Başarslan Seyit Kağan, Göçmez Cüneyt, Kamaşak Kağan, Ekici Mehmet Ali, Ulutabanca Halil, Doğu Yurdaer, Menkü Ahmet
Department of Neurosurgery, Mustafa Kemal University Faculty of Medicine, Hatay, Turkey.
Department of Neurosurgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Ulus Travma Acil Cerrahi Derg. 2015 Jul;21(4):235-40. doi: 10.5505/tjtes.2015.66502.
The aim of this study was to investigate the protective effects of erythropoietin, dextran/saline and erythropoietin in combination with dextran/saline on brain edema and lipid peroxidation following traumatic brain injury in rats.
In the study, 40 male 3-month-old albino Wistar rats, weighing 250-340 g, were divided into four groups, each consisting of ten rats. Traumatic brain injury was induced in all rats by the weight-drop method, and erythropoietin (5,000 U/kg) and/or dextran and saline (8 ml/kg) solutions were injected intraperitoneally ten minutes after trauma. Control animals received an equal volume of serum physiologic. All rats were sacrificed 24 hours later. Glutathione peroxidase activity and malondialdehyde levels were measured in the left hemisphere, and edema was quantitated by the wet-dry method.
Brain edema and the levels of malondialdehyde, the last product of lipid peroxidation in tissues, were decreased variably, and the activity of glutathione peroxidase, an antioxidant enzyme, was increased in others compared with the control group.
In this study, it was concluded that the brain edema that developed in rats on which head trauma was induced and the secondary brain damage caused by oxidative stress could be deceased using a combination of erythropoietin, dextran, and saline.
本研究旨在探讨促红细胞生成素、右旋糖酐/生理盐水以及促红细胞生成素与右旋糖酐/生理盐水联合应用对大鼠创伤性脑损伤后脑水肿和脂质过氧化的保护作用。
在该研究中,将40只3月龄、体重250 - 340克的雄性白化Wistar大鼠分为四组,每组10只。所有大鼠均采用重物坠落法诱导创伤性脑损伤,并在创伤后10分钟腹腔注射促红细胞生成素(5000 U/kg)和/或右旋糖酐及生理盐水(8 ml/kg)溶液。对照组动物注射等量的生理盐水。24小时后处死所有大鼠。测定左半球谷胱甘肽过氧化物酶活性和丙二醛水平,并用干湿法对水肿进行定量分析。
与对照组相比,脑水肿以及组织脂质过氧化终产物丙二醛的水平有所不同程度降低,抗氧化酶谷胱甘肽过氧化物酶的活性在其他组中有所升高。
在本研究中,得出的结论是,使用促红细胞生成素、右旋糖酐和生理盐水联合应用可减轻诱导头部创伤的大鼠所出现的脑水肿以及氧化应激所致的继发性脑损伤。