Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Pharmacology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Basic Clin Pharmacol Toxicol. 2019 Jul;125(1):62-74. doi: 10.1111/bcpt.13207. Epub 2019 Feb 21.
Aluminium phosphide (AlP) is a highly toxic substance with a high mortality rate and no effective antidote. Once exposed to the moisture and acidic conditions of the stomach, AlP releases toxic phosphine (PH ) gas, which results in severe toxicity in poisoned subjects. Selegiline is a monoamine oxidase inhibitor with antioxidant and anti-apoptotic properties, which is mostly prescribed for the treatment of mood disorders and Parkinson's disease. Since AlP has detrimental effects on cardiac physiology and mitochondrial function, we tested the protective effects of acute selegiline treatment on cardiac mitochondrial function, redox status and electrocardiographic parameters in rats after AlP poisoning. To do this, AlP was given to rats by gavage to induce toxicity. Selegiline was injected intraperitoneally in the treatment groups 1 hour after AlP poisoning. Selegiline treatment after AlP intoxication was not associated with a significant difference in the mortality rate of animals. However, selegiline reduced oxidative stress (decreased the reactive oxygen species and malondialdehyde) and increased glutathione in the cardiac tissue of rats exposed to AlP. Further, the mitochondrial membrane potential (ΔΨm) collapse reversed after treatment with selegiline. Selegiline also improved the electrocardiographic (ECG) parameters and enhanced heart rate. The histopathological evaluation revealed that selegiline eliminated the inflammation and injuries induced by AlP in the stomach and duodenum, as well as cardiac tissue. In conclusion, selegiline treatment can ameliorate the AlP-induced cardiac and gastrointestinal injuries in rats via boosting redox status and mitochondrial function with no significant effect on survival. We suggest that using selegiline, apart from other clinical treatments, may improve the quality of treatment process for AlP toxicity.
磷化铝(AlP)是一种毒性很高的物质,死亡率很高,且没有有效的解毒剂。一旦暴露于胃的潮湿和酸性条件下,AlP 就会释放出有毒的磷化氢(PH )气体,从而导致中毒者出现严重毒性。司来吉兰是一种单胺氧化酶抑制剂,具有抗氧化和抗凋亡特性,主要用于治疗情绪障碍和帕金森病。由于 AlP 对心脏生理和线粒体功能有不良影响,我们测试了急性司来吉兰治疗对 AlP 中毒后大鼠心脏线粒体功能、氧化还原状态和心电图参数的保护作用。为此,我们通过灌胃给予大鼠 AlP 以诱导毒性。在 AlP 中毒后 1 小时,通过腹腔内注射向治疗组给予司来吉兰。AlP 中毒后给予司来吉兰治疗与动物死亡率的显著差异无关。然而,司来吉兰减少了氧化应激(减少了活性氧和丙二醛)并增加了 AlP 暴露大鼠心脏组织中的谷胱甘肽。此外,线粒体膜电位(ΔΨm)崩溃在司来吉兰治疗后得到逆转。司来吉兰还改善了心电图(ECG)参数并提高了心率。组织病理学评估表明,司来吉兰消除了 AlP 在胃和十二指肠以及心脏组织中引起的炎症和损伤。总之,司来吉兰治疗可以通过增强氧化还原状态和线粒体功能来改善大鼠的 AlP 诱导的心脏和胃肠道损伤,而对生存没有显著影响。我们建议,除了其他临床治疗外,使用司来吉兰可能会改善 AlP 毒性的治疗过程质量。