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菠萝蛋白酶对大鼠腐蚀性烧伤的保护作用。

Protective effect of bromelain on corrosive burn in rats.

作者信息

Şehirli Ahmet Özer, Sayiner Serkan, Savtekin Gökçe, Velioğlu-Öğünç Ayliz

机构信息

Department of Pharmacology, Faculty of Dentistry, Near East University, Nicosia, Cyprus.

Department of Biochemistry, Faculty of Veterinary Medicine, Near East University, Nicosia, Cyprus.

出版信息

Burns. 2021 Sep;47(6):1352-1358. doi: 10.1016/j.burns.2020.12.006. Epub 2020 Dec 10.

Abstract

INTRODUCTION

In some cases, the tongue and oesophagus tissues are damaged by the corrosive burn. Surgical interventions may cause scar formation, and severe burns treatment methods are limited. This study aims to investigate bromelain, a phytotherapeutic product, on the corrosive burn as a non-surgical option and as an adjunctive therapy, insofar as the treatment of corrosive wounds is not limited only to the treatment of oxidative stress and inflammatory reactions.

METHODS

On the tongues of Wistar albino rats, chemically produced oral ulcers were created by topical application of NaOH (40%) solution, and in the distal oesophagus same mixture was applied to produce a corrosive oesophageal burn. For a week, they were treated orally by bromelain (100 mg/kg/day) or saline solution. At the end of seven days, animals were decapitated to remove the tongue and oesophagus, and blood samples were collected to obtain serum. Myeloperoxidase (MPO) activity, malondialdehyde (MDA), glutathione (GSH), interleukin-1 beta (IL-1β) and tumour necrosis factor-alpha (TNF-α) concentrations were measured in serum, and luminol and lucigenin chemiluminescence (CL) were measured in tissue samples.

RESULTS

MDA and CL values were significantly increased, and GSH levels in tissue significantly decreased due to the corrosive burns. Saline treated corrosive burn group measured higher in the serum cytokines in according to the control group.

CONCLUSIONS

Bromelain administration decreased oxidant and inflammatory parameters and increased antioxidant levels in NaOH-induced corrosive burns. Thus, we concluded that bromelain may protect the tongue and oesophagus tissues with its anti-inflammatory and antioxidant effects.

摘要

引言

在某些情况下,舌头和食道组织会受到腐蚀性灼伤。手术干预可能会导致瘢痕形成,且严重烧伤的治疗方法有限。本研究旨在探究菠萝蛋白酶这种植物治疗产品,将其作为一种非手术选择和辅助治疗手段用于腐蚀性烧伤,因为腐蚀性伤口的治疗不仅限于氧化应激和炎症反应的治疗。

方法

在Wistar白化大鼠的舌头上,通过局部涂抹40%的氢氧化钠溶液造成化学性口腔溃疡,在食道远端涂抹相同混合物造成腐蚀性食道烧伤。连续一周,给它们口服菠萝蛋白酶(100毫克/千克/天)或生理盐水。在七天结束时,将动物断头以取出舌头和食道,并采集血样以获得血清。测定血清中的髓过氧化物酶(MPO)活性、丙二醛(MDA)、谷胱甘肽(GSH)、白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)浓度,并测定组织样本中的鲁米诺和光泽精化学发光(CL)。

结果

由于腐蚀性烧伤,MDA和CL值显著升高,组织中的GSH水平显著降低。与对照组相比,生理盐水处理的腐蚀性烧伤组血清细胞因子水平更高。

结论

给予菠萝蛋白酶可降低氢氧化钠诱导的腐蚀性烧伤中的氧化剂和炎症参数,并提高抗氧化剂水平。因此,我们得出结论,菠萝蛋白酶可能通过其抗炎和抗氧化作用保护舌头和食道组织。

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