Cardiovascular Journal of Africa

The molecular effects of lepidium sativum extract on damage in rats with cardiac damage caused by total circulatory arrest

Murat Ziya Bağış, Bişar Amaç, Yasemin Hacanlı, Ezhar Ersöz, Muhammet Emin Güldür, İsmail Koyuncu, Kadir Egi
Abstract
Introduction: Cardiovascular diseases, which are non-communicable diseases, are among the leading causes of death worldwide.
Objective: In this study, we aimed to investigate the efficacy of Lepidium sativum extract, which has antioxidant properties, in preventing cardiac damage in rats with cardiac damage induced by total circulatory arrest, using biochemical and histopathological methods.
Methods: Twenty-four adult male Wistar albino rats weighing 200–250 g were used in our study. These rats were randomly divided into four groups. Group 1 (Control, n = 6), Group 2 (Ischaemia (TCA), n = 6), Group 3 (Treatment 1, Ischaemia + Lepidium sativum, n = 6), Group 4 (Treatment 2, Lepidium sativum, n = 6). TOS, TOS, NRF-2, TNF-α, MDA, and HIF-1α parameters were measured in blood plasma and heart tissue using the ELISA kit method. In addition, baseline chemical parameters were examined in plasma. Histopathological examination of heart tissue was performed.
Results: There were statistically significant differences between groups in terms of plasma MDA (p < 0.001), HIF-1α (p < 0.001), NRF-2 (p < 0.001), TAS (p < 0.001), TOS (p < 0.05), and TNF-α (p < 0.05) levels; in heart tissue, MDA (p < 0.05), HIF-1α (p < 0.05), NRF-2 (p < 0.05), TAS (p < 0.001), TOS (p < 0.05), and OSI (p < 0.05) parameters were found to be significant. TAS levels were highest in the LS group (p < 0.001), while TOS levels were highest in the Ischaemia group (p < 0.05).
Conclusion: Lepidium sativum significantly improved cardiac damage in rats with TCA-induced cardiac damage by reducing MDA, HIF-1α, TNF-α, and TOS levels. In addition, histopathological examination revealed that cardiac myocytes had a more regular structure in the group administered the extract. Furthermore, we believe that this study provides valuable data in the field of cardiovascular molecular mechanisms.
Keywords: Total Circulatory Arrest, Lepidium Sativum, Oxidative Stress and Cardiovascular Diseases
Submitted: May 17, 2025; Accepted: November 5, 2025; Published: February 20, 2026
Cardiovasc J Afr 2025; 37: 32-42
Volume 37, Issue 1
DOI Citation Reference: dx.doi.org/10.5830/CVJA-2025-096
Harran University, Faculty of Medicine, Department of Cardiovascular Surgery, Şanlıurfa, Turkey
Murat Ziya Bağış

Harran University, Faculty of Health Sciences, Department of Perfusion, Şanlıurfa, Turkey
Bişar Amaç

Harran University, Faculty of Health Sciences, Department of Perfusion, Şanlıurfa, Turkey
Yasemin Hacanlı

Harran University Hospital, Department of Cardiovascular Surgery, Şanlıurfa, Turkey
Ezhar Ersöz

Harran University, Faculty of Medicine, Department of Pathology, Şanlıurfa, Turkey
Muhammet Emin Güldür

Harran University, Faculty of Medicine, Department of Medical Biochemistry, Şanlıurfa, Turkey
İsmail Koyuncu

Gaziantep University, Faculty of Medicine, Department of Medical Biochemistry, Gaziantep, Turkey; Harran University Vocational School of Health Services Dialysis Program, Şanlıurfa, Turkey
Kadir Egi

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