The Effect of Hydrogen-Rich Saline Solution on Erythrocyte Deformability in Lower Limb Ischemia Reperfusion Injury in Rats

Authors

  • Abdullah Özer gazi universty
  • Mustafa Aslan
  • Faruk Metin Çomu
  • Ayşegül Küçük
  • Barış Mardin
  • Başak Koçak
  • Gürsel Levent Oktar

Abstract

Aim: We aimed to investigate the effects of HRSS on erythrocyte deformability in lower limb ischemia reperfusion (IR)  injury in rats.

Methods: Eighteen male Wistar albino rats used in this study. The animals were randomly divided into three experimental groups as control, IR and IR-HRSS. 20 mg.kg-1HRSS was administered (20 mg.kg-1 i.p)30 min before the procedure. An atraumatic microvascular clamp was placed across the infrarenal abdominal aorta in the IR groups. 120 min ischemia and 120 min reperfusion is applied to the groups. Erythrocytes were obtained from heparinized whole blood samples for deformability measurements.  Kruskal-Wallis test was used for independent samples and Mann-Whitney U test was used to analyze differences between groups.

Results: Ischemia reperfusion was found to increase relative resistance to the control group. The erythrocyte deformability index was significantly higher in IR and IR-HRSS groups than the control group. HRSS application significantly decreased erythrocyte deformability index compared to IR group.

Conclusion: IR induced rats decreased erythrocyte deformability was partially corrected by HRSS. We believe that the protective effects of HRSS in IR injury and its use indications can be demonstrated in detail as long as the findings we have reached in our study are supported by other studies.

Author Biography

Abdullah Özer, gazi universty

department of cardiovascular surgery

References

ischemia: metabolic, functional and ultrastructural studies. Am J Cardiol 1983;52:72A-81.

Silveira M, Yoshida WB. Ischemia and reperfusion in skeletal muscle: injury mechanisms and treatment perspectives. J Vasc Bras 2004;3(4):367-78.

Sırmalı R, Armağan A, Öktem F, Uz E, Kırbaş A, Dönmez S, et al. Protective effects of erdosteine, vitamin E, and vitamin C on renal injury induced by the ischemia-reperfusion of the hind limbs in rats. Turk J Med Sci 2015; 45: 33-7.

Duru S, Koca U, Oztekin S, Olguner C, Kar A, Coker C, et al. Antithrombin III pretreatment reduces neutrophil recruitment into the lung and skeletal muscle tissues in the rat model of bilateral lower limb and reperfusion: a pilot study. Acta Anaesthesiol Scand 2005; 49: 1142-8.

Turchanyi B, Toth B, Racz I, Vendégh Z, Furész J, Hamar J. Ischemia reperfusion injury of skeletal muscle after selective deafferentation. Physiol Res 2005; 54: 25-32.

Erer D, Özer A, Demirtaş H, Gönül II, Kara H, Arpacı H, et al. Effects of alprostadil and iloprost on renal, lung and skeletal muscle injury following hind limb ischemia-reperfusion injury in rats. Drug Des Devel Ther 2016; 10: 2651-8.

Erer D, Dursun AD, Oktar GL, Iriz E, Zor MH, Elmas C, et al. The effects of iloprost on lung injury induced by skeletal muscle ischemia reperfusion. Bratisl Med J 2014; 115: 405-10.

Loerakker S, Oomens CW, Manders E, Schakel T, Badel DL, Baaijens FP, et al. Ischemia-reperfusion injury in rat skeletal muscle assessed with T2-weighted and dynamic contrast-enhanced MRI. Magn Reson Med 2011; 66: 528–37.

Grisham MB, Granger DN. Free radicals: reactive metabolites of oxygen as mediators of postischemic reperfusion injury. In: Martson A, Bulkley GB, Fiddian-Green RG, Haglung U, editors. Splanchnic ischemia and multiple organ failure. St. Louis: Mosby; 1989, pp. 135-44.

Peto K, Nemeth N, Brath E, Takacs IE, Baskurt OK, Meiselman HJ, et al. The effects of renal ischemiareperfusion on hemorheological factors: preventive role of allopurinol. Clin Hemorheol Microcirc 2007; 37: 347-58.

Collard CD, Gelman S. Pathophysiology, clinical manifestations, and prevention of ischemia-reperfusion injury. Anesthesiology 2001; 94: 1133-8.

Marnett LJ. Lipid peroxidation-DNA damage by malondialdehyde. Mutat Res 1999; 424: 83-95.

Simchon S, Jan KM, Chien S. Influence of reduced red cell deformability on regional blood flow. Am J Physiol 1987; 253: H898-903.

Zinchuk VV. Erythrocyte deformability: physiological aspects. Usp Fiziol Nauk 2001; 32: 66-78.

Therond P, Bonnefont-Rousselot D, David-Spraul A, Conti M, Legrand A. Biomarkers of oxidative stress: an analytical approach. Curr Opin Clin Nutr Metab Care 2000; 3: 373-84.

Sivilotti ML. Oxidant stress and haemolysis of the human erythrocyte. Toxicol Rev 2004; 23: 169-88.

Kuypers FA. Red cell membrane damage. J Heart Valve Dis. 1998; 7: 38795.

Nagata K, Nakashima-Kamimura N, Mikami T, Ohsawa I, Ohta S. Consumption of molecular hydrogen prevents the stress-induced impairments in hippocampus-dependent learning tasks during chronic physical restraint in mice. Neuropsychopharmacology 2009; 34: 501-8.

Terasaki Y, Ohsawa I, Terasaki M, Takahashi M, Kunugi S, Dedong K, et al. Hydrogen therapy attenuates irradiation-induced lung damage by reducing oxidative stress. Am J Physiol Lung Cell Mol Physiol 2011; 301: L415-26.

Cai J, Kang Z, Liu K, Liu W, Li R, Zhang JH, et al. Neuroprotective effects of hydrogen saline in neonatal hypoxia-ischemia rat model. Brain Res 2009; 1256: 129-37.

Spulber S, Edoff K, Hong L, Morisawa S, Shirahata S, Ceccatelli S. Molecular hydrogen reduces LPS-induced neuroinflammation and promotes recovery from sickness behaviour in mice. PLoS One 2012; 7: e42078.

Ohsawa I, Ishikawa M, Takahashi K, Watanabe M, Nishimaki K, Yamagata K, et al. Hydrogen acts as a therapeutic antioxidant by selectively reducing cytotoxic oxygen radicals. Nat Med 2007; 13: 688-94.

Chen H, Sun YP, Hu PF, Liu WW, Xiang HG, Lİ Y, et al: The effects of hydrogen-rich saline on the contractile and structural changes of intestine induced by ischemia-reperfusion in rats. J Surg Res 2011; 167: 316-22.

Wang F, Yu G, Liu SY, Li JB, Wang JF, Bo LL, et al. Hydrogen-rich saline protects against renal ischemia/reperfusion injury in rats. J Surg Res 2011; 167: e339-44.

Fukuda K, Asoh S, Ishikawa M, Yamamoto Y, Ohsawa I, Ohta S. Inhalation of hydrogen gas suppresses hepatic injury caused by ischemia/reperfusion through reducing oxidative stress. Biochem Biophys Res Commun 2007; 361: 670-4.

Hayashida K, Sano M, Ohsawa I, hinmura K, Tamaki K, imura K, et al. Inhalation of hydrogen gas reduces infarct size in the rat model of myocardial ischemia-reperfusion injury. Biochem Biophys Res Commun 2008; 373: 30-5.

Buchholz BM, Kaczorowski DJ, Sugimoto R, Yang R, Wang Y, Billiar TR, et al. Hydrogen inhalation ameliorates oxidative stress in transplantation induced intestinal graft injury. Am J Transplant 2008; 8: 2015-24.

Zheng J, Liu K, Kang Z, Cai J, Liu W, Xu W, et al. Saturated hydrogen saline protects the lung against oxygen toxicity. Undersea Hyperb Med 2010; 37: 185-92.

Zhou L, Wang X, Xue W, Xie K, Huang Y, Chen H, et al. Beneficial effects of hydrogen-rich saline against spinal cord ischemia-reperfusion injury in rabbits. Brain Res 2013; 1517: 150-60.

Nakao A, Sugimoto R, Billiar TR, McCurry KR. Therapeutic antioxidant medical gas. J Clin Biochem Nutr 2009; 44: 1-13.

Chang WJ, Toledo-Pereyra LH. The potential benefits of hydrogen-rich saline in ischemia and reperfusion injury. J Surg Res 2013; 180: 248-9.

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Published

22.05.2021

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