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Featured researches published by Esra Balcioglu.


Basic & Clinical Pharmacology & Toxicology | 2009

Melatonin and vitamin C attenuates alcohol-induced oxidative stress in aorta.

Mehmet Fatih Sönmez; Figen Narin; Esra Balcioglu

Epidemiological studies have shown that low to moderate doses of alcohol consumption are beneficial to cardiac health. However, chronic high doses of alcohol ingestion cause cardiovascular complications. The aim of this study was to investigate both the effects of melatonin and vitamin C and expression of endothelial nitric oxide synthase in aorta of chronic alcoholic rats. Twenty-four adult male Wistar rats weighing 200-250 g were used in the study. Rats were divided into four equal groups. Group I (control): rats were not fed on alcohol; Group II: rats were fed on alcohol; Group III: rats were fed on alcohol and 40 mg/kg vitamin C were injected intraperitoneally and Group IV: rats were fed on alcohol and 4 mg/kg melatonin were injected intraperitoneally. At the end of the experiment, rats were killed and aorta tissues were removed. Some parts of the aorta tissues were used for biochemical analyses and the other parts were used at histological procedures. In the control group, endothelial nitric oxide synthase immunoreactivity was (++) in smooth muscle cells and endothelial cells. Expression of endothelial nitric oxide synthase in the alcohol group was stronger than control group. Chronic ethanol ingestion significantly increased (p < 0.05); and melatonin significantly decreased both the plasma and tissue malondialdehyde levels. The superoxide dismutase levels and catalase activity did not change significantly in the Vitamin C and melatonin groups (p > 0.05) compared to the control and alcohol groups. The present results indicate that chronic alcohol consumption increase lipid peroxidation and cause endothelial nitric oxide synthase expression in the aorta. However, melatonin and vitamin C administration provide partial protection against alcohol-induced damage.


Journal of Oral and Maxillofacial Surgery | 2014

Effect of platelet-rich plasma on fibrocartilage, cartilage, and bone repair in temporomandibular joint.

Nükhet Kütük; Burcu Baş; Emrah Soylu; Zeynep Burçin Gönen; Canay Yilmaz; Esra Balcioglu; Saim Ozdamar; Alper Alkan

PURPOSE The purpose of the present study was to explore the potential use of platelet-rich-plasma (PRP) in the treatment of temporomandibular joint osteoarthritis (TMJ-OA). MATERIALS AND METHODS Surgical defects were created bilaterally on the condylar fibrocartilage, hyaline cartilage, and bone to induce an osteoarthritic TMJ in rabbits. PRP was applied to the right joints of the rabbits (PRP group), and the left joints received physiologic saline (control group). After 4 weeks, the rabbits were sacrificed for histologic and scanning electron microscopy (SEM) examinations. The data were analyzed statistically. RESULTS The new bone regeneration was significantly greater in the PRP group (P < .011). Although the regeneration of the fibrocartilage and hyaline cartilage was greater in the PRP group, no statistically significant difference was found between the 2 groups. SEM showed better ultrastructural architecture of the collagen fibrils in the PRP group. CONCLUSIONS PRP might enhance the regeneration of bone in TMJ-OA.


Gynecological Endocrinology | 2015

Protective effects of sildenafil citrate administration on cisplatin-induced ovarian damage in rats

Mine Islimye Taskin; Arzu Yay; Ertan Adali; Esra Balcioglu; Umit Inceboz

Abstract The aim of this study is to evaluate the effects of sildenafil citrate on cisplatin-induced ovarian toxicity. Thirty-two female rats were divided into four groups. Group 1: saline control; group 2: cisplatin; group 3: sildenafil citrate; and group 4: cisplatin plus sildenafil citrate group. In groups 2 and 4, the rats were injected with 5 mg/kg cisplatin intraperitoneally (i.p.). In groups 3 and 4, the rats were injected with 1.4 mg/kg sildenafil citrate i.p. The ovaries were removed two weeks later in all groups. Histopathologic examination, follicle counting and classification were performed. The expression of anti-Müllerian hormone (AMH) was detected immunohistochemically in the ovarian tissues. Sildenafil alleviated cisplatin-induced histopathological changes in the ovarian tissue. Primordial, secondary and tertiary follicles were diminished in group 2 compared with group 1 (p < 0.05). Pretreatment with sildenafil citrate preserved primordial follicle count in group 4 compared with group 2, and the difference was statistically significant (p < 0.05). According to our results, immunoreactivity intensity of AMH was lower in group 2 compared with group 1 (92.4 ± 3.97 versus 88.8 ± 1.77) but not significantly, whereas immunoreactivity intensity of AMH was higher in group 4 compared with group 2 (88.8 ± 1.77 versus 94.1 ± 2.36; p < 0.05). Our results demonstrated that pretreatment with sildenafil citrate is beneficial for protecting the ovaries from cisplatin-induced damage. Sildenafil citrate can be a choice for fertility preservation.


Journal of Oral Implantology | 2017

Comparison of Bovine Bone-Autogenic Bone Mixture Versus Platelet-Rich Fibrin for Maxillary Sinus Grafting: Histologic and Histomorphologic Study

Hakan Ocak; Nükhet Kütük; Umut Demetoglu; Esra Balcioglu; Saim Ozdamar; Alper Alkan

&NA; Numerous grafting materials have been used to augment the maxillary sinus floor for long‐term stability and success for implant‐supported prosthesis. To enhance bone formation, adjunctive blood‐born growth factor sources have gained popularity during the recent years. The present study compared the use of platelet‐rich fibrin (PRF) and bovine‐autogenous bone mixture for maxillary sinus floor elevation. A split‐face model was used to apply 2 different filling materials for maxillary sinus floor elevation in 22 healthy adult sheep. In group 1, bovine and autogenous bone mixture; and in group 2, PRF was used. The animals were killed at 3, 6, and 9 months. Histologic and histomorphologic examinations revealed new bone formation in group 1 at the third and sixth months. In group 2, new bone formation was observed only at the sixth month, and residual PRF remnants were identified. At the ninth month, host bone and new bone could not be distinguished from each other in group 1, and bone formation was found to be proceeding in group 2. PRF remnants still existed at the ninth month. In conclusion, bovine bone and autogenous bone mixture is superior to PRF as a grafting material in sinus‐lifting procedures.


Gynecological Endocrinology | 2015

Prevention of ovarian hyperstimulation syndrome in a rat model: comparison of the efficacy of tocilizumab with that of ranibizumab, cabergoline, and a gonadotropin-releasing hormone antagonist.

Mine Islimye Taskin; Onur Topcu; Arzu Yay; Gülten Erken; Esra Balcioglu; Ertan Adali; Adnan Adil Hismiogullari

Abstract The aim of the study is to investigate the effects of the interleukin-6 (IL-6) blocker tocilizumab in a hyperstimulated rat model and compare it with ranibizumab, a gonadotropin-releasing hormone antagonist (GnRHA), and cabergoline. Forty-seven rats were randomly divided into the following seven groups: Group 1: OHS; Group 2: OHS+ GnRHA; Group 3: OHS + ranibizumab; Group 4: OHS + cabergoline; Group 5: OHS + low-dose tocilizumab (TL); Group 6: OHS + high-dose tocilizumab (TH); Group 7: sham. Ovarian weight was significantly lower only in the ranibizumab group than in the OHS group. Estrogen levels were significantly lower in the GnRHA group than in the OHS and the treatment groups. Progesterone levels were significantly lower in the ranibizumab, cabergoline, and TL groups than in the OHS group. Among the treatment groups, corpus luteum counts were lower than in the OHS group. Corpus luteum counts were lowest in the tocilizumab groups. IL-6 intensity was lower in all treatment groups than in the OHS group. In the ranibizumab group IL-6 intensity was the lowest. The TL group did not significantly differ from the GnRHA and cabergoline groups regarding IL-6 expression. Ovarian VEGF expression was significantly lower in all treatment groups. For the TL, ranibizumab, and cabergoline groups VEGF intensity was similar. Tocilizumab may be a new strategy for preventing ovarian hyperstimulation syndrome by inhibition of IL-6.


Revista Brasileira De Otorrinolaringologia | 2018

Protective effect of N-acetylcysteine against cisplatin ototoxicity in rats: a study with hearing tests and scanning electron microscopy

Mehmet Akif Somdas; İnayet Güntürk; Esra Balcioglu; Deniz Avcı; Cevat Yazıcı; Saim Ozdamar

INTRODUCTION Ototoxicity is a health problem appearing after powerful treatments in serious health conditions. It is sometimes inevitable when treatment of the serious disease is required. Cisplatin is an antineoplastic agent which was investigated previously to reveal increased nitrogen and reactive oxygen radicals that damages hair cells, resulting in ototoxicity. N-acetylcysteine, previously shown to decrease ototoxicity caused by different agents, is known to be a powerful in vitro antioxidant. Probably N-acetylcysteine, in addition to its antioxidant effect, blocks a cascade where reactive oxygen species result in apoptosis in the cochlea. OBJECTIVES The possible preventive effect of N-acetylcysteine in cisplatin ototoxicity was studied with auditory brain stem responses, otoacoustic emissions, and histopathological investigation of the cochlea in a scanning electron microscopy. METHODS This study was conducted on 21 Wistar Albino rats in four groups. 1mL/kg/day three times in total intraperitoneal (i.p.) Saline (n=5), 500mg/kg/day i.p. three times in total N-acetylcysteine (n=5), i.p. 15mg/kg cisplatin alone (single dose) (n=5) and i.p. 15mg/kg cisplatin plus 500mg/kg/day N-acetylcysteine (n=6) were administered. The rats were anesthetized to study the hearing tests before and after the experiment. The rats were sacrificed to investigate the cochleas by scanning electron microscopy. RESULTS Auditory brain stem responses and otoacoustic emissions values were attenuated in the cisplatin group. The group that received N-acetylcysteine in addition to cisplatin had better auditory brain stem responses thresholds and otoacoustic emissions. The samples obtained from the cisplatin group showed surface irregularities, degeneration areas, and total or partial severe stereocilia losses. The changes were milder in the cisplatin+N-acetylcysteine group. CONCLUSION Cisplatin ototoxicity can be detected by auditory brain stem responses and otoacoustic emissions testing in rats. N-acetylcysteine may protect the cochlear cells from histopathological changes. We concluded that N-acetylcysteine given 4h after cisplatin injection has a potential otoprotective effect against cisplatin ototoxicity. which suggests it could be used in clinical trials.


Archive | 2018

The Diagnostic Value of HIF-2 Alpha to Determine The Development and Efficacy of Treatment for Contrast Induced Nephropathy: An Experimental Study

Ismail Altintop; Mehmet Tatli; Cigdem Karakukcu; Zeynep Soyer Sarica; Arzu Yay; Esra Balcioglu; Ahmet Öztürk

5 Department of Biostatistics, Erciyes University Faculty of Medicine, Kayseri, Turkey 9 * Correspondence: [email protected]; Tel.: +90-536-973-4670 10 11 Background and objectives: 12 Contrast-induced nephropathy (CIN), is an acute renal damage due to contrast agents. 13 This study is conducted to determine the potential diagnostic value of hypoxia14 inducible factor 2-alpha (HIF2-α) and to evaluate the renal protective effects of N15 acetyl cysteine (NAC) and sildenafil in a rat CIN model. 16 Material/Methods: 17 This randomized, controlled, interventional animal study was conducted on Wistar 18 rats. Totally, rats (n=36) were randomly assigned to four groups: control (n=9), CIN 19 group (n=9), CIN+NAC group (n=9), and sildenafil (n=9). The rat model was used to 20 form iohexol-originated CIN. During the modelling, prophylactic treatment was 21 performed at 24th and 48th hours. After 48 hours of the modelling; blood, urine, tissue 22 samples were obtained for biochemical analyses. HIF-2-α levels were measured in 23 renal tissue, serum and urine samples. Renal sections were performed in order for 24 histopathologic and immunohistochemical evaluations. 25 26 Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 7 May 2018 doi:10.20944/preprints201805.0106.v1


Medicina-buenos Aires | 2018

Serum and Tissue HIF-2 Alpha Expression in CIN, N-Acetyl Cysteine, and Sildenafil-Treated Rat Models: An Experimental Study

Ismail Altintop; Mehmet Tatli; Cigdem Karakukcu; Zeynep Soyer Sarica; Arzu Yay; Esra Balcioglu; Ahmet Öztürk

Background and Objectives: Contrast-induced nephropathy (CIN), is acute renal damage due to contrast agents. This study is conducted to evaluate serum and renal heterodimeric nuclear transcription factor (HIF)-2 alpha levels and its tissue expression in contrast-induced nephropathy, and in N-acetyl cysteine (NAC)-and Sildenafil-treated rat models. Materials/Methods: This randomized, controlled, interventional animal study was conducted on Wistar rats. Rats (n = 36) were randomly assigned to four groups: control (n = 9), CIN group (n = 9), CIN + NAC group (n = 9), and sildenafil (n = 9). The rat model was used to form iohexol-originated CIN. During the modeling, prophylactic treatment was performed at the 24th and 48th h. After 48 h of modeling, blood, urine, and tissue samples were obtained for biochemical analyses. HIF-2-α levels were measured in renal tissue, serum, and urine samples. Renal sections were also performed for histopathologic and immunohistochemical evaluations of renal injury and HIF-2-α expression. Results: In the CIN model, HIF-2α levels and other biochemical parameters were significantly increased (p < 0.01). Both sildenafil and NAC efficiently decreased renal damage due to contrast agents, as shown in histopathologic examinations (p < 0.05). Similarly, after treatment with sildenafil and NAC, HIF-2α levels were significantly decreased (p < 0.05). Conclusions: The current study shows that serum and tissue HIF-2α levels decrease in CIN. Besides, the levels and tissue expression of HIF-2α decrease with both NAC and sildenafil treatments. With further studies, HIF-2α can be investigated as a biomarker of CIN and can be used in the follow-up of patients with CIN.


Revista Brasileira De Otorrinolaringologia | 2012

Filiform papillae do not have taste buds

Mehmet Fatih Sönmez; Esra Balcioglu; Saim Ozdamar; Birkan Yakan

Professor (Lecturer).Send correspondence to: Mehmet Fatih Sonmez. Department of Histology and Embryology, Faculty of Medicine, Erciyes University, 38039 Kayseri, Turkey.Tel: (+90) 352 - 4374901 x 23356. Fax: (+90) 352 - 4375285.Paper submitted to the BJORL-SGP (Publishing Management System - Brazilian Journal of Otorhinolaryngology) on December 17, 2007;and accepted on March 07, 2008. cod. 5631.


International Journal of Ophthalmology | 2018

Comparison of the effects of intravitreal bevacizumab and dexamethasone in experimental posterior penetrating eye injury

Ayse Oner; Nisa Kahraman; Saim Ozdamar; Esra Balcioglu

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Mehmet Akif Somdas

Massachusetts Institute of Technology

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