The protective effect of single dose tadalafil in contrast induced nephropathy An experimental study   
Yazarlar (9)
Özbek Kerem
Köksal Ceyhan
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Fatih Koç
Akdeniz Üniversitesi, Türkiye
Erkan Söğüt
İzmir Katip Çelebi Üniversitesi, Türkiye
Fatih Altunkaş
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Dr. Öğr. Üyesi Metin KARAYAKALI Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Hasan Kadı
Balıkesir Üniversitesi, Türkiye
Prof. Dr. Reşit Doğan KÖSEOĞLU Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Orhan Önalan
Karabük Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı The Anatolian Journal of Cardiology
Dergi ISSN 2149-2263 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 04-2015
Cilt No 15
Sayı 4
Sayfalar 306 / 310
DOI Numarası 10.5152/akd.2014.5380
Makale Linki http://anatoljcardiol.com/jvi.aspx?un=AJC-38632
Özet
Objective: Contrast-induced nephropathy (CIN) is one of the most common causes of acute renal failure in hospitalized patients. The directtoxic effect of contrast media; ischemic damage caused by reactive oxygen species; increased perivascular hydrostatic pressure; high viscos-ity and changes in the activity of vasoactive substances play important roles in the pathogenesis. Tadalafil inhibits the phosphodiesteraseenzyme which destroys nitric oxide. Nitric oxide causes renal vasodilatation, increases renal medullar blood flow and mediates the removal offree oxygen radicals. Drugs that increase levels of nitric oxide are expected to reduce the development of contrast nephropathy due to contrastmedia. We aimed to test the hypothesis that tadalafil reduces the development of contrast nephropathy due to contrast toxicity.Methods: A total of 24 female Wistar albino rats, three groups of eight, were included in the study. After 48 hours of dehydration, contrast media(meglumine diatrozoate, 6 mL/kg) was administered to the first group, and contrast media with tadalafil (10 mg/kg) was administered to thesecond group. The third group served as the control group. Blood and tissue samples were taken 48 hours after this procedure.Results: Serum cystatin C, serum creatinine and blood urea nitrogen (BUN) values were significantly lower in the contrast with tadalafil groupcompared to the group given only contrast. Serum and tissue malondialdehyde (MDA) levels were significantly lower in the contrast withtadalafil group than in the contrast only group.Conclusion: These results demonstrate the protective effect of tadalafil in the prevention of CIN in rats.
Anahtar Kelimeler