Background/Aims: To investigate the effectiveness of controlled reperfusion (CR) on ovarian tissue malondialdehyde, total glutathione and 8-hydroxyguanine levels and infertility rates in a rat model of induced ischemia-reperfusion (I/R) injury with unilateral oophorectomy. Methods: A total of 135 adult female albino Wistar rats were divided into 9 groups (n = 15 for each group): unilateral ovariectomy + ovarian I/R (OIR), unilateral ovariectomy alone (OEG), a sham operation group (SG), and unilateral ovariectomy + CR performed at different intervals (the clips were released 10 times for 10, 8, 6, 4, 2 or 1 s and closed again 10 times for 10, 8, 6, 4, 2 or 1 s; OCR-1-6, respectively). Five rats from each group were sacrificed, and their ovaries were removed. Results: Higher ovarian tissue malondialdehyde and 8-hydroxyguanine levels and lower ovarian tissue total glutathione levels were found in the OIR group compared with the SG, OEG and OCR-4-6 groups. The number of rats giving birth during the study period was found to be similar among the SG (n = 8), OEG (n = 8) and OCR-6 (n = 7) groups. Conclusion: These results suggest that sterility and ovarian oxidative stress caused by I/R injury decreases in parallel to the shortening of CR duration.

1.
Oelsner G, Shashar D: Adnexal torsion. Clin Obstet Gynecol 2006;49:459-463.
2.
Beaunoyer M, Chapdelaine J, Bouchard S, Ouimet A: Asynchronous bilateral ovarian torsion. J Pediatr Surg 2004;39:746-749.
3.
Geimanaite L, Trainavicius K: Ovarian torsion in children: management and outcomes. J Pediatr Surg 2013;48:1946-1953.
4.
Krishnan S, Kaur H, Bali J, Rao K: Ovarian torsion in infertility management - missing the diagnosis means losing the ovary: a high price to pay. J Hum Reprod Sci 2011;4:39-42.
5.
Kazez A, Ozel SK, Akpolat N, Goksu M: The efficacy of conservative treatment for late term ovarian torsion. Eur J Pediatr Surg 2007;17:110-114.
6.
Cohen SB, Oelsner G, Seidman DS, Admon D, Mashiach S, Goldenberg M: Laparoscopic detorsion allows sparing of the twisted ischemic adnexa. J Am Assoc Gynecol Laparosc 1999;6:139-143.
7.
Li C, Jackson RM: Reactive species mechanisms of cellular hypoxia-reoxygenation injury. Am J Physiol Cell Physiol 2002;282:227-241.
8.
Carden DL, Granger DN: Pathophysiology of ischaemia-reperfusion injury. J Pathol 2000;190:255-266.
9.
Marnett LJ: Oxyradicals and DNA damage. Carcinogenesis 2000;21:361-370.
10.
Celik O, Turkoz Y, Hascalik S, Hascalik M, Cigremis Y, Mizrak B, Yologlu S: The protective effect of caffeic acid phenethyl ester on ischemia-reperfusion injury in rat ovary. Eur J Obstet Gynecol Reprod Biol 2004;117:183-188.
11.
Ingec M, Isaoglu U, Yilmaz M, Calik M, Polat B, Alp HH, Kurt A, Gundogdu C, Suleyman H: Prevention of ischemia-reperfusion injury in rat ovarian tissue with the on-off method. J Physiol Pharmacol 2011;62:575-582.
12.
Parks DA, Granger DN: Contributions of ischemia and reperfusion to mucosal lesion formation. Am J Physiol 1986;250:749-753.
13.
Yapca OE, Turan MI, Cetin N, Borekci B, Gul MA: Use of thiamine pyrophosphate to prevent infertility developing in rats undergoing unilateral ovariectomy and with ischemia reperfusion induced in the contralateral ovary. Eur J Obstet Gynecol Reprod Biol 2013;170:521-525.
14.
Ozkisacik S, Yazici M, Gursoy H, Culhaci N: Does gradual detorsion protect the ovary against ischemia-reperfusion injury in rats? Pediatr Surg Int 2014;30:437-440.
15.
Bradford MMA: Rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 1976;72:248-254.
16.
Ohkawa H, Ohishi N, Yagi K: Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem 1979;95:351-358.
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.
Shigenaga MK, Aboujaoude EN, Chen Q, Ames BN: Assays of oxidative DNA damage biomarkers 8-oxo-2'-deoxyguanosine and 8-oxoguanine in nuclear DNA and biological fluids by high-performance liquid chromatography with electrochemical detection. Methods Enzymol 1994;234:16-33.
19.
Kaur H, Halliwell B: Measurement of oxidized and methylated DNA bases by HPLC with electrochemical detection. Biochem J 1996;318:21-23.
20.
Floyd RA, Watson JJ, Wong PK, Altmiller DH, Rickard RC: Hydroxyl free radical adduct of deoxyguanosine: sensitive detection and mechanisms of formation. Free Radic Res Commun 1986;1:163-172.
21.
Asami S, Hirano T, Yamaguchi R, Tomioka Y, Itoh H, Kasai H: Increase of a type of oxidative DNA damage, 8-hydroxyguanine, and its repair activity in human leukocytes by cigarette smoking. Cancer Res 1996;56:2546-2549.
22.
Ozler A, Turgut A, Goruk NY, Alabalik U, Basarali MK, Akdemir F: Evaluation of the protective effects of CoQ 10 on ovarian I/R injury: an experimental study. Gynecol Obstet Invest 2013;76:100-106.
23.
Celik M, Aksoy AN, Aksoy H, Aksoy Y, Halici Z: Sildenafil reduces ischemia-reperfusion injury in rat ovary: biochemical and histopathological evaluation. Gynecol Obstet Invest 2014;78:162-167.
24.
Altuner D, Gulaboglu M, Yapca OE, Cetin N: The effect of mirtazapine on cisplatin-induced oxidative damage and infertility in rat ovaries. Scientific World J 2013;2013:327240.
25.
Cooke BM, Chowanadisai W, Breedlove SM: Post-weaning social isolation of male rats reduces the volume of the medial amygdala and leads to deficits in adult sexual behavior. Behav Brain Res 2000;117:107-113.
26.
Rödel HG, Prager G, Stefanski V, von Holst D, Hudson R: Separating maternal and litter-size effects on early postnatal growth in two species of altricial small mammals. Physiol Behav 2008;93:826-834.
27.
Pine AP, Jessop NS, Oldham JD: Maternal protein reserves and their influence on lactational performance in rats. The effects of dietary protein restriction and stage of lactation on milk composition. Br J Nutr 1994;72:815-830.
28.
Guerra RF, Nunes CR: Effects of litter size on maternal care, body weight and infant development in golden hamsters (Mesocricetus auratus). Behav Processes 2001;55:127-142.
29.
Garcia-Falgueras A, Swaab DF: Sexual hormones and the brain: an essential alliance for sexual identity and sexual orientation. Endocr Dev 2010;17:22-35.
30.
Bao AM, Swaab DF: Sexual differentiation of the human brain: relation to gender identity, sexual orientation and neuropsychiatric disorders. Front Neuroendocrinol 2011;32:214-226.
31.
Hines M, Brook C, Conway GS: Androgen and psychosexual development: core gender identity, sexual orientation and recalled childhood gender role behavior in women and men with congenital adrenal hyperplasia (CAH). J Sex Res 2004;41:75-81.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.