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喷瓜对脓毒症诱导的肺损伤的组织病理学和生物化学影响

Histopathological and Biochemical Effects of Ecballium elaterium on Sepsis-Induced Lung Injury.

作者信息

Demir Melike, Taylan Mahsuk, Kaya Halide, Ekinci Aysun, Arslan Demet, Aslan Emel, Keles Aysenur, Yılmaz Sureyya, Sezgi Cengizhan

机构信息

a Department of Chest Disease , Dicle University Faculty of Medicine , Diyarbakir , Turkey.

b Department of Biochemistry , Dicle University Faculty of Medicine , Diyarbakir , Turkey.

出版信息

J Invest Surg. 2016 Oct;29(5):302-8. doi: 10.3109/08941939.2015.1111474. Epub 2016 Jan 29.

Abstract

PURPOSE

The aim of this study was to investigate the role of Ecballium elaterium (EE) on sepsis-induced lung injury.

MATERIALS AND METHODS

A total of 30 male rats were divided into three groups as follows: control, sepsis, and treatment groups (sepsis + EE) with each group containing 10 rats. A rat model of sepsis induced by cecal ligation and puncture (CLP) was used. In the treatment group, rats were injected intraperitoneally with 2.5 mg/kg EE after CLP. Interleukin-6 (IL-6), tumor necrosis factor (TNF)-α, total antioxidant status (TAS), total oxidant status (TOS), and oxidative stress index (OSI) values after a 24-hr period were measured via cardiac puncture. Animals were harvested after the procedure and biochemical analysis was done and histopathological changes of the tissue sections of lungs were examined thereafter.

RESULTS

A statistically significant decrease was observed in the IL-6 (p < .05), TNF-α (p < .05), and TOS (p < .01) levels in the sera of the treatment group compared to those of the sepsis group. Following the treatment, the TOS (p = .01) and OSI (p < .05) levels in the lung tissue of rats indicated a statistically significant decrease compared to those of the sepsis group. The histopathological follow-up undertaken after the administration of the EE treatment to septic rats showed significantly lower values of alveolar wall thickness (p < .001), interstitial edema (p = .018), and neutrophil infiltration (p = .047).

CONCLUSION

EE treatment may have beneficial effects on sepsis-induced lung injury, and therefore has potential for clinical use.

摘要

目的

本研究旨在探讨喷瓜(EE)在脓毒症诱导的肺损伤中的作用。

材料与方法

总共30只雄性大鼠被分为以下三组:对照组、脓毒症组和治疗组(脓毒症+EE),每组10只大鼠。采用盲肠结扎穿孔(CLP)诱导的大鼠脓毒症模型。在治疗组中,大鼠在CLP后腹腔注射2.5mg/kg EE。24小时后通过心脏穿刺测量白细胞介素-6(IL-6)、肿瘤坏死因子(TNF)-α、总抗氧化状态(TAS)、总氧化状态(TOS)和氧化应激指数(OSI)值。手术后处死动物并进行生化分析,随后检查肺组织切片的组织病理学变化。

结果

与脓毒症组相比,治疗组血清中的IL-6(p<.05)、TNF-α(p<.05)和TOS(p<.01)水平有统计学意义的降低。治疗后,大鼠肺组织中的TOS(p=.01)和OSI(p<.05)水平与脓毒症组相比有统计学意义的降低。对脓毒症大鼠进行EE治疗后的组织病理学随访显示,肺泡壁厚度(p<.001)、间质水肿(p=.018)和中性粒细胞浸润(p=.047)的值显著降低。

结论

EE治疗可能对脓毒症诱导的肺损伤有有益作用,因此具有临床应用潜力。

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