Comparative Evaluation of the Preventive Effects of Citral, Silymarin, Thymoquinone, and Curcumin on 5-Fluorouracil-Induced Cardiac and Pulmonary Toxicity in Rats.

IF 1.2 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Pharmacopuncture Pub Date : 2024-12-31 DOI:10.3831/KPI.2024.27.4.277
Tohid Zahed, Nasrollah Ahmadi, Mohammad Foad Noorbakhsh, Nazifi Saeed, Oryan Ahmad
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Abstract

Objectives: 5-fluorouracil chemotherapy is a highly recommended treatment for different types of solid tumors. However, this treatment can have severe side effects on the heart and lungs. In this study, we compared the protective effects of citral, silymarin, thymoquinone, and curcumin against 5-fluorouracil-induced toxicity in the heart and lungs of rats.

Methods: 56 healthy adult male rats were randomly assigned to seven experimental groups (n = 8), including healthy and carrier (dimethylsulfoxide) groups, 5-fluorouracil, citral group, silymarin group, thymoquinone group, and curcumin group. Blood samples and representative tissue specimens of the heart and lungs were immediately collected at the end of the experiment to measure the biochemical parameters, conduct histopathological studies, and analyze antioxidant activity, respectively.

Results: The intraperitoneal administration of 5-fluorouracil caused cardiotoxicity, as evidenced by elevated serum levels of creatine phosphokinase, creatine kinase-MB (p < 0.05), and lactate dehydrogenase (p < 0.05). Besides, 5-fluorouracil increased malondealdehyde levels, indicating a lipid peroxidation index and a decrease in the total antioxidant capacity index in the cardiac and pulmonary tissues (p < 0.05) of the animals. The preventive and therapeutic use of all the above compounds, in combination with 5-fluorouracil, led to a decrease in the mentioned cardiac serum biomarkers and malondealdehyde in the animals (p < 0.05). In addition, all the therapeutic compounds increased total antioxidant capacity in the heart and lungs (p < 0.05), indicating a high antioxidant capacity of these biological substances in ameliorating the resultant oxidative and histologic damages.

Conclusion: Our study indicated that the natural compounds citral, silymarin, thymoquinone, and curcumin, when combined with 5-fluorouracil, could minimize the histopathological and biochemical changes caused by 5-fluorouracil treatment in the heart and pulmonary tissues likely via antioxidant mechanisms. These products can be useful and effective in chemotherapy patients by reducing the potential adverse effects of 5-fluorouracil administration.

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柠檬醛、水飞蓟素、百里醌和姜黄素对5-氟尿嘧啶致大鼠心肺毒性预防作用的比较评价。
目的:5-氟尿嘧啶化疗是一种强烈推荐的治疗不同类型的实体瘤。然而,这种治疗对心脏和肺部有严重的副作用。在本研究中,我们比较了柠檬醛、水飞蓟素、百里醌和姜黄素对5-氟尿嘧啶引起的大鼠心脏和肺部毒性的保护作用。方法:选取健康成年雄性大鼠56只,随机分为健康及载体(二甲亚砜)组、5-氟尿嘧啶组、柠檬醛组、水飞蓟素组、百里醌组、姜黄素组7个实验组(n = 8)。实验结束后立即采集心脏和肺部代表性组织标本,分别进行生化参数测定、组织病理学研究和抗氧化活性分析。结果:5-氟尿嘧啶腹腔注射引起心肌毒性,血清肌酸磷酸激酶、肌酸激酶- mb水平升高(p < 0.05),乳酸脱氢酶水平升高(p < 0.05)。此外,5-氟尿嘧啶增加了丙二醛水平,导致动物心肺组织脂质过氧化指数和总抗氧化能力指数降低(p < 0.05)。将上述所有化合物与5-氟尿嘧啶联合用于预防和治疗,可导致上述动物心脏血清生物标志物和丙二醛的降低(p < 0.05)。此外,所有治疗性化合物均增加了心脏和肺部的总抗氧化能力(p < 0.05),表明这些生物物质具有较高的抗氧化能力,可以改善由此引起的氧化和组织损伤。结论:我们的研究表明,天然化合物柠檬醛、水飞蓟素、百里醌和姜黄素与5-氟尿嘧啶联用时,可能通过抗氧化机制减少5-氟尿嘧啶治疗引起的心肺组织病理和生化变化。通过减少5-氟尿嘧啶给药的潜在不良反应,这些产品对化疗患者是有用和有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Pharmacopuncture
Journal of Pharmacopuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
2.10
自引率
7.10%
发文量
42
审稿时长
10 weeks
期刊介绍: The Journal of Pharmacopuncture covers a wide range of basic and clinical science research relevant to all aspects of the biotechnology of integrated approaches using both pharmacology and acupuncture therapeutics, including research involving pharmacology, acupuncture studies and pharmacopuncture studies. The subjects are mainly divided into three categories: pharmacology (applied phytomedicine, plant sciences, pharmacology, toxicology, medicinal plants, traditional medicines, herbal medicine, Sasang constitutional medicine, herbal formulae, foods, agricultural technologies, naturopathy, etc.), acupuncture (acupressure, electroacupuncture, laser acupuncture, moxibustion, cupping, etc.), and pharmacopuncture (aqua-acupuncture, meridian pharmacopuncture, eight-principles pharmacopuncture, animal-based pharmacopuncture, mountain ginseng pharmacopuncture, bee venom therapy, needle embedding therapy, implant therapy, etc.). Other categories include chuna treatment, veterinary acupuncture and related animal studies, alternative medicines for treating cancer and cancer-related symptoms, etc. Broader topical coverage on the effects of acupuncture, the medical plants used in traditional and alternative medicine, pharmacological action and other related modalities, such as anthroposophy, homeopathy, ayurveda, bioelectromagnetic therapy, chiropractic, neural therapy and meditation, can be considered to be within the journal’s scope if based on acupoints and meridians. Submissions of original articles, review articles, systematic reviews, case reports, brief reports, opinions, commentaries, medical lectures, letters to the editor, photo-essays, technical notes, and book reviews are encouraged. Providing free access to the full text of all current and archived articles on its website (www.journal.ac), also searchable through a Google Scholar search.
期刊最新文献
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