Artemisinin reduces acute ovarian ischemia-reperfusion injury in rats.

Osmanlıoğlu Ş., Arslan M., Dağ R. O., Yığman Z., Ceyhan M. Ş., Er F., ...Daha Fazla

Reproductive toxicology (Elmsford, N.Y.), cilt.119, ss.108417, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 119
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.reprotox.2023.108417
  • Dergi Adı: Reproductive toxicology (Elmsford, N.Y.)
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, Chimica, Environment Index, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.108417
  • Anahtar Kelimeler: Adnexal torsion, Artemisinin, Ovarian I/R injury, Ovarian ischemia-reperfusion injury, Ovarian torsion
  • Gazi Üniversitesi Adresli: Evet

Özet

Artemisinin (ARS) is well known as an effective agent in the treatment of malaria through the rapid elimination of Plasmodium falciparum parasites. This study aims to investigate the effect of ARS in treating adnexal torsion, one of the most common gynecological surgical emergencies. ARS was administered intraperitoneally once 30 min before unilateral ovarian torsion in two different doses (10 mg/kg vs. 50 mg/kg). Torsion was maintained for 3 h and then held in the detorted state for 3 h. Bilateral adnexectomy was performed to measure antioxidant enzyme activities and oxidant levels on the ipsilateral ovary and to make histopathological and immunohistochemical analyses on the contralateral ovary. Ischemia-reperfusion (I/R) injury dramatically upregulated the activities of CAT, GST, and MDA levels in the ipsilateral ovary, which were all downregulated by ARS treatment. A significant increase in follicular cell degeneration, congestion, and edema in the contralateral ovary was seen in the I/R group, which was significantly reduced with ARS treatment. Furthermore, I/R injury resulted in a significant increase in apoptosis as shown by the increased levels of BAX and CASP-3, and decreased levels of BCL-2 whereas ARS significantly reduced the impact of the injury. Our data, based on a rat I/R injury model, show that both ipsilateral and contralateral ovaries are protected with ARS pretreatment, and 50 mg/kg ARS treatment demonstrates to be more effective than the 10 mg/kg ARS.