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Gunes O, Turgut E, Bag YM, Gundoğan E, Gunes A, Sumer F. The impact of splenectomy on human lipid metabolism. Ups J Med Sci 2022; 127:8500. [PMID: 35756571 PMCID: PMC9199581 DOI: 10.48101/ujms.v127.8500] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Revised: 04/27/2022] [Accepted: 04/27/2022] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Splenectomy impacts hematological, immunological, and metabolic functions of the patient. Since our understanding of its metabolic effects, in particular effects on lipid metabolism, is limited, this study aims to investigate the effects of splenectomy on lipid metabolism. METHODS The data from 316 patients undergoing splenectomy between 2009 and 2019 were retrospectively analyzed. Thirty-eight patients whose serum lipid values were measured both preoperatively and 1 year after surgery were included in this study. RESULTS Significantly higher levels of total cholesterol, low-density lipoprotein (LDL), and non-high-density lipoprotein (HDL) lipid profile were found in the postsplenectomy measurements. However, no significant differences were recorded in levels of triglyceride, HDL, or very-LDL. CONCLUSION We determined that splenectomy does impact lipid metabolism, and that the metabolic effects of splenectomy should further be investigated.
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Affiliation(s)
- Orgun Gunes
- Department of Gastrointestinal Surgery, Atatürk Training and Research Hospital, Izmir, Turkey
| | - Emre Turgut
- Department of Gastrointestinal Surgery, Inonu University Turgut Ozal Medical Center, Malatya, Turkey
| | - Yusuf Murat Bag
- Department of Gastrointestinal Surgery, Van Training and Research Hospital, Van, Turkey
| | - Ersin Gundoğan
- Department of Gastrointestinal Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey
| | - Ajda Gunes
- Department of Hematology, Ege University, Izmir, Turkey
| | - Fatih Sumer
- Department of Gastrointestinal Surgery, Irmet Hospital, Tekirdağ, Turkey
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Altinel Y, Kose E, Karacaglar A, Demirgan S, Sozer V, Ozkaya G, Gulcicek OB, Simsek G, Uzun H. Systemic Amelioration via Curcumin in Rats following Splenectomy: Lipid Profile, Endothelial and Oxidative Damage. J INVEST SURG 2020; 34:627-636. [PMID: 33076727 DOI: 10.1080/08941939.2020.1834651] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND We investigated the postsurgical effects of splenectomy with additional curcumin therapy, as an antioxidant, anti-inflammatory substance among the lipid profile and histopathological changes. MATERIALS AND METHODS 32 rats were randomly divided into four groups: control group (L): laparotomy, sham group: splenectomy (S), splenectomy group treated with curcumin (SC) and splenectomy group treated with corn oil (SCO) for 28 days. The primary outcomes; total cholesterol (TC), triglycerides (TG), high-density lipoprotein (HDL), low-density lipoprotein (LDL), oxidized LDL (ox-LDL) very-low-density lipoprotein (VLDL) and lectin-type oxidized LDL receptor 1 (LOX-1), secondary outcomes: nuclear factor kappa B (NF-кB), malondialdehyde (MDA), glutathione peroxidase (GPx), superoxide dismutase (SOD) were measured. Histopathological changes were examined in vascular, intestinal and lung tissues. The analysis was performed by ANOVA. RESULTS TG, LDL, ox-LDL, and LOX-1 elevated in S group while reduced by curcumin compared with L group (p < 0.05). Serum and tissue levels of NF-кB and MDA were higher in S group and lower in SC group than L group (p < 0.05). Serum and intestinal levels of SOD and GPx increased in L group while reduced by curcumin (p < 0.05). Total histopathological scores of intestinal tissues were higher in S and SCO groups compared to L and SC groups (p < 0.05). No major changes in vascular and lung tissues were observed except the lymphoid follicles which was higher in S and SCO groups compared to L and SC groups (p < 0.05). CONCLUSIONS Curcumin partially improved the lipid profile dysfunction by modulating NF-кB, MDA, SOD, and GPx in splenectomized rats while less likely improving any vascular and alveolar regeneration.
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Affiliation(s)
- Yuksel Altinel
- Department of General Surgery, Bagcilar Training and Research Hospital, University of Health Science, Istanbul, Turkey
| | - Emin Kose
- Department of General Surgery, Ok Meydani Research and Training Hospital, Istanbul, Turkey
| | - Aysel Karacaglar
- Department of Pathology, Bagcilar Training and Research Hospital, University of Health Science, Istanbul, Turkey
| | - Serdar Demirgan
- Department of Anesthesiology and Reanimation, Bagcilar Training and Research Hospital, University of Health Science, Istanbul, Turkey
| | - Volkan Sozer
- Department of Biochemistry, Yildiz Technical University, Istanbul, Turkey
| | - Guven Ozkaya
- Department of Biostatistics, Medical Faculty, Uludag University, Bursa, Turkey
| | - Osman Bilgin Gulcicek
- Department of General Surgery, Bagcilar Training and Research Hospital, University of Health Science, Istanbul, Turkey
| | - Gonul Simsek
- Department of Physiology, Cerrahpasa Faculty of Medicine, Istanbul University - Cerrahpasa, Istanbul, Turkey
| | - Hafize Uzun
- Department of Medical Biochemistry, Cerrahpasa Faculty of Medicine, Istanbul University - Cerrahpasa, Istanbul, Turkey
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Demuner BL, Pinho GZ, Thomaz JC, Stegmiller NP, Mendes RMDA, Paulo MSL, Paulo DNS. Effect of total splenectomy in the lipid profile in mice. Acta Cir Bras 2015; 30:306-12. [PMID: 26016929 DOI: 10.1590/s0102-865020150050000001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Accepted: 04/18/2015] [Indexed: 12/17/2022] Open
Abstract
PURPOSE To analyze total splenectomy effect on the lipid profile - total cholesterol, low-density lipoprotein cholesterol (LDL), high-density lipoprotein cholesterol (HDL), very-low-density lipoprotein cholesterol (VLDL) and triglycerides levels, in Balb/c mice. METHODS Thirty Balb/c male mice, one (1) month old and average weight 26.2g ± 4.0 were used in the experiment. They were distributed into three groups of 10 animals each: a control group (non-operated), a simulation group (spleen manipulation) and the splenectomy group. The animals were subjected to blood sampling to measure plasma lipid levels, at three different times: before surgery, days 30 and 75 of the experiment. RESULTS Increased total cholesterol and LDL were observed in the control group from the start to end of the experiment. The simulation group showed increased rates of VLDL and triglycerides at the 30th and 75th days. Splenectomized animals showed no significant change. CONCLUSION Total splenectomy did not induce increased plasma lipids levels of in Balb/c mice.
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Nunes SI, Fernandes CBF, Rezende DFD, Bernardes JBDG, Silva MVDPD. Verification of the feasibility of autogenous testis implant in omentum and abdominal wall in mice. Rev Col Bras Cir 2013; 40:60-5. [PMID: 23538541 DOI: 10.1590/s0100-69912013000100011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2012] [Accepted: 08/02/2012] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To verify the feasibility of autologous transplantation of testes to the abdominal wall and omentum of rats without vascular anastomosis, analyzing the histological structure of the testicular cells after implantation. METHODS We used 60 male Wistar rats, 10-12 weeks of age, which were divided into three groups: control group: 20 rats without orchiectomy with sham operation; group 2: 20 rats undergoing bilateral orchiectomy, with one of the testicles being implanted into the greater omentum; and group 3: 20 rats submitted to bilateral orchiectomy, with one testicle implanted in the abdominal wall. After two months they were euthanized and the testes evaluated by histopathology. RESULTS the weight of the implants had a loss of 0.62 g in group 2, 0.73 g in group 3, whilst in the control group testes increased by 0.1 g. In pathological studies, the testicular structure was preserved in the control group; in group 2 there was 80% of inflammation and necrosis, Sertoli and Leydig cells were not visualized, and seminiferous tubules were found in two animals; in group 3 we found 75% of inflammation and a 60% necrosis, Sertoli cells could be visualized in only one specimen, while Leydig cells were seen in three. CONCLUSION autologous transplantation of testis to the greater omentum and abdominal wall without vascular anastomosis is not viable in rats.
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Affiliation(s)
- Sergio Ibañez Nunes
- Second Surgical Clinic, Faculty of Medicine of Barbacena, Barbacena, Minas Gerais State - MG, Brazil.
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Rezende AB, Neto NN, Fernandes LR, Ribeiro ACC, Alvarez-Leite JI, Teixeira HC. Splenectomy Increases Atherosclerotic Lesions in Apolipoprotein E Deficient Mice. J Surg Res 2011; 171:e231-6. [DOI: 10.1016/j.jss.2011.08.010] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2011] [Revised: 08/09/2011] [Accepted: 08/12/2011] [Indexed: 10/17/2022]
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Paulo MSL, Paulo ICAL, Nunes TA, Silva ALD, Cintra LC, Paulo DNS. Effect of hyperbaric oxygen therapy in rats with subtotal splenectomy preserving the inferior pole. Acta Cir Bras 2011; 26:156-64. [DOI: 10.1590/s0102-86502011000300002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2010] [Accepted: 02/16/2011] [Indexed: 11/22/2022] Open
Abstract
PURPOSE: To evaluate the effect of hyperbaric oxygen therapy on the survival and weight of rats submitted to subtotal splenectomy and on the viability and growth of the inferior pole. METHODS: Forty Wistar rats underwent subtotal splenectomy with preservation of the inferior pole and distributed into two groups: Group A (n=20) - not treated with hyperbaric oxygen, Group B (n=20) - treated with hyperbaric oxygen. These groups were divided into two subgroups of 10 animals each, according to the time of euthanasia, 15th and 45th days. The survival and weight of the animals were recorded. The inferior pole was measured, weighed and morphologically analyzed. RESULTS: All animals survived. The weight of the animals increased in all subgroups, but decreased on the 10th day in the subgroups treated with hyperbaric oxygen (p<0.001). The viability of the inferior pole was more evident in animals treated on the 15th day, but did not differ on the 45th day. The growth of the inferior pole has not occurred on the 15th day but on the 45th day after surgery in untreated animals (p<0.01) and treated animals (p<0.05). Vascular and cellular increase in treated animals was significantly higher than in untreated ones. CONCLUSION: Hyperbaric oxygen therapy did not affect the survival of animals but reduced their weight. It improved the viability of the inferior splenic pole, but did not interfere with their growth.
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Bonotto Orso IR, Pereira JC, D’Albuquerque LA, Cecconello I, Jukemura J. Critical analysis of the use of statistical tests in Brazilian publications related to digestive tract surgery. Rev Assoc Med Bras (1992) 2011. [DOI: 10.1016/s0104-4230(11)70013-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Orso IRB, Pereira JC, D’Albuquerque LA, Cecconello I, Jukemura J. Critical analysis of the use of statistical tests in Brazilian publications related to digestive tract surgery. Rev Assoc Med Bras (1992) 2011. [DOI: 10.1590/s0104-42302011000100013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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Dinis APG, Marques RG, Simões FC, Diestel CF, Caetano CER, Secchin DJF, Neto JFN, Portela MC. Plasma Lipid Levels of Rats Fed a Diet Containing Pork Fat as a Source of Lipids after Splenic Surgery. Lipids 2009; 44:537-43. [DOI: 10.1007/s11745-009-3302-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2008] [Accepted: 04/09/2009] [Indexed: 10/20/2022]
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