Topaloğlu Ulaş Serkan, Sipahioğlu Murat Hayri, Güntürk İnayet, Akgün Hülya, Doğan Muhammet Ensar, Sönmez Gökhan, Elmalı Ferhan, Yazıcı Cevat
Department of Internal Medicine, Kayseri City Hospital, Kayseri, Turkey.
Department of Nephrology, Erciyes University Medical Faculty, Kayseri, Turkey.
Iran J Basic Med Sci. 2019 Dec;22(12):1432-1439. doi: 10.22038/IJBMS.2019.13990.
This study aimed to show the effects of thymoquinone, which is known for its antioxidant, anti-inflammatory, and renal protective effects in contrast-induced nephropathy.
This is an experimental study in rats. 7 groups were included within the scope of our study: sham-vehicle (n=3), premedication-control (n=6), model (n=6), isolated thymoquinone (n=3+3), low-dose thymoquinone (n=6), and high-dose thymoquinone (n=7). In addition to 48 hr of water deprivation, we pre-medicated the rats with intra-peritoneal indomethacin and L-NAME administration. After premedication, 12.5 ml/kg dose of a high osmolar contrast agent-diatrizoat (Urografin %76) was administrated. Thymoquinone was administrated in two different doses of 1 mg/kg and 1.75 mg/kg for four days intraperitoneally. Renal functions, histopathological differences, oxidative stress parameters, and inflammatory indicators of rats were evaluated at the end of the study.
Significant decreases were observed in levels of serum creatinine and serum BUN with low-dose thymoquinone (1 mg/kg) administration. In light microscopy, significantly less histopathological damage was observed in the low-dose thymoquinone group compared to the contrast agent group. While high-dose thymoquinone is accepted as ineffective biochemically, toxic evidence was identified histopathologically. There were no significant differences between M and TA groups for serum MDA and SOD levels, which were compared to evaluate oxidative stress (0.99, 0.98; respectively). TNF-α, iNOS, and NF-кB gene expressions were not significantly different between all groups (0.748, 0.531, 0.910; respectively).
This experimental study has demonstrated for the first time the protective effect of the TQ substance for CIN in 1 mg/kg dose, in the accompaniment of biochemical and histopathological data in rats.
本研究旨在展示百里醌在对比剂肾病中因其抗氧化、抗炎和肾脏保护作用而产生的效果。
这是一项针对大鼠的实验研究。我们的研究范围内包括7组:假手术-赋形剂组(n = 3)、预处理-对照组(n = 6)、模型组(n = 6)、单独使用百里醌组(n = 3 + 3)、低剂量百里醌组(n = 6)和高剂量百里醌组(n = 7)。除了48小时禁水外,我们通过腹腔注射吲哚美辛和L-精氨酸甲酯对大鼠进行预处理。预处理后,给予12.5 ml/kg剂量的高渗对比剂泛影葡胺(76%优维显)。百里醌以1 mg/kg和1.75 mg/kg两种不同剂量腹腔注射四天。在研究结束时评估大鼠的肾功能、组织病理学差异、氧化应激参数和炎症指标。
低剂量百里醌(1 mg/kg)给药后,血清肌酐和血清尿素氮水平显著降低。在光学显微镜下,与对比剂组相比,低剂量百里醌组观察到的组织病理学损伤明显更少。虽然高剂量百里醌在生化方面被认为无效,但在组织病理学上发现了毒性证据。为评估氧化应激而比较的血清丙二醛和超氧化物歧化酶水平在模型组和单独使用百里醌组之间没有显著差异(分别为0.99和0.98)。所有组之间肿瘤坏死因子-α、诱导型一氧化氮合酶和核因子-κB基因表达没有显著差异(分别为0.748、0.531、0.910)。
这项实验研究首次在大鼠中结合生化和组织病理学数据证明了1 mg/kg剂量的百里醌对对比剂肾病的保护作用。