Yıl: 2019 Cilt: 41 Sayı: 4 Sayfa Aralığı: 429 - 434 Metin Dili: İngilizce İndeks Tarihi: 17-04-2020

Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke

Öz:
Objective: Currently, there is uncertainty about the increased risk of myocardial infarction following ischemic stroke or transientischemic attack and the method of risk management after the stroke. In this experimental study, we aimed to evaluatemyocardial injury after inducing global cerebral ischemia in rats and assess their responses to the treatments with diseasemodifyingantirheumatic drugs (DMARDs) and ischemic postconditioning (PC).Materials and Methods: Global cerebral ischemia was induced by occluding the bilateral common carotid arteries for20 minutes and subsequently reperfusing them. Thirty-two Wistar rats were divided into 4 treatment groups (n=8 for eachgroup). Group I received 7 mg/kg/day infliximab immediately and at 6 hours after the stroke and group II received 10 mg/kg/day leflunomide immediately and at 6 hours after the stroke. In group III, the skeletal muscle in the limbs was clamped for180 minutes immediately after the stroke and was reperfused for 120 minutes. Group IV was sham-operated and receivedsaline immediately and at 6 hours after the stroke. Myocardium tissue samples were collected for histopathologic assays andto create hypoxia-induced tissue oxidative markers.Results: We found that apoptosis and nucleus loss in the myocardium were significantly decreased after the administrationof infliximab, leflunomide, and remote ischemic PC. Necrosis in the myocardium and cardiac malondialdehyde (MDA) levelwere also significantly decreased after treatment with remote skeletal muscle PC.Conclusion: Our findings demonstrated that remote ischemic PC and DMARDs were protective against cerebral ischemia/reperfusion injury. They acted by mobilizing the endogenous adaptive mechanisms in the myocardium and inhibited oxidativestress by increasing the activity of antioxidant enzymes.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Boulanger M, Béjot Y, Rothwell PM, Touzé E. Long-Term Risk of Myocardial Infarction Compared to Recurrent Stroke After Transient Ischemic Attack and Ischemic Stroke: Systematic Review and Meta- Analysis. J Am Heart Assoc 2018; 7(2): e007267.
  • 2. Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, et al; American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Peripheral Vascular Disease. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/ American Stroke Association. Stroke 2014; 45(7): 2160–236.
  • 3. Arango-Dávila CA, Vera A, Londoño AC, Echeverri AF, Cañas F, Cardozo CF, et al. Soluble or soluble/membrane TNF-α inhibitors protect the brain from focal ischemic injury in rats. Int J Neurosci 2015; 125(12): 936–40.
  • 4. van Sijl AM, Peters MJ, Knol DL, de Vet RH, Sattar N, Dijkmans BA, et al. The effect of TNF-alpha blocking therapy on lipid levels in rheumatoid arthritis: a meta-analysis. Semin Arthritis Rheum 2011; 41(3): 393–400.
  • 5. Jagpal A, Navarro-Millán I. Cardiovascular co-morbidity in patients with rheumatoid arthritis: a narrative review of risk factors, cardiovascular risk assessment and treatment. BMC Rheumatol 2018; 2: 10.
  • 6. Low AS, Symmons DP, Lunt M, Mercer LK, Gale CP, Watson KD, et al; British Society for Rheumatology Biologics Register for Rheumatoid Arthritis (BSRBR-RA), the BSRBR Control Centre Consortium. Relationship between exposure to tumour necrosis factor inhibitor therapy and incidence and severity of myocardial infarction in patients with rheumatoid arthritis. Ann Rheum Dis 2017; 76(4): 654–60.
  • 7. Day AL, Singh JA. Cardiovascular Disease Risk in Older Adults and Elderly Patients with Rheumatoid Arthritis: What Role Can Disease- Modifying Antirheumatic Drugs Play in Cardiovascular Risk Reduction? Drugs Aging 2019; 36(6): 493–510.
  • 8. Keep RF, Wang MM, Xiang J, Hua Y, Xi G. Is there a place for cerebral preconditioning in the clinic? Transl Stroke Res 2010; 1(1): 4–18.
  • 9. Sun Y, Zhang T, Zhang Y, Li J, Jin L, Sun Y, et al. Ischemic Postconditioning Alleviates Cerebral Ischemia-Reperfusion Injury Through Activating Autophagy During Early Reperfusion in Rats. Neurochem Res 2018; 43(9): 1826–40.
  • 10. Selçuk EB, Sungu M, Parlakpinar H, Ermiş N, Taslıdere E, Vardı N, et al. Evaluation of the cardiovascular effects of varenicline in rats. Drug Des Devel Ther 2015; 9: 5705–17.
  • 11. Zhou HJ, Li H, Shi MQ, Mao XN, Liu DL, Chang YR, et al. Protective effect of Klotho against Ischemic Brain Injury is associated with inhibition of RIG-I/NF-κB Signaling. Front Pharmacol 2018; 8: 950.
  • 12. Ergün Y, Üremiş M, Kılınç M, Alıcı T. Antioxidant effect of Legalon(r) SIL in ischemia-reperfusion injury of rat skeletal muscle. Acta Cir Bras 2016; 31(4): 264–70.
  • 13. Buege JA, Aust SD. Microsomal lipid peroxidation. Methods Enzymol 1978; 52: 302–10.
  • 14. Paglia DE, Valentine WN. Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med 1967; 70(1): 158–69.
  • 15. Heusch G. Molecular basis of cardioprotection: signal transduction in ischemic pre-, post-, and remote conditioning. Circ Res 2015; 116(4): 674–99.
  • 16. Skyschally A, Walter B, Heusch G. Coronary microembolization during early reperfusion: infarct extension, but protection by ischaemic postconditioning. Eur Heart J 2013; 34(42): 3314–21.
  • 17. Adameova A, Hrdlicka J, Szobi A, Farkasova V, Kopaskova K, Murarikova M, et al. Evidence of necroptosis in hearts subjected to various forms of ischemic insults. Can J Physiol Pharmacol 2017; 95(10): 1163–9.
  • 18. Kurrelmeyer KM, Michael LH, Baumgarten G, Taffet GE, Peschon JJ, Sivasubramanian N, et al. Endogenous tumor necrosis factor protects the adult cardiac myocyte against ischemic-induced apoptosis in a murine model of acute myocardial infarction. Proc Natl Acad Sci USA 2000; 97(19): 5456–61.
  • 19. Kleinbongard P, Heusch G, Schulz R. TNFalpha in atherosclerosis, myocardial ischemia/reperfusion and heart failure. Pharmacol Ther 2010; 127(3): 295–314.
  • 20. Lacerda L, Somers S, Opie LH, Lecour S. Ischaemic postconditioning protects against reperfusion injury via the SAFE pathway. Cardiovasc Res 2009; 84(2): 201–8.
  • 21. Peng B, Guo QL, He ZJ, Ye Z, Yuan YJ, Wang N, et al. Remote ischemic postconditioning protects the brain from global cerebral ischemia/ reperfusion injury by up-regulating endothelial nitric oxide synthase through the PI3K/Akt pathway. Brain Res 2012; 1445: 92–102.
  • 22. Breivik L, Helgeland E, Aarnes EK, Mrdalj J, Jonassen AK. Remote postconditioning by humoral factors in effluent from ischemic preconditioned rat hearts is mediated via PI3K/Akt-dependent cell-survival signaling at reperfusion. Basic Res Cardiol 2011; 106(1): 135–45.
APA Altıntaş Aykan D, seyithanoğlu m, KAZANCI Ü (2019). Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. , 429 - 434.
Chicago Altıntaş Aykan Duygun,seyithanoğlu muhammed,KAZANCI Ülkü Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. (2019): 429 - 434.
MLA Altıntaş Aykan Duygun,seyithanoğlu muhammed,KAZANCI Ülkü Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. , 2019, ss.429 - 434.
AMA Altıntaş Aykan D,seyithanoğlu m,KAZANCI Ü Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. . 2019; 429 - 434.
Vancouver Altıntaş Aykan D,seyithanoğlu m,KAZANCI Ü Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. . 2019; 429 - 434.
IEEE Altıntaş Aykan D,seyithanoğlu m,KAZANCI Ü "Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke." , ss.429 - 434, 2019.
ISNAD Altıntaş Aykan, Duygun vd. "Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke". (2019), 429-434.
APA Altıntaş Aykan D, seyithanoğlu m, KAZANCI Ü (2019). Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. Erciyes Medical Journal, 41(4), 429 - 434.
Chicago Altıntaş Aykan Duygun,seyithanoğlu muhammed,KAZANCI Ülkü Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. Erciyes Medical Journal 41, no.4 (2019): 429 - 434.
MLA Altıntaş Aykan Duygun,seyithanoğlu muhammed,KAZANCI Ülkü Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. Erciyes Medical Journal, vol.41, no.4, 2019, ss.429 - 434.
AMA Altıntaş Aykan D,seyithanoğlu m,KAZANCI Ü Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. Erciyes Medical Journal. 2019; 41(4): 429 - 434.
Vancouver Altıntaş Aykan D,seyithanoğlu m,KAZANCI Ü Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke. Erciyes Medical Journal. 2019; 41(4): 429 - 434.
IEEE Altıntaş Aykan D,seyithanoğlu m,KAZANCI Ü "Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke." Erciyes Medical Journal, 41, ss.429 - 434, 2019.
ISNAD Altıntaş Aykan, Duygun vd. "Disease-Modifying Antirheumatic Drugs and Remote Ischemic Postconditioning Ameliorate for Myocardial Injury in Rats Under Cerebral Stroke". Erciyes Medical Journal 41/4 (2019), 429-434.