-E groups. Glutathione S- transferase ( GSH) enzyme activity was similar in all groups. Discussion: It was found that esmolol infusion at 200 mu g/kg/min intravenously-reduced oxidative stress when administered 30 minutes before ischemia in rats and partially corrected the damage caused by I/R in lung histopathology.
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    The Effect of Proanthocyanidin on Ischemia-Reperfusion Injury in Skeletal Muscles of Rats
    (Mdpi, 2024) Özer, Abdullah; Koçak, Başak; Sezen, Şaban Cem; Arslan, Mustafa; Kavutçu, Mustafa
    Background and Objectives: Lower limb skeletal muscle ischemia-reperfusion (IR) injury is associated with increased morbidity and mortality, and it is common in several clinical situations such as aortic aneurysms repairment, peripheral arterial surgery, vascular injury repairment, and shock. Although it is generally accepted that oxidative stress mediators have a significant role in IR injury, its precise mechanism is still unknown. Anecdotally, it is sustained not only by structural and functional changes in the organ it affects but also by damage to distant organs. The purpose of this report is to illustrate the effect of proanthocyanidin on IR injury. Materials and Methods: In our study, 18 male Wistar albino rats were used. The subjects were divided into three groups containing six mice each (control, C; ischemia-reperfusion, IR; ischemia-reperfusion and proanthocyanidin; IR-PRO). Intraperitoneal proanthocyanidin was given to the IR and proanthocyanidin groups 30 min before laparotomy, and 1 h ischemia led to these two groups. After one hour, reperfusion started. Muscle atrophy-hypertrophy, muscle degeneration-congestion, fragmentation-hyalinization, muscle oval-central nucleus ratio, leukocyte cell infiltration, catalase enzyme activity, and TBARS were all examined in lower-limb muscle samples after one hour of reperfusion. Results: When skeletal muscle samples were evaluated histopathologically, it was discovered that muscle atrophy-hypertrophy, muscle degeneration-congestion, fragmentation-hyalinization, and leukocyte cell infiltration with oval-central nucleus standardization were significantly higher in the IR group than in the C and IR-P groups. Oval-central nucleus standardization was significantly higher in the IR and IR-PRO groups than in the control group. TBARS levels were significantly higher in the IR group than in the control and IR-PRO groups, while catalase enzyme activity was found to be significantly lower in the IR group than in the control and IR-PRO groups. Conclusions: As a consequence of our research, we discovered that proanthocyanidins administered before IR have a protective impact on skeletal muscle in rats. Further research in this area is required.
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    The Effect of Sevoflurane and Fullerenol C 60 on the Liver and Kidney in Lower Extremity Ischemia-Reperfusion Injury in Mice with Streptozocin-Induced Diabetes
    (Dove Medical Press Ltd, 2023) Sengel, Necmiye; Küçük, Ayşegül; Özdemir, Cağrı; Sezen, Şaban Cem; Kip, Gülay; Er, Fatma; Dursun, Ali Doğan
    Objective: This study aimed to demonstrate whether fullerenol C60, sevoflurane anesthesia, or a combination of both had protective effects on the liver and kidneys in lower extremity ischemia-reperfusion injury (IRI) in mice with streptozocin-induced diabetes. Methods: A total of 46 Swiss albino mice were divided into six groups as follows: control group (group C, n=7), diabetes group (group D, n=7), diabetes-ischemia/reperfusion (group DIR, n=8), diabetes-ischemia/reperfusion-fullerenol C60 (group DIR-FC60, n=8), diabetes-ischemia/reperfusion-sevoflurane (group DIR-S, n=8), and the diabetes-ischemia/reperfusion-fullerenol C60-sevoflurane (group DIR-S-FC60, n=8). Fullerenol C60 (100mg/kg) was administered intraperitoneally 30 min before the ischemia-reperfusion procedure to the fullerenol groups (DIR-FC60 and DIR-S-FC60). In the DIR groups, 2 hours (h) ischemia-2h reperfusion periods were performed. In the sevoflurane groups, sevoflurane was applied during the ischemia-reperfusion period with 100% O2. Liver and kidney tissues were removed at the end of the reperfusion procedure for biochemical and histopathological examinations.Results: In liver tissue, hydropic degeneration, sinusoidal dilatation, pycnotic nuclei, prenecrotic cells, and mononuclear cell infiltration in parenchyma were significantly more frequent in group DIR than in groups D and group C. In terms of the histopathologic criteria examined, more positive results were seen in group DIR-FC60, and when group DIR-FC60 was compared with group DIR, the difference was significant. The best results in AST, ALT, glucose, TBARS levels, and SOD enzyme activities in liver tissue were in group DIR-FC60 compared with group DIR, followed by groups DIR-S-FC60 and DIR-S, respectively. Regarding TBARS levels and SOD enzyme activities in kidney tissue, the best results were in groups DIR-FC60, DIR-S-FC60, and DIR-S, respectively.Conclusion: According to our findings, it is clear that fullerenol C60 administered intraperitoneally 30 min before ischemia, alone or together with sevoflurane, reduces oxidative stress in distant organ damage caused by lower extremity IRI, and reduces liver and kidney tissue damage in histopathologic examinations.
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    The effects of amantadine on lung tissue in lower limb ischemia/reperfusion injury model in rats
    (Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2021) Orhan, Mustafa; Tuna, Ayça Taş; Ünal, Yusuf; Arslan, Mustafa; Yazar, Hayrullah; Sezen, Şaban Cem; Gözükara, Sezen Irmak
    Background: This study aims to evaluate the effect of amantadine on lung tissue of after lower limb ischemia/reperfusion injury in rats. Methods: A total of 24 Wistar rats were divided into four equal groups including six rats in each: sham group (Group S), amantadine group (Group A), ischemia/reperfusion group (Group I/R), and ischemia/reperfusion + amantadine group (Group I/R-A). All groups underwent a midline abdominal incision. In Groups I/R and I/R-A, the infrarenal abdominal aorta was clamped for 120 min and, then, reperfused for 120 min after removal of the clamp. Amantadine hydrochloride 45 mg/kg was administered intraperitoneally to the rats of Groups A and Group I/R-A 15 min before surgery. At the end of reperfusion period (240 min), all rats were sacrificed, and their lung tissues were obtained. Lung tissue catalase and superoxide dismutase activities and glutathione S-transferase and malondialdehyde levels were analyzed. Lung tissues were examined histopathologically. Results: Catalase activity was lower in Groups A, I/R, and I/R-A compared to Group S. Superoxide dismutase activity was higher in Group I/R than Group S. Superoxide dismutase activity in Groups I/R-A and A decreased, compared to Groups S and I/R. Glutathione S-transferase levels decreased in Groups I/R and A, compared to Group S. Glutathione S-transferase levels in Group I/R-A were higher than Groups I/R and A. The highest level of malondialdehyde was found in Group I/R and the lowest level was found in Group I/R-A. According to histopathological examination, infiltration scores were significantly lower in Group S than Groups I/R and I/R-A (p=0.009 and p=0.011, respectively). The alveolar wall thickening scores in Group I/R were also significantly higher than Groups S and Group A (p=0.001 and p=0.001, respectively). Conclusion: Lung tissue can be affected histopathologically by ischemia/ reperfusion injury and this injury can be reversed by amantadine administration.
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    The role of pomegranate seed oil on kidney and lung tissues in the treatment of sepsis: animal pre-clinical research
    (J Infection Developing Countries, 2023) Arslan, Mustafa; Küçük, Ayşegül; Bozok, Ümmü Gülsen; Ergoruen, Aydan Iremnur; Sezen, Şaban Cem; Yavuz, Aydin; Kavutcu, Mustafa
    Objectives: Sepsis is a common disease with a high mortality. Decreasing the speed is possible with early and intensive therapy. However, most medicines have been tested, but none has proven effective. Therefore, the study aimed to discover the protective and therapeutic effects of pomegranate seed oil (PSO). Methods: The cecal ligation puncture (CLP) method was used to induce sepsis. The experimental procedure was started with the animals divided haphazardly into four groups: control (C), sepsis (CLP), CLP + low dose PSO (CLP + LD), and CLP + high dose PSO (CLP + HD). First, the cecum was filled with feces. The full cecum was tied under the ileocecal valve for ligation and punctured. At 1 hour after CLP, 0.32 mg/kg and 0.64 mg/kg of PSO were administered. 24 hours after, lung and kidney specimens were collected. Results: Neutrophil infiltration/aggregation and alveolar wall thickness decreased in lung with PSO groups compared with the CLP. The findings for overall lung injury were similar. In renal, all parameters were increased in the CLP compared with C, except for vascular vacuolization and hypertrophy. According to the CLP, all parameters were significantly lower in CLP + HD. Furthermore, glomerular vacuolization, degeneration, and necrosis of tubular cell, dilatation of bowman space, and tubular hyaline cylinders reduced CLP + LD versus CLP. Thiobarbituric acid-reactive substances decreased in lung, with the PSO groups. In addition, superoxide dismutase increased in PSO groups versus CLP. Conclusions: We conclude that the high-dose PSO is especially effective in treating sepsis.