Department of Pediatric Surgery, Faculty of Medicine, Ondokuz Mayıs University, Samsun 55030, Turkey.
J Pediatr Surg. 2012 Sep;47(9):1669-76. doi: 10.1016/j.jpedsurg.2012.01.076.
Aspiration is one of the most feared complications of gastrointestinal decontamination procedures with nonabsorbed polyethylene glycol (PEG) solution and activated charcoal (AC). We aimed to investigate the protective effects of curcumin (CUR) on lung injury in rats induced by aspiration of these agents.
Experimental rats were divided randomly into 6 groups (n = 7): a saline-aspirated control (group I), sterile saline aspirated with CUR treatment (group II), PEG aspirated (group III), PEG aspirated with CUR treatment (group IV), AC aspirated (group V), and AC aspirated with CUR treatment (group VI). After aspiration, treatment groups II, IV, and VI were given 150 mg/kg CUR intraperitoneally once a day for 7 days. After 7 days, the rats were humanely killed, and both the lungs and serum specimens from all groups were evaluated histopathologically, immunohistochemically, and biochemically.
Aspiration of gastrointestinal decontamination agents produced histopathologic changes, elevated levels of malondialdehyde and surfactant protein D, reduced levels of antioxidant enzymes, and increased expression of inflammatory cytokines interleukin-1β and tumor necrosis factor α. Curcumin treatments effectively attenuated the rats' pulmonary inflammation responses (as shown by reduced alveolar damage), decreased serum malondialdehyde and surfactant protein D levels, and inhibited the expressions of tumor necrosis factor α and interleukin-1β.
Because of its anti-inflammatory effects, CUR treatment may have preventive effects on lung injuries induced by aspirating gastrointestinal decontamination agents.
非吸收性聚乙二醇(PEG)溶液和活性炭(AC)进行胃肠去污程序时,最担心的并发症之一是吸入。我们旨在研究姜黄素(CUR)对这些药物吸入引起的大鼠肺损伤的保护作用。
实验大鼠随机分为 6 组(n = 7):生理盐水吸入对照组(I 组)、CUR 处理的无菌生理盐水吸入组(II 组)、PEG 吸入组(III 组)、CUR 处理的 PEG 吸入组(IV 组)、AC 吸入组(V 组)和 CUR 处理的 AC 吸入组(VI 组)。吸入后,治疗组 II、IV 和 VI 每天腹腔内给予 150mg/kg CUR 一次,连续 7 天。7 天后,人道处死大鼠,对所有组的肺和血清标本进行组织病理学、免疫组织化学和生物化学评估。
胃肠去污剂的吸入产生了组织病理学变化,丙二醛和表面活性蛋白 D 水平升高,抗氧化酶水平降低,促炎细胞因子白细胞介素-1β和肿瘤坏死因子α的表达增加。CUR 治疗可有效减轻大鼠肺部炎症反应(表现为肺泡损伤减轻),降低血清丙二醛和表面活性蛋白 D 水平,并抑制肿瘤坏死因子α和白细胞介素-1β的表达。
由于其抗炎作用,CUR 治疗可能对吸入胃肠去污剂引起的肺损伤具有预防作用。