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Küçükatalay O, Türk Ç, Gürel Ç, Kuşçu GC, Yüncü ME, Karakoyun İ, Akşit M, Sarıkaya O, Karadağ A, Çamlar M. Certolizumab enhances spinal cord injury recovery in rats through inhibition of the TNF-α signaling pathway and neuronal apoptosis. Inflammopharmacology 2025; 33:1517-1529. [PMID: 40009347 PMCID: PMC11914241 DOI: 10.1007/s10787-025-01674-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2024] [Accepted: 01/23/2025] [Indexed: 02/27/2025]
Abstract
OBJECTIVE Spinal cord injury (SCI), which is characterized by motor and/or sensory dysfunction, presents a significant health challenge resulting from mechanical trauma. Secondary injury, which follows the mechanical trauma and is driven by factors such as inflammation, plays a critical role in the SCI pathophysiology. Scientific evidence indicates that treatment strategies aimed at modulating inflammation during the acute phase of SCI alleviate the seconder injury. In this regard, the present study seeks to evaluate the effectiveness of certolizumab, a monoclonal antibody targeting TNF-α that is widely used in the treatment of various inflammatory diseases, in a SCI model. METHODS In this study, Control, Trauma, and Trauma + Certolizumab groups were established, each comprising eight male rats. One hour after SCI induction, rats in the Trauma + Certolizumab group were administered 10 µg Certolizumab dissolved in saline intraperitoneally, while rats in the Control and Trauma groups received an equivalent volume of saline. After Modified Tarlov Scoring was performed on the seventh day of the experiment, all rats were sacrificed. The effects of certolizumab on neuroinflammation and apoptosis in the SCI model were evaluated using histological, biochemical, and molecular analyses of blood and tissue samples obtained from the rats. RESULTS Certolizumab downregulated the expression of TNF-α, NF-κB, and IL-6. In addition, as evidenced by the TUNEL assay, Caspase-3 expression (an apoptotic marker), and Modified Tarlov Score results, certolizumab effectively suppressed inflammation-induced neural apoptosis and alleviated locomotor deficits. CONCLUSION Certolizumab treatment exerts a neuroprotective effect against secondary damage in SCI through the inhibition of neuroinflammation and apoptosis.
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Affiliation(s)
- Ozan Küçükatalay
- Erzincan Mengücek Gazi Training and Research Hospital, Department of Neurosurgery, Erzincan, 24180, Turkey
| | - Çağlar Türk
- University of Health Sciences, Izmir City Hospital, Department of Neurosurgery, Izmir, 35100, Turkey
| | - Çevik Gürel
- Harran University, Faculty of Medicine, Department of Histology and Embryology, Şanlıurfa, 63050, Turkey
| | - Gökçe Ceren Kuşçu
- Ege University, Faculty of Medicine, Department of Histology and Embryology, Izmir, 35100, Turkey
| | - Mustafa Eren Yüncü
- University of Health Sciences, Izmir City Hospital, Department of Neurosurgery, Izmir, 35100, Turkey
| | - İnanç Karakoyun
- University of Health Sciences, Izmir City Hospital, Department of Biochemistry, Izmir, 35100, Turkey
| | - Murat Akşit
- University of Health Sciences, Izmir Tepecik and Education Hospital, Department of Biochemistry, Izmir, 35100, Turkey
| | - Onur Sarıkaya
- University of Health Sciences, Izmir City Hospital, Department of Neurosurgery, Izmir, 35100, Turkey
| | - Ali Karadağ
- University of Health Sciences, Izmir City Hospital, Department of Neurosurgery, Izmir, 35100, Turkey
| | - Mahmut Çamlar
- University of Health Sciences, Izmir City Hospital, Department of Neurosurgery, Izmir, 35100, Turkey.
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Fang W, Xie S, Deng W. Ferroptosis mechanisms and regulations in cardiovascular diseases in the past, present, and future. Cell Biol Toxicol 2024; 40:17. [PMID: 38509409 PMCID: PMC10955039 DOI: 10.1007/s10565-024-09853-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 02/27/2024] [Indexed: 03/22/2024]
Abstract
Cardiovascular diseases (CVDs) are the main diseases that endanger human health, and their risk factors contribute to high morbidity and a high rate of hospitalization. Cell death is the most important pathophysiology in CVDs. As one of the cell death mechanisms, ferroptosis is a new form of regulated cell death (RCD) that broadly participates in CVDs (such as myocardial infarction, heart transplantation, atherosclerosis, heart failure, ischaemia/reperfusion (I/R) injury, atrial fibrillation, cardiomyopathy (radiation-induced cardiomyopathy, diabetes cardiomyopathy, sepsis-induced cardiac injury, doxorubicin-induced cardiac injury, iron overload cardiomyopathy, and hypertrophic cardiomyopathy), and pulmonary arterial hypertension), involving in iron regulation, metabolic mechanism and lipid peroxidation. This article reviews recent research on the mechanism and regulation of ferroptosis and its relationship with the occurrence and treatment of CVDs, aiming to provide new ideas and treatment targets for the clinical diagnosis and treatment of CVDs by clarifying the latest progress in CVDs research.
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Affiliation(s)
- Wenxi Fang
- Department of Cardiology, Renmin Hospital of Wuhan University, Jiefang Road 238, Wuhan, 430060, People's Republic of China
- Hubei Key Laboratory of Metabolic and Chronic Diseases, Wuhan, 430060, People's Republic of China
| | - Saiyang Xie
- Department of Cardiology, Renmin Hospital of Wuhan University, Jiefang Road 238, Wuhan, 430060, People's Republic of China
- Hubei Key Laboratory of Metabolic and Chronic Diseases, Wuhan, 430060, People's Republic of China
| | - Wei Deng
- Department of Cardiology, Renmin Hospital of Wuhan University, Jiefang Road 238, Wuhan, 430060, People's Republic of China.
- Hubei Key Laboratory of Metabolic and Chronic Diseases, Wuhan, 430060, People's Republic of China.
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Belger C, Abrahams C, Imamdin A, Lecour S. Doxorubicin-induced cardiotoxicity and risk factors. IJC HEART & VASCULATURE 2024; 50:101332. [PMID: 38222069 PMCID: PMC10784684 DOI: 10.1016/j.ijcha.2023.101332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 12/14/2023] [Accepted: 12/16/2023] [Indexed: 01/16/2024]
Abstract
Doxorubicin (DOX) is an anthracycline antibiotic widely used as a chemotherapeutic agent to treat solid tumours and hematologic malignancies. Although useful in the treatment of cancers, the benefit of DOX is limited due to its cardiotoxic effect that is observed in a large number of patients. In the literature, there is evidence that the presence of various factors may increase the risk of developing DOX-induced cardiotoxicity. A better understanding of the role of these different factors in DOX-induced cardiotoxicity may facilitate the choice of the therapeutic approach in cancer patients suffering from various cardiovascular risk factors. In this review, we therefore discuss the latest findings in both preclinical and clinical research suggesting a link between DOX-induced cardiotoxicity and various risk factors including sex, age, ethnicity, diabetes, dyslipidaemia, obesity, hypertension, cardiovascular disease and co-medications.
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Affiliation(s)
| | | | - Aqeela Imamdin
- Cardioprotection Group, Cape Heart Institute, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Sandrine Lecour
- Cardioprotection Group, Cape Heart Institute, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
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Buhur A, Gürel Ç, Kuşçu GC, Yiğittürk G, Oltulu F, Karabay Yavaşoğlu NÜ, Uysal A, Yavaşoğlu A. Is losartan a promising agent for the treatment of type 1 diabetes-induced testicular germ cell apoptosis in rats? Mol Biol Rep 2023; 50:2195-2205. [PMID: 36565418 DOI: 10.1007/s11033-022-08172-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 12/01/2022] [Indexed: 12/25/2022]
Abstract
BACKGROUND Diabetes mellitus (DM) is common metabolic disease that poses a major risk to public health and fertility. Previous studies indicate that DM may cause male infertility by triggering oxidative stress and germ cell apoptosis in the testis. Due to the undesirable effects of known antidiabetic drugs, scientists have begun to investigate the use of alternative drugs to control infertility complications observed in men. In this context, present study aimed to investigate the possible antiapoptotic effect of losartan against DM-induced testicular germ cell apoptosis. METHODS AND RESULTS Expreimental DM model was induced by intraperitoneal injection of streptozocin (STZ, 55 mg/kg) to 28 rats, which were then randomly assigned to 4 groups; 1 mL saline solution was given to DM + saline group by oral gavage, 5 mg/kg/day oral losartan was given to DM + low-dose losartan, 20 mg/kg/day oral losartan was given to DM + mid-dose losartan and, 80 mg/kg/day oral losartan was given to DM + high-dose losartan group for 4 weeks. Bax, Bcl-2 and cleaved-Caspase 3 immunoexpression, terminal-deoxynucleotidyl transferase dutp nick end labeling (TUNEL), Annexin-V and Real Time PCR analyses performed to evaluate antiapoptotic effects of losartan on diabetic rats' testis. In addition, biochemical analyzes carried out to evaluate change in oxidative stress. CONCLUSION The results showed that losartan may have dose-related antiapoptotic effects on rats' testis via decreasing oxidative stress.
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Affiliation(s)
- Aylin Buhur
- Faculty of Medicine, Department of Histology and Embryology, Ege University, 35100, Izmir, Izmir, Turkey
| | - Çevik Gürel
- Faculty of Medicine, Department of Histology and Embryology, Ege University, 35100, Izmir, Izmir, Turkey. .,Faculty of Medicine, Department of Histology and Embryology, Harran University, Sanliurfa, Turkey.
| | - Gökçe Ceren Kuşçu
- Faculty of Medicine, Department of Histology and Embryology, Ege University, 35100, Izmir, Izmir, Turkey
| | - Gürkan Yiğittürk
- Faculty of Medicine, Department of Histology and Embryology, Muğla Sıtkı Kocman University, Muğla, Turkey
| | - Fatih Oltulu
- Faculty of Medicine, Department of Histology and Embryology, Ege University, 35100, Izmir, Izmir, Turkey
| | | | - Ayşegül Uysal
- Faculty of Medicine, Department of Histology and Embryology, Ege University, 35100, Izmir, Izmir, Turkey
| | - Altuğ Yavaşoğlu
- Faculty of Medicine, Department of Histology and Embryology, Ege University, 35100, Izmir, Izmir, Turkey
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