Cakir Remzi Can, Dinc Bulent, Ellidağ Hamit Yaşar, Yildirim Senay, Kaplan Tahir Turker, Celik Omer, Ozgul Halit, Cakir Tugrul
Department of General Surgery, Hatay Education and Research Hospital, Hatay, Turkey.
Faculty of Health Sciences, Antalya Bilim University, Antalya, Turkey.
Eur J Trauma Emerg Surg. 2025 Jun 27;51(1):235. doi: 10.1007/s00068-025-02906-7.
PURPOSE: To investigate the histopathological findings and serum levels of ischemia and oxidative stress biomarkers in a rat model of renal ischemia-reperfusion injury. METHODS: Fifty-one female Wistar rats were randomly allocated into six groups: ischemia/third day, ischemia/first week, ischemia/second week, and corresponding control groups for each ischemia group. Each ischemia group had 10 rats, and each control group had seven. Ischemia was induced by clamping the left renal hilum for 45 min, followed by reperfusion. Relaparotomy was performed at designated time points, and blood and kidney samples were collected. Control groups underwent laparotomy without ischemia. Serum levels of signal peptide-complement C1r/C1s, Uegf, and Bmp1-epidermal growth factor-like domain-containing protein 1 and 2 (SCUBE-1/2), caveolin-1 (Cav-1), albumin, ischemia-modified albumin (IMA), total antioxidant status (TAS), total oxidant status (TOS), oxidative stress index (OSI), IMA/albumin ratio (IMAR), creatinine, and blood urea nitrogen were analyzed, and histopathological examinations were undertaken. RESULTS: In the ischemia groups, serum levels of SCUBE-1, IMA, TAS, TOS, creatinine, IMAR, and OSI statistically significantly differed from those in the control groups. Serum Cav-1 levels showed a statistically significant difference between the third-day and first-week groups, whereas no statistically significant difference was observed between the ischemia and control groups in the second-week cohort. CONCLUSION: Significant differences in ischemia and oxidative stress biomarkers, including SCUBE-1 and Cav-1, were observed. SCUBE-1 and Cav-1 may serve as potential biomarkers for assessing kidney injury, function, and recovery.
目的:研究肾缺血再灌注损伤大鼠模型的组织病理学表现以及缺血和氧化应激生物标志物的血清水平。 方法:将51只雌性Wistar大鼠随机分为六组:缺血/第三天组、缺血/第一周组、缺血/第二周组,以及每个缺血组对应的对照组。每个缺血组有10只大鼠,每个对照组有7只。通过夹闭左肾蒂45分钟诱导缺血,随后进行再灌注。在指定时间点进行再次剖腹手术,采集血液和肾脏样本。对照组进行未缺血的剖腹手术。分析血清中信号肽 - 补体C1r/C1s、Uegf、含Bmp1 - 表皮生长因子样结构域蛋白1和2(SCUBE - 1/2)、小窝蛋白 - 1(Cav - 1)、白蛋白、缺血修饰白蛋白(IMA)、总抗氧化状态(TAS)、总氧化状态(TOS)、氧化应激指数(OSI)、IMA/白蛋白比值(IMAR)、肌酐和血尿素氮水平,并进行组织病理学检查。 结果:在缺血组中,SCUBE - 1、IMA、TAS、TOS、肌酐、IMAR和OSI的血清水平与对照组相比有统计学显著差异。血清Cav - 1水平在第三天组和第一周组之间有统计学显著差异,而在第二周队列中,缺血组和对照组之间未观察到统计学显著差异。 结论:观察到包括SCUBE - 1和Cav - 1在内的缺血和氧化应激生物标志物存在显著差异。SCUBE - 1和Cav - 1可能作为评估肾损伤、功能和恢复的潜在生物标志物。
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