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The therapeutic effects of anti-oxidant and anti-inflammatory drug quercetin on aspiration-induced lung injury in rats

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Abstract

Aspiration pneumonitis refers to acute chemical lung injury caused by aspiration of sterile gastric contents. The aim of this study was to evaluate the role of quercetin (QC) in acid aspiration-induced lung injury in rats. Twenty-eight female Sprague–Dawley rats were used and divided into the following groups (n = 7): sham (aspirated normal saline, S), hydrochloric acid (aspirated HCl), S plus treatment with QC (S + QC), and HCl plus treatment with QC (HCl + QC). After aspiration, the treatment groups received QC 60 mg/kg/day intraperitoneally once a day for 7 days. As a result of acid aspiration, an increase was observed in the levels of serum clara cell protein-16 (CC-16) and advanced oxidation protein products, whereas there was a decrease in serum thiobarbituric acid-reactive substances, superoxide dismutase (SOD), and catalase levels. There was a significant decrease in peribronchial inflammatory cell infiltration, alveolar septal infiltration, alveolar edema, and alveolar exudate scores, except in the alveolar histiocytes in the HCl + QC group. The expression of nitric oxide synthase, which increased after aspiration in the HCl group, showed a statistically significant decrease after the QC treatment. After the treatment with QC, an increase in the serum SOD level was observed, whereas a significant decrease was determined in the serum CC-16 level relative to that of the aspiration group (HCl). The antioxidant QC is effective in the treatment of lung injury following acid aspiration and can be used as a serum CC-16 biomarker in predicting the severity of oxidative lung injury.

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References

  • Alacam H, Karlı R, Alıcı O, Avcıl B, Guzel A, Kozan A, Mertoglu C, Murat N, Salıs O, Guzel A, Sahin M (2013) The effects of a-tocopherol on oxidative damage and serum levels of Clara cell protein 16 in aspiration pneumonitis induced by bile acids. Hum Exp Toxicol 32:53–61

    Article  CAS  PubMed  Google Scholar 

  • Beck-Schimmer B, Bonvini JM (2011) Bronchoaspiration: incidence, consequences and management. Eur J Anaesthesiol 28:78–84

    Article  PubMed  Google Scholar 

  • Benson M, Jansson L, Adner M, Luts A, Uddman R, Cardell LO (2005) Gene profiling reveals decreased expression of uteroglobin and other anti-infl ammatory genes in nasal fluid cells from patients with intermittent allergic rhinitis. Clin Exp Allergy 35:473–478

    Article  CAS  PubMed  Google Scholar 

  • Bond GR (2002) The role of activated charcoal and gastric emptying in gastrointestinal decontamination: a state-of-the-art review. Ann Emerg Med 39:273–286

    Article  PubMed  Google Scholar 

  • Broeckaert F, Bernard A (2000) Clara cell secretory protein (CC16): characteristics and perspectives as lung peripheral biomarker. Clin Exp Allergy 30:469–475

    Article  CAS  PubMed  Google Scholar 

  • Choi J, Hoffman LA, Rodway GW, Sethi JM (2006) Markers of lung disease in exhaled breath: nitric oxide. Biol Res Nurs 7:241–255

    Article  CAS  PubMed  Google Scholar 

  • Chu SJ, Chang DM, Wang D, Lin HI, Lin SH, Hsu K (2004) Protective effect of U74500A on phorbol myristate acetate-induced acute lung injury. Clin Exp Pharmacol Physiol 31:523–529

    Article  CAS  PubMed  Google Scholar 

  • Di Filippo A, Ciapetti M, Prencipe D, Casucci A, Ciuti R, Messeri D, Falchi S, Dani C (2006) Experimentally induced acute lung injury: the protective effect of hydroxyethyl starch. Ann Clin Lab Sci 36:345–352

    PubMed  Google Scholar 

  • Dickens JA, Lomas DA (2012) CC-16 as a biomarker in chronic obstructive pulmonary disease. COPD 9:574–575

    Article  PubMed  Google Scholar 

  • Francis RCE, Schefold JC, Bercker S, Temmesfeld-Wollbrück B, Weichert W, Spies CD, Weber-Carstens S (2009) Acute respiratory failure after aspiration of activated charcoal with recurrent deposition and release from an intrapulmonary cavern. Intensive Care Med 35:360–363

    Article  PubMed  Google Scholar 

  • Günaydın M, Güzel A, Güzel A, Alaçam H, Salis O, Murat N, Gacar A, Güvenç T (2012) The effect of curcumin on lung injuries in a rat model induced by aspirating gastrointestinal decontamination agents. J Pediatr Surg 47:1669–1676

    Article  PubMed  Google Scholar 

  • Güzel A, Güzel A, Alaçam H, Salis O, Paksu MS, Murat N, Gacar A, Güvenç T (2012) The role of iNOS inhibitors on lung injury induced by gastrointestinal decontamination agents aspiration. J Mol Histol 43:351–360

    Article  PubMed  Google Scholar 

  • Hassan AE, Chaudhry SA, Zacharatos H, Khatri R, Akbar U, Suri MF, Qureshi AI (2012) Increased rate of aspiration pneumonia and poor discharge outcome among acute ischemic stroke patients following intubation for endovascular treatment. Neurocrit Care 16:246–250

    Article  CAS  PubMed  Google Scholar 

  • Hauser B, Bracht H, Matejovic M, Radermacher P, Venkatesh B (2005) Nitric oxide synthase inhibition in sepsis? Lessons learned from large-animal studies. Anesth Analg 101:488–498

    Article  CAS  PubMed  Google Scholar 

  • Jin HB, Yang YB, Song YL, Zhang YC, Li YR (2012) Protective roles of quercetin in acute myocardial ischemia and reperfusion injury in rats. Mol Biol Rep 39:11005–11009

    Article  CAS  PubMed  Google Scholar 

  • Kalpana C, Menon VP (2004) Inhibition of nicotine-induced toxicity by curcumin and curcumin analog: a comparative study. J Med Food 7:467–471

    Article  CAS  PubMed  Google Scholar 

  • Kovacic P, Cooksy A (2005) Iminium metabolite mechanism for nicotine toxicity and addiction: oxidative stress and electron transfer. Med Hypotheses 64:104–111

    Article  CAS  PubMed  Google Scholar 

  • Krakowiak A, Hałatek T, Nowakowska-Świrta E, Winnicka R, Politański P, Świderska-Kiełbik S (2013) Clara Cell protein and myeloperoxidase levels in serum of subjects after exposure to fire smoke. Pneumonol Alergol Pol 81:16–23

    CAS  PubMed  Google Scholar 

  • Lakind JS, Holgate ST, Ownby DR, Mansur AH, Helms PJ, Pyatt D, Hays SM (2007) A critical review of the use of Clara cell secretory protein (CC16) as a biomarker of acute or chronic pulmonary effects. Biomarkers 12:445–467

    Article  CAS  PubMed  Google Scholar 

  • Marik PE, Kaplan D (2003) Aspiration pneumonia and dysphagia in the elderly. Chest 124:328–336

    Article  PubMed  Google Scholar 

  • Muthukumaran S, Sudheer AR, Menon VP, Nalini N (2008) Protective effect of quercetin on nicotine-induced prooxidant and antioxidant imbalance and DNA damage in Wistar rats. Toxicology 243:207–215

    Article  CAS  PubMed  Google Scholar 

  • Nair MP, Mahajan S, Reynolds JL, Aalinkeel R, Nair H, Schwartz SA, Kandaswami C (2006) The flavonoid quercetin inhibits proinflammatory cytokine (Tumor necrosis factor alpha) gene expression in normal peripheral mononuclear cells via modulation of the NF-kB system. Clin Vaccine Immunol 13:319–328

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nayyar SA, Khan M, Kr V, Suman B, Gayıtrı HC, Anıtha M (2012) Serum total protein, albumin and advanced oxidation protein products (AOPP) implications in oral squamous cell carcinoma. Malays J Pathol 34:47–52

    PubMed  Google Scholar 

  • Piwowar A, Knapik-Kordecka M, Warwas M (2007) AOPP and its relations with selected markers of oxidative/antioxidative system in type 2 diabetes mellitus. Diabetes Res Clin Pract 77:188–192

    Article  CAS  PubMed  Google Scholar 

  • Ray G, Husain SA (2002) Oxidants, antioxidants and carcinogenesis. Indian J Exp Biol 42:1213–1232

    Google Scholar 

  • Sakaguchi S, Furusawa S (2006) Oxidative stres and septic shock: metabolic aspects of oxygen-derived free radicals generated in the liver endotoxemia. Immunol Med Microbiol 47:167–177

    Article  CAS  Google Scholar 

  • Song Y, Liu J, Zhang J, Shi T, Zeng Z (2013) Antioxidant effect of quercetin against acute spinal cord injury in rats and its correlation with the p38MAPK/iNOS signaling pathway. Life Sci 92:1215–1221

    Article  CAS  PubMed  Google Scholar 

  • Takıl A, Umuroglu T, Gogus YF, Eti Z, Yıldızeli B, Ahiskali R (2003) Histopathologic effects of lipid content of enteral solutions after pulmonary aspiration in rats. Nutrition 19:666–669

    Article  PubMed  Google Scholar 

  • Toouli J, Smith BM, Bassi C, Locke CD, Telford J, Freeny P (2002) Guidelines for the management of acute pancreatitis. Gastroenterol Hepatol 17:5–39

    Google Scholar 

  • Victor VM, Rocha M, De la Fuente M (2004) Immune cells: free radicals and antioxidants in sepsis. Int Immunopharmacol 4:327–347

    Article  CAS  PubMed  Google Scholar 

  • Wong A, Briars GL (2002) Acute pulmonary oedema complicating polyethylene glycol intestinal lavage. Arch Dis Child 87:537–538

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yousef MI, Omar SA, El-Guendi MI, Abdelmegid LA (2010) Potential protective effects of quercetin and curcumin on paracetamol-induced histological changes, oxidative stress, impaired liver and kidney functions and haematotoxicity in rat. Food Chem Toxicol 48:3246–3261

    Article  CAS  PubMed  Google Scholar 

  • Zhou Q, Wu S, Jıang J, Tıan J, Chen J, Yu X, Chen P, Meı C, Xıong F, Shı W, Zhou W, lıu X, Sun S, Xıe D, Lıu J, Xu X, Lıang M, Hou F (2012) Accumulation of circulating advanced oxidation protein products is an independent risk factor for ischaemic heart disease in maintenance haemodialysis patients. Nephrology 17:642–649

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Mehmet Ziya Yilmaz.

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Yilmaz, M.Z., Guzel, A., Torun, A.C. et al. The therapeutic effects of anti-oxidant and anti-inflammatory drug quercetin on aspiration-induced lung injury in rats. J Mol Hist 45, 195–203 (2014). https://doi.org/10.1007/s10735-013-9542-3

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  • DOI: https://doi.org/10.1007/s10735-013-9542-3

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