Lak Sima, Ostadrahimi Alireza, Nagili Behrooz, Asghari-Jafarabadi Mohammad, Beigzali Sanaz, Salehi Feridoon, Djafarzadeh Roxana
Infectious and Tropical Disease Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran.
Nutrition Research Center, Faculty of Health and Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran.
Adv Pharm Bull. 2015 Nov;5(4):531-6. doi: 10.15171/apb.2015.072. Epub 2015 Nov 30.
Burn induced inflammatory response can be mediated by reactive oxygen metabolites and accompanied by multiple organ dysfunction. Taurine has protective effects against various inflammatory conditions. The aim of this study was to determine the effect of Taurine supplement in thermal burn victims.
Thirty patients with severe thermal burns were enrolled in this randomized double-blinded clinical trial. These patients were randomly divided into two equal groups (namely Control and Taurine groups), where both received isocaloric and isonitrogenous formula. One group was supplemented with 50 mg/kg of Taurine per day for a duration of 10 days. Blood samples were obtained to measure Interleukin-10 (IL-10), high-sensitivity C-reactive protein (hs-CRP), and Tumor Necrosis Factor alpha (TNF-α) levels at the beginning and the end of the study.
Change in serum level of IL-10 in Taurine group was more than Control group [-13.60(-31.40, -10.40) compared to -4.00(-20.00, -0.20) respectively; P = 0.030]. This change was significant in patients with more than 30% TBSA of burn [-14.20(-31.40, -10.40) compared to -2.40(-9.60, 0.40) respectively; P = 0.013]. As for the hs-CRP and TNF-α levels, the difference between the two groups were not significant.
Based on the results obtained, Taurine supplement showed a positive outcome on anti-inflammatory cytokine IL-10 in all burn patients. This effect was even more significant in patients with higher percentage of burn area. Taurine had no significant effect on the inflammatory marker hs-CRP and the pro-inflammatory cytokine TNF-α level. For a more thorough verification, measurement of a wider range of inflammatory cytokines in more frequent time intervals are suggested.
烧伤引起的炎症反应可由活性氧代谢产物介导,并伴有多器官功能障碍。牛磺酸对各种炎症状态具有保护作用。本研究的目的是确定补充牛磺酸对热烧伤患者的影响。
30例重度热烧伤患者参加了这项随机双盲临床试验。这些患者被随机分为两组(即对照组和牛磺酸组),两组均接受等热量和等氮配方。一组每天补充50mg/kg牛磺酸,持续10天。在研究开始和结束时采集血样,测量白细胞介素-10(IL-10)、高敏C反应蛋白(hs-CRP)和肿瘤坏死因子α(TNF-α)水平。
牛磺酸组血清IL-10水平的变化大于对照组[分别为-13.60(-31.40,-10.40)和-4.00(-20.00,-0.20);P = 0.030]。在烧伤总面积超过30%的患者中,这种变化具有显著性[分别为-14.20(-31.40,-10.40)和-2.40(-9.60,0.40);P = 0.013]。至于hs-CRP和TNF-α水平,两组之间的差异不显著。
根据所得结果,补充牛磺酸对所有烧伤患者的抗炎细胞因子IL-10显示出积极效果。在烧伤面积百分比更高的患者中这种效果更为显著。牛磺酸对炎症标志物hs-CRP和促炎细胞因子TNF-α水平没有显著影响。为了进行更全面的验证,建议在更频繁的时间间隔内测量更广泛的炎症细胞因子。