Yıl: 2020 Cilt: 42 Sayı: 3 Sayfa Aralığı: 301 - 310 Metin Dili: Türkçe DOI: 10.20515 /otd.584749 İndeks Tarihi: 21-04-2021

Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi

Öz:
Hepatoselüler karsinoma (HCC) dünya çapında görülme sıklığı açısından en çok görülen dördüncü kanser türüdür. Bu kansertürünün görülme nedenlerinin başında Tip II diyabet, obezite ve alkol kullanımı gelmektedir. Çalışmamızda, karaciğerhastalıklarında etkili olan, ancak hücresel mekanizmalar açısından etkileşimi henüz tam olarak belirlenemeyen vitamin D’nin hemilaç formu hem de aktif formu olan 1,25-dihidroksivitaminin [1,25(OH)2D3] HepG2 hepatoselüler karsinom hücrelerininkarakteristik özelliklerinde oluşturduğu değişimlerin belirlenmesi amaçlanmıştır. HepG2 hücrelerine vitamin D’nin hem ilaç formuhem de 1,25(OH)2D3 formu ayrı ayrı uygulanarak en etkili konsantrasyonları ve saatleri belirlendi. Bu aşamadan sonra uygunkonsantrasyon ve saatte uygulanan her iki maddenin HepG2 hücrelerinin proliferasyonu, adezyonu ve immunohistokimyasal olarakp53 miktarındaki etkileri belirlendi. Elde edilen verilere göre, 250 nM vitamin D’nin ilaç formu HepG2 hücrelerine uygulandıktan96 saat; 250 nM 1,25(OH)2D3 uygulandıktan sonra 48 saat sonra kontrol grubuna göre istatistiksel olarak proliferasyonun en çokgörüldüğü konsantrasyon ve saat olarak belirlendi. Hem vitamin D’nin ilaç hem de 1,25(OH)2D3 formu HepG2 hücrelerininadezyonunu kontrol grubuna göre istatistiksel olarak anlamlı bir şekilde azaldığı belirlendi (p<0.001). Optimal konsantrasyon vesaatte uygulanan her iki vitamin D formunun p53 miktarındaki değişimleri immunohistokimyasal olarak incelendiğinde, kontrol vesham gruplarına göre azaldığı gözlendi. Hepatoselüler kanser hastalarında uygulanacağı zaman, vitamin D dozuna dikkat edilmesive sürekli kontrol altında olunması yönünde ön veri sağlamaktadır. Her ne kadar bazı karaciğer hastalıklarından korunmak içinönemli bir vitamin olmasına rağmen; kanser hücrelerinde proliferasyonu arttırması, adezyonu azaltması ve bir tümör baskılayıcıolan p53 miktarını azaltması konu üzerinde soru işaretleri yaratmaktadır. Vitamin D’nin hepatoselüler hastalar üzerindeuygulanması konusunda farklı bir bakış açısı yaratan sonuçlarımız, ilerleyen dönemlerde konu ile alakalı yapılacak olan çalışmalarönemli bir ön veri niteliği taşımaktadır.
Anahtar Kelime:

The Effect of Vitamin D on Hepatocellülar Carcinoma

Öz:
Hepatocellular carcinoma (HCC) is the fourth most common cancer in terms of its incidence worldwide. The main causes of this type of cancer are Type II diabetes, obesity and alcohol. In this study, we aimed to determine the changes of both drug form and 1,25-dihydroxyvitamin [1,25(OH)2D3] form of vitamin D which is effective in liver diseases, but the interaction of cellular mechanisms is still unknown, on characteristics of HePG2 hepatocellular carcinoma cells. Both drug and 1,25(OH)2D3 form of vitamin D were applied separately to HepG2 cells and optimal concentrations and hours were determined. Then the proliferation, adhesion and immunohistochemically p53 amount of HepG2 cells were determined by the effects of both substances applied at the optimal concentration and hour. According to our obtained data, the optimal concentration and hour of each vitamin D substances was determined as 96th hour at 250 nM for drug form; 48th hour at 250 nM for 1,25(OH)2D3 form by observing the proliferation rates. It was determined that both drug and 1.25(OH)2D3 forms of vitamin D decreased adhesion of HepG2 cells statistically compared to the control group (p <0.001). When the changes in p53 amount of both vitamin D forms applied at optimal concentration and hour were examined immunohistochemically, it was observed that it decreased compared to control and sham groups. Our results provide preliminary data to ensure that vitamin D dose is maintained and controlled continuously when administered in hepatocellular cancer patients. Although it is an important vitamin to protect from some liver diseases; increasing proliferation in cancer cells, reducing adhesion and decreasing the amount of p53, a tumor suppressor, raises some questions about this subject. Furthermore, our results create a different perspective on the application of vitamin D on hepatocellular patients, and support important preliminary data for the studies to be conducted in the future.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ÖNER Ç, İSAN H, AKTAŞ R, Colak E (2020). Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. , 301 - 310. 10.20515 /otd.584749
Chicago ÖNER Çağrı,İSAN Hatice,AKTAŞ Ranan Gülhan,Colak Ertugrul Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. (2020): 301 - 310. 10.20515 /otd.584749
MLA ÖNER Çağrı,İSAN Hatice,AKTAŞ Ranan Gülhan,Colak Ertugrul Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. , 2020, ss.301 - 310. 10.20515 /otd.584749
AMA ÖNER Ç,İSAN H,AKTAŞ R,Colak E Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. . 2020; 301 - 310. 10.20515 /otd.584749
Vancouver ÖNER Ç,İSAN H,AKTAŞ R,Colak E Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. . 2020; 301 - 310. 10.20515 /otd.584749
IEEE ÖNER Ç,İSAN H,AKTAŞ R,Colak E "Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi." , ss.301 - 310, 2020. 10.20515 /otd.584749
ISNAD ÖNER, Çağrı vd. "Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi". (2020), 301-310. https://doi.org/10.20515 /otd.584749
APA ÖNER Ç, İSAN H, AKTAŞ R, Colak E (2020). Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. Osmangazi Tıp Dergisi, 42(3), 301 - 310. 10.20515 /otd.584749
Chicago ÖNER Çağrı,İSAN Hatice,AKTAŞ Ranan Gülhan,Colak Ertugrul Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. Osmangazi Tıp Dergisi 42, no.3 (2020): 301 - 310. 10.20515 /otd.584749
MLA ÖNER Çağrı,İSAN Hatice,AKTAŞ Ranan Gülhan,Colak Ertugrul Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. Osmangazi Tıp Dergisi, vol.42, no.3, 2020, ss.301 - 310. 10.20515 /otd.584749
AMA ÖNER Ç,İSAN H,AKTAŞ R,Colak E Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. Osmangazi Tıp Dergisi. 2020; 42(3): 301 - 310. 10.20515 /otd.584749
Vancouver ÖNER Ç,İSAN H,AKTAŞ R,Colak E Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi. Osmangazi Tıp Dergisi. 2020; 42(3): 301 - 310. 10.20515 /otd.584749
IEEE ÖNER Ç,İSAN H,AKTAŞ R,Colak E "Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi." Osmangazi Tıp Dergisi, 42, ss.301 - 310, 2020. 10.20515 /otd.584749
ISNAD ÖNER, Çağrı vd. "Vitamin D’nin Hepatoselü ler Karsinom Ü zerindeki Etkisi". Osmangazi Tıp Dergisi 42/3 (2020), 301-310. https://doi.org/10.20515 /otd.584749