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Overall systematic approach to sepsis damages on urogenital tissues: protective power of lacosamide

  • General Gynecology
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Abstract

Purpose

The aim of the study was to evaluate the harmful effects of sepsis on the urogynecological tissues and the ability of Lacosamide (LCM) on Lipopolysaccharide (LPS)-induced cytokine production, oxidative stress and apoptotic pathways, in the experimental rat sepsis model.

Methods

Twenty-four female Wistar albino rats (12 months old) were divided into 3 groups as follows: control group (Group I) (0.1 ml/oral and i.p. saline, single dose), sepsis group (Group II) (5 mg/kg LPS, i.p. single dose) and sepsis + LCM group (Group III) (5 mg/kg LPS, i.p. single dose and 40 mg/kg LCM). Six hours after the last LPS administration, the animals were sacrificed. Subsequently, the analyses of urogenital tissues total oxidant/antioxidant status, histopathological and immunohistochemical analyses were performed.

Results

Total oxidant capacity (TOC) and oxidative stress index (OSI) values in the urogenital tissues were increased in the urogenital tissues in Group II [Total antioxidant capacity (TAC) was decreased] compared to group I (p < 0.05). LCM improved these values (p < 0.05). The immunohistochemical markers (Tumor Necrosis Factor-alpha (TNF-α), interleukin-1 beta (IL-1β), heat shock protein 70 (HSP-70), C-reactive protein (CRP), Malondialdehyde (MDA) were significantly increased in Group II (p < 0.001). With the administration of LCM (Group III), the expressions of above-mentioned markers were markedly decreased (p < 0.001). Marked hyperemia and slight hemorrhages with neutrophil leukocyte infiltrations were seen histopathologically in Group II. LCM treatment ameliorated the pathological findings.

Conclusion

These findings demonstrated that sepsis caused oxidative stress, apoptosis and inflammation in the urogenital tissues. We revealed that LCM ameliorated the damage caused by sepsis in urogenital tissue.

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Acknowledgements

The authors thank the participants who made this study possible.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Faculty of Medicine, Suleyman Demirel University, Cunur, 32260, Isparta, Turkey

    Ilker Gunyeli

  2. Department of Physiology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey

    Mustafa Saygin

  3. Department of Pathology, Faculty of Veterinary Medicine, Burdur Mehmet Akif Ersoy University, Burdur, Turkey

    Ozlem Ozmen

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  1. Ilker Gunyeli
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  2. Mustafa Saygin
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Contributions

GI contributed to the literature search, project development, manuscript writing/editing, data collection and interpretation, experimental rat study, rat scarification and revision of the article; SM contributed to the biochemical analysis, statistical analysis, and rat sacrification; OO contributed to the histopathological and immunohistochemical analyses, management data analysis, and statistical analysis.

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Correspondence to Ilker Gunyeli.

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Gunyeli, I., Saygin, M. & Ozmen, O. Overall systematic approach to sepsis damages on urogenital tissues: protective power of lacosamide. Arch Gynecol Obstet 300, 941–955 (2019). https://doi.org/10.1007/s00404-019-05262-1

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