Parvizrad Ramin, Marghamlki Elahe Ghorbani, Nikfar Somayeh, Dermani Sara Khalili
Department of Emergency Medicine, Arak University of Medical Sciences, Arak, Iran.
Department of Infectious Diseases Research Center (IDRC), Arak University of Medical Sciences, Arak, Iran.
J Family Med Prim Care. 2022 Aug;11(8):4500-4504. doi: 10.4103/jfmpc.jfmpc_2487_21. Epub 2022 Aug 30.
Aluminum phosphide (ALP) poisoning is one of the deadliest types of poisoning in the world. The antioxidant properties of melatonin and N-acetylcysteine and their effects on reducing cell death have been identified. The aim of this study was to evaluate the effects of N-acetylcysteine and melatonin in the treatment of aluminum phosphide poisoning in rats.
Fifty male Wistar rats weighing 200-250 g were tested in five groups of ten. The first group was the control group; the second group received (10 mg/kg) of ALP, the third group received (10 mg/kg) of ALP and (10 mg/kg) of melatonin, the fourth group received (10 mg/kg) of ALP and (10 mg/kg) of N-acetylcysteine, and the last group received (10 mg/kg) of ALP and (10 mg/kg) of melatonin and N-acetylcysteine. The plasma of samples was isolated, and the activity of antioxidant enzymes (glutathione S-transferase (GST), Superoxide dismutase (SOD), and catalase (CAT)) was analyzed.
The concentrations of CAT, GST, Glutathione, GSH were decreased in plasma, liver, and kidneys of mice treated with aluminum phosphide; also, the concentrations of aspartate aminotransferase (AST), ALT, and AlK were increased ( < 0.05), while the activity of SOD did not change significantly ( > 0.05). Treatment with N-acetylcysteine and melatonin led to an increase in the activity of CAT, GST, and GSH in plasma, liver, and kidney. After the administration of N-acetylcysteine and melatonin to mice, the levels of all enzymes were close to normal, and the mice survived for 12-15 hours after administration.
The administration of N-acetylcysteine (NAC) and melatonin at a dose of 10 mg/kg improves hepatic manifestations and prevents liver necrosis; also, they are considered potential therapeutic agents in the treatment of this poisoning.
磷化铝中毒是世界上最致命的中毒类型之一。褪黑素和N - 乙酰半胱氨酸的抗氧化特性及其对减少细胞死亡的作用已得到确认。本研究的目的是评估N - 乙酰半胱氨酸和褪黑素对大鼠磷化铝中毒的治疗效果。
选取50只体重200 - 250克的雄性Wistar大鼠,分为五组,每组10只。第一组为对照组;第二组给予(10毫克/千克)的磷化铝,第三组给予(10毫克/千克)的磷化铝和(10毫克/千克)的褪黑素,第四组给予(10毫克/千克)的磷化铝和(10毫克/千克)的N - 乙酰半胱氨酸,最后一组给予(10毫克/千克)的磷化铝以及(10毫克/千克)的褪黑素和N - 乙酰半胱氨酸。分离样本血浆,分析抗氧化酶(谷胱甘肽S - 转移酶(GST)、超氧化物歧化酶(SOD)和过氧化氢酶(CAT))的活性。
用磷化铝处理的小鼠血浆、肝脏和肾脏中CAT、GST、谷胱甘肽、GSH的浓度降低;同时,天冬氨酸转氨酶(AST)、谷丙转氨酶(ALT)和碱性磷酸酶(AlK)的浓度升高(<0.05),而SOD的活性没有显著变化(>0.05)。用N - 乙酰半胱氨酸和褪黑素治疗导致血浆、肝脏和肾脏中CAT、GST和GSH的活性增加。给小鼠施用N - 乙酰半胱氨酸和褪黑素后,所有酶的水平接近正常,小鼠在给药后存活12 - 15小时。
以10毫克/千克的剂量施用N - 乙酰半胱氨酸(NAC)和褪黑素可改善肝脏表现并预防肝坏死;此外,它们被认为是治疗这种中毒的潜在治疗药物。