Yıl: 2019 Cilt: 9 Sayı: 1 Sayfa Aralığı: 6 - 13 Metin Dili: Türkçe DOI: 10.5152/jarem.2019.2008 İndeks Tarihi: 18-11-2019

Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study

Öz:
Objective: Glutamine (GLN) plays an important role in the regulation of acid–base balance, protein turnover, ammonia metabolism, catabolic situations, and immune system enhancement. The prevention, treatment, and care of oral mucosal lesions are very important in terms of leading to several clinical and economic problems. The aim of the present study was to investigate the positive and different effects of GLN on traumatic oral mucosal lesions by its administration via the topical or systemic (enteral and parenteral) route.Methods: Twenty-one Wistar albino rats were included in the experimental study and divided into four groups. Traumatic oral mucosal lesions were created in all rats after the intraperitoneal administration of anesthesia. In the control group, traumatic oral mucosal lesions were created and no treatment was applied. In the study groups, GLN was applied via the parenteral, enteral, and topical routes. Healing of lesions was macroscopically observed on high-resolution photographs. Rats were sacrificed, and biopsies were obtained for histopathological and biochemical evaluations.Results: In histopathological evaluations of the biopsies, a significant difference was observed between the control and parenteral/topical groups for acute inflammation, between the control and parenteral groups for epithelial proliferation, and between the control and topical groups for fibrosis. In biochemical evaluations, only malondialdehyde levels had a significant difference between the control and enteral groups (p<0.02).Conclusion: A positive effect of GLN administration was observed for the treatment of traumatic oral mucosal lesions. It was considered that GLN administration via the topical or enteral route may present an alternative on traumatic oral mucosal lesions. However, GLN administration via the parenteral route had better results than that via topical and enteral routes.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel

Glutaminin Travmatik Oral Mukozal Lezyonların İyileşmesi Üzerine Etkileri: Deneysel Çalışma

Öz:
Amaç: Glutaminin (GLN); asit–baz dengesi, protein dönüşümü ve amonyak metabolizmasının düzenlenmesinde, katabolik durumlarda ve immun sistemin güçlenmesinde önemli görevleri bulunmaktadır. Klinik ve ekonomik olarak birçok problem yol açan oral mukozal lezyonların önlenmesi, bakımı ve tedavisi önemlidir. Bu deneysel hayvan modelinde; topikal ve sistemik yolla (enteral, parenteral) uygulanan GLN’nin travmatik oral mukozal lezyonlarda pozitif ve farklı etkilerinin ortaya çıkarılması amaçlandı. Yöntemler: Bu çalışmaya 21 Wistar Albino sıçan dâhil edildi ve 4 gruba ayrıldı. Tüm sıçanlara intraperitoneal anestezi uygulamasından sonra ağız içerisinde travmatik oral mukozal lezyon oluşturuldu. Kontrol grubunda; travmatik oral mukozal lezyon oluşturuldu ve tedavi uygulanmadı. Çalışma gruplarında; GLN tedavisi parenteral, enteral ve topikal yollarla uygulandı. Travmatik oral mukozal lezyonun iyileşmesi makroskopik olarak gözlendi. Sıçanlar sakrifiye edildikten sonra biyopsiler alınarak histopatolojik ve biyokimyasal olarak değerlendirildi. Bulgular: Biyopsilerin histopatolojik incelenmesinde; akut inflamasyon açısından kontrol grubu ile parenteral/topikal gruplar arasında, epitelyal proliferasyon açısından kontrol ve parenteral gruplar arasında, fibrosis açısından kontrol ve topikal gruplar arasında istatistiksel olarak anlamlı farklılık saptandı. Biyokimyasal analizlerde; yalnızca malondialdehit düzeyleri açısından kontrol ve enteral gruplar arasında anlamlı bir farklılık görüldü (p<0,02). Sonuç: Glutaminin (GLN) takviyesinin travmatik oral mukozal lezyonların tedavisinde olumlu etkisi olduğu görüldü. GLN’nin parenteral yol ile verilmesi topikal ve enteral yol ile verilmesine kıyasla daha iyi sonuç verdiği görüldü. Buna rağmen, GLN’nin parenteral yol ile verilmesi topikal ve enteral yol ile verilmesine kıyasla daha iyi sonuç verdiği görüldü.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Köroğlu G. Hemşirelerin kemoterapiye bağlı gelişen oral mukozite ilişkin bilgilerin saptanması. Gazi Üniversitesi, Sağlık Bilimleri Enstitüsü, Ankara. Yüksek Lisans Tezi, 2007.
  • 2. Naidu MU, Ramana GV, Rani PU, Mohan IK, Suman A, Roy P. Chemotherapy-induced and/or radiation therapy-induced oral mucositis--complicating the treatment of cancer. Neoplasia 2004; 6: 423-31.
  • 3. Ohtani M, Kawada S, Seki T, Okamoto Y. Amino acid and vitamin supplementation improved health conditions in elderly participants. J Clin Biochem Nutr 2012; 50: 162-8.
  • 4. Rubio IT, Cao Y, Hutchins LF, Westbrook KC, Klimberg VS. Effect of glutamine on methotrexate efficacy and toxicity. Ann Surg 1998; 227: 778-80.
  • 5. Shafer W, Hine M, levy B. A textbook of oral pathology. 4th ed. Philadelphia: Saunders; 1983. p. 594.
  • 6. Klimberg VS, Salloum RM, Kasper M, Plumley DA, Dolson DJ, Hautamaki D, et al. Oral glutamine accelerates healing of the small intestine and improves outcome after whole abdominal radiation. Arch Surg 1990; 25: 1040-5.
  • 7. Li J, Chen J, Kirsner R. Pathophysiology of acute wound healing. Clin Dermatol 2007; 25: 9-18.
  • 8. Mutsaers SE, Bishop JE, McGrouther G, Laurent GJ. Mechanisms of tissue repair: from wound healing to fibrosis. Int J Biochem Cell Biol 1997; 29: 5-17.
  • 9. L-Glutamine. Altern Med Rev 2001; 6: 406-10.
  • 10. Hall JC, Heel K, McCauley R. Glutamine. Br J Surg 1996; 83: 305.
  • 11. Ersin S, Tuncyurek P, Esassolak M, Alkanat M, Buke C, Yilmaz M, et al. The prophylactic and therapeutic effects of glutamine and arginine-enriched diets on radiation-induced enteritis in rats. J Surg Res 2000; 89: 121-5.
  • 12. Li J, Langkamp-Henken B, Suzuki K, Stahlgren LH. Glutamine prevents parenteral nutrition- induced increases in intestinal permeability. JPEN 1994; 18: 303-7.
  • 13. Savarese DM, Savy G, Vahdat L, Wischmeyer PE, Corey B. Prevention of chemotherapy and radiation toxicity with glutamine. Cancer Treat Rev 2003; 29: 501-13.
  • 14. San-Miguel B, Crespo I, Kretzmann NA, Mauriz JL, Marroni N, Tuñón MJ, et al. Glutamine prevents fibrosis development in rats with colitis induced by 2, 4, 6-Trinitrobenzene Sulfonic Acid. J Nutr 2010; 140: 1065-71.
  • 15. Serarslan G, Altug ME, Kontas T. Effect of caffeic acid phenethyl ester on plasma lipid peroxidation, antioxidant status and nitric oxide levels in incisional wound model. Türkderm 2007; 41: 11-4.
  • 16. Eris O, Cankayali I, Sezer E, et al. The effect of N-Acetylcysteine on oxidative stress in induced hemorrhagic shock model in rats. J Turk Anaesth Int Care 2009; 37: 208-216.
  • 17. Matés JM. Effects of antioxidant enzymes in the molecular control of reactive oxygen species toxicology. Toxicology 2000; 153: 83-104.
  • 18. Steiling H, Munz B, Werner S, Brauchle M. Different types of ROS-scavenging enzymes are expressed during cutaneous wound repair. Exp Cell Res 1999; 247: 484-94.
  • 19. Marques C, Mauriz JL, Simonetto D, Marroni CA, Tuñon MJ, González-Gallego J, et al. Glutamine prevents gastric oxidative stress in an animal model of portal hypertension gastropathy. Ann Hepatol 2011; 10: 531-9.
  • 20. Hendriks T, Mastboom WJ. Healing of experimental intestinal anastomoses. parameters for repair. Dis Colon Rectum 1990; 33: 891-901.
APA Akbas S, KARABULUT E, SUTAŞ BOZKURT A, AYDIN Ö, DÜZGÜN ERGÜN D, GÜNGÖR G (2019). Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. , 6 - 13. 10.5152/jarem.2019.2008
Chicago Akbas Sedat,KARABULUT Enes,SUTAŞ BOZKURT Ayşe Pervin,AYDIN ÖVGÜ,DÜZGÜN ERGÜN Dilek,GÜNGÖR Gürcan Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. (2019): 6 - 13. 10.5152/jarem.2019.2008
MLA Akbas Sedat,KARABULUT Enes,SUTAŞ BOZKURT Ayşe Pervin,AYDIN ÖVGÜ,DÜZGÜN ERGÜN Dilek,GÜNGÖR Gürcan Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. , 2019, ss.6 - 13. 10.5152/jarem.2019.2008
AMA Akbas S,KARABULUT E,SUTAŞ BOZKURT A,AYDIN Ö,DÜZGÜN ERGÜN D,GÜNGÖR G Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. . 2019; 6 - 13. 10.5152/jarem.2019.2008
Vancouver Akbas S,KARABULUT E,SUTAŞ BOZKURT A,AYDIN Ö,DÜZGÜN ERGÜN D,GÜNGÖR G Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. . 2019; 6 - 13. 10.5152/jarem.2019.2008
IEEE Akbas S,KARABULUT E,SUTAŞ BOZKURT A,AYDIN Ö,DÜZGÜN ERGÜN D,GÜNGÖR G "Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study." , ss.6 - 13, 2019. 10.5152/jarem.2019.2008
ISNAD Akbas, Sedat vd. "Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study". (2019), 6-13. https://doi.org/10.5152/jarem.2019.2008
APA Akbas S, KARABULUT E, SUTAŞ BOZKURT A, AYDIN Ö, DÜZGÜN ERGÜN D, GÜNGÖR G (2019). Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. JAREM, 9(1), 6 - 13. 10.5152/jarem.2019.2008
Chicago Akbas Sedat,KARABULUT Enes,SUTAŞ BOZKURT Ayşe Pervin,AYDIN ÖVGÜ,DÜZGÜN ERGÜN Dilek,GÜNGÖR Gürcan Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. JAREM 9, no.1 (2019): 6 - 13. 10.5152/jarem.2019.2008
MLA Akbas Sedat,KARABULUT Enes,SUTAŞ BOZKURT Ayşe Pervin,AYDIN ÖVGÜ,DÜZGÜN ERGÜN Dilek,GÜNGÖR Gürcan Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. JAREM, vol.9, no.1, 2019, ss.6 - 13. 10.5152/jarem.2019.2008
AMA Akbas S,KARABULUT E,SUTAŞ BOZKURT A,AYDIN Ö,DÜZGÜN ERGÜN D,GÜNGÖR G Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. JAREM. 2019; 9(1): 6 - 13. 10.5152/jarem.2019.2008
Vancouver Akbas S,KARABULUT E,SUTAŞ BOZKURT A,AYDIN Ö,DÜZGÜN ERGÜN D,GÜNGÖR G Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study. JAREM. 2019; 9(1): 6 - 13. 10.5152/jarem.2019.2008
IEEE Akbas S,KARABULUT E,SUTAŞ BOZKURT A,AYDIN Ö,DÜZGÜN ERGÜN D,GÜNGÖR G "Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study." JAREM, 9, ss.6 - 13, 2019. 10.5152/jarem.2019.2008
ISNAD Akbas, Sedat vd. "Effects of Glutamine on Healing of Traumatic Oral Mucosal Lesions: An Experimental Study". JAREM 9/1 (2019), 6-13. https://doi.org/10.5152/jarem.2019.2008