PMID- 28273631 OWN - NLM STAT- MEDLINE DCOM- 20180214 LR - 20181202 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 89 DP - 2017 May TI - Protective effects of N-acetylcystein and atorvastatin against renal and hepatic injury in a rat model of intestinal ischemia-reperfusion. PG - 673-680 LID - S0753-3322(17)30622-4 [pii] LID - 10.1016/j.biopha.2017.02.086 [doi] AB - AIM OF THE STUDY: We sought to examine whether the separate and combined effect of N-acetylcystein (NAC) and atorvastatin prevented hepatic and renal tissue injury induced by intestinal ischemia-reperfusion (I/R). MATERIAL AND METHODS: 40 male Wistar rats were allocated into 5 experimental groups; Control (n=8): sham, I/R (n=8): rats underwent occlusion of superior mesenteric artery for 45min, Atorvastatin (n=8): rats received 10mg/kg atorvastatin, NAC (n=8): rats received 160mg/kg NAC, NAC&Atorvastatin (n=8): rats received both aforementioned agents. Administration of the agents was facilitated by oral gavage 24h before I/R. Serum levels of urea, creatinine, transaminases, IL-1beta, IL-6, TNF-alpha, ICAM-1, as well as liver and kidney histopathological examination were evaluated. RESULTS: Pretreatment with either NAC or Atorvastatin or their combination led to lower levels of transaminases and ICAM-1 (2.75+/-0.46, 2.88+/-0.84 and 1.5+/-0.76 respectively for NAC, Atorvastatin and I/R groups), while only their combination led to lower ratios of IL-1, IL-6 and TNF-alpha than I/R group (1.3+/-0.12 vs 1.94+/-0.54, 1.21+/-0.11 vs 2.12+/-0.96 and 1.33+/-0.11 vs 2.14+/-0.77, respectively). NAC was associated with enhanced renal tissue histology, while atorvastatin was found superior in protecting hepatic tissue degenaration. CONCLUSIONS: Both agents, seperately and combined, seem to exhibited tissue-specific protective activity against intestinal I/R induced injury. CI - Copyright (c) 2017 Elsevier Masson SAS. All rights reserved. FAU - Alexandropoulos, Dimitrios AU - Alexandropoulos D AD - Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Bazigos, Gerasimos V AU - Bazigos GV AD - Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Doulamis, Ilias P AU - Doulamis IP AD - Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Medical School, National and Kapodistrian University of Athens, Athens, Greece. Electronic address: doulamis.i@gmail.com. FAU - Tzani, Aspasia AU - Tzani A AD - Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Konstantopoulos, Panagiotis AU - Konstantopoulos P AD - Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Tragotsalou, Nikolitsa AU - Tragotsalou N AD - Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Kondi-Pafiti, Agathi AU - Kondi-Pafiti A AD - Department of Pathology, Aretaieion Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Kotsis, Thomas AU - Kotsis T AD - Vascular Unit, 2nd Clinic of Surgery, Aretaieion Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece, Greece. FAU - Arkadopoulos, Nikolaos AU - Arkadopoulos N AD - 4th Department of Surgery, ATTIKON University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Smyrniotis, Vasileios AU - Smyrniotis V AD - Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Perrea, Despina N AU - Perrea DN AD - Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Medical School, National and Kapodistrian University of Athens, Athens, Greece. LA - eng PT - Journal Article DEP - 20170306 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 RN - 0 (Antioxidants) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Protective Agents) RN - A0JWA85V8F (Atorvastatin) RN - WYQ7N0BPYC (Acetylcysteine) SB - IM MH - Acetylcysteine/*pharmacology MH - Acute Kidney Injury/pathology/*prevention & control MH - Animals MH - Antioxidants/*pharmacology MH - Atorvastatin/*pharmacology MH - Drug Therapy, Combination MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*pharmacology MH - Intestines/*blood supply MH - Kidney Function Tests MH - Liver Diseases/pathology/*prevention & control MH - Liver Function Tests MH - Male MH - Protective Agents/*pharmacology MH - Rats MH - Rats, Wistar MH - Reperfusion Injury/pathology/*prevention & control OTO - NOTNLM OT - Atrorvastatin OT - Intestinal OT - Ischemia-reperfusion OT - N-Acetylcystein OT - Rats EDAT- 2017/03/09 06:00 MHDA- 2018/02/15 06:00 CRDT- 2017/03/09 06:00 PHST- 2017/02/09 00:00 [received] PHST- 2017/02/22 00:00 [revised] PHST- 2017/02/22 00:00 [accepted] PHST- 2017/03/09 06:00 [pubmed] PHST- 2018/02/15 06:00 [medline] PHST- 2017/03/09 06:00 [entrez] AID - S0753-3322(17)30622-4 [pii] AID - 10.1016/j.biopha.2017.02.086 [doi] PST - ppublish SO - Biomed Pharmacother. 2017 May;89:673-680. doi: 10.1016/j.biopha.2017.02.086. Epub 2017 Mar 6.