Chandrasekaran Victor Raj Mohan, Hsu Dur-Zong, Liu Ming-Yie
Department of Toxicology, College of Graduate Studies, Gulf Medical University, Ajman, United Arab Emirates.
JPEN J Parenter Enteral Nutr. 2014 Feb;38(2):179-85. doi: 10.1177/0148607113490960. Epub 2013 Jun 6.
Heavy metals become toxic when they are not metabolized by the body and accumulate in the soft tissue. Chelation therapy is mainly for the management of heavy metal-induced toxicity; however, it usually causes adverse effects or completely blocks the vital function of the particular metal chelated. Much attention has been paid to the development of chelating agents from natural sources to counteract lead- and iron-induced hepatic and renal damage. Sesame oil (a natural edible oil) and sesamol (an active antioxidant) are potently beneficial for treating lead- and iron-induced hepatic and renal toxicity and have no adverse effects. Sesame oil and sesamol significantly inhibit iron-induced lipid peroxidation by inhibiting the xanthine oxidase, nitric oxide, superoxide anion, and hydroxyl radical generation. In addition, sesame oil is a potent inhibitor of proinflammatory mediators, and it attenuates lead-induced hepatic damage by inhibiting nitric oxide, tumor necrosis factor-α, and interleukin-1β levels. Because metal chelating therapy is associated with adverse effects, treating heavy metal toxicity in addition with sesame oil and sesamol may be better alternatives. This review deals with the possible use and beneficial effects of sesame oil and sesamol during heavy metal toxicity treatment.
当重金属不能被身体代谢并在软组织中积累时,就会产生毒性。螯合疗法主要用于治疗重金属引起的中毒;然而,它通常会产生不良反应或完全阻断被螯合的特定金属的重要功能。人们十分关注从天然来源开发螯合剂,以对抗铅和铁引起的肝和肾损伤。芝麻油(一种天然食用油)和芝麻酚(一种活性抗氧化剂)对治疗铅和铁引起的肝和肾毒性非常有益,且没有不良反应。芝麻油和芝麻酚通过抑制黄嘌呤氧化酶、一氧化氮、超氧阴离子和羟自由基的产生,显著抑制铁诱导的脂质过氧化。此外,芝麻油是促炎介质的有效抑制剂,它通过抑制一氧化氮、肿瘤坏死因子-α和白细胞介素-1β水平来减轻铅诱导的肝损伤。由于金属螯合疗法存在不良反应,因此在治疗重金属中毒时加用芝麻油和芝麻酚可能是更好的选择。这篇综述探讨了芝麻油和芝麻酚在治疗重金属中毒期间的可能用途和有益作用。