Yun Nari, Lee Chan-Ho, Lee Sun-Mee
College of Pharmacy, Sungkyunkwan University, 300 Cheoncheon-dong, Jangan-gu, Suwon, Gyeonggi-do 440-746, South Korea.
Food Chem Toxicol. 2009 Jun;47(6):1341-8. doi: 10.1016/j.fct.2009.03.013. Epub 2009 Mar 17.
Sepsis is an acute life-threatening clinical condition and remains the major cause of death in intensive care units. The primary pathophysiologic event central to the septic response is an overwhelming activation of the inflammatory system and countervailing response from the anti-inflammatory system. However, the cause of this perturbation has yet to be elucidated. In this study, we report that Aloe vera therapeutically reverses the lethality induced by cecal ligation and puncture (CLP), a clinically relevant model of sepsis. The administration of Aloe vera ameliorated the multiple organ dysfunction syndrome, as evidenced by the serum levels of biochemical parameters and histological changes. In order to investigate the pharmacological mechanism of Aloe vera, the levels of the cytokines, tumor necrosis factor (TNF)-alpha, interleukin (IL)-1beta, and IL-6 were determined by ELISA at various time points. The increases in the levels of TNF-alpha, IL-1beta, and IL-6 were attenuated by Aloe vera.In vivo administration of Aloe vera also markedly enhanced bacterial clearance. Our findings suggest that Aloe vera could be a potential therapeutic agent for the clinical treatment of sepsis.
脓毒症是一种危及生命的急性临床病症,仍是重症监护病房死亡的主要原因。脓毒症反应的核心主要病理生理事件是炎症系统的过度激活以及抗炎系统的代偿反应。然而,这种紊乱的原因尚未阐明。在本研究中,我们报告芦荟在治疗上可逆转盲肠结扎穿刺(CLP)诱导的致死性,CLP是一种临床上相关的脓毒症模型。芦荟的给药改善了多器官功能障碍综合征,这由生化参数的血清水平和组织学变化证明。为了研究芦荟的药理机制,在不同时间点通过酶联免疫吸附测定(ELISA)测定细胞因子、肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β和IL-6的水平。芦荟可减轻TNF-α、IL-1β和IL-6水平的升高。芦荟的体内给药还显著增强了细菌清除。我们的研究结果表明芦荟可能是脓毒症临床治疗的一种潜在治疗剂。