Meštrović Jakov, Drmić-Hofman Irena, Pogorelić Zenon, Vilović Katarina, Šupe-Domić Daniela, Šešelja-Perišin Ana, Capkun Vesna
Department of Pediatric Surgery, Split University Hospital Centre and Split University School of Medicine, Split, Croatia.
Department of Medical Chemistry and Biochemistry, University of Split School of Medicine, Split, Croatia; Department of Pathology, Forensic Medicine and Cytology, University of Split School of Medicine, Split, Croatia.
Urology. 2014 Nov;84(5):1194-8. doi: 10.1016/j.urology.2014.07.022. Epub 2014 Oct 24.
To investigate the effect of nifedipine on testicular torsion-detorsion injury.
Twenty-four adult male Sprague-Dawley rats were randomly divided into 3 groups, each containing 8 rats. Rats in the control group underwent a sham operation of the left testis. In the torsion-detorsion (T/D) group, the left testis was twisted at 720° for 3 hours. After 3 hours of reperfusion, at the end of the experiment, the testes were removed. Rats in the treatment group received the same surgical procedure as the T/D group, but nifedipine was administered intraperitoneally (100 μg/kg) 30 minutes before the time of detorsion.
Unilateral testicular torsion-detorsion caused a significant increase in the malondialdehyde level and apoptosis and caused significant decreases in superoxide dismutase and glutathione peroxidase activities in ipsilateral testes. The rats treated with nifedipine had a significant decrease in malondialdehyde level and apoptosis and had significant increases in superoxide dismutase and glutathione peroxidase activities in ipsilateral testes compared with those of the T/D group.
These results suggest that biochemical and histological torsion-detorsion injury occurs in the ipsilateral testes after a 3-hour torsion and 3-hour detorsion and that administration of nifedipine before detorsion prevents ischemia/reperfusion cellular damage in the testicular tissue.
探讨硝苯地平对睾丸扭转复位损伤的影响。
将24只成年雄性Sprague-Dawley大鼠随机分为3组,每组8只。对照组大鼠行左侧睾丸假手术。在扭转复位(T/D)组中,左侧睾丸扭转720°持续3小时。再灌注3小时后,在实验结束时取出睾丸。治疗组大鼠接受与T/D组相同的手术操作,但在复位前30分钟腹腔注射硝苯地平(100μg/kg)。
单侧睾丸扭转复位导致同侧睾丸丙二醛水平和凋亡显著增加,超氧化物歧化酶和谷胱甘肽过氧化物酶活性显著降低。与T/D组相比,硝苯地平治疗的大鼠同侧睾丸丙二醛水平和凋亡显著降低,超氧化物歧化酶和谷胱甘肽过氧化物酶活性显著增加。
这些结果表明,在3小时扭转和3小时复位后,同侧睾丸发生了生化和组织学扭转复位损伤,并且在复位前给予硝苯地平可预防睾丸组织的缺血/再灌注细胞损伤。