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格列齐特通过抑制氧化应激对辐射诱导的心脏毒性和肺损伤的防护作用。

Radioprotective effects of gliclazide against irradiation-induced cardiotoxicity and lung injury through inhibiting oxidative stress.

机构信息

Department of Anatomy, Faculty of Medicine, Molecular and Cell Biology Research Center, Mazandaran University of Medical Sciences, Sari, Iran.

Department of Radiopharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Med Oncol. 2022 Sep 7;39(12):199. doi: 10.1007/s12032-022-01803-y.

Abstract

Radiotherapy is one of the main treatments for localized primary cancer in patients. Cardiotoxicity and lung injury are two of the main side effects of oxidative stress following radiotherapy in patients with thoracic region cancer. Gliclazide (GLZ) as an antihyperglycemic drug has antioxidant, anti-inflammatory, and anti-apoptotic activities. This study aimed to evaluate the effect of GLZ in cardiotoxicity and lung injury induced by irradiation (IR). In this experimental study, 64 mice were divided into eight groups: control, GLZ (5, 10, and 25 mg/kg), IR (6 Gy), and IR + GLZ (in three doses). GLZ was administrated for 8 consecutive successive days and mice were exposed with IR on the 9th day of study. On the 10th day of study, tissue biochemical assay and at 14th day of study, histopathological assay were performed to evaluate for cardiotoxicity and lung injury. The findings revealed that IR induces atypical features in heart and lung histostructure, and oxidative stress (an increase of MDA, PC levels, and decrease of GSH content) in these tissues. GLZ administration preserved heart and lung damages and improves oxidative stress markers in mice. Data have authenticated that GLZ could protect heart and lung histostructure against oxidative stress-induced injury through inhibiting oxidative stress.

摘要

放射治疗是局部原发性癌症患者的主要治疗方法之一。胸部癌症患者放射治疗后氧化应激会导致心脏毒性和肺损伤,这是两种主要的副作用。格列齐特(GLZ)作为一种降血糖药物,具有抗氧化、抗炎和抗凋亡作用。本研究旨在评估 GLZ 对辐射诱导的心脏毒性和肺损伤的影响。在这项实验研究中,将 64 只小鼠分为 8 组:对照组、GLZ(5、10 和 25mg/kg)组、IR(6Gy)组和 IR+GLZ(三个剂量)组。GLZ 连续给药 8 天,在研究第 9 天对小鼠进行 IR。在研究的第 10 天进行组织生化测定,在第 14 天进行组织病理学测定,以评估心脏毒性和肺损伤。研究结果表明,IR 会导致心脏和肺组织的结构出现非典型特征,并导致这些组织中的氧化应激(MDA、PC 水平增加和 GSH 含量减少)。GLZ 给药可保护小鼠的心脏和肺损伤,并改善氧化应激标志物。数据证实,GLZ 通过抑制氧化应激,可保护心脏和肺组织免受氧化应激诱导的损伤。

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