The role of iNOS inhibitors on lung injury induced by gastrointestinal decontamination agents aspiration
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Aspiration is a devastating complication during decontamination procedure in poisoning patients. We have investigated whether S-methylisothiourea protects different pulmonary aspiration gastrointestinal decontamination agent-induced lung injury in rats. Forty-two male Sprague–Dawley rats were assigned to one of six groups (n = 7): normal saline, activated charcoal, polyethylene glycol, normal saline + S-methylisothiourea treated activated charcoal + S-methylisothiourea treated and polyethylene glycol + S-methylisothiourea treated. Normal saline, activated aharcoal and polyethylene glycol were instilled into the lungs. The rats received S-methylisothiourea i.p twice daily for 7 days. Serum surfactant protein D, oxidative stress products and inducible nitric oxide synthase expression in the lung were investigated. The aspiration of activated charcoal significantly increased all histopathological scores (P < 0.01). Only peribronchial inflammatory cell infiltration, alveolar edema, and alveolar histiocytes were increased in the polyethylene glycol groups as compared to the normal saline group (P < 0.05). Pulmonary aspiration increased serum malondialdehyde (P < 0.001), and surfactant protein D (P < 0.05) levels and decreased serum superoxide dismutase levels (P < 0.05). S-methylisothiourea treatment decreased all histopathological scores in the activated charcoal treated S-methylisothiourea group (P < 0.01) and only decreased alveolar edema and alveolar histiocytes in the polyethylene glycol-treated S-methylisothiourea group (P < 0.05). S-methylisothiourea treatment reduced elevated oxidative factors, inducible nitric oxide synthase activity and serum surfactant protein D levels. Our findings showed that S-methylisothiourea may be a protective drug against Activated Charcoal and Polyethylene Glycol-induced lung injury.
KeywordsActivated charcoal Aspiration Pulmonary injury Polyethylene glycol Surfactant protein-D S-methylisothiourea
Conflict of interest
We declare no conflict of interest in all authors.
- Kim K, Li Y, Jin G, Chong W, Liu B, Lu J, et al. (2011) Effect of valproic acid on acute lung injury in a rodent model of intestinal ischemia reperfusion. Resuscitation Aug 6. (Epub ahead of print)Google Scholar
- Paap CM, Ehrlich R (1993) Acute pulmonary edema after polyethylene glycol intestinal lavage in a child. Ann Pharmacoth 27:1044–1047Google Scholar
- Rodgers GC, Condurache T, Reed MD, Bestic M, Gal P (2007) Poisonings. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF (eds) Nelson textbook of pediatrics, 18th edn. Saunders Elsevier, Philadelphia, pp 339–357Google Scholar