Department of Cardiovascular Surgery, Afyonkarahisar Health Sciences University, Faculty of Medicine, Afyonkarahisar, Turkey.
Department of Surgery, Afyon Kocatepe University, Faculty of Veterinary Medicine, Afyonkarahisar, Turkey.
Braz J Cardiovasc Surg. 2022 Mar 10;37(1):65-73. doi: 10.21470/1678-9741-2020-0430.
In this study, Anzer propolis, which can only be obtained from the Eastern Black Sea region in Turkey, is studied for its effect on spinal cord ischemia/reperfusion injury.
A total of 12 healthy male New Zealand White rabbits with an average weight of 3.0 to 3.5 kg were separated into two blind and randomized groups: the ischemia/reperfusion group (n=6) and the treatment group (n=6). Each rabbit in the treatment group was given a dose of 100 mg/kg of ethanol-dissolved Anzer propolis orally 1 hour before surgery. Blood samples were examined at the 0th hour and postoperatively at the 24th and 48th hours. Tissue samples were taken at the 48th hour during the sacrification.
There was a statistically significant difference between the two groups in terms of postoperative Tarlov scoring (P=0.012). There was a difference between the two groups in terms of the blood levels of interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) at the 48th hour, myeloperoxidase (MPO) at the 24th and 48th hours, ischemia-modified albumin (IMA) at the 24th hour, and intercellular adhesion molecule-1 (ICAM-1) and total oxidant status (TOS) at the 48th hour (P<0.005). There was also a difference between the two groups in terms of apoptotic index data obtained with the terminal deoxynucleotidyl transferase (TdT)-mediated dUTP nick-end labelling (TUNEL) method in the histopathological examination (P=0.001). In the transmission electron microscopic (TEM) analysis, while ischemia/reperfusion group generally had axon-myelin separation, axoplasmic dissolution and myelin separation, the propolis treatment group had normal myelin sequencing.
In our study, after biochemical, histopathological, ultrastructural and neurological functional examination, it was demonstrated that Anzer propolis has sufficient neuroprotective effect on spinal cord ischemia/reperfusion injury in rabbits.
本研究以只能从土耳其东部黑海地区获得的安哲蜂胶为研究对象,探讨其对脊髓缺血再灌注损伤的影响。
将 12 只平均体重 3.0 至 3.5 公斤的健康雄性新西兰白兔随机分为两组,即缺血再灌注组(n=6)和治疗组(n=6)。治疗组中的每只兔子在术前 1 小时给予 100mg/kg 的乙醇溶解的安哲蜂胶。在第 0 小时和术后第 24 小时及第 48 小时采集血样,在牺牲时第 48 小时采集组织样本。
两组术后 Tarlov 评分存在统计学差异(P=0.012)。两组在术后第 48 小时白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)的血水平、术后第 24 小时及第 48 小时髓过氧化物酶(MPO)、术后第 24 小时缺血修饰白蛋白(IMA)及第 48 小时细胞间黏附分子-1(ICAM-1)和总氧化状态(TOS)均存在差异(P<0.005)。在组织病理学检查中,用末端脱氧核苷酸转移酶(TdT)介导的 dUTP 缺口末端标记法(TUNEL)获得的细胞凋亡指数数据也存在差异(P=0.001)。在透射电镜(TEM)分析中,虽然缺血再灌注组通常有轴突-髓鞘分离、轴浆溶解和髓鞘分离,但蜂胶治疗组有正常的髓鞘排列。
在本研究中,通过生化、组织病理学、超微结构和神经功能检查,证明安哲蜂胶对兔脊髓缺血再灌注损伤具有足够的神经保护作用。