Kilincaslan Huseyin, Karatepe Hande Ozgun, Sarac Fatma, Olgac Vakur, Kemik Ahu Sarbay, Gedik Ahmet Hakan, Uysal Omer
Department of Pediatric Surgery, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey.
Department of Pediatrics, Zeynep Kamil Research and Education Hospital, Istanbul, Turkey.
Eur J Pediatr Surg. 2014 Oct;24(5):403-9. doi: 10.1055/s-0033-1352525. Epub 2013 Aug 5.
The aim of this study was to investigate the effects of dimethyl sulfoxide (DMSO) on stricture formation in corrosive esophageal burns.
A total of 21 male rats were divided equally into three groups. In Group 1 (burn) and Group 2 (burn + DMSO) burns were induced in the distal esophagi with a 30% NaOH solution. In Group 3 (control), a saline solution was applied to the esophageal lumen. In Group 2, DMSO was administered intraperitoneally (3 mg/kg) 15 minutes after the burn was induced and then every 24 hours for 7 days. All rats were humanely killed at the end of Day 22. Distal esophagi were harvested for analysis. The stenosis index (SI) and histopathologic damage score were evaluated in addition to malondialdehyde (MDA), myeloperoxidase (MPO), nitric oxide (NO), tumor necrosis factor alpha (TNF-α), and interleukin-6 (IL-6) levels.
DMSO significantly decreased the levels of MDA, NO, TNF-α, and IL-6 in the rats with burned esophagi. Furthermore, the SI and histopathologic scores decreased significantly in the burn + DMSO group relative to the burn group (p < 0.05).
Our results suggest that DMSO can decrease the occurrence of stricture formation and could represent a beneficial alternative therapy for the treatment of corrosive esophagitis.
本研究旨在探讨二甲基亚砜(DMSO)对腐蚀性食管烧伤后狭窄形成的影响。
总共21只雄性大鼠被平均分为三组。第1组(烧伤组)和第2组(烧伤+DMSO组)用30%氢氧化钠溶液诱导食管远端烧伤。第3组(对照组)将生理盐水注入食管腔。在第2组中,烧伤诱导后15分钟腹腔注射DMSO(3毫克/千克),然后每24小时注射一次,共7天。在第22天结束时,所有大鼠均被人道处死。取食管远端进行分析。除了评估丙二醛(MDA)、髓过氧化物酶(MPO)、一氧化氮(NO)、肿瘤坏死因子α(TNF-α)和白细胞介素-6(IL-6)水平外,还评估了狭窄指数(SI)和组织病理学损伤评分。
DMSO显著降低了食管烧伤大鼠的MDA、NO、TNF-α和IL-6水平。此外,与烧伤组相比,烧伤+DMSO组的SI和组织病理学评分显著降低(p<0.05)。
我们的结果表明,DMSO可以减少狭窄形成的发生,可能是治疗腐蚀性食管炎的一种有益的替代疗法。