Bese N S, Munzuroglu F, Uslu B, Arbak S, Yesiladali G, Sut N, Altug T, Ober A
Department of Radiation Oncology, Cerrahpasa Medical School, Istanbul University, 34098 Cerrahpasa, Istanbul, Turkey.
Clin Oncol (R Coll Radiol). 2007 May;19(4):260-4. doi: 10.1016/j.clon.2006.12.007. Epub 2007 Jan 12.
To investigate whether the application of vitamin E with or without pentoxifylline could modify the development of radiation-induced pulmonary fibrosis.
Wistar albino rats were supplemented with either vitamin E or pentoxifylline or with both vitamin E and pentoxifylline after a single dose of 14 Gy thoracic irradiation. Supplementation was started the day after irradiation and continued until the rats were sacrificed. As a quantitative end point, the extent of fibrosis was evaluated with a scale from 0 (normal lung) to 8 (total fibrous obliteration of the field) at pathological examination of the lung tissue.
A significant reduction in fibrosis was obtained in the group of rats supplemented with vitamin E with or without pentoxifylline, when compared with the group that had irradiation only.
This experimental study showed that vitamin E supplementation immediately after irradiation protected rats against radiation-induced pulmonary fibrosis. The combination with pentoxifylline was more effective, although pentoxifylline itself had limited efficacy, which was not statistically significant.
研究单独使用维生素E或联合己酮可可碱是否可以改变放射性肺纤维化的发展。
对Wistar白化大鼠进行单次14 Gy胸部照射后,分别补充维生素E、己酮可可碱或维生素E与己酮可可碱的组合。补充从照射后第二天开始,持续到大鼠被处死。作为定量终点,在肺组织病理检查时,用0(正常肺)至8(该区域完全纤维性闭塞)的量表评估纤维化程度。
与仅接受照射的组相比,补充了维生素E(无论是否联合己酮可可碱)的大鼠组纤维化明显减轻。
本实验研究表明,照射后立即补充维生素E可保护大鼠免受放射性肺纤维化的影响。联合己酮可可碱更有效,尽管己酮可可碱本身的疗效有限,且无统计学意义。