香芹酚改善硫芥诱导的肺部疾病患者的血液学参数、氧化/抗氧化生物标志物及肺功能测试:一项随机双盲临床试验
Carvacrol ameliorates haematological parameters, oxidant/antioxidant biomarkers and pulmonary function tests in patients with sulphur mustard-induced lung disorders: A randomized double-blind clinical trial.
作者信息
Khazdair M R, Alavinezhad A, Boskabady M H
机构信息
Pharmaceutical Research Center, Department of Physiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
J Clin Pharm Ther. 2018 Oct;43(5):664-674. doi: 10.1111/jcpt.12684. Epub 2018 Mar 25.
WHAT IS KNOWN AND OBJECTIVE
In this study, the effect of carvacrol (CAR) on pulmonary function tests (PFT), haematological indices and oxidant/antioxidant biomarkers in patients with sulphur mustard (SM)-induced lung disorders was examined.
METHODS
Twenty patients exposed to SM 27-30 years ago were divided into two groups and treated with either placebo (P) or CAR (1.2 mg/kg per day) (n = 10 for each group). Forced vital capacity (FVC), peak expiratory flow (PEF), total and different white blood cell (WBC), haematological parameters and oxidant/antioxidant biomarkers were measured at the baseline (step 0), one and two months (steps I and II, respectively) after starting the treatment.
RESULTS AND DISCUSSION
PEF was significantly increased in the CAR-treated group in step II compared to step 0 (P < .01). Total WBC (P < .01) and neutrophil (P < .05) count in the CAR-treated group were significantly decreased in the group in steps I and II (P < .01 for both cases) compared to step 0. The levels of thiol, superoxide dismutase and catalase in the CAR-treated group were significantly increased (P < .05 to P < .001) in steps I and II, but malondialdehyde significantly decreased in step II compared to step 0 (P < .01). The percentage of total and differential WBC, oxidant/antioxidant biomarkers, FVC and PEF values following a two-month treatment period were significantly improved in the CAR-treated group compared to the placebo group (P < .05 to P < .001).
WHAT IS NEW AND CONCLUSION
Two-month treatment with CAR reduced inflammatory cells and oxidant biomarkers, whereas increased antioxidant biomarkers and improved PFT tests in SM-exposed patients.
已知信息与研究目的
本研究检测了香芹酚(CAR)对芥子气(SM)所致肺部疾病患者肺功能测试(PFT)、血液学指标以及氧化/抗氧化生物标志物的影响。
方法
将27 - 30年前接触过SM的20名患者分为两组,分别给予安慰剂(P)或CAR(每日1.2 mg/kg)治疗(每组n = 10)。在治疗开始时的基线期(步骤0)、治疗1个月和2个月后(分别为步骤I和步骤II)测量用力肺活量(FVC)、呼气峰值流速(PEF)、总白细胞及不同类型白细胞(WBC)、血液学参数以及氧化/抗氧化生物标志物。
结果与讨论
与步骤0相比,CAR治疗组在步骤II时PEF显著升高(P < 0.01)。与步骤0相比,CAR治疗组在步骤I和步骤II时总白细胞计数(P < 0.01)和中性粒细胞计数(P < 0.05)显著降低(两种情况均P < 0.01)。CAR治疗组在步骤I和步骤II时硫醇、超氧化物歧化酶和过氧化氢酶水平显著升高(P < 0.05至P < 0.001),但与步骤0相比,步骤II时丙二醛显著降低(P < 0.01)。与安慰剂组相比,CAR治疗组在两个月治疗期后的总白细胞及不同类型白细胞百分比、氧化/抗氧化生物标志物、FVC和PEF值均显著改善(P < 0.05至P < 0.001)。
新发现与结论
对接触SM的患者进行为期两个月的CAR治疗可减少炎症细胞和氧化生物标志物,同时增加抗氧化生物标志物并改善肺功能测试结果。