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Streptozotosinle Oluşturulan Diabetin Sıçan Periferik Sinirleri Üzerine Etkisinin: Elektron Mikroskobik İncelenmesi

An Ultrastructural Study of Effects of Streptozotocin Induced Diabetes on Rats Peripheral Nerves

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Abstract (2. Language): 
In this study, structural changes caused by acute effects of STZ induced diabetes on peripheral nerves were investigated with electron microscope. Twenty four male Wistar Albino rats were divided into 4 groups: control, sham, 15 days and 30 days diabetic groups. Nothing applied to control group; sodium citrate, as STZ solvent, to Sham group and 45 mg/kg STZ solved in sodium citrate to diabetic group. 15 and 30 days after injections, rats were sacrified under high dose anesthesia, and sciatic nerves were extracted for electron microscopic examination. A evident gap between perineurium and nerve fibres were observed in both 15 and 30 days diabetic groups. And in 30 days group, myelin sheath degenerations were more obvious in myelinated nerve fibres. On the other hand, Schwann cells and unmyelinated nerve fibres appeared normal. Consequently, STZ induced diabetes were seen to cause degenerative changes in n. ischiadicus and those changes were more evident in 30 days diabetic group.
Abstract (Original Language): 
Bu çalışmada sıçanlarda streptozotosinle (STZ) oluşturulan diabetin akut etkisinin periferik sinir üzerinde oluşturduğu yapısal değişiklikler elektron mikroskop düzeyinde incelenmiştir. Çalışmada denekler, 24 erkek Wistar albino sıçan, kontrol grubu, Sham grubu, 15 ve 30 günlük diabet grubu olacak şekilde dört grup olarak ayrılmıştır. Kontrol grubuna hiçbir şey uygulanmazken, Sham grubuna STZ’nin çözündüğü sodyumsitrat, diabetik gruba ise sodyumsitrat içinde çözünmüş 45mg/kg STZ uygulanmıştır. Enjeksiyonu takiben 15 ve 30. günlerde sıçanlar yüksek doz anestezi altında sakrifiye edildi ve siyatik sinirlerinin medial bölgeleri çıkarılarak rutin elektron mikroskop takibine alındı. Doku kesitleri incelendiğinde hem 15 hem de 30 günlük diabetik grupta perinöryum ile sinir lifleri arasında belirgin bir açıklık meydana gelmiş ve miyelinli sinir liflerinde miyelin kılıf dejenerasyonları 30 günlük grupta daha belirgin bulunmuştur. Buna karşın, Schwann hücreleri ve miyelinsiz sinir lifleri normal yapıda gözlenmiştir. Sonuç olarak bu çalışmada sıçanlarda STZ ile oluşturulan diabet, n.ischiadicus’ta dejeneratanif değişiklikler oluşturmuş ve bu değişiklikler 30 günlük grupta daha belirgin bulunmuştur.
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