Aydin Arif, Sunay Mehmet Melih, Karakan Tolga, Özcan Serkan, Hasçiçek Ahmet Metin, Yardimci İbrahim, Surer Hatice, Korkmaz Meliha, Hücümenoğlu Sema, Huri Emre
MD, NEÜ Meram Medicine Faculty Department of Urology, Konya, Turkey. Design of the study, acquisition of data, manuscript writing.
MD, Professor, Karabük University Medicine Faculty Department of Urology, Karabük, Turkey. Manuscript preparation.
Acta Cir Bras. 2020 Oct 16;35(9):e202000905. doi: 10.1590/s0102-865020200090000005. eCollection 2020.
To determine the nephroprotective effect of NAC and Montelukast Sodium administration against the development of renal damage associated with long warm renal ischemia.
Twenty-seven rats were randomly divided into 3 study groups, which received NAC, montelukast and placebo, and 3 rats were included in the sham-treated control group. Medications were given 3 days before the procedure. DMSA renal scintigraphy was performed before and after surgery. The right renal pedicle was occluded for 45 min to induce ischemia and then subjected to reperfusion for 6 h (I/R groups).
On pathological examination, the mean pathological scores of the montelukast and NAC groups were significantly lower than those of the placebo group. (p <0.05). In biochemical examination, significant differences were found in all parameter levels between the placebo group and the montelukast and NAC groups. (p <0.05) When postoperative DMSA renal scintigraphy measurements and renal function levels were compared, significant differences were found between the montelukast and NAC groups and the placebo and sham groups.
The administration of NAC and montelukast sodium was seen to have a nephroprotective effect against the development of renal damage associated with warm renal ischemia.
确定给予N-乙酰半胱氨酸(NAC)和孟鲁司特钠对与长时间温暖肾缺血相关的肾损伤发展的肾保护作用。
将27只大鼠随机分为3个研究组,分别接受NAC、孟鲁司特和安慰剂治疗,另有3只大鼠纳入假手术对照组。在手术前3天给予药物。在手术前后进行二巯基丁二酸(DMSA)肾闪烁扫描。阻断右肾蒂45分钟以诱导缺血,然后进行6小时的再灌注(缺血/再灌注组)。
病理检查显示,孟鲁司特组和NAC组的平均病理评分显著低于安慰剂组。(p<0.05)。生化检查发现,安慰剂组与孟鲁司特组和NAC组之间所有参数水平均存在显著差异。(p<0.05) 比较术后DMSA肾闪烁扫描测量结果和肾功能水平时,孟鲁司特组和NAC组与安慰剂组和假手术组之间存在显著差异。
给予NAC和孟鲁司特钠对与温暖肾缺血相关的肾损伤发展具有肾保护作用。