Wang Likang, Chen Wei, Lin Xisheng, Zhang Zhao, Wang Na, Lv Youkui, Wang Xinglin, Gao Yueming
Medical School of Chinese PLA, Beijing 100853, China.
Department of Rehabilitation Medicine, The Third Medical Centre, Chinese PLA General Hospital, Beijing 100039, China.
Evid Based Complement Alternat Med. 2021 Mar 17;2021:5189797. doi: 10.1155/2021/5189797. eCollection 2021.
Chronic gastritis (CG) is a common digestive disease with the highest morbidity among multiple digestive diseases, which seriously lowers the life quality of patients. The pathological alternations of gastric mucosa, and its possible mechanisms have been the focus of CG-related researches. Accumulative basic and clinical evidence has confirmed that ultraviolet C (UVC) is effective in relieving superficial acute infective inflammation, skin and mucous membrane injuries, and ulcers, and promoting wound healing.
This study was aimed at investigating the protective effects of UVC on gastric mucosal injury in rats stimulated with physicochemical irritants like ethanol and exploring the mechanisms underlying the protection by UVC against gastric mucosal injury and CG.
Fifty Wistar rats were randomly divided into five groups, including Group A (normal), Group B (model), Group C (omeprazole treatment), Group D (intragastric UVC irradiation for 24 s × 2 yields), and Group E (intragastric UVC irradiation for 48 s × 2 yields). Rats in Groups B-E were made CG model by physicochemical stimulations. All rats were sacrificed one week after the 22-week experiment, and gastric tissues were harvested. Histopathological examinations were performed. The activities of superoxide dismutase and catalase as well as the contents of reduced glutathione and malondialdehyde in gastric mucosal tissues were detected. Serum interleukin-6, interleukin-1beta, tumor necrosis factor-alpha, pepsin, and gastrin were measured.
Results showed that physiochemical irritants like ethanol could be used for easily establishing a rat CG model that shared similar pathological features with human CG. Intragastric UVC irradiation could promote the repair of gastric mucosa and improve the atrophy of gastric mucosa by inhibiting the inflammatory factors, increasing the levels of pepsin and gastrin, decreasing the expression of lipid peroxide, and enhancing the activity of superoxide dismutase and catalase and the levels of reduced glutathione. UVC irradiation for 48 s × 2 yields showed the strongest protective effect.
UVC irradiation could inhibit the inflammatory factors, activate the antioxidative system, and enhance the secretion of pepsin and gastrin, which promoted the repair of injured gastric mucosa and improved gastric mucosa atrophy.
慢性胃炎(CG)是一种常见的消化系统疾病,在多种消化系统疾病中发病率最高,严重降低患者生活质量。胃黏膜的病理改变及其可能机制一直是慢性胃炎相关研究的重点。越来越多的基础和临床证据证实,紫外线C(UVC)可有效缓解浅表急性感染性炎症、皮肤和黏膜损伤及溃疡,并促进伤口愈合。
本研究旨在探讨UVC对乙醇等理化刺激所致大鼠胃黏膜损伤的保护作用,并探究UVC对胃黏膜损伤及慢性胃炎保护作用的机制。
将50只Wistar大鼠随机分为五组,包括A组(正常组)、B组(模型组)、C组(奥美拉唑治疗组)、D组(胃内UVC照射24秒×2次)和E组(胃内UVC照射48秒×2次)。B-E组大鼠通过理化刺激建立慢性胃炎模型。实验22周后,所有大鼠处死,取胃组织。进行组织病理学检查。检测胃黏膜组织中超氧化物歧化酶、过氧化氢酶活性以及还原型谷胱甘肽、丙二醛含量。检测血清白细胞介素-6、白细胞介素-1β、肿瘤坏死因子-α、胃蛋白酶和胃泌素水平。
结果显示,乙醇等理化刺激可用于轻松建立与人类慢性胃炎具有相似病理特征的大鼠慢性胃炎模型。胃内UVC照射可通过抑制炎症因子、提高胃蛋白酶和胃泌素水平、降低脂质过氧化物表达、增强超氧化物歧化酶和过氧化氢酶活性以及还原型谷胱甘肽水平,促进胃黏膜修复,改善胃黏膜萎缩。照射48秒×2次的UVC显示出最强的保护作用。
UVC照射可抑制炎症因子,激活抗氧化系统,增强胃蛋白酶和胃泌素分泌,促进受损胃黏膜修复,改善胃黏膜萎缩。