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Antioxidant effects of vitamin D on lacrimal glands against high dose radioiodine-associated damage in an animal model
Authors:Umit Eksioglu  Hasan Ikbal Atilgan  Nuray Yazihan  Ugur Emrah Altiparmak  Nihat Yumusak
Affiliation:1. Department of Ophthalmology, Ankara Training and Research Hospital of University of Health Sciences, Ankara, Turkey;2. Department of Nuclear Medicine, Mustafa Kemal University, Faculty of Medicine, Turkey;3. Department of Pathophysiology, Ankara University, Faculty of Medicine, Ankara, Turkey;4. Department of Ophthalmology, Acibadem University Medical School, Acibadem Ankara Hospital, Ankara, Turkey;5. Faculty of Veterinary Medicine, Harran University, Sanliurfa, Turkey
Abstract:Purpose: To evaluate antioxidant effects of active vitamin D (calcitriol) against high-dose radioiodine (RAI) therapy-associated damage of lacrimal gland.

Materials and methods: Wistar albino rats were used and divided into three groups randomly (n?=?12/group). The first group was appointed as the negative control group and received no RAI or medication. The second group was appointed as the positive control group that only received 3?mCi/kg (111 MBq/kg) RAI via gastric gavage and the last group was the treatment group that received 3?mCi/kg RAI via same method and calcitriol (200?ng/kg/day) via intraperitoneal administration. Seven days after RAI administration, bilateral intraorbital (IG), extraorbital (EG) and Harderian (HG) glands were removed for the evaluations of histopathologic, tissue cytokine, total oxidant status (TOS) and total antioxidant status (TAS).

Results: RAI led to significant increase in tissue TOS, TNF-α, IL-6 levels and significant decrease in IL-10 and TAS levels (p?p?p?p?=?0.049), periductal fibrosis in EG and HG (p?=?0.049 and 0.038, respectively), abnormal cell outlines in EG and HG (p?=?0.020 and 0.011, respectively) and variation in cell size in the IG and the HG (p?=?0.003 and 0.049 respectively).

Conclusions: RAI caused significant oxidative stress and inflammation in lacrimal glands. Vitamin D demonstrated potent anti-inflammatory, antioxidant and radio-protective effects on lacrimal glands in histopathologic, tissue cytokine and oxidant/antioxidant level evaluations.
Keywords:Radioactive iodine  dry eye  lacrimal gland  vitamin D  radioprotection
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