The Protective Effect of Coenzyme Q10 on the Renal Ischemia Reperfusion Induced Liver Injury
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Research Article
P: 184-191
August 2019

The Protective Effect of Coenzyme Q10 on the Renal Ischemia Reperfusion Induced Liver Injury

J Ankara Univ Fac Med 2019;72(2):184-191
1. Sağlık Bilimleri Üniversitesi, Ankara Uygulama ve Araştırma Hastanesi, Nükleer Tıp Kliniği, Ankara, Türkiye
2. Sağlık Bilimleri Üniversitesi, Ankara Uygulama ve Araştırma Hastanesi, Üroloji Kliniği, Ankara, Türkiye
3. Sağlık Bilimleri Üniversitesi, Ankara Uygulama ve Araştırma Hastanesi, Biyokimya Kliniği, Ankara, Türkiye
4. Harran Üniversitesi Veteriner Fakültesi, Patoloji Anabilim Dalı, Şanlıurfa, Türkiye
5. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Biyoistatistik Anabilim Dalı, Ankara, Türkiye
No information available.
No information available
Received Date: 30.01.2019
Accepted Date: 15.04.2019
Publish Date: 02.10.2019
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ABSTRACT

Objectives:

The aim of this study was to show the efficacy of coenzyme Q10, known as anti-oxidant with anti-inflammatory properties, in liver damage after renal ischemia-reperfusion (RIR).

Materials and Methods:

For this purpose, rats were divided into three groups to design an experimental RIR model. Group 1 rats were Sham group. Group 2 rats underwent RIR without any medication. Group 3 rats were given coenzyme Q10 before RIR. In order to evaluate the damage, serum urea, creatinine, aspartate aminotransferase (AST) and alanine aminotransferase (ALT), alkaline phosphatase (ALP), lactate dehydrogenase (LDH) and gamma glutamyl transferase (GGT) levels were investigated and additionally tissue (MPO), malondialdehyde (MDA), total sulfhydryl (SH), total nitrite and myeloperoxidase (MPO) levels were investigated. Histopathologic examination was performed for all groups and DNA fragmentation resulting from apoptotic fragmentation was evaluated with caspase-3 and TUNEL with immunohistochemical methods.

Results:

Urea and creatinine levels and also ALP, ALT, AST, GGT and LDH levels were significantly increased in group 2 compared to the Sham group. These increases were significantly lower in group 3. The tissue levels of MDA, nitrite, and MPO were significantly increased in group 2 compared to the Sham group, and SH levels were significantly decreased in group 2. In the group 3 rats, MDA, nitrite and MPO levels were decreased when compared to group 2. Additionally there was a significant increase in histopathologic scores in group 2 compared to the Sham group, whereas the decrease in histopathologic scores of group 3 was found to be significant when compared to group 2. Similarly, caspase-3 and TUNEL scores were significantly high in group 2 compared to Sham group and the scores were significantly low in group 3 compared to group 2.

Conclusion:

Coenzyme Q10 improved the histopathological findings, the serum tests and tissue oxidative stress levels in post-RIR liver tissues. Our results show that coenzyme Q10 can play an important role in protection of liver against RIR-induced damage.

Keywords: Coenzyme Q10, Renal Ischemia-reperfusion, Distant Organ Injury, Anti-oxidant, Anti-inflammatory

References

1
Kelly KJ. Distant effects of experimental renal ischemia/reperfusion injury. J Am Soc Nephrol. 2003;14:1549-1558.
2
Elapavaluru S, Kellum JA. Why do patients die of acute kidney injury? Acta Clin Belg. 2007;62:326-331.
3
Ernster L, Forsmark-Andrée P. Ubiquinol: an endogenous antioxidant in aerobic organisms. Clin Investig. 1993;71:S60-S65.
4
Folkers K. The potential of coenzyme Q 10 (NSC-140865) in cancer treatment. Cancer Chemother Rep 2. 1974;4:19-22.
5
Fouad AA, Jresat I. Hepatoprotective effect of coenzyme Q10 in rats with acetaminophen toxicity. Environmental toxicology and pharmacology. Environ Toxicol Pharmacol. 2012;33:158-167.
6
Vasiliev AV, Martinova EA, Sharanova NV, et al. Effects of coenzyme Q10 on rat liver cells under conditions of metabolic stress. Bulletin of experimental biology and medicine. Bull Exp Biol Med. 2011;150:416-419.
7
Yokoyama H, Lingle DM, Crestanello JA, et al. Coenzyme Q10 protects coronary endothelial function from ischemia reperfusion injury via an antioxidant effect. Surgery. 1996;120:189-196.
8
Mirmalek SA, Gholamrezaei Boushehrinejad A, Yavari H, et al. Antioxidant and anti-inflammatory effects of coenzyme Q10 on L-arginine-induced acute pancreatitis in rat. Oxid Med Cell Longev. 2016;2016:5818479.
9
Liang S, Ping Z, Ge J. Coenzyme Q10 Regulates Antioxidative Stress and Autophagy in Acute Myocardial Ischemia-Reperfusion Injury Oxid Med Cell Longev. 2017;2017:9863181.
10
Carrasco J, Anglada FJ, Campos JP, et al. The protective role of coenzyme Q 10 in renal injury associated with extracorporeal shockwave lithotripsy: a randomised, placebo‐controlled clinical trial. BJU Int. 2014;113:942-950.
11
Fouad AA, Al-Sultan AI, Refaie SM, et al. Coenzyme Q10 treatment ameliorates acute cisplatin nephrotoxicity in mice. Toxicology. 2010;274:49-56.
12
Fatemikia H, Ketabchi F, Karimi Z, et al. Distant effects of unilateral renal ischemia/reperfusion on contralateral kidney but not lung in rats: the roles of ROS and iNOS. Can J Physiol Pharmacol. 2016;94:477-487.
13
Detre S, Jotti GS, Dowsett M. A “quickscore” method for immunohistochemical semiquantitation: validation for oestrogen receptor in breast carcinomas. J Clin Pathol. 1995;48:876-878.
14
Turbin DA, Leung S, Cheang MC, et al. Automated quantitative analysis of estrogen receptor expression in breast carcinoma does not differ from expert pathologist scoring: a tissue microarray study of 3,484 cases. Breast Cancer Res Treat. 2008;110:417-426.
15
Wasowicz W, Nève J, Peretz A. Optimized steps in fluorometric determination of thiobarbituric acid-reactive substances in serum: importance of extraction pH and influence of sample preservation and storage. Clin Chem. 1993;39:2522-2526.
16
Bradley PP, Priebat DA, Christensen RD, et al. Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker. J Invest Dermatol. 1982;78:206-209.
17
Sedlak J, Lindsay RH. Estimation of total, protein-bound, and nonprotein sulfhydryl groups in tissue with Ellman’s reagent. Anal Biochem. 1968;25:192-205.
18
Smárason Jr A, Allman KG, Young D, et al. Elevated levels of serum nitrate, a stable end product of nitric oxide, in women with pre‐eclampsia. Br J Obstet Gynaecol. 1997;104:538-543.
19
Lemasters JJ, Thurman RG. Reperfusion injury after liver preservation for transplantation. Annu Rev Pharmacol Toxicol. 1997;37:327-338.
20
Neary P, Redmond H. Ischaemia-reperfusion injury and the systemic inflammatory response syndrome. Ischemia-Reperfusion Injury London: Blackwell Science. 1999:123-136.
21
Dancygier H. Basic Laboratory Parameters. Clinical Hepatology. Principles and Practice of Hepatobiliary Diseases: Springer-Verlag Berlin Heidelberg; 2010;p.319-331.
22
Askaripour M, Fatemi-Tabatabaei SR, Hosseini F, et al. Effects of aqueous extract of purslane (Portulaca oleracea) on hepatic enzymes in Two models of renal ischemia-reperfusion injury in rats. Zahedan J Res Med Sci. 2016;18:1-4.
23
Golab F, Kadkhodaee M, Zahmatkesh M, et al. Ischemic and non-ischemic acute kidney injury cause hepatic damage. Kidney Int. 2009;75:783-792.
24
Wang B, Bai M, Bai Y, Li Q. Liver injury following renal ischemia reperfusion in rats. Transplant Proc. 2010;42:3422-3426.
25
Kim M, Park SW, Kim M, et al. Isoflurane Activates Intestinal Sphingosine Kinase to Protect against Renal Ischemia–Reperfusion-induced Liver and Intestine Injury. Anesthesiology. 2011;114:363-373.
26
Daemen MA, van’t Veer C, Denecker G, et al. Inhibition of apoptosis induced by ischemia-reperfusion prevents inflammation. J Clin Invest. 1999;104:541-549.
27
Yap SC, Lee HT. Acute Kidney Injury and Extrarenal Organ DysfunctionNew Concepts and Experimental Evidence. Anesthesiology. 2012;116:1139-1148.
28
Tas Hekimoglu A, Toprak G, Akkoc H, et al. Oxytocin ameliorates remote liver injury induced by renal ischemia-reperfusion in rats. Korean J Physiol Pharmacol. 2013;17:169-173.
29
Serteser M, Koken T, Kahraman A, et al. Changes in hepatic TNF-α levels, antioxidant status, and oxidation products after renal ischemia/reperfusion injury in mice. J Surg Res. 2002;107:234-240.
30
Bae EH, Kim SW. Alteration of nitric oxide synthase and guanylyl cyclase activity in rats with ischemia/reperfusion renal injury. Korean J Physiol Pharmacol. 2006;10:337-341.
31
Uhlmann D, Uhlmann S, Spiegel HU. Endothelin/nitric oxide balance influences hepatic ischemia-reperfusion injury. J Cardiovasc Pharmacol. 2000;36:S212-214.
32
Grisham MB, Granger DN, Lefer DJ. Modulation of leukocyte–endothelial interactions by reactive metabolites of oxygen and nitrogen: relevance to ischemic heart disease. Free Radic Biol Med. 1998;25:404-433.
33
Shen SQ, Zhang Y, Xiang JJ, et al. Protective effect of curcumin against liver warm ischemia/reperfusion injury in rat model is associated with regulation of heat shock protein and antioxidant enzymes. World J Gastroenterol. 2007;13:1953-1961.
34
Jung HJ, Park EH, Lim CJ. Evaluation of anti-angiogenic, anti-inflammatory and antinociceptive activity of coenzyme Q(10) in experimental animals. J Pharm Pharmacol. 2009;61:1391-1395.
35
Ajamieh H, Merino N, Candelario-Jalil E, et al. Similar protective effect of ischaemic and ozone oxidative preconditionings in liver ischaemia/reperfusion injury. Pharmacol Res. 2002;45:333-339.
36
Peralta C, Leon O, Xaus C, et al. Protective effect of ozone treatment on the injury associated with hepatic ischemia-reperfusion: antioxidant-prooxidant balance. Free Radic Res. 1999;31:191-196.
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