Mercantepe Filiz, Tumkaya Levent, Mercantepe Tolga, Akyildiz Kerimali, Ciftel Serpil, Yilmaz Adnan
Department of Endocrinology and Metabolism Diseases, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Department of Histology and Embryology, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Cells Tissues Organs. 2023;212(6):554-566. doi: 10.1159/000531613. Epub 2023 Jun 20.
Ischemia/reperfusion (I/R) induced ovarian damage is caused by various diseases such as ovarian torsion, ovarian transplantation, cardiovascular surgery, sepsis, or intra-abdominal surgery. I/R-related oxidative damage can impair ovarian functions, from oocyte maturation to fertilization. This study investigated the effects of dexmedetomidine (DEX), which has been shown to exhibit antiapoptotic, anti-inflammatory, and antioxidant effects, on ovarian I/R injury. We designed four study groups: group 1 (n = 6): control group; group 2 (n = 6): only DEX group; group 3 (n = 6): I/R group; group 4 (n = 6): I/R + DEX group. Then, ovarian samples were taken and examined histologically and immunohistochemically, and tissue malondialdehyde (MDA) and glutathione (GSH) levels were measured. In the I/R group MDA levels, caspase-3, NF-κB/p65, 8-OHdG positivity, and follicular degeneration, edema, and inflammation were increased compared to the control group (p = 0.000). In addition, GSH levels were significantly decreased in the I/R group compared to the control group (p = 0.000). On the other hand, in the I/R + DEX treatment group MDA levels, caspase-3, NF-κB/p65, 8-OHdG positivity, follicular degeneration, edema, and inflammation findings were decreased than in the I/R group (p = 0.000, p = 0.005, p = 0.005, p = 0.001, p = 0.005, respectively). However, GSH levels increased significantly in the I/R + DEX treatment group compared to the I/R group (p = 0.000). DEX protects against ovarian I/R injury through antioxidation and by suppressing inflammation and apoptosis.
缺血/再灌注(I/R)诱导的卵巢损伤由多种疾病引起,如卵巢扭转、卵巢移植、心血管手术、败血症或腹部手术。与I/R相关的氧化损伤会损害卵巢功能,从卵母细胞成熟到受精。本研究调查了已显示具有抗凋亡、抗炎和抗氧化作用的右美托咪定(DEX)对卵巢I/R损伤的影响。我们设计了四个研究组:第1组(n = 6):对照组;第2组(n = 6):仅DEX组;第3组(n = 6):I/R组;第4组(n = 6):I/R + DEX组。然后,采集卵巢样本并进行组织学和免疫组织化学检查,并测量组织丙二醛(MDA)和谷胱甘肽(GSH)水平。与对照组相比,I/R组的MDA水平、半胱天冬酶-3、NF-κB/p65、8-羟基脱氧鸟苷(8-OHdG)阳性以及卵泡变性、水肿和炎症增加(p = 0.000)。此外,与对照组相比,I/R组的GSH水平显著降低(p = 0.000)。另一方面,在I/R + DEX治疗组中,MDA水平、半胱天冬酶-3、NF-κB/p65、8-OHdG阳性、卵泡变性、水肿和炎症结果比I/R组减少(分别为p = 0.000、p = 0.005、p = 0.005、p = 0.001、p = 0.005)。然而,与I/R组相比,I/R + DEX治疗组的GSH水平显著升高(p = 0.000)。DEX通过抗氧化以及抑制炎症和凋亡来预防卵巢I/R损伤。