Yıl: 2020 Cilt: 10 Sayı: 1 Sayfa Aralığı: 41 - 47 Metin Dili: Türkçe DOI: 10.4274/jarem.galenos.2019.2247 İndeks Tarihi: 07-10-2020

TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?

Öz:
Amaç: Enflamatuvar barsak hastalıkları (EBH) kronik idiyopatik hastalıklardır. EBH patogenezinin en kabul edilen hipotezi, genetik, çevresel faktörler vekonakçı bağışıklık sistemi arasındaki karmaşık etkileşimlerin, anormal immün yanıtlara ve kronik intestinal enflamasyona yol açmasıdır. Disbiyozis barsakmikrobiyota bileşiminde ve işlevinde değişiklikler olarak tanımlanmıştır. Klinik ve deneysel çalışmalar disbiyozisin EBH etiyopatogenezinde önemli roloynadığını desteklemektedir.Bu çalışmada, deneysel kolit modelinde Enterococcus Faecium, Lactobacillus Acidophilus, Lactobacillus Rhamnosus, Bifidobacterium Bifidum,Bifidobacterium Longum bakterilerinin anti-enflamatuvar ve anti-oksidan etkinlikleri ve steroide göre probiyotiklerin tedavi başarısının değerlendirilmesiamaçlandı.Yöntem: Bu çalışmada toplam 24 adet 200-250 gram ağırlığında Wistar-Albino dişi rat grubu kullanıldı. Her grupta 6 rat olacak şekilde 4 farklı grupoluşturuldu. Sağlıklı kontrol (sham: grup A), trinitrobenzensülfonik asit (TNBS) koliti (grup B), (TNBS + metilprednizolon: grup C) ve probiyotik (TNBS + P:grup D). Sıçanlar 8. günde sakrifiye edildi. Makroskopik ve mikroskopik skorları değerlendirildi, doku miyeloperoksidaz (MPO), malondialdehit (MDA) vesüperoksitdismutaz (SOD) düzeyleri ölçüldü.Bulgular: Makroskopik ve mikroskopik skor düzeyleri değerlendirildiğinde A grubunun makroskopik skoru B, C ve D gruplarından düşüktü ve istatikselanlamlı farklılık mevcuttu. C grubunun makroskopik ve mikroskobik skoru B grubuna göre düşüktü ve istatiksel anlamlı farklılık bulundu. Gruplar arasındaortanca MPO düzeyleri açısından anlamlı fark (p<0,001) tespit edilmedi. MDA ve SOD değerleri değerlendirildiğinde medyan MDA düzeyleri arasındaanlamlı farklılık tespit edildi (p<0,001).Sonuç: Çalışmamız probiyotiklerin anti-oksidan ve oksidan sistemler arasındaki dengeyi düzenlediğini göstermektedir. Eğer klinik çalışmalar iledesteklenirse probiyotikler EBH’de destek tedavisi olarak kullanılabilir.
Anahtar Kelime:

Is the Probiotic Mixture Effective in the Treatment of TNBS-induced Experimental Colitis?

Öz:
Objective: Inflammatory bowel disease (IBD) is an idiopathic disease associated with changes in the immune system and in the intestinal microbiota. The most accepted hypothesis of IBD pathogenesis is thought to be the abnormal immunological response and chronic intestinal inflammation, which is caused by the complex interactions between genetic, environmental factors and the host immune system. Microbial flora is important in the maturation of the immune system. Dysbiosis is defined as changes in intestinal microbiota composition and function. Clinical and experimental studies support that dysbiosis plays a significant role in the etiopathogenesis of IBD. Probiotics are useful live microorganisms that provide the intestinal balance in the host. In this study, we aimed to evaluate the anti-inflammatory and anti-oxidant activities of Enterococcus faecium, Lactobacillus acidophilus, Lactobacillus rhamnosus, Bifidobacterium bifidum and Bifidobacterium longum bacteria in the experimental colitis model. Methods: Twenty-four female Wistar-Albino rats and 30 mg 0.5 mL trinitrobenzenesulfonic acid (TNBS) dissolved in 50% ethanol which induced colitis by intrarectal installation. Rats were divided into four groups; healthy control (sham: group A), TNBS colitis (group B), (TNBS + methylprednisolone: group C) and probiotic (TNBS + P: group D). The rats were sacrificed on the 8th day. Macroscopic and microscopic scores, tissue myeloperoxidase (MPO), malondialdehyde (MDA) and superoxide dismutase (SOD) levels were measured. Results: Macroscopic and microscopic scores levels in group A were significantly lower than in group B, C and D. Macroscopic and microscopic scores levels in group C were significantly lower than in group B. Macroscopic scores were statistically similar between group C and D. There was a statistically significant difference between the groups in terms of median MDA levels and median SOD levels (p<0.001). There was no statistically significant difference between the groups in terms of median MPO levels (p=0.114). Median MPO levels were 0.27 (0.15-0.30) in group A, 0.44 (0.22-0.61) in group B, 0.28 (0.25-0.50) in group C, and 0.30 (0.25-0.37) in group D (p=0.114). Median MDA levels were 1.1 (1.0-2.8) in group A, 4.3 (3.1-5.5) in group B, 3.8 (3.2-4.2) in group C, and 3.9 (3.1-4.2) in group D (p<0.001). Median SOD levels were 160.7 (150.1-161.7) in group A, 141.6 (137.9-147.3) in group B, 157.6 (155.2-167.7) in group C, and 164.7 (160.3-168.3) in group D (p<0.001). MDA levels were statistically significantly different between each group. These levels were significantly higher in group B, C and D than in group A; statistically similar in group C and D; and statistically higher in group B than in group C and D (p<0.001 & p=0.047). SOD levels were statistically significantly different between each group. They were significantly lower in group B, C and D than in group B; statistically significantly different in group A, C and D; and statistically higher in group D than in group A and C. Conclusion: Our study showed that probiotics regulate the balance between anti-oxidant and oxidant systems. Therefore, probiotics can be used as a supportive treatment in inflammatory bowel diseases if promoted by clinical trials.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Gül Ö, karatay e, ERGÜL B, Yilmaz C, Ekinci Ö, Arhan M (2020). TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. , 41 - 47. 10.4274/jarem.galenos.2019.2247
Chicago Gül Özlem,karatay eylem,ERGÜL BİLAL,Yilmaz Canan,Ekinci Özgür,Arhan Mehmet TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. (2020): 41 - 47. 10.4274/jarem.galenos.2019.2247
MLA Gül Özlem,karatay eylem,ERGÜL BİLAL,Yilmaz Canan,Ekinci Özgür,Arhan Mehmet TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. , 2020, ss.41 - 47. 10.4274/jarem.galenos.2019.2247
AMA Gül Ö,karatay e,ERGÜL B,Yilmaz C,Ekinci Ö,Arhan M TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. . 2020; 41 - 47. 10.4274/jarem.galenos.2019.2247
Vancouver Gül Ö,karatay e,ERGÜL B,Yilmaz C,Ekinci Ö,Arhan M TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. . 2020; 41 - 47. 10.4274/jarem.galenos.2019.2247
IEEE Gül Ö,karatay e,ERGÜL B,Yilmaz C,Ekinci Ö,Arhan M "TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?." , ss.41 - 47, 2020. 10.4274/jarem.galenos.2019.2247
ISNAD Gül, Özlem vd. "TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?". (2020), 41-47. https://doi.org/10.4274/jarem.galenos.2019.2247
APA Gül Ö, karatay e, ERGÜL B, Yilmaz C, Ekinci Ö, Arhan M (2020). TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. JAREM, 10(1), 41 - 47. 10.4274/jarem.galenos.2019.2247
Chicago Gül Özlem,karatay eylem,ERGÜL BİLAL,Yilmaz Canan,Ekinci Özgür,Arhan Mehmet TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. JAREM 10, no.1 (2020): 41 - 47. 10.4274/jarem.galenos.2019.2247
MLA Gül Özlem,karatay eylem,ERGÜL BİLAL,Yilmaz Canan,Ekinci Özgür,Arhan Mehmet TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. JAREM, vol.10, no.1, 2020, ss.41 - 47. 10.4274/jarem.galenos.2019.2247
AMA Gül Ö,karatay e,ERGÜL B,Yilmaz C,Ekinci Ö,Arhan M TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. JAREM. 2020; 10(1): 41 - 47. 10.4274/jarem.galenos.2019.2247
Vancouver Gül Ö,karatay e,ERGÜL B,Yilmaz C,Ekinci Ö,Arhan M TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?. JAREM. 2020; 10(1): 41 - 47. 10.4274/jarem.galenos.2019.2247
IEEE Gül Ö,karatay e,ERGÜL B,Yilmaz C,Ekinci Ö,Arhan M "TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?." JAREM, 10, ss.41 - 47, 2020. 10.4274/jarem.galenos.2019.2247
ISNAD Gül, Özlem vd. "TNBS ile Oluşturulmuş Deneysel Rat Kolit Modelinde Tedavide Karışım Probiyotikler Etkin midir?". JAREM 10/1 (2020), 41-47. https://doi.org/10.4274/jarem.galenos.2019.2247