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Biochemical and biomechanical assessment of effects of l-carnitine on oral mucosal wounds

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Abstract

Objectives

The present study aimed to investigate the oral mucosal wound healing potential of l-carnitine in a rat model.

Materials and methods

Twenty-four Wistar-albino rats were divided into 4 groups: control group (group I), l-carnitine groups (100 and 200 mg/kg/day, intraperitoneally) (groups II and III), and vitamin E group (100 mg/kg/day, intraperitoneally) (group IV). A 1.5-cm linear incision was created on the buccal mucosa of each rat and was left to heal by secondary intention. On the tenth day, rats were anesthetized and sacrificed. The tensile strength of wound was measured with a tensiometer. Hydroxyproline (HYP) and malondialdehyde (MDA) levels in wound were assayed by spectrophotometry. Results were statistically analyzed using a one-way ANOVA analysis (p ≤ 0.001).

Results

In the analysis of tissue samples, there was a statistically significant decrease in MDA levels in group II (p < 0.01) and group IV (p < 0.001). Wound tension strength that was seen in groups II (57.88 %) and IV (48.71 %) was better than group III (33.39 %). Hydroxyproline levels in group II (46.98 ± 1.37) was higher than groups III (29.40 ± 1.64) and IV (38.83 ± 1.41).

Conclusion

Although there was a tendency toward faster healing in the groups receiving l-carnitine, it may have a dose-related positive effect for wound healing.

Clinical relevance

With the advantages of having positive effects on wound healing, being a natural substance in the body, being easy to procure, and having a practical usage, l-carnitine may be clinically feasible for human oral mucosal wounds.

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References

  1. Arslan E, Milcan A, Unal S, Demirkan F, Polat A, Bagdatoglu O, Aksoy A, Polat G (2003) The effects of carnitine on distally-burned dorsal skin flap: an experimental study in rats. Burns 29(3):221–227

    Article  PubMed  Google Scholar 

  2. Tastekin N, Aydogdu N, Dokmeci D, Usta U, Birtane M, Erbas H, Ture M (2007) Protective effects of L-carnitine and alpha-lipoic acid in rats with adjuvant arthritis. Pharmacol Res 56(4):303–310. doi:10.1016/j.phrs.2007.07.008

    Article  PubMed  Google Scholar 

  3. Fitzmaurice SD, Sivamani RK, Isseroff RR (2011) Antioxidant therapies for wound healing: a clinical guide to currently commercially available products. Skin Pharmacol Physiol 24(3):113–126. doi:10.1159/000322643

    Article  PubMed  Google Scholar 

  4. Bremer J (1983) Carnitine–metabolism and functions. Physiol Rev 63(4):1420–1480

    PubMed  Google Scholar 

  5. Flanagan JL, Simmons PA, Vehige J, Willcox MD, Garrett Q (2010) Role of carnitine in disease. Nutr Metab 7:30. doi:10.1186/1743-7075-7-30

    Article  Google Scholar 

  6. Gomez-Amores L, Mate A, Miguel-Carrasco JL, Jimenez L, Jos A, Camean AM, Revilla E, Santa-Maria C, Vazquez CM (2007) L-carnitine attenuates oxidative stress in hypertensive rats. J Nutr Biochem 18(8):533–540. doi:10.1016/j.jnutbio.2006.10.004

    Article  PubMed  Google Scholar 

  7. Sushamakumari S, Jayadeep A, Kumar JS, Menon VP (1989) Effect of carnitine on malondialdehyde, taurine and glutathione levels in heart of rats subjected to myocardial stress by isoproterenol. Indian J Exp Biol 27(2):134–137

    PubMed  Google Scholar 

  8. Thangasamy T, Jeyakumar P, Sittadjody S, Joyee AG, Chinnakannu P (2009) L-carnitine mediates protection against DNA damage in lymphocytes of aged rats. Biogerontology 10(2):163–172. doi:10.1007/s10522-008-9159-1

    Article  PubMed  Google Scholar 

  9. Babicova A, Havlinova Z, Hroch M, Rezacova M, Pejchal J, Vavrova J, Chladek J (2013) In vivo study of radioprotective effect of NO-synthase inhibitors and acetyl-L-carnitine. Physiol Res 62(6):701–710

    PubMed  Google Scholar 

  10. Fortin G, Yurchenko K, Collette C, Rubio M, Villani AC, Bitton A, Sarfati M, Franchimont D (2009) L-carnitine, a diet component and organic cation transporter OCTN ligand, displays immunosuppressive properties and abrogates intestinal inflammation. Clin Exp Immunol 156(1):161–171. doi:10.1111/j.1365-2249.2009.03879.x

    Article  PubMed Central  PubMed  Google Scholar 

  11. Yilmaz N, Inal S, Muglali M, Guvenc T, Bas B (2010) Effects of polyglecaprone 25, silk and catgut suture materials on oral mucosa wound healing in diabetic rats: an evaluation of nitric oxide dynamics. Med Oral Patol Oral Circ Bucal 15(3):e526–e530

    Article  Google Scholar 

  12. Lodhi S, Pawar RS, Jain AP, Singhai AK (2006) Wound healing potential of Tephrosia purpurea (Linn.) Pers. in rats. J Ethnopharmacol 108(2):204–210. doi:10.1016/j.jep.2006.05.011

    Article  PubMed  Google Scholar 

  13. Suguna L, Singh S, Sivakumar P, Sampath P, Chandrakasan G (2002) Influence of Terminalia chebula on dermal wound healing in rats. Phytother Res 16(3):227–231. doi:10.1002/ptr.827

    Article  PubMed  Google Scholar 

  14. Ohkawa H, Ohishi N, Yagi K (1979) Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem 95(2):351–358

    Article  PubMed  Google Scholar 

  15. Woessner JF Jr (1961) The determination of hydroxyproline in tissue and protein samples containing small proportions of this imino acid. Arch Biochem Biophys 93:440–447

    Article  PubMed  Google Scholar 

  16. Degim Z, Celebi N, Sayan H, Babul A, Erdogan D, Take G (2002) An investigation on skin wound healing in mice with a taurine-chitosan gel formulation. Amino Acids 22(2):187–198. doi:10.1007/s007260200007

    Article  PubMed  Google Scholar 

  17. Rasik AM, Raghubir R, Gupta A, Shukla A, Dubey MP, Srivastava S, Jain HK, Kulshrestha DK (1999) Healing potential of Calotropis procera on dermal wounds in Guinea pigs. J Ethnopharmacol 68(1–3):261–266

    Article  PubMed  Google Scholar 

  18. Chen X, Liu Y, Zhang X (2012) Topical insulin application improves healing by regulating the wound inflammatory response. Wound Repair Regen 20(3):425–434. doi:10.1111/j.1524-475X.2012.00792.x

    Article  PubMed  Google Scholar 

  19. Hong JP, Park SW (2012) The combined effect of recombinant human epidermal growth factor and erythropoietin on full-thickness wound healing in diabetic rat model. Int Wound J. doi:10.1111/j.1742-481X.2012.01100.x

    PubMed  Google Scholar 

  20. Kim JE, Shklar G (1983) The effect of vitamin E on the healing of gingival wounds in rats. J Periodontol 54(5):305–308

    Article  PubMed  Google Scholar 

  21. Musalmah M, Fairuz AH, Gapor MT, Ngah WZ (2002) Effect of vitamin E on plasma malondialdehyde, antioxidant enzyme levels and the rates of wound closures during wound healing in normal and diabetic rats. Asia Pac J Clin Nutr 11(Suppl 7):S448–S451

    Article  PubMed  Google Scholar 

  22. Bajpai S, Mishra M, Kumar H, Tripathi K, Singh SK, Pandey HP, Singh RK (2011) Effect of selenium on connexin expression, angiogenesis, and antioxidant status in diabetic wound healing. Biol Trace Elem Res 144(1–3):327–338. doi:10.1007/s12011-011-9097-7

    Article  PubMed  Google Scholar 

  23. Akkus A, Aydinuraz K, Daphan C, Saygun O, Caglayan O, Edremitlioglu M, Agalar F (2009) Effect of carnitine on cutaneous wound healing in immunosuppressed rats. J Surg Res 155(2):301–305. doi:10.1016/j.jss.2008.06.010

    Article  PubMed  Google Scholar 

  24. Kargi E, Deren O, Babuccu O, Hosnuter M, Erdogan B (2004) Dual synergistic effect: the effect of dexamethasone plus carnitine on skin flap survival. Ann Plast Surg 53(5):488–491

    Article  PubMed  Google Scholar 

  25. Karsidag T, Asensio JA, Kabukcuoglu F, Tuzun S (2010) Preliminary study comparing the effects of locally and systemically applied L-carnitine on the healing of full-thickness skin defects. Scand J Surg 99(3):147–152

    PubMed  Google Scholar 

  26. Tellioglu AT, Uras KA, Yilmaz T, Alagozlu H, Tekdemir I, Karabag O (2001) The effect of carnitine on random-pattern flap survival in rats. Plast Reconstr Surg 108(4):959–962

    Article  PubMed  Google Scholar 

  27. Binienda ZK (2003) Neuroprotective effects of L-carnitine in induced mitochondrial dysfunction. Ann N Y Acad Sci 993:289–295, discussion 345-9

    Article  PubMed  Google Scholar 

  28. Gorur S, Bagdatoglu OT, Polat G (2005) Protective effect of L-carnitine on renal ischaemia-reperfusion injury in the rat. Cell Biochem Funct 23(3):151–155. doi:10.1002/cbf.1159

    Article  PubMed  Google Scholar 

  29. Ucuncu H, Ertekin MV, Yoruk O, Sezen O, Ozkan A, Erdogan F, Kiziltunc A, Gundogdu C (2006) Vitamin E and L-carnitine, separately or in combination, in the prevention of radiation-induced oral mucositis and myelosuppression: a controlled study in a rat model. J Radiat Res 47(1):91–102

    Article  PubMed  Google Scholar 

  30. Rock CL, Jacob RA, Bowen PE (1996) Update on the biological characteristics of the antioxidant micronutrients: vitamin C, vitamin E, and the carotenoids. J Am Diet Assoc 96(7):693–702. doi:10.1016/S0002-8223(96)00190-3, quiz 703-4

    Article  PubMed  Google Scholar 

  31. Demirdag K, Bahcecioglu IH, Ozercan IH, Ozden M, Yilmaz S, Kalkan A (2004) Role of L-carnitine in the prevention of acute liver damage induced by carbon tetrachloride in rats. J Gastroenterol Hepatol 19(3):333–338

    Article  PubMed  Google Scholar 

  32. Cetinkaya A, Bulbuloglu E, Kantarceken B, Ciralik H, Kurutas EB, Buyukbese MA, Gumusalan Y (2006) Effects of L-carnitine on oxidant/antioxidant status in acetic acid-induced colitis. Dig Dis Sci 51(3):488–494. doi:10.1007/s10620-006-3160-9

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

Thanks are due to Scientific Research Project Foundation of Gazi University, Ankara, Turkey for providing a financial support (Project code no: 03/2011-36)

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The authors declare no conflicts of interest.

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Correspondence to A.Harika Kutluay Köklü.

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Kutluay Köklü, A., Küpeli Akkol, E. & Uğar Çankal, D.A. Biochemical and biomechanical assessment of effects of l-carnitine on oral mucosal wounds. Clin Oral Invest 19, 1101–1106 (2015). https://doi.org/10.1007/s00784-014-1329-8

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  • DOI: https://doi.org/10.1007/s00784-014-1329-8

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