Effects of trimetazidine on nerve regeneration in a rat sciatic nerve injury model.

AIM: The aim of this study was to evaluate the efficacy of trimetazidine(TMZ) after end-to-end repair in a peripheral nerve injury model. METHOD: We performed end-to-end primary repair of sciatic nerves in rats and showed TMZ's regenerative effect. For this objective 30 male Sprague Dawley albino rats were used. Surgery+water group, rats were assigned to a placebo group and were given water by oral gavage. Surgery+TMZ group, rats were given trimetazidine by oral gavage. All medications were given for 12 weeks. Motor function test was performed. Afterwards, electromyography (EMG) recording was done. Finally, blood samples were taken, the animals were euthanized andsciatic nerve was removed. RESULTS: The amplitudes of compound muscle action potential (CMAP) increased significantly in the Surgery+TMZ group when compared with the group that have been given Surgery+Water. Nerve growth factor (NGF) immunoexpression in the Schwann cell was significantly increased in the Surgery+TMZ group compared with the Surgery+Water group. Moreover, fibrosis score was reduced in the Surgery+TMZ group compared to the Surgery+Water group.CONCLUSIONS: In conclusion, we demonstrated the superiority of TMZ on nerve healing in our experimental study which was evaluated with comparative groups (Tab. 3, Fig. 2, Ref. 31).

A Memory B Cell Crossmatch Assay for Quantification of Donor-Specific Memory B Cells in the Peripheral Blood of HLA-Immunized Individuals.

Humoral responses against mismatched donor HLA are routinely measured as serum HLA antibodies, which are mainly produced by bone marrow-residing plasma cells. Individuals with a history of alloimmunization but lacking serum antibodies may harbor circulating dormant memory B cells, which may rapidly become plasma cells on antigen reencounter. Currently available methods to detect HLA-specific memory B cells are scarce and insufficient in quantifying the complete donor-specific memory B cell response due to their dependence on synthetic HLA molecules. We present a highly sensitive and specific tool for quantifying donor-specific memory B cells in peripheral blood of individuals using cell lysates covering the complete HLA class I and class II repertoire of an individual. Using this enzyme-linked immunospot (ELISpot) assay, we found a median frequency of 31 HLA class I and 89 HLA class II-specific memory B cells per million IgG-producing cells directed at paternal HLA in peripheral blood samples from women (n = 22) with a history of pregnancy, using cell lysates from spouses. The donor-specific memory B cell ELISpot can be used in HLA diagnostic laboratories as a cross-match assay to quantify donor-specific memory B cells in patients with a history of sensitizing events.

Polyclonal B cell activation for accurate analysis of pre-existing antigen-specific memory B cells.

The enzyme-linked immunospot (ELISPOT) assay is a widely used tool for enumeration of antigen-specific memory B cells in several disciplines, such as vaccination, cancer immunotherapy and transplantation. For the accurate estimation of antigen-specific memory B cell frequencies, a well-defined B cell activation protocol is pivotal. In this study, we aimed to characterize a polyclonal B cell activation protocol to facilitate optimal monitoring of antigen-specific memory B cell frequencies. Total, naive and memory B cells were activated polyclonally with an α-CD40 monoclonal antibody, cytosine-phosphate-guanine (CPG) oligodeoxynucleotide (ODN) 2006, interleukin (IL)-2, IL-10 and IL-21. Polyclonal activation of B cells resulted in equal cell death ratios in naive and memory B cells. When tested in an antigen-specific system, immunoglobulin (Ig)G spots were detected only in the memory fraction. There was no change in B cell polyclonality due to in-vitro activation. Our data show that the current polyclonal activation protocol may be used reliably to estimate the frequency of memory B cells in ELISPOT assays.

A survey of distribution of terrestrial radionuclides in surface soil samples in and around the Osmaniyeprovince, Turkey.

The purpose of this survey was to determine the distribution of terrestrial radionuclides ((238)U, (232)Th and (40)K) in surface soil samples collected from different locations in and around Osmaniye and assess the radiological implications of outdoor external exposure. The activity concentrations of (238)U, (232)Th and (40)K in soil samples ranged from 2.6 to 38.1 Bq kg(-1) with a mean of 10.4±0.7 Bq kg(-1), 3.7-40.5 Bq kg(-1) with a mean of 12.2±0.7 Bq kg(-1) and 30.0-639.7 Bq kg(-1) with a mean of 243.4±12.8 Bq kg(-1), respectively. The concentrations of these radionuclides, presented in this article, were compared with those obtained from similar studies related to Turkey reported in the literature as well as earth's crust average values. The results of the activity concentrations were used to assess the external absorbed gamma dose rate (GDR) in outdoor air and the annual effective dose (AED). The outdoor absorbed GDRs fluctuate from 5.2 to 53.6 nGy h(-1) with a mean of 22.4±9.5. The corresponding mean AED is found to be 0.03 mSv.

Human leukocyte antigen and major histocompatibility complex class I-related chain A antibodies after kidney transplantation in Turkish renal transplant recipients.

BACKGROUND: This study was designed to determine whether human leukocyte antigen (HLA) and major histocompatibility complex class I chain-related A (MICA) antibody (Ab) production during the first 6 months posttransplantation correlated with long-term graft survival and rejection rate. The study group included 147 first transplantations from either living related (LRDs) or deceased donors (DDs) who were divided into two subgroups: rejection (RG, n = 28) and nonrejection (NRG, n = 119). Serum samples (n = 441) collected from each patient on posttransplant days 30, 90, and 180 were tested for HLA and MICA Ab using the Luminex technique. RESULTS: Among 82 Ab-positive patients (55.8%), 40 had both HLA and MICA, 33 only HLA, and 9 only MICA Ab in the posttransplant period. The rates of HLA class I, class II, or both Ab positivities were greater in the RG than the NRG (P = .011, .037, and .0275, respectively). At 180 days posttransplant, 64.3% of patients in the RG had Ab and 41.2% in the NRG (P = .0349). The data for the LRD (n = 116) group were similar to those for the entire group; whereas there was no significant difference in Ab positivity between RG and NRG patients who received organs from DDs. There was no significant difference with respect to HLA class II and/or MICA Ab positivity between RG and NRG among patients who lacked HLA class I Ab. DISCUSSION: We confirmed that HLA and MICA Ab may be harmful posttransplant, promoting rejection processes and representing an important cause of graft failure. HLA class II and MICA Ab positivities were only important predictors of graft failure when present together with HLA class I positivity. Patients who developed HLA alone or both HLA and MICA Ab rejected their grafts more frequently than Ab-negative recipients.

Outdoor radioactivity and health risks in Balikesir, northwestern Turkey.

External irradiation from radionuclides naturally present in the environment or released from man-made practices or events is usually an important component of the exposure of human populations. These exposures derive primarily from gamma radiation arising from the decay of these radionuclides at locations outside the human body. The main objective of this study is to evaluate the radioactivity levels and health risks due to terrestrial radionuclides in the soil of Balikesir, one of the largest cities of the country, northwestern Turkey. For this purpose, activity concentrations of radionuclides in soil and outdoor gamma dose rates (terrestrial and cosmic) have been investigated in the city of Balikesir. In addition, maps for the radionuclide activity concentrations of soil and the outdoor gamma dose rate distributions have been plotted for the region. The average activities of radionuclides, (238)U, (232)Th, (40)K, (235)U and (137)Cs in the soil were determined to be 37.6 ± 10.8, 54.7 ± 15.1, 674.5 ± 203.2, 3.6 ± 1.6, 3.4 ± 2.2 Bq kg(-1), respectively, in the region. The average outdoor gamma dose rates due to terrestrial and cosmic radiations were found to be 78.5 ± 12.4 and 48.9 ± 5.8 nGy h(-1) with the total of 127.4 ± 18.9 nGy h(-1) in the region. Annual effective dose due to environmental outdoor gamma radiation exposures was determined to be 156.3 nSv. The mean estimated cancer risk values were found to be 0.063 × 10(-2) for the region using risk factors of ICRP 103. The results of the study were discussed with the studies done in other cities of Turkey and the worldwide averages.

Natural and anthropogenic radionuclides in the granitic region of Kapidag peninsula, Western Anatolia, Turkey.

Naturally occurring radionuclides of terrestrial origin (also called primordial radionuclides) are present in various degrees in all media in the environment. This study represents the reports on the natural and anthropogenic radionuclides in the Kapidag granitic region. For this purpose, activities of radionuclides in soil, beach sands and rocks of the region have been investigated to assess the radiological hazard of the natural radioactivity. The radium equivalent activities, the absorbed dose rates and the external hazard indexes have been calculated, and also in situ gamma dose rates have been measured in the region. The mean activities of (238)U, (232)Th and (40)K with the ranges were determined as 31.1±15.7 (12.1-71.9), 42.5±15.9 (19.7-94.9), 590.3±192.2 (184.7-892.5), in the soil, as 16.5±9.5 (4.9-40.8), 67.1±106.9 (18.5-433.0), 569.2±212.6 (162.0-821.1) in the sand and as 25.4±12.8 (4.8-50.7), 37.8±21.5 (4.5-96.7), and 592.4±285.5 (62.4-1121.6) Bq kg(-1) in the rocks, respectively. It was also observed that the average activities of (137)Cs were ranged 0-27.8 Bq kg(-1) in the soil and 0.6-3.8 Bq kg(-1) in the beach sands. The mean Ra(eq) activities of the rocks, sands and soil were found to be 125.1±59.5, 156.3±157.2 and 137.3±48.8 Bq kg(-1), respectively, lower than the recommended maximum value of 370 Bq kg(-1) with some exceptions. The maximum contributors to the total absorbed gamma dose rates in air were determined as (238)U (45%) for the beach sands, (238)U (40%) for the soil and (40)K (41%) for rocks. The average outdoor gamma dose rates for the soil due to terrestrial and cosmic radiations were found to be 64.6±22.7 and 47.1±9.6 nGy h(-1), respectively, with the total of 111.7±29.5 nGy h(-1) outdoor gamma exposure rate and the annual average effective outdoor gamma dose was calculated as 137±36.2 µSv for the region. The results of the study were discussed with similar studies in close regions and the worldwide averages.

Evaluation of serum levels of interleukin-10, interleukin-11 and leukemia inhibitory factor in differentiation of eutopic and tubal ectopic pregnancies.

PURPOSE OF STUDY: To investigate whether serum levels of leukemia inhibitory factor (LIF), interleukin 10 (IL-10) and interleukin 11 (IL-11) are different in reference to the site of implantation. METHODS: Seventeen patients with laparoscopic diagnoses of tubal ectopic pregnancy (EP) and 19 patients with intrauterine pregnancy delivering healthy term neonates (IUP) were prospectively evaluated for LIF, IL-10 and IL-11 levels. The data were compared by using the Student's t-test, chi-square test, Kruskal-Wallis and the Mann-Whitney U test with Bonferroni's correction (p < 0.05) as appropriate. RESULTS: A statistically significant difference was observed in serum LIF levels between the EP and IUP groups (p = 0.002). Ranges of LIF were 15-300 and 70-1200 ng/ml for the IUP and EP groups, respectively. There were no significant differences between groups in terms of IL-10 and IL-11 levels. CONCLUSION: LIF, but not IL-10 or IL-11, levels may be increased in early tubal ectopic pregnancies when compared to normal intrauterine pregnancies.

Anti-HLA antibody profile of Turkish patients with end-stage renal disease.

Exposure to human leukocyte antigens (HLA) via blood transfusions, pregnancies, and previous transplantations can result in anti-HLA antibody production. The presence of anti-HLA antibodies in recipient sera before transplantation is an important risk factor. To demonstrate the anti-HLA antibody status of Turkish end-stage renal disease (ESRD) patients, 674 patients (mean age, 40.35 +/- 13.15 years; female/male, 328/346) were enrolled into the study. Anti-HLA antibody screening and identification tests were performed using an enzyme-linked immunosorbent assay (ELISA) method. The panel-reactive antibody (PRA)-negative group consisted of 564 (83.6%) and the PRA-positive group consisted of 110 (17.3%) patients. Of the 110 (17.3%) PRA-positive patients, 43 (6.4%) were class I (+) and class II (-); 19 (2.8%) were class I (-) and class II (+); 48 (7.1%) were both class I and II (+). The most frequent antibodies were directed against the A2 crossreactive group (CREG) and the A10 CREG with less frequent reactions against the B7 CREG, indicating antibodies to both frequent (members of A2 CREG) and relatively rare (members of A10 CREG and B7 CREG antigens). These data also suggested that some antibodies occur at greater than expected frequency because of shared epitopes. Our findings confirmed the significant correlation between female gender, pregnancy, failed graft history, long dialysis duration, and blood transfusions with PRA positivity (P < .05).

Radionuclide concentrations in soil and lifetime cancer risk due to gamma radioactivity in Kirklareli, Turkey.

The objective of this study is to evaluate and map soil radionuclides' activity concentrations and environmental outdoor gamma dose rates (terrestrial and cosmic) in Kirklareli, Turkey. The excess lifetime cancer risks are also calculated. Outdoor gamma dose rates were determined in 230 sampling stations and soil samples were taken from 177 locations. The coordinates of the readings were determined by the Global Positioning System (GPS). The outdoor gamma dose rates were determined by Eberline smart portable device (ESP-2) and measurements were taken in air for two minutes at 1m from the ground. The average outdoor gamma dose rate was 118+/-34nGyh(-1). Annual effective gamma dose of Kirklareli was 144microSv and the excess lifetime cancer risk of 5.0x10(-4). Soil samples were analyzed by gamma spectroscopy. The average 226Ra, 238U, 232Th, 137Cs, and 40K activities were 37+/-18Bqkg(-1), 28+/-13Bqkg(-1), 40+/-18Bqkg(-1), 8+/-5Bqkg(-1) and 667+/-281Bqkg(-1), respectively. The average soil radionuclides' concentrations of Kirklareli were within the worldwide range although some extreme values had been determined. Annual effective gamma doses and the excess lifetime risks of cancer were higher than the world's average.

Radioactivity concentrations and dose assessment for soil samples around Adana, Turkey.

The concentrations of natural radionuclides in surface soils around Adana, Turkey were determined using gamma ray spectrometry with an HPGe detector. The natural gamma ray radioactivity of the terrestrial radionuclides in air was calculated throughout different areas of Adana. The average activity concentrations of (238)U, (232)Th and (40)K were found to be 17.6, 21.1 and 297.5 Bq kg(-1), respectively. Outdoor gamma dose measurements in air 1m above ground level were determined by using a portable gamma scintillation detector. The gamma dose measurements in air were taken from the same places where soil samples were taken. Average outdoor gamma dose rates in sample stations were determined as 67 nGy h(-1). The annual effective dose to the public was found to be 82 microSv.

Determination of radioactivity levels and hazards of soil and sediment samples in Firtina Valley (Rize, Turkey).

The natural radioactivity levels in soil and sediment samples of Firtina Valley have been determined. To our knowledge, there seems to be no information about radioactivity level in the Firtina Valley soils and sediments so far. For this reason, soil and sediment samples were collected along the Firtina Valley and analysis on the collected samples were carried out to determine 238U, 232Th, 40K and 137Cs radioisotopes using high purity germanium detector. The activity concentrations obtained for 226Ra, 214Pb, 214Bi, 228Ac, 208Tl, 40K and 137Cs are given in the unit of Bq/kg. The results have been compared with other radioactivity measurements in different country's soils and sediments. The radium equivalent activity (Raeq), the absorbed dose rate (D), the external hazard index (Hex), the annual gonadal dose equivalent (AGDE) and the annual effective dose equivalent (AEDE) were also calculated and compared with the international recommended values.

Natural and anthropogenic radionuclides in rocks and beach sands from Ezine region (Canakkale), Western Anatolia, Turkey.

This paper represents the first reports on the natural and anthropogenic radionuclides in Kestanbol granitic pluton and surrounding rocks, and coastal region of the Ezine town. To assess the radiological hazard of the natural radioactivity, the radium equivalent activity, the absorbed dose rate and the external hazard index were calculated, and in situ gamma dose rates were measured. The high-activity concentrations were measured in the pluton and sands, which was originated mainly from the pluton, due to the presence of zircon, allanite, monazite, thorite, uranothorite and apatite. The average activity concentrations of (238)U, (232)Th and (40)K are 174.78, 204.69 and 1171.95 Bq kg(-1) for pluton, and 290.36, 532.04 and 1160.75 Bq kg(-1) for sands, respectively. (137)Cs in Ezine region ranged from 0-6.57 Bq kg(-1). The average absorbed dose rate for the granitic and sand samples were calculated to be 251.6 and 527.92 nGy h(-1), respectively. The maximum contribution to the total absorbed gamma dose rate in air was due to the (232)Th (52.3% for pluton and 67.1% for sands). The Raeq activities of the pluton and sands are higher than the recommended maximum value of 370 Bq kg(-1) criterion limit of Raeq activity for building materials.

Natural radioactivity in tap waters of Eastern Black Sea region of Turkey.

In this study, the activity concentrations of some radionuclides in tap water samples of the Eastern Black Sea region of Turkey were measured. The activity concentrations of radionuclides (214)Pb, (214)Bi, (40)K, (226)Ra and (137)Cs were determined using high resolution gamma ray spectrometry. Furthermore, (222)Rn activity concentrations in tap water samples were measured using Liquid Scintillation Counting. The mean specific activities of (214)Pb, (214)Bi, (226)Ra, (40)K, (137)Cs and (222)Rn in tap water samples were 6.73, 6, 19.16, 168.57, 5.45 mBq l(-1) and 10.82 Bq l(-1), respectively. These values are comparable with concentrations reported for other countries. The effective doses were determined due to intake of these radionuclides as a consequence of direct consumption of tap water samples. The estimated effective doses were 6.878 x 10(-4) microSv y(-1) for (214)Pb, 4.800 x 10(-4) microSv y(-1) for (214)Bi, 3.916 microSv y(-1) for (226)Ra, 0.763 microSv y(-1) for (40)K, 0.052 microSv y(-1) for (137)Cs and 5.848 microSv y(-1) for (222)Rn.

Gross alpha and beta activities in tap waters in Eastern Black Sea region of Turkey.

Gross alpha and gross beta activities were determined for 27 different tap water samples collected from Eastern Black Sea region of Turkey. The instrumentation used to count the gross alpha and gross beta activities was a alpha/beta counter of the low background multiple detector type with 10 sample detectors (Berthold LB770). The obtained results showed that natural activity concentrations of alpha- and beta-emitting radionuclides in tap water samples did not exceed WHO and ITS recommended levels. Concentrations ranging from 0.2 mBq/l to 15 mBq/l and from 25.2 mBq/l to 264.4 mBq/l were observed for the gross alpha and gross beta activities, respectively. For all samples the gross beta activities were higher than the corresponding gross alpha activities.

Natural radioactivity levels in granitic plutons and groundwaters in Southeast part of Eskisehir, Turkey.

The present work investigated the radioactivity level of the granitoid plutons and its effect on the groundwaters in the southeast part of Eskisehir. Fourteen granitic samples from the Kaymaz and Sivrihisar plutons and 11 groundwater samples from the near vicinity of the pluton were analyzed. The activity concentrations measured for (238)U and (232)Th ranged from 43.59+/-2 to 651.80+/-24 Bq/kg, and 51.16+/-3 to 351.94+/-13 Bq/kg, respectively. The activity concentrations obtained for (40)K varied from 418.50+/-17 to 1618.03+/-66 Bq/kg. The absorbed dose rates in air outdoors ranged from 87.14 to 531.81 nGy/h. All the results obtained from the Kaymaz pluton are higher than those from the Sivrihisar. The U (ave. 16.6 ppm) and Th (ave. 49.9 ppm) values of the Kaymaz pluton are higher than the average concentrations of the magmatic rocks of granitic composition. These results are consistent with high dose rates of the pluton. The gross-alpha activities in the groundwater samples ranged from 0.009 to 1.64 Bq/l and the gross-beta activities from 0.006 to 0.89 Bq/l. The highest gross-alpha value was found in the sample taken from near the Kaymaz pluton. The concentrations of (222)Rn varied from 0.060 to 0.557 Bq/l.