Early propranolol treatment amelioratesendothelial dysfunction in experimental septic lung
    
Yazarlar (12)
Ezgi Özyılmaz Saraç Çukurova Üniversitesi, Türkiye
Hacer Sinem Büyüknacar Çukurova Üniversitesi, Türkiye
Emine Kılıç Bağır Çukurova Üniversitesi, Türkiye
Leman Sencar Gündoğdu Çukurova Üniversitesi, Türkiye
Özlem Görüroğlu Öztürk Çukurova Üniversitesi, Türkiye
İsmail Cem Eray Çukurova Üniversitesi, Türkiye
Prof. Dr. Yusuf Kenan DAĞLIOĞLU Çukurova Üniversitesi, Türkiye
Oya Baydar Çukurova Üniversitesi, Türkiye
Gülşah Seydaoğlu Çukurova Üniversitesi, Türkiye
Ufuk Özgü Mete Çukurova Üniversitesi, Türkiye
Derya Gümürdülü Çukurova Üniversitesi, Türkiye
Ali Kocabaş Çukurova Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı ADVANCES IN CLINICAL AND EXPERIMENTAL MEDICINE (Q4)
Dergi ISSN 1899-5276 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 03-2019
Cilt / Sayı / Sayfa 28 / 3 / 291–297 DOI 10.17219/acem/78248
Makale Linki http://www.advances.umed.wroc.pl/en/article/2019/28/3/291/
Özet
Recent reports have indicated an improved prognosis in sepsis with β-blocker agents; however, the underlying action mechanism is still under debate. The aim of this study was to investigate the potential effect of propranolol on endothelial dysfunction in septic rats. The cecal ligation and puncture model (CLP) was used to generate sepsis. Adult male Wistar-Albino rats were divided into 4 groups: group 1 was a sham group, group 2 received sterile saline, group 3 received 10 mg/kg of propranolol 3 days before the intervention, and group 4 received 10 mg/kg of propranolol 30 min after CLP. Six rats from each group were sacrificed 24 h postoperatively. The remaining rats were followed for survival. We have also evaluated the effects on systemic inflammation, coagulation and the lung tissue with immunohistochemical and electron microscopic evaluation. Serum tumor necrosis factor alpha (TNF-α) and plasminogen activator inhibitor-1 (PAI-1) levels, as well as tissue TNF-α scores were elevated in septic rats. Electron microscopic examination of the lung tissue showed endothelial dysfunction in the sepsis group. Pretreatment significantly improved survival. Moreover, pre-treatment altered serum vascular endothelial growth factor receptor-1 (VEGFR-1) levels and post-treatment reduced serum PAI-1 and VEGFR-1 levels. In both the preand post-treatment groups, electron microscopic examination revealed improvement of the destroyed lung endothelium and showed only mild alterations in the cytoplasmic organelles, especially in the mitochondria of the endothelial cells. These results suggest that the improved outcome with β-blockers in sepsis may be due to the ameliorated endothelial dysfunction. Further studies focusing on the potential effect of β-blockers on the endothelium may lead to a better understanding of sepsis.
Anahtar Kelimeler
sepsis | endothelial dysfunction | experimental | beta-blockers