Koosha Fereshteh, Sheikhzadeh Peyman
Department of Radiology Technology, Faculty of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Nuclear Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Cardiovasc Toxicol. 2022 Jul;22(7):646-654. doi: 10.1007/s12012-022-09744-8. Epub 2022 May 6.
This study was designed to indicate the cardiotoxicity due to Tc-MIBI injection in myocardial perfusion imaging in wistar Rats. In addition, protective effect of hesperidin/diosmin compound (HDC) against the cardiotoxicity was evaluated. Twenty five male rats were randomly divided into five groups. The rats in Group 1 (control) only received PBS. For Group 2 (HDC only) the rats treated with only HDC. The rats in Group 3 (radiation) received PBS before injection and exposure to 1 mCi Tc-MIBI. The rats in Group 4 (HDC + radiation) treated with HDC before exposure. For Group 5 (radiation + HDC) the rats were exposed and thereafter administered HDC. The Animals of this study were orally administered 100 mg/kg/day of the HDC for 7 days. Then, the rats were sacrificed and afterwards their heart tissues were carefully extracted for biochemical and histopathological evaluations. According to our results in the radiation group, the rate of rupture of cardiomyocyte fibers was higher than other groups, and in some fibers, the presence of lymphocytes was observed. Relative improvement was observed in radiation + HDC group compared to the radiation group and also a small number of cardiomyocyte fibers were torn and in some fibers, the presence of lymphocytes was observed, which was less than the model group. Collagen deposition significantly increased in radiation group compared to control group (P < 0.05). It can be seen that the percentage of collagen deposition decreased substantially in the group treated with HDC before or after radiation compared to radiation group (P < 0.05). The MDA activities significantly reduced (P < 0.05) in both (HDC + radiation) and (radiation + HDC) groups. SOD activity significantly increased in both (radiation + HDC) and (HDC + radiation) groups compared to that of radiation group (P < 0.05). It could be concluded that the HDC is safe and promising useful therapeutic agent in radiation induced cardiotoxicity for patients undergoing nuclear medicine procedures.
本研究旨在表明在Wistar大鼠心肌灌注显像中,注射锝-甲氧基异丁基异腈(Tc-MIBI)所导致的心脏毒性。此外,还评估了橙皮苷/地奥司明化合物(HDC)对心脏毒性的保护作用。将25只雄性大鼠随机分为五组。第1组(对照组)仅接受磷酸盐缓冲液(PBS)。第2组(仅HDC组)的大鼠仅用HDC治疗。第3组(辐射组)在注射和暴露于1毫居里Tc-MIBI之前接受PBS。第4组(HDC + 辐射组)在暴露前用HDC治疗。第5组(辐射 + HDC组)的大鼠先暴露,然后给予HDC。本研究的动物口服100毫克/千克/天的HDC,持续7天。然后,处死大鼠,之后小心提取其心脏组织进行生化和组织病理学评估。根据我们在辐射组的结果,心肌细胞纤维破裂率高于其他组,并且在一些纤维中观察到淋巴细胞的存在。与辐射组相比,辐射 + HDC组观察到相对改善,并且少数心肌细胞纤维撕裂,在一些纤维中观察到淋巴细胞的存在,但其数量少于模型组。与对照组相比,辐射组的胶原沉积显著增加(P < 0.05)。可以看出,与辐射组相比,在辐射前或后用HDC治疗的组中胶原沉积百分比大幅下降(P < 0.05)。在(HDC + 辐射)组和(辐射 + HDC)组中,丙二醛(MDA)活性均显著降低(P < 0.05)。与辐射组相比,(辐射 + HDC)组和(HDC + 辐射)组的超氧化物歧化酶(SOD)活性均显著增加(P < 0.05)。可以得出结论,对于接受核医学检查的患者,HDC在辐射诱导的心脏毒性方面是一种安全且有前景的有用治疗剂。