Postconditioning attenuates acute intestinal ischemia–reperfusion injury

The aim of this study was to test the hypothesis that postconditioning (POC) would reduce the detrimental effects of the acute intestinal ischemia–reperfusion (I/R) compared to those of the abrupt onset of reperfusion. POC has a protective effect on intestinal I/R injury by inhibiting events in the...

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Main Authors: Ilker Sengul, Demet Sengul, Osman Guler, Adnan Hasanoglu, Mustafa Kemal Urhan, Ahmet Sukru Taner, Jakob Vinten-Johansen
Format: Article
Language:English
Published: Wiley 2013-03-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X12002227
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author Ilker Sengul
Demet Sengul
Osman Guler
Adnan Hasanoglu
Mustafa Kemal Urhan
Ahmet Sukru Taner
Jakob Vinten-Johansen
author_facet Ilker Sengul
Demet Sengul
Osman Guler
Adnan Hasanoglu
Mustafa Kemal Urhan
Ahmet Sukru Taner
Jakob Vinten-Johansen
author_sort Ilker Sengul
collection DOAJ
description The aim of this study was to test the hypothesis that postconditioning (POC) would reduce the detrimental effects of the acute intestinal ischemia–reperfusion (I/R) compared to those of the abrupt onset of reperfusion. POC has a protective effect on intestinal I/R injury by inhibiting events in the early minutes of reperfusion in rats. Twenty-four Wistar–Albino rats were subjected to the occlusion of superior mesenteric artery for 30 minutes, then reperfused for 120 minutes, and randomized to the four different modalities of POC: (1) control (no intervention); (2) POC-3 (three cycles of 10 seconds of reperfusion–reocclusion, 1 minute total intervention); (3) POC-6 (six cycles of 10 seconds of reperfusion–reocclusion, 2 minutes total intervention); and (4) sham operation (laparotomy only). The arterial blood samples [0.3 mL total creatine kinase (CK) and 0.6 mL malondialdehyde (MDA)] and the intestinal mucosal MDA were collected from each after reperfusion. POC, especially POC-6, was effective in attenuating postischemic pathology by decreasing the intestinal tissue MDA levels, serum total CK activity, inflammation, and total histopathological injury scores. POC exerted a protective effect on the intestinal mucosa by reducing the mesenteric oxidant generation, lipid peroxidation, and neutrophil accumulation. The six-cycle algorithm demonstrated the best protection.
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spelling doaj.art-0c5292d927b343f6b94b9ec933c6fbf72022-12-21T19:16:11ZengWileyKaohsiung Journal of Medical Sciences1607-551X2013-03-0129311912710.1016/j.kjms.2012.08.021Postconditioning attenuates acute intestinal ischemia–reperfusion injuryIlker Sengul0Demet Sengul1Osman Guler2Adnan Hasanoglu3Mustafa Kemal Urhan4Ahmet Sukru Taner5Jakob Vinten-Johansen6Department of General Surgery, Giresun University Faculty of Medicine, Giresun, TurkeyDepartment of Pathology, Giresun University Faculty of Medicine, Giresun, TurkeyDepartment of 1st General Surgery, Ankara Education and Research Hospital, Ankara, TurkeyDepartment of 1st General Surgery, Ankara Education and Research Hospital, Ankara, TurkeyDepartment of 1st General Surgery, Ankara Education and Research Hospital, Ankara, TurkeyDepartment of 1st General Surgery, Ankara Education and Research Hospital, Ankara, TurkeyDepartment of Surgery (Cardiothoracic), Cardiothoracic Research Laboratory of Emory University, Carlyle Fraser Heart Center, Atlanta, GA, USAThe aim of this study was to test the hypothesis that postconditioning (POC) would reduce the detrimental effects of the acute intestinal ischemia–reperfusion (I/R) compared to those of the abrupt onset of reperfusion. POC has a protective effect on intestinal I/R injury by inhibiting events in the early minutes of reperfusion in rats. Twenty-four Wistar–Albino rats were subjected to the occlusion of superior mesenteric artery for 30 minutes, then reperfused for 120 minutes, and randomized to the four different modalities of POC: (1) control (no intervention); (2) POC-3 (three cycles of 10 seconds of reperfusion–reocclusion, 1 minute total intervention); (3) POC-6 (six cycles of 10 seconds of reperfusion–reocclusion, 2 minutes total intervention); and (4) sham operation (laparotomy only). The arterial blood samples [0.3 mL total creatine kinase (CK) and 0.6 mL malondialdehyde (MDA)] and the intestinal mucosal MDA were collected from each after reperfusion. POC, especially POC-6, was effective in attenuating postischemic pathology by decreasing the intestinal tissue MDA levels, serum total CK activity, inflammation, and total histopathological injury scores. POC exerted a protective effect on the intestinal mucosa by reducing the mesenteric oxidant generation, lipid peroxidation, and neutrophil accumulation. The six-cycle algorithm demonstrated the best protection.http://www.sciencedirect.com/science/article/pii/S1607551X12002227Creatine kinaseIntestinal ischemia–reperfusionIschemia–reperfusion injuryMalondialdehydePostconditioning
spellingShingle Ilker Sengul
Demet Sengul
Osman Guler
Adnan Hasanoglu
Mustafa Kemal Urhan
Ahmet Sukru Taner
Jakob Vinten-Johansen
Postconditioning attenuates acute intestinal ischemia–reperfusion injury
Kaohsiung Journal of Medical Sciences
Creatine kinase
Intestinal ischemia–reperfusion
Ischemia–reperfusion injury
Malondialdehyde
Postconditioning
title Postconditioning attenuates acute intestinal ischemia–reperfusion injury
title_full Postconditioning attenuates acute intestinal ischemia–reperfusion injury
title_fullStr Postconditioning attenuates acute intestinal ischemia–reperfusion injury
title_full_unstemmed Postconditioning attenuates acute intestinal ischemia–reperfusion injury
title_short Postconditioning attenuates acute intestinal ischemia–reperfusion injury
title_sort postconditioning attenuates acute intestinal ischemia reperfusion injury
topic Creatine kinase
Intestinal ischemia–reperfusion
Ischemia–reperfusion injury
Malondialdehyde
Postconditioning
url http://www.sciencedirect.com/science/article/pii/S1607551X12002227
work_keys_str_mv AT ilkersengul postconditioningattenuatesacuteintestinalischemiareperfusioninjury
AT demetsengul postconditioningattenuatesacuteintestinalischemiareperfusioninjury
AT osmanguler postconditioningattenuatesacuteintestinalischemiareperfusioninjury
AT adnanhasanoglu postconditioningattenuatesacuteintestinalischemiareperfusioninjury
AT mustafakemalurhan postconditioningattenuatesacuteintestinalischemiareperfusioninjury
AT ahmetsukrutaner postconditioningattenuatesacuteintestinalischemiareperfusioninjury
AT jakobvintenjohansen postconditioningattenuatesacuteintestinalischemiareperfusioninjury