Jaarin Kamsiah, Gapor M T, Nafeeza M I, Fauzee A M
Department of Pharmacology, Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Int J Exp Pathol. 2002 Dec;83(6):295-302. doi: 10.1046/j.1365-2613.2002.00242.x.
This study examined the effects of vitamin E on the prevention of aspirin-induced gastric lesions. The study was divided into two phases. Phase 1 determined the effects of various doses of palm vitamin E on the factors affecting mucosal integrity. Thirty-two male rats of the Sprague-Dawley strain (200-250 g) were randomly divided into four groups. Group I was fed a normal diet (control), Groups II, III and IV were fed a diet supplemented with palm vitamin E in a dose of 60 mg/kg food, 100 mg/kg food and 150 mg/kg food, respectively. The rats were killed after 4 weeks of feeding for the determination of gastric malondialdehyde (MDA), acid and mucus content. There was a significant decrease in gastric MDA and gastric acid in all the palm vitamin E supplemented groups compared to control. However, these doses of palm vitamin E had no significant effect on gastric mucus. The phase 2 study determined the effect of multiple doses of palm vitamin E and tocopherol on the prevention of aspirin-induced gastric lesions. Fifty rats of the same weight and strain were randomized into seven groups. Group I was fed a normal diet; groups II to IV were fed with a palm vitamin E enriched diet in doses of 60 mg, 100 mg and 150 mg/kg food, respectively; groups V to VII were fed with a tocopherol-enriched diet in doses of 20 mg, 30 mg and 50 mg/kg food, respectively. After 4 weeks of feeding with the respective diets the rats were challenged with a single intra-gastric dose of 400 mg/kg body weight aspirin suspended in propylene glycol. The rats were killed 6 h post-aspirin exposure for the determination of gastric lesion index and gastric parameters as mentioned in the phase I study. The gastric lesions index was significantly lower in all the vitamin E groups compared to control. The lowest ulcer index was observed in the groups that received 100 mg of palm vitamin E and 30 mg tocopherol in the diet. However, there was no significant difference in ulcer indices between palm vitamin E and tocopherol-treated groups. The lower ulcer index was only accompanied by lower gastric MDA content. We conclude that both palm vitamin E in doses of 60 mg, 100 mg and 150 mg/kg food as well as tocopherol in doses of 20 mg, 30 mg and 50 mg/kg food are equally effective in preventing aspirin-induced gastric lesions. The most probable mechanism is through their ability in limiting the lipid peroxidation that is involved in aspirin-induced gastric lesions.
本研究考察了维生素E对预防阿司匹林所致胃损伤的作用。该研究分为两个阶段。第一阶段确定不同剂量的棕榈维生素E对影响黏膜完整性的因素的作用。将32只Sprague-Dawley品系的雄性大鼠(200 - 250克)随机分为四组。第一组给予正常饮食(对照组),第二、三、四组分别给予添加了剂量为60毫克/千克食物、100毫克/千克食物和150毫克/千克食物的棕榈维生素E的饮食。喂养4周后处死大鼠,测定胃丙二醛(MDA)、胃酸和黏液含量。与对照组相比,所有添加棕榈维生素E的组胃MDA和胃酸均显著降低。然而,这些剂量的棕榈维生素E对胃黏液没有显著影响。第二阶段研究确定多剂量的棕榈维生素E和生育酚对预防阿司匹林所致胃损伤的作用。将50只体重和品系相同的大鼠随机分为七组。第一组给予正常饮食;第二至四组分别给予添加剂量为60毫克、100毫克和150毫克/千克食物的富含棕榈维生素E的饮食;第五至七组分别给予添加剂量为20毫克、30毫克和50毫克/千克食物的富含生育酚的饮食。用各自的饮食喂养4周后,给大鼠单次胃内注射悬浮于丙二醇中的400毫克/千克体重的阿司匹林。阿司匹林给药6小时后处死大鼠,测定胃损伤指数和第一阶段研究中提到的胃参数。与对照组相比,所有维生素E组的胃损伤指数均显著降低。在饮食中摄入100毫克棕榈维生素E和30毫克生育酚的组中观察到最低溃疡指数。然而,棕榈维生素E组和生育酚治疗组之间的溃疡指数没有显著差异。较低的溃疡指数仅伴随着较低的胃MDA含量。我们得出结论,食物中剂量为60毫克、100毫克和150毫克/千克的棕榈维生素E以及剂量为20毫克、30毫克和50毫克/千克的生育酚在预防阿司匹林所致胃损伤方面同样有效。最可能的机制是它们能够限制参与阿司匹林所致胃损伤的脂质过氧化。