Yıl: 2018 Cilt: 19 Sayı: 2 Sayfa Aralığı: 87 - 93 Metin Dili: İngilizce DOI: 10.4274/jtgga.2017.0047 İndeks Tarihi: 17-12-2020

Does progesterone have protective effects on ovarian ischemia-reperfusion injury?

Öz:
Objective: The aim of the present study was to evaluate the effects of progesterone (PG) against ovarian ischemia-reperfusion (I/R) injury through the evaluation of biochemical and histopathologic parameters.Material and Methods: Twenty-one female Wistar albino rats were divided into three groups. Group 1: Sham; group 2: I/R; group 3: I/R+PG (8 mg/kg). PG was administered intraperitoneally to the rats in group 3, 30 minutes before a detorsion operation. Ovarian I/R injury was evaluated in serum and tissue by using biochemical parameters including malondialdehyde (MDA), total antioxidant status (TAS), total oxidant status (TOS), oxidative stress index, neutrophil gelatinase-associated lipocalin (NGAL) and immunofluorescence staining by using a terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay.Results: Serum and tissue TOS levels were significantly lower in group 3 than in group 2. Tissue TAS levels were higher in group 3 than in group 2 (p<0.001). NGAL and MDA levels were similar between the groups. Histologic score, including vascular congestion, hemorrhage, polymorphonuclear neutrophils, and interstitial edema, was higher in group 2. Pre-treatment with PG decreased the score, but this difference was not statistically significant. The number of apoptotic cells was higher in group 2 than in groups 1 and 3. The TUNEL-positive cell number decreased with PG in group 3.Conclusion: Preoperative PG treatment might exert protective effects on ovarian I/R injury through its anti-apoptotic and antioxidative properties. (J Turk Ger Gynecol Assoc 2018; 19: 87-93)
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Ipek A, Tan S, Kurt A, Yesilkaya Y, Orhan D. Prenatal over kisti torsiyonu: US ve MR görüntüleme bulguları. Türkiye Klinikleri J Gynecol Obst 2010; 20: 262-5.
  • 2. Maretta M, Toth SS, Bujdos M, Toth S Jr, Jonecova Z, Vesela J. Alterations of epithelial layer after ischemic preconditioning of small intestine in rats. J Mol Histol 2012; 43: 171-8.
  • 3. Wang J, Jiang C, Liu C, Li X, Chen N, Hao Y. Neuroprotective effects of progesterone following stroke in aged rats. Behav Brain Res 2010; 209: 119-22.
  • 4. Allen RS, Olsen TW, Sayeed I, Cale HA, Morrison KC, Oumarbaeva Y, et al. Progesterone treatment in two rat models of ocular ischemia. Invest Ophthalmol Vis Sci 2015; 56: 2880-91.
  • 5. Morrissy S, Xu B, Aguilar D, Zhang J, Chen QM. Inhibition of apoptosis by progesterone in cardiomyocytes. Aging Cell 2010; 9: 799-809.
  • 6. Sandhi J, Singh JP, Kaur T, Ghuman SS, Singh AP. Involvement of progesterone receptors in ascorbic acid-mediated protection against ischemia-reperfusion-induced acute kidney injury. J Surg Res 2014; 187: 278-88.
  • 7. Verma Y, Rana SV. Effects of progesterone on benzenetoxicity in rats. Arh Hig Rada Toksikol 2008; 59: 1-9.
  • 8. Lu N, Li C, Cheng Y, DU AL. Protective effects of progesterone against high intraocular pressure-induced retinal ischemia-reperfusion in rats. Nan Fang Yi Ke Da Xue Xue Bao 2008; 28: 2026-9.
  • 9. Wright DW, Kellermann AL, Hertzberg VS, Clark PL, Frankel M, Goldstein FC, et al. Protect: a randomized clinical trial of progesterone for acute traumatic brain injury. Ann Emerg Med 2007; 49: 391-402.
  • 10. Vandenberk N, Unluer EE, Gökmen N, Yurekli İ, Okmen E, Yılmaz O, et al. Neuroprotective effects of progesterone in spinal cord ischemia in rabbits. Am J Emerg Med 2013; 31: 581-4.
  • 11. Gencer M, Karaca T, Güngör AN, Hacıvelioğlu SÖ, Demirtaş S, Turkon H, et al. The protective effect of quercetin on IMA levels and apoptosis in experimental ovarian ischemia-reperfusion injury. Eur J Obstet Gynecol Reprod Biol 2014; 177: 135-40.
  • 12. Sak ME, Soydinc HE, Sak S, Evsen MS, Alabalik U, Akdemir F, et al. The protective effect of curcumin on ischemia-reperfusion injury in rat ovary. Int J Surg 2013; 11: 967-70.
  • 13. Guven S, Muci E, Unsal MA, Yulug E, Alver A, Kadioglu Duman M, et al. The effects of carbon dioxide pneumoperitoneum on ovarian blood flow, oxidative stress markers, and morphology during laparoscopy: a rabbit model. Fertil Steril 2010; 93: 1327-32.
  • 14. Booth EA, Lucchesi BR. Medroxyprogesterone acetate prevents the cardioprotective and anti-inflammatory effects of 17-estradiol in an in vivo model of myocardial ischemia and reperfusion. Am J Physiol Heart Circ Physiol 2007; 293: 1408-15.
  • 15. Arikan DC, Bakan V, Kurutas EB, Sayar H, Coskun A. Protective effect of tadalafil on ischaemia-reperfusion injury of rat ovary. J Pediatr Surg 2010; 45: 2203-9.
  • 16. Sayar I, Bicer S, Gursul C, Gürbüzel M, Peker K, Işik A. Protective effects of ellagic acid and ozone on rat ovaries with an ischemia/reperfusion injury. J Obstet Gynaecol Res 2016; 42: 52-8.
  • 17. Caglayan EK, Caglayan K, Gocmen AY, Cinar H, Seckin L, Seckin S, et al. Protective effect of ethyl pyruvate on ischemia-reperfusion injury in rat ovary: biochemical and histopathological evaluation. Eur J Obstet Gynecol Reprod Biol 2014; 182: 154-9.
  • 18. Taskin MI, Hismiogullari AA, Yay A, Adali E, Gungor AC, Korkmaz GO, et al. Effect of 2-aminoethoxydiphenyl borate on ischemia-reperfusion injury in a rat ovary model. Eur J Obstet Gynecol Reprod Biol 2014; 178: 74-9.
  • 19. Eser A, Hizli D, Haltas H, Namuslu M, Kosus A, Kosus N, et al. Effects of curcumin on ovarian ischemia-re perfusion injury in a rat model. Biomed Rep 2015; 3: 807-13.
  • 20. Zhao C, Ozaeta P, Fishpaugh J, Rupprecht K, Workman R, Grenier F, et al. Structural characterization of glycoprotein NGAL, an early predictive biomarker for acute kidney injury. Carbohydr Res 2010; 345: 2252-61.
  • 21. Gong L, Yu H, ZhuGe Y, Yu Q. Neutrophil gelatinase-associated lipocalin protects renal tubular epithelial cell in ischemic/reperfusion injury rats via apoptosis-regulating proteins. Ren Fail 2012; 34: 777-83.
  • 22. Zang XJ, An SX, Feng Z, Xia YP, Song Y, Yu Q. In vivo mechanism study of NGAL in rat renal ischemia-reperfusion injury. Genet Mol Res 2014; 13: 8740-8.
  • 23. Çıgsar G, Keleş ON, Can S, Karaca M, Can I, Erol HS, et al. The Protective Effects of Osajin on Ischemia/Reperfusion Injury to Rat Ovaries: Biochemical and Histopathological Evaluation. Kafkas Univ Vet Fak Derg 2015; 21: 753-60.
  • 24. Borekçi B, Gundogdu C, Altunkaynak BZ, Çalık M, Altunkaynak ME, Unal D, et al. The Protective Effect of Dehydroepiandrosterone on Ovarian Tissues After Torsion-Detorsion Injury: A Stereological and Histopathological Study. Eurasian J Med 2009; 41: 22-7.
  • 25. Haftacı SM, Albayrak M, Demir Ş, Yıldırım Ü, Ankaralı H, Keskin F. Rat overinde oluşturulan adneksiyal torsiyon modelinde perioperatif selenyum ve C vitamini uygulamasının ovaryan nekroz üzerine etkilerinin değerlendirilmesi. Türk Jinekolojik Onkoloji Dergisi 2013; 4: 118-23.
  • 26. Gungor AN, Turkon H, Albayrak A, Ovali M, Islimye M, Gencer M, et al. Does Omegaven have beneficial effects on a rat model of ovarian ischemia/reperfusion? Eur J Obstet Gynecol Reprod Biol 2014; 181: 240-5.
  • 27. Sahin Ersoy G, Eken M, Tal R, Oztekin D, Devranoglu B, Isik Kaygusuz E, et al. N-acetylcysteine leads to greater ovarian protection than enoxaparin sodium in a rat ovarian torsion model. Reprod Biomed Online 2016; 33: 93-101.
  • 28. Espinosa-García C, Vigueras-Villaseñor RM, Rojas-Castañeda JC, Aguilar-Hernández A, Monfil T, Cervantes M, et al. Post-ischemic administration of progesterone reduces caspase-3 activation and DNA fragmentation in the hippocampus following global cerebral ischemia. Neurosci Lett 2013; 550: 98-103.
  • 29. Ishrat T, Sayeed I, Atif F, Stein DG. Progesterone is neuroprotective against ischemic brain Injury through its effects on the phosphoinositide 3-kinase/protein kinase b signaling pathway. Neuroscience 2012; 210: 442-50.
APA BAŞER B, Islimye Taskin M, Adali E, TEFON ÖZTÜRK B, HISMIOĞULLARI A, Yay A (2018). Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. , 87 - 93. 10.4274/jtgga.2017.0047
Chicago BAŞER Banu GÜLEÇ,Islimye Taskin Mine,Adali Ertan,TEFON ÖZTÜRK BURCU EMİNE,HISMIOĞULLARI Adnan Adil,Yay Arzu Hanım Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. (2018): 87 - 93. 10.4274/jtgga.2017.0047
MLA BAŞER Banu GÜLEÇ,Islimye Taskin Mine,Adali Ertan,TEFON ÖZTÜRK BURCU EMİNE,HISMIOĞULLARI Adnan Adil,Yay Arzu Hanım Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. , 2018, ss.87 - 93. 10.4274/jtgga.2017.0047
AMA BAŞER B,Islimye Taskin M,Adali E,TEFON ÖZTÜRK B,HISMIOĞULLARI A,Yay A Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. . 2018; 87 - 93. 10.4274/jtgga.2017.0047
Vancouver BAŞER B,Islimye Taskin M,Adali E,TEFON ÖZTÜRK B,HISMIOĞULLARI A,Yay A Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. . 2018; 87 - 93. 10.4274/jtgga.2017.0047
IEEE BAŞER B,Islimye Taskin M,Adali E,TEFON ÖZTÜRK B,HISMIOĞULLARI A,Yay A "Does progesterone have protective effects on ovarian ischemia-reperfusion injury?." , ss.87 - 93, 2018. 10.4274/jtgga.2017.0047
ISNAD BAŞER, Banu GÜLEÇ vd. "Does progesterone have protective effects on ovarian ischemia-reperfusion injury?". (2018), 87-93. https://doi.org/10.4274/jtgga.2017.0047
APA BAŞER B, Islimye Taskin M, Adali E, TEFON ÖZTÜRK B, HISMIOĞULLARI A, Yay A (2018). Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. Journal of the Turkish-German Gynecological Association, 19(2), 87 - 93. 10.4274/jtgga.2017.0047
Chicago BAŞER Banu GÜLEÇ,Islimye Taskin Mine,Adali Ertan,TEFON ÖZTÜRK BURCU EMİNE,HISMIOĞULLARI Adnan Adil,Yay Arzu Hanım Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. Journal of the Turkish-German Gynecological Association 19, no.2 (2018): 87 - 93. 10.4274/jtgga.2017.0047
MLA BAŞER Banu GÜLEÇ,Islimye Taskin Mine,Adali Ertan,TEFON ÖZTÜRK BURCU EMİNE,HISMIOĞULLARI Adnan Adil,Yay Arzu Hanım Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. Journal of the Turkish-German Gynecological Association, vol.19, no.2, 2018, ss.87 - 93. 10.4274/jtgga.2017.0047
AMA BAŞER B,Islimye Taskin M,Adali E,TEFON ÖZTÜRK B,HISMIOĞULLARI A,Yay A Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. Journal of the Turkish-German Gynecological Association. 2018; 19(2): 87 - 93. 10.4274/jtgga.2017.0047
Vancouver BAŞER B,Islimye Taskin M,Adali E,TEFON ÖZTÜRK B,HISMIOĞULLARI A,Yay A Does progesterone have protective effects on ovarian ischemia-reperfusion injury?. Journal of the Turkish-German Gynecological Association. 2018; 19(2): 87 - 93. 10.4274/jtgga.2017.0047
IEEE BAŞER B,Islimye Taskin M,Adali E,TEFON ÖZTÜRK B,HISMIOĞULLARI A,Yay A "Does progesterone have protective effects on ovarian ischemia-reperfusion injury?." Journal of the Turkish-German Gynecological Association, 19, ss.87 - 93, 2018. 10.4274/jtgga.2017.0047
ISNAD BAŞER, Banu GÜLEÇ vd. "Does progesterone have protective effects on ovarian ischemia-reperfusion injury?". Journal of the Turkish-German Gynecological Association 19/2 (2018), 87-93. https://doi.org/10.4274/jtgga.2017.0047