Toklu Hale Z, Tunali-Akbay Tuba, Erkanli Gözde, Yüksel Meral, Ercan Feriha, Sener Göksel
Marmara University, School of Pharmacy, Department of Pharmacology, Tibbiye Cad., 34668 Istanbul, Turkey.
Burns. 2007 Nov;33(7):908-16. doi: 10.1016/j.burns.2006.10.407. Epub 2007 May 22.
Despite recent advances, severe burn is one of the most common problems faced in the emergency room. Major thermal injury induces the activation of an inflammatory cascade resulting in local tissue damage, to contribute to the development of subsequent damage of multiple organs distant from the original burn wound.
Silymarin, the major component of milk thistle has been shown to have antioxidant properties. In the present study, we investigated the putative antioxidant effect of local or systemic silymarin treatment on burn-induced oxidative tissue injury.
Wistar albino rats were exposed to 90 degrees C bath for 10 s to induce burn. Silymarin either locally (30 mg/kg) applied on 4 cm(2) area or locally+systemically (50 mg/kg, p.o.) was administered after the burn and repeated twice daily. Rats were decapitated 48 h after injury and blood was collected for tumor necrosis factor-alpha (TNF-alpha) and lactate dehydrogenase (LDH) activity. In skin tissue samples malondialdehyde (MDA) and glutathione (GSH) levels, myeloperoxidase (MPO) activity, and luminol-lucigenin chemiluminescense (CL) were measured in addition to the histological evaluation.
Burn caused a significant increase in TNF-alpha and LDH levels. MDA levels were increased and GSH levels were decreased in the skin at 48 h after-burn. Both local and systemic silymarin treatments significantly reversed these parameters. The raised MPO activity and luminol-lucigenin CL were also significantly decreased.
Results indicate that both systemic and local administration of silymarin was effective against burn-induced oxidative damage and morphological alterations in rat skin. Therefore, silymarin merits consideration as a therapeutic agent in the treatment of burns.
尽管近年来取得了进展,但严重烧伤仍是急诊室面临的最常见问题之一。严重热损伤会引发炎症级联反应,导致局部组织损伤,进而促使远离原始烧伤创面的多个器官发生后续损伤。
水飞蓟素是水飞蓟的主要成分,已被证明具有抗氧化特性。在本研究中,我们调查了局部或全身应用水飞蓟素治疗对烧伤诱导的氧化组织损伤的假定抗氧化作用。
将Wistar白化大鼠置于90摄氏度水浴中10秒以诱导烧伤。烧伤后局部(30毫克/千克)在4平方厘米区域应用水飞蓟素,或局部加全身(50毫克/千克,口服)给药,每天重复两次。损伤48小时后断头处死大鼠,收集血液检测肿瘤坏死因子-α(TNF-α)和乳酸脱氢酶(LDH)活性。除了组织学评估外,还测量皮肤组织样本中的丙二醛(MDA)和谷胱甘肽(GSH)水平、髓过氧化物酶(MPO)活性以及鲁米诺-光泽精化学发光(CL)。
烧伤导致TNF-α和LDH水平显著升高。烧伤后48小时皮肤中的MDA水平升高,GSH水平降低。局部和全身水飞蓟素治疗均显著逆转了这些参数。升高的MPO活性和鲁米诺-光泽精CL也显著降低。
结果表明,全身和局部应用水飞蓟素均对大鼠皮肤烧伤诱导的氧化损伤和形态学改变有效。因此,水飞蓟素值得作为烧伤治疗的一种治疗药物加以考虑。