The influence of levosimendan and iloprost on renal ischemia-reperfusion: an experimental study

Department of Cardiovascular Surgery, Atatürk Education and Research Hospital, Izmir, Turkey *Corresponding author. 2/11 sok. No: 7 D: 18 Oyak Sitesi, Izmir, Turkey. Fax: +90 232 2434848. E-mail address : hyasa20{at}yahoo.com (H. Yasa). The effects of iloprost on ischemia–reperfusion injury have bee...

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Veröffentlicht in:Interactive cardiovascular and thoracic surgery 2008-04, Vol.7 (2), p.235-239
Hauptverfasser: Yakut, Necmettin, Yasa, Haydar, Bahriye Lafci, Banu, Ortac, Ragip, Tulukoglu, Engin, Aksun, Murat, Ozbek, Cengiz, Gurbuz, Ali
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container_end_page 239
container_issue 2
container_start_page 235
container_title Interactive cardiovascular and thoracic surgery
container_volume 7
creator Yakut, Necmettin
Yasa, Haydar
Bahriye Lafci, Banu
Ortac, Ragip
Tulukoglu, Engin
Aksun, Murat
Ozbek, Cengiz
Gurbuz, Ali
description Department of Cardiovascular Surgery, Atatürk Education and Research Hospital, Izmir, Turkey *Corresponding author. 2/11 sok. No: 7 D: 18 Oyak Sitesi, Izmir, Turkey. Fax: +90 232 2434848. E-mail address : hyasa20{at}yahoo.com (H. Yasa). The effects of iloprost on ischemia–reperfusion injury have been studied on the skeletal, muscle, liver, myocardium, kidney, and spinal cord. However, no sufficient data exist about effects of levosimendan on renal ischemia–reperfusion injury. The purpose of this experimental study was to investigate and compare effectiveness of levosimendan and iloprost on renal injury induced by ischemia and reperfusion. Fifty rabbits were divided into five groups. Levosimendan was continuously infused starting half an hour before the cross-clamp. Cross-clamp time was one hour. After one hour ischemia, levosimendan was continued for 4 h in Group A whereas Group B took iloprost in the same protocol. Group C was the control group which did not receive any medication. Group D was sham group and Group E was medicated both iloprost and levosimendan. Renal tissues were histologically and biochemically evaluated. The histological scores were obtained according to presence of tubuler necrosis and atrophy, regenerative atypia, hydropic degeneration (Group A vs. Group C
doi_str_mv 10.1510/icvts.2007.161356
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No: 7 D: 18 Oyak Sitesi, Izmir, Turkey. Fax: +90 232 2434848. E-mail address : hyasa20{at}yahoo.com (H. Yasa). The effects of iloprost on ischemia–reperfusion injury have been studied on the skeletal, muscle, liver, myocardium, kidney, and spinal cord. However, no sufficient data exist about effects of levosimendan on renal ischemia–reperfusion injury. The purpose of this experimental study was to investigate and compare effectiveness of levosimendan and iloprost on renal injury induced by ischemia and reperfusion. Fifty rabbits were divided into five groups. Levosimendan was continuously infused starting half an hour before the cross-clamp. Cross-clamp time was one hour. After one hour ischemia, levosimendan was continued for 4 h in Group A whereas Group B took iloprost in the same protocol. Group C was the control group which did not receive any medication. Group D was sham group and Group E was medicated both iloprost and levosimendan. Renal tissues were histologically and biochemically evaluated. The histological scores were obtained according to presence of tubuler necrosis and atrophy, regenerative atypia, hydropic degeneration (Group A vs. Group C&lt;0.001, Group B vs. Group C&lt;0.001, Group D vs. Group C&lt;0.01, Group E vs. Group C&lt;0.001). Mean malondialdehyde levels were 114±12 nmol/g tissue; in Group A 121±13 nmol/g tissue, in Group B 134±13 nmol/g tissue, in Group E 130±11 nmol/g tissue, in Group D 134±11 nmol/g tissue (Group A vs. Group B; P =0.003, Group B vs. Group D; P =0.132, Group A vs. Group E; P =0.132). Malondialdehyde levels and histologic scores of all of the groups were significantly different from the control group. Iloprost and pentoxyfillin reduced renal ischemia–reperfusion injury in rabbit model. There was no significant difference between these two medications. 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No: 7 D: 18 Oyak Sitesi, Izmir, Turkey. Fax: +90 232 2434848. E-mail address : hyasa20{at}yahoo.com (H. Yasa). The effects of iloprost on ischemia–reperfusion injury have been studied on the skeletal, muscle, liver, myocardium, kidney, and spinal cord. However, no sufficient data exist about effects of levosimendan on renal ischemia–reperfusion injury. The purpose of this experimental study was to investigate and compare effectiveness of levosimendan and iloprost on renal injury induced by ischemia and reperfusion. Fifty rabbits were divided into five groups. Levosimendan was continuously infused starting half an hour before the cross-clamp. Cross-clamp time was one hour. After one hour ischemia, levosimendan was continued for 4 h in Group A whereas Group B took iloprost in the same protocol. Group C was the control group which did not receive any medication. Group D was sham group and Group E was medicated both iloprost and levosimendan. Renal tissues were histologically and biochemically evaluated. The histological scores were obtained according to presence of tubuler necrosis and atrophy, regenerative atypia, hydropic degeneration (Group A vs. Group C&lt;0.001, Group B vs. Group C&lt;0.001, Group D vs. Group C&lt;0.01, Group E vs. Group C&lt;0.001). Mean malondialdehyde levels were 114±12 nmol/g tissue; in Group A 121±13 nmol/g tissue, in Group B 134±13 nmol/g tissue, in Group E 130±11 nmol/g tissue, in Group D 134±11 nmol/g tissue (Group A vs. Group B; P =0.003, Group B vs. Group D; P =0.132, Group A vs. Group E; P =0.132). Malondialdehyde levels and histologic scores of all of the groups were significantly different from the control group. Iloprost and pentoxyfillin reduced renal ischemia–reperfusion injury in rabbit model. There was no significant difference between these two medications. 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No: 7 D: 18 Oyak Sitesi, Izmir, Turkey. Fax: +90 232 2434848. E-mail address : hyasa20{at}yahoo.com (H. Yasa). The effects of iloprost on ischemia–reperfusion injury have been studied on the skeletal, muscle, liver, myocardium, kidney, and spinal cord. However, no sufficient data exist about effects of levosimendan on renal ischemia–reperfusion injury. The purpose of this experimental study was to investigate and compare effectiveness of levosimendan and iloprost on renal injury induced by ischemia and reperfusion. Fifty rabbits were divided into five groups. Levosimendan was continuously infused starting half an hour before the cross-clamp. Cross-clamp time was one hour. After one hour ischemia, levosimendan was continued for 4 h in Group A whereas Group B took iloprost in the same protocol. Group C was the control group which did not receive any medication. Group D was sham group and Group E was medicated both iloprost and levosimendan. Renal tissues were histologically and biochemically evaluated. The histological scores were obtained according to presence of tubuler necrosis and atrophy, regenerative atypia, hydropic degeneration (Group A vs. Group C&lt;0.001, Group B vs. Group C&lt;0.001, Group D vs. Group C&lt;0.01, Group E vs. Group C&lt;0.001). Mean malondialdehyde levels were 114±12 nmol/g tissue; in Group A 121±13 nmol/g tissue, in Group B 134±13 nmol/g tissue, in Group E 130±11 nmol/g tissue, in Group D 134±11 nmol/g tissue (Group A vs. Group B; P =0.003, Group B vs. Group D; P =0.132, Group A vs. Group E; P =0.132). Malondialdehyde levels and histologic scores of all of the groups were significantly different from the control group. Iloprost and pentoxyfillin reduced renal ischemia–reperfusion injury in rabbit model. There was no significant difference between these two medications. Key Words: Iloprost; Levosimendan; Ischemia/reperfusion injury; Rabbit kidney</abstract><cop>England</cop><pub>Eur Assoc Cardio Surg</pub><pmid>18056154</pmid><doi>10.1510/icvts.2007.161356</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Atrophy
Disease Models, Animal
Female
Hydrazones - pharmacology
Hydrazones - therapeutic use
Iloprost - pharmacology
Iloprost - therapeutic use
Kidney - blood supply
Kidney - drug effects
Kidney - metabolism
Kidney - pathology
Kidney Diseases - metabolism
Kidney Diseases - pathology
Kidney Diseases - prevention & control
Lipid Peroxidation - drug effects
Male
Malondialdehyde - metabolism
Necrosis
Protective Agents - pharmacology
Protective Agents - therapeutic use
Pyridazines - pharmacology
Pyridazines - therapeutic use
Rabbits
Reperfusion Injury - metabolism
Reperfusion Injury - pathology
Reperfusion Injury - prevention & control
title The influence of levosimendan and iloprost on renal ischemia-reperfusion: an experimental study
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