Lycopene supplementation reduces inflammatory, histopathological and DNA damage in an acute lung injury rabbit model.

Critical care science Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI:10.62675/2965-2774.20250250
José Roberto Fioretto, Susiane Oliveira Klefens, Mário Ferreira Carpi, Marcos Aurélio Moraes, Rossano César Bonatto, Ana Lúcia Anjos Ferreira, Camila Renata Corrêa, Cilmery Suemi Kurokawa, Carlos Fernando Ronchi
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Abstract

Objective: To investigate the effects of lycopene supplementation on inflammation, lung histopathology and systemic DNA damage in an experimentally induced lung injury model, ventilated by conventional mechanical ventilation and high-frequency oscillatory ventilation, compared with a control group.

Methods: Fifty-five rabbits sampled by convenience were supplemented with 10mg/kg lycopene for 21 days prior to the experiment. Lung injury was induced by tracheal infusion of warm saline. The rabbits were randomly assigned to the control group and subjected to protective conventional mechanical ventilation (n = 5) without supplementation or the experimental group that was subjected to acute lung injury and provided conventional mechanical ventilation and high-frequency oscillatory ventilation with and without lycopene supplementation (n = 10 rabbits in each group). Lung oxidative stress and the inflammatory response were assessed based on the number of polymorphonuclear leukocytes in bronchoalveolar lavage fluid, DNA damage and pulmonary histological damage.

Results: A significant worsening of oxygenation and a decrease in static lung compliance was noted in all groups after pulmonary injury induction (partial pressure of oxygen before 451.86 ± 68.54 and after 71 ± 19.27, p < 0.05). After 4 hours, the high-frequency oscillatory ventilation groups with and without lycopene supplementation as well as the group receiving protective conventional mechanical ventilation with lycopene supplementation showed significant oxygenation improvement compared with the protective conventional mechanical ventilation group without supplementation (partial pressure of oxygen of the group with mechanical ventilation without lycopene of 102 ± 42, of the group that received conventional protective mechanical ventilation with lycopene supplementation of 362 ± 38, of the high-frequency group without lycopene supplementation of 420 ± 28 and of the high-frequency group with lycopene supplementation of 422 ± 25; p < 0.05). Compared with rabbits not receiving supplementation, those in the groups that received protective conventional mechanical ventilation with lycopene supplementation and high-frequency oscillatory ventilation with lycopene supplementation had significantly less inflammation as well as less histological injury (p < 0.05). Compared with rabbits subjected to protective conventional mechanical ventilation, significantly lower DNA damage was observed in rabbits supplemented with lycopene (p < 0.05).

Conclusion: Lycopene supplementation reduces inflammatory and histopathological lung injuries, regardless of the associated ventilatory mode. In addition, lycopene improved oxygenation and reduced DNA damage when protective conventional mechanical ventilation was used.

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补充番茄红素可减少急性肺损伤兔模型的炎症、组织病理学和DNA损伤。
目的:与对照组比较,探讨番茄红素对常规机械通气和高频振荡通气实验性肺损伤模型的炎症、肺组织病理学和全身DNA损伤的影响。方法:方便取样55只家兔,在实验前21天添加10mg/kg番茄红素。气管灌注温生理盐水诱导肺损伤。随机分为不添加番茄红素的对照组(n = 5)和急性肺损伤组(n = 10),分别给予保护性常规机械通气和高频振荡通气,添加和不添加番茄红素,每组10只。根据支气管肺泡灌洗液中多形核白细胞的数量、DNA损伤和肺组织学损伤来评估肺氧化应激和炎症反应。结果:肺损伤诱导后各组肺氧合明显恶化,肺静态顺应性明显降低(451.86±68.54、71±19.27分压,p < 0.05)。4小时后,与不补充番茄红素的高频振荡通气组和不补充番茄红素的保护性常规机械通气组相比,补充番茄红素的保护性常规机械通气组氧合改善显著(不补充番茄红素的机械通气组氧分压为102±42;常规保护性机械通气加番茄红素组为362±38,高频不加番茄红素组为420±28,高频加番茄红素组为422±25;P < 0.05)。保护性常规机械通气加番茄红素组和高频振荡通气加番茄红素组炎症反应明显减轻,组织损伤明显减轻(p < 0.05)。与保护性常规机械通气组相比,添加番茄红素组DNA损伤显著降低(p < 0.05)。结论:番茄红素补充可减轻炎症性和组织病理学肺损伤,与相关的通气模式无关。此外,当使用保护性常规机械通气时,番茄红素改善氧合并减少DNA损伤。
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