Department of Multidisciplinary Laboratory, Dokuz Eylul University Hospital, Izmir, Turkey.
Arch Med Res. 2011 Feb;42(2):79-87. doi: 10.1016/j.arcmed.2011.01.011.
Oropharyngeal candidiasis (OPC) is one of the most common local side effects of current therapy in chronic asthma. New therapeutic options with fewer side effects and reverse chronic changes are needed. Curcumin, as a promising antiinflammatory and antifungal agent, could be a candidate of alternative therapy in asthma. This study aimed to determine the efficacy of orally administrated curcumin on lung histopathology, serum nitric oxide levels and fungal burden in a murine model of asthma and OPC.
Thirty five BALB/c mice were divided into five groups: I, II, III, IV (placebo) and V (control). All groups except the control were sensitized and challenged with ovalbumin. OPC model was established after the model of chronic asthma. Lung histology, serum nitric oxide levels and fungal burden were evaluated after 5 days of treatment with curcumin, dexamethasone, curcumin-dexamethasone combination and placebo. Evaluation of lung histology included subepithelial smooth muscle and epithelial thickness and number of goblet and mast cells by using light microscopy.
All histological parameters improved in curcumin group similar to dexamethasone group. Curcumin and dexamethasone-curcumin combination were also as effective as dexamethasone on decreasing nitric oxide levels. Oral fungal burden was significantly lower in curcumin-treated group than dexamethasone.
In our study we demonstrated that curcumin administration alleviates the pathological changes in asthma and decreases the fungal burden. Curcumin may have a potential effect on treating chronic asthma and decreasing the frequency of the OPC.
口咽念珠菌病(OPC)是目前慢性哮喘治疗中最常见的局部副作用之一。需要寻找副作用更少且能逆转慢性病变的新治疗选择。姜黄素作为一种有前途的抗炎和抗真菌药物,可能是哮喘替代治疗的候选药物。本研究旨在确定口服姜黄素对哮喘和 OPC 小鼠模型肺组织病理学、血清一氧化氮水平和真菌负荷的疗效。
35 只 BALB/c 小鼠分为五组:I、II、III、IV(安慰剂)和 V(对照)。除对照组外,所有组均用卵清蛋白致敏和攻毒。在建立慢性哮喘模型后建立 OPC 模型。用姜黄素、地塞米松、姜黄素-地塞米松联合和安慰剂治疗 5 天后,评估肺组织病理学、血清一氧化氮水平和真菌负荷。肺组织学评估包括用光学显微镜评估上皮下平滑肌和上皮厚度以及杯状细胞和肥大细胞的数量。
姜黄素组的所有组织学参数均得到改善,与地塞米松组相似。姜黄素和姜黄素-地塞米松联合与地塞米松一样有效降低一氧化氮水平。与地塞米松组相比,姜黄素治疗组的口腔真菌负荷显著降低。
在我们的研究中,我们证明了姜黄素给药可减轻哮喘的病理变化并降低真菌负荷。姜黄素可能对治疗慢性哮喘和减少 OPC 的发生频率有潜在作用。