Protective Effects of Angiotensin II Type-1 Receptor Blockade With Olmesartan on Spinal Cord Ischemia-Reperfusion Injury: An Experimental Study on Rats

Background Spinal cord injury is a major complication of thoracoabdominal aortic operations. We aimed to investigate neuroprotective role of olmesartan administered to rats before ischemia against ischemia-reperfusion (I-R) injury. Methods Twenty-four Wistar albino rats were randomly divided into th...

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Published inAnnals of vascular surgery Vol. 24; no. 6; pp. 801 - 808
Main Authors Güler, Adem, Şahin, Mehmet Ali, Ucak, Alper, Onan, Burak, Inan, Kaan, Öztaş, Emin, Arslan, Sddk, Uysal, Bülent, Demirklç, Ufuk, Tatar, Harun
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LanguageEnglish
Published Netherlands Elsevier Inc 01.08.2010
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Abstract Background Spinal cord injury is a major complication of thoracoabdominal aortic operations. We aimed to investigate neuroprotective role of olmesartan administered to rats before ischemia against ischemia-reperfusion (I-R) injury. Methods Twenty-four Wistar albino rats were randomly divided into three groups ( n = 8 per group): group I (control group, the sham-operation group), group II (the I-R group undergoing aortic occlusion without pharmacologic treatment), and group III (olmesartan-treated group receiving 3 mg/kg/d olmesartan for 14 days before ischemia). Spinal cord ischemia was induced by infrarenal aortic clamping for 45 minutes, followed by reperfusion. Neurological status was assessed by using modified Tarlov score preoperatively and at 48 hours postoperatively. Spinal cords were harvested for histopathologic examination with hematoxylin-eosin staining and biochemical analysis for tissue malondialdehyde, superoxide dismutase, and glutathione peroxidase levels. Results The rats in the ischemia group had severe deficits including paraplegia after surgery, and they had a worse neurological status compared with the sham group ( p < 0.05). The mean Tarlov scores in the ischemia and olmesartan-treated groups at 48 hours postoperatively were 1.6 ± 0.4 and 2.2 ± 0.9, respectively ( p < 0.05). Histopathologic analyses demonstrated typical changes of ischemic necrosis in the ischemia group; however, olmesartan attenuated tissue necrosis. Decreased spinal cord tissue malondialdehyde ( p = 0.047) and increased tissue superoxide dismutase ( p = 0.001) and glutathione peroxidase ( p = 0.009) levels were measured in the olmesartan-treated group compared with the ischemia group. Conclusion Olmesartan may protect the spinal cord from I-R injury and reduce the incidence of associated neurological dysfunction after temporary aortic occlusion.
AbstractList BACKGROUNDSpinal cord injury is a major complication of thoracoabdominal aortic operations. We aimed to investigate neuroprotective role of olmesartan administered to rats before ischemia against ischemia-reperfusion (I-R) injury.METHODSTwenty-four Wistar albino rats were randomly divided into three groups (n = 8 per group): group I (control group, the sham-operation group), group II (the I-R group undergoing aortic occlusion without pharmacologic treatment), and group III (olmesartan-treated group receiving 3 mg/kg/d olmesartan for 14 days before ischemia). Spinal cord ischemia was induced by infrarenal aortic clamping for 45 minutes, followed by reperfusion. Neurological status was assessed by using modified Tarlov score preoperatively and at 48 hours postoperatively. Spinal cords were harvested for histopathologic examination with hematoxylin-eosin staining and biochemical analysis for tissue malondialdehyde, superoxide dismutase, and glutathione peroxidase levels.RESULTSThe rats in the ischemia group had severe deficits including paraplegia after surgery, and they had a worse neurological status compared with the sham group (p < 0.05). The mean Tarlov scores in the ischemia and olmesartan-treated groups at 48 hours postoperatively were 1.6 +/- 0.4 and 2.2 +/- 0.9, respectively (p < 0.05). Histopathologic analyses demonstrated typical changes of ischemic necrosis in the ischemia group; however, olmesartan attenuated tissue necrosis. Decreased spinal cord tissue malondialdehyde (p = 0.047) and increased tissue superoxide dismutase (p = 0.001) and glutathione peroxidase (p = 0.009) levels were measured in the olmesartan-treated group compared with the ischemia group.CONCLUSIONOlmesartan may protect the spinal cord from I-R injury and reduce the incidence of associated neurological dysfunction after temporary aortic occlusion.
Spinal cord injury is a major complication of thoracoabdominal aortic operations. We aimed to investigate neuroprotective role of olmesartan administered to rats before ischemia against ischemia-reperfusion (I-R) injury. Twenty-four Wistar albino rats were randomly divided into three groups ( n = 8 per group): group I (control group, the sham-operation group), group II (the I-R group undergoing aortic occlusion without pharmacologic treatment), and group III (olmesartan-treated group receiving 3 mg/kg/d olmesartan for 14 days before ischemia). Spinal cord ischemia was induced by infrarenal aortic clamping for 45 minutes, followed by reperfusion. Neurological status was assessed by using modified Tarlov score preoperatively and at 48 hours postoperatively. Spinal cords were harvested for histopathologic examination with hematoxylin-eosin staining and biochemical analysis for tissue malondialdehyde, superoxide dismutase, and glutathione peroxidase levels. The rats in the ischemia group had severe deficits including paraplegia after surgery, and they had a worse neurological status compared with the sham group ( p < 0.05). The mean Tarlov scores in the ischemia and olmesartan-treated groups at 48 hours postoperatively were 1.6 ± 0.4 and 2.2 ± 0.9, respectively ( p < 0.05). Histopathologic analyses demonstrated typical changes of ischemic necrosis in the ischemia group; however, olmesartan attenuated tissue necrosis. Decreased spinal cord tissue malondialdehyde ( p = 0.047) and increased tissue superoxide dismutase ( p = 0.001) and glutathione peroxidase ( p = 0.009) levels were measured in the olmesartan-treated group compared with the ischemia group. Olmesartan may protect the spinal cord from I-R injury and reduce the incidence of associated neurological dysfunction after temporary aortic occlusion.
Spinal cord injury is a major complication of thoracoabdominal aortic operations. We aimed to investigate neuroprotective role of olmesartan administered to rats before ischemia against ischemia-reperfusion (I-R) injury. Twenty-four Wistar albino rats were randomly divided into three groups (n = 8 per group): group I (control group, the sham-operation group), group II (the I-R group undergoing aortic occlusion without pharmacologic treatment), and group III (olmesartan-treated group receiving 3 mg/kg/d olmesartan for 14 days before ischemia). Spinal cord ischemia was induced by infrarenal aortic clamping for 45 minutes, followed by reperfusion. Neurological status was assessed by using modified Tarlov score preoperatively and at 48 hours postoperatively. Spinal cords were harvested for histopathologic examination with hematoxylin-eosin staining and biochemical analysis for tissue malondialdehyde, superoxide dismutase, and glutathione peroxidase levels. The rats in the ischemia group had severe deficits including paraplegia after surgery, and they had a worse neurological status compared with the sham group (p < 0.05). The mean Tarlov scores in the ischemia and olmesartan-treated groups at 48 hours postoperatively were 1.6 +/- 0.4 and 2.2 +/- 0.9, respectively (p < 0.05). Histopathologic analyses demonstrated typical changes of ischemic necrosis in the ischemia group; however, olmesartan attenuated tissue necrosis. Decreased spinal cord tissue malondialdehyde (p = 0.047) and increased tissue superoxide dismutase (p = 0.001) and glutathione peroxidase (p = 0.009) levels were measured in the olmesartan-treated group compared with the ischemia group. Olmesartan may protect the spinal cord from I-R injury and reduce the incidence of associated neurological dysfunction after temporary aortic occlusion.
Background Spinal cord injury is a major complication of thoracoabdominal aortic operations. We aimed to investigate neuroprotective role of olmesartan administered to rats before ischemia against ischemia-reperfusion (I-R) injury. Methods Twenty-four Wistar albino rats were randomly divided into three groups ( n = 8 per group): group I (control group, the sham-operation group), group II (the I-R group undergoing aortic occlusion without pharmacologic treatment), and group III (olmesartan-treated group receiving 3 mg/kg/d olmesartan for 14 days before ischemia). Spinal cord ischemia was induced by infrarenal aortic clamping for 45 minutes, followed by reperfusion. Neurological status was assessed by using modified Tarlov score preoperatively and at 48 hours postoperatively. Spinal cords were harvested for histopathologic examination with hematoxylin-eosin staining and biochemical analysis for tissue malondialdehyde, superoxide dismutase, and glutathione peroxidase levels. Results The rats in the ischemia group had severe deficits including paraplegia after surgery, and they had a worse neurological status compared with the sham group ( p < 0.05). The mean Tarlov scores in the ischemia and olmesartan-treated groups at 48 hours postoperatively were 1.6 ± 0.4 and 2.2 ± 0.9, respectively ( p < 0.05). Histopathologic analyses demonstrated typical changes of ischemic necrosis in the ischemia group; however, olmesartan attenuated tissue necrosis. Decreased spinal cord tissue malondialdehyde ( p = 0.047) and increased tissue superoxide dismutase ( p = 0.001) and glutathione peroxidase ( p = 0.009) levels were measured in the olmesartan-treated group compared with the ischemia group. Conclusion Olmesartan may protect the spinal cord from I-R injury and reduce the incidence of associated neurological dysfunction after temporary aortic occlusion.
Author Ucak, Alper
Uysal, Bülent
Şahin, Mehmet Ali
Demirklç, Ufuk
Tatar, Harun
Öztaş, Emin
Inan, Kaan
Arslan, Sddk
Onan, Burak
Güler, Adem
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  fullname: Tatar, Harun
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Snippet Background Spinal cord injury is a major complication of thoracoabdominal aortic operations. We aimed to investigate neuroprotective role of olmesartan...
Spinal cord injury is a major complication of thoracoabdominal aortic operations. We aimed to investigate neuroprotective role of olmesartan administered to...
BACKGROUNDSpinal cord injury is a major complication of thoracoabdominal aortic operations. We aimed to investigate neuroprotective role of olmesartan...
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SubjectTerms Angiotensin II Type 1 Receptor Blockers - pharmacology
Animals
Aorta, Abdominal - surgery
Constriction
Disease Models, Animal
Glutathione Peroxidase - metabolism
Imidazoles - pharmacology
Male
Malondialdehyde - metabolism
Motor Activity
Necrosis
Neuroprotective Agents - pharmacology
Olmesartan Medoxomil
Paraplegia - etiology
Paraplegia - prevention & control
Rats
Rats, Wistar
Reperfusion Injury - etiology
Reperfusion Injury - pathology
Reperfusion Injury - physiopathology
Reperfusion Injury - prevention & control
Spinal Cord - drug effects
Spinal Cord - metabolism
Spinal Cord - pathology
Spinal Cord - physiopathology
Spinal Cord Ischemia - complications
Spinal Cord Ischemia - drug therapy
Spinal Cord Ischemia - pathology
Spinal Cord Ischemia - physiopathology
Superoxide Dismutase - metabolism
Surgery
Tetrazoles - pharmacology
Time Factors
Title Protective Effects of Angiotensin II Type-1 Receptor Blockade With Olmesartan on Spinal Cord Ischemia-Reperfusion Injury: An Experimental Study on Rats
URI https://www.clinicalkey.es/playcontent/1-s2.0-S0890509610001895
https://dx.doi.org/10.1016/j.avsg.2010.03.023
https://www.ncbi.nlm.nih.gov/pubmed/20638619
https://search.proquest.com/docview/733998856
Volume 24
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