The Renoprotective Effects of Desflurane And Sevoflurane in Lower Limb Ischemia-Reperfusion Injury on Streptozotocin-Induced Diabetic Rats

2021 
Aim: The study aims to determine the protective effects of sevoflurane and desflurane on the kidneys in lower limb ischemia-reperfusion injury (IRI) streptozotocin-induced diabetic rats. Method: Thirty Wistar rats were randomly divided into equal five groups. The control (group C), diabetes-control (group DC), Diabetes-I/R (group DIR), Diabetes-I/R-sevoflurane (group DIRS), Diabetes-I/R-desflurane (group DIRD). 55 mg/kg Streptozotocin was administered intraperitoneally to diabetic groups as a single dose. 72nd hours were considered diabetic blood glucose 250 mg/dl or above, and at the end of 4 weeks, all groups underwent laparotomy. In groups C and DC, there was no further action. In the group, DIR was performed 2 hours in the infrarenal abdominal aorta in order clamped be put and remove. Sevoflurane and desflurane were administered so that the minimum alveolar concentration was one during the ischemia and reperfusion periods. At the end of the reperfusion period, kidney tissues were taken for biochemical and histopathological examinations. Results: In the DIR group, Nitric oxide synthases (NOS) enzyme activity was observed significantly higher than C and DC groups. In DIRS and DIRD groups, it was significantly lower than DIR. TBARS level is significantly higher in all groups compared to group C. In the DIR group, it was significantly higher than in the DC group. In DIRS and DIRD groups, it was significantly lower than DIR. DIR group Superoxide dismutase (SOD) enzyme activity was observed significantly higher than C and DC groups. In DIRS and DIRD groups, it was significantly lower than DIR. Conclusion: These results demonstrate that sevoflurane and desflurane have protective effects on the kidneys in lower limb IRI on streptozotocin-induced diabetic rats.
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