Department of Obstetrics and Gynecology, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Department of Pharmacology, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
J Obstet Gynaecol Res. 2020 Nov;46(11):2407-2416. doi: 10.1111/jog.14503. Epub 2020 Sep 22.
Ovarian torsion is a common gynecological emergency of reproductive ages, occurring at rates of 2.7-7.4%. This study aimed to evaluate the antioxidant effects of Nebivolol (NEB) and histopathological changes in experimental ischemic (I) and ischemic-reperfusion (I/R) injury in rat ovaries.
Forty-eight adult female rats were randomly separated into six groups as group 1 (control) receiving an oral saline solution for 3 days; group 2 (I) that underwent ischemia for 3 h with the application of atraumatic vascular clips; group 3 (I/R); group 4 (I + NEB) receiving 10 mg/kg NEB by oral gavage 30 min prior to the ischemia induction; group 5 (I/R + NEB) receiving 10 mg/kg NEB, and group 6 (control + NEB) receiving oral 10 mg/kg NEB for 3 days before ischemia induction followed by consequent reperfusion. Ovarian tissue damage was scored by histopathological analysis. Ovarian tissue malondialdehyde (MDA) and glutathione (GSH) levels were measured biochemically.
The levels of MDA and tumor necrosis factor-alpha (TNF-α), and TUNEL assay positivity scores increased in the I and I/R groups. GSH levels decreased in all case groups (P < 0.05). The oral administration of NEB (10 mg/kg) to the I- and I/R-groups reduced the levels of MDA and TNF-α and TUNEL assay immunopositivity scores (P < 0.05). GSH levels increased in the treatment groups.
The current experimental ovarian torsion study suggests a protective role for NEB against I and I/R injury in rat ovaries. NEB may be a novel agent for decreasing ovarian I/R injury.
卵巢扭转是生殖年龄段常见的妇科急症,发生率为 2.7-7.4%。本研究旨在评估奈必洛尔(NEB)的抗氧化作用及在大鼠卵巢缺血(I)和缺血再灌注(I/R)损伤中的组织病理学变化。
将 48 只成年雌性大鼠随机分为 6 组:第 1 组(对照组)给予口服生理盐水 3 天;第 2 组(I 组)进行 3 小时缺血,应用无创伤性血管夹;第 3 组(I/R 组);第 4 组(I+NEB 组)在缺血诱导前 30 分钟给予 10mg/kg NEB 口服;第 5 组(I/R+NEB 组)给予 10mg/kg NEB,第 6 组(对照组+NEB 组)在缺血诱导前 3 天给予 10mg/kg NEB 口服,随后再灌注。通过组织病理学分析对卵巢组织损伤进行评分。生化法测定卵巢组织丙二醛(MDA)和谷胱甘肽(GSH)水平。
I 组和 I/R 组 MDA 和肿瘤坏死因子-α(TNF-α)水平以及 TUNEL 检测阳性评分增加,所有病例组 GSH 水平降低(P<0.05)。I 组和 I/R 组给予 10mg/kg NEB 口服可降低 MDA 和 TNF-α水平及 TUNEL 检测免疫阳性评分(P<0.05)。治疗组 GSH 水平升高。
本实验性卵巢扭转研究表明,NEB 对大鼠卵巢 I 和 I/R 损伤具有保护作用。NEB 可能是减少卵巢 I/R 损伤的一种新药物。