Mercaptoethylguanidine attenuates caustic esophageal injury in rats: a role for scavenging of peroxynitrite
  
Yazarlar (6)
Ahmet Guven
Gulhane Training & Research Hospital, Türkiye
Bulent Uysal
Gulhane Training & Research Hospital, Türkiye
Bahadir Caliskan
Gulhane Training & Research Hospital, Türkiye
Emin Oztas
Gulhane Training & Research Hospital, Türkiye
Prof. Dr. Hülya ÖZTÜRK Kırşehir Ahi Evran Üniversitesi, Türkiye
Ahmet Korkmaz
Gulhane Training & Research Hospital, Türkiye
Makale Türü Özgün Makale (ESCI dergilerinde yayınlanan tam makale)
Dergi Adı JOURNAL OF PEDIATRIC SURGERY
Dergi ISSN 0022-3468 Wos Dergi Scopus Dergi
Makale Dili İngilizce Basım Tarihi 09-2011
Cilt / Sayı / Sayfa 46 / 9 / 1746–1752 DOI 10.1016/j.jpedsurg.2011.02.060
Özet
After ingestion of caustic material, tissue damage is caused by reactive oxygen species and reactive nitrogen species such as peroxynitrite. Mercaptoethylguanidine (MEG) is a well-known scavenger of peroxynitrite. This study was designed to determine whether MEG has a beneficial effect on caustic esophageal injury. Forty-five rats were allocated into 3 groups: sham-operated, untreated, and treated groups. Caustic esophageal burn was created by instilling 15% NaOH in the distal esophagus. The rats were left untreated or treated with 10 mg/kg per day MEG intraperitoneally for 5 days. All rats were killed at 28 days. Efficacy of the treatment was assessed both histopathologically and biochemically. Of 15 rats, 6 (40%) died in the untreated group, and only 1 (7%) rat died in the treated group. The stenosis index (SI) and the histopathologic damage score were significantly lower in the MEG treatment group than the untreated group, which showed a correlation with tissue hydroxyproline level. In the untreated group, tissue oxidative stress parameters (malondialdehyde and protein carbonyl content) were significantly higher; and antioxidant enzyme activities (superoxide dismutase and glutathione peroxidase) were significantly lower. Administration of MEG ameliorated oxidative stress parameters and antioxidant enzyme activities. Urinary nitrate and nitrite levels increased in the treated and untreated groups in the first 3 days, suggesting increased nitrosative stress; but at the fourth day, nitrate and nitrite level reached control values in the treated group. Peroxynitrites play an important role in the healing process of caustic esophagitis. As a peroxynitrites scavenger, MEG potentially might be a useful adjuvant agent in the treatment of esophageal caustic burn by modulating the antioxidant defense mechanism.
Anahtar Kelimeler
Caustic esophageal burn | Mercaptoethylguanidine | Antioxidant enzymes | Scavenging of peroxinitrate