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1.
Indian J Exp Biol ; 52(9): 876-81, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25241587

ABSTRACT

The inflammatory bowel disease (IBD) is an idiopathic, immune mediated and chronic inflammation of the intestine. The study aimed to elucidate the ameliorative effect of methanolic extract of Dillenia indica (DIME), hexane fraction (HFDI) and chloroform fraction (CFDI) of Dillenia indica in acetic acid induced experimental colitis in mice. Macroscopic score, colon weight, colonic catalase (CAT), superoxide dismutase (SOD), glutathione (GSH), myeloperoxidase (MPO), malondialdehyde (MDA), tumor necrosis factor (TNF-alpha), and histological changes were recorded after the treatment regimen of 7 days. Intra-rectal instillation of acetic acid caused enhanced macroscopic score, colon weight, colonic MPO, MDA, and TNF-alpha level. It caused significant decreased level of CAT, SOD and GSH. DIME (800 mg/kg), HFDI (200 mg/kg) and CFDI (200 mg/kg) treatment exhibited significant effect in lowering macroscopic score, colon weight, MPO, MDA, TNF-alpha levels and elevation of CAT, GSH and SOD levels. The results suggest that D. indica has ameliorating effects on experimental colitis by inhibiting the proinflammatory mediators like TNF-alpha production.


Subject(s)
Colitis/drug therapy , Colon/drug effects , Dilleniaceae/chemistry , Plant Extracts/pharmacology , Protective Agents/pharmacology , Acetic Acid , Animals , Colitis/chemically induced , Colon/pathology , Female , Mice , Organ Size/drug effects , Plant Extracts/chemistry , Protective Agents/chemistry
3.
Indian J Otolaryngol Head Neck Surg ; 62(4): 427-31, 2010 Oct.
Article in English | MEDLINE | ID: mdl-22319707

ABSTRACT

To describe endoscopic power assisted adenoidectomy and review the experience with the procedure demonstrating its safety and efficacy. Prospective study of 44 patients aged between 7 to 15 years undergoing power assisted adenoidectomy between Jan 2004 and July 2006. Tertiary care private teaching hospital. Forty four consecutive children with adenoid hypertrophy undergoing power assisted adenoidectomy. Therapeutic endoscopic adenoidectomy using microdebrider. Operative time, blood loss, complications, completeness and depth of removal, surgeon's satisfaction and recovery period. The average operative time was 12 min (range: 8-16 min) and average blood loss was 30 ml (range: 24-42 ml). Complete resection was possible under vision with few complications. The surgeon satisfaction was high and post-operative recovery good. Power assisted adenoidectomy is quick, precise and safe. There is good visualization during resection thus improving precision and ensuring complete removal of adenoid tissue.

4.
Br J Ophthalmol ; 93(9): 1172-6, 2009 Sep.
Article in English | MEDLINE | ID: mdl-19414441

ABSTRACT

AIMS: To report the treatment outcomes and complication rates of stereotactic radiotherapy in the management of patients with juxtapapillary choroidal melanoma. METHODS: A retrospective review of 64 consecutive patients with juxtapapillary choroidal melanoma, located within 2 mm of the optic disc, treated with stereotactic radiotherapy at Princess Margaret Hospital between October 1998 and January 2006. RESULTS: The median age was 63 years. The median tumour height was 4.2 mm, and median largest basal diameter was 9.8 mm. The prescribed radiation dose was 70 Gy in five fractions over 10 days, and the median follow-up was 37 months. Post-treatment, the actuarial rates of local tumour control, metastases and survival at 37 months were 94%, 15% and 90%, respectively. Actuarial rates of radiation-induced complications at 37 months were neovascular glaucoma 42%, cataract 53%, retinopathy 81% and optic neuropathy 64%. Secondary enucleation was necessary for 10 patients (16%), in four patients for tumour recurrence and in six for painful neovascular glaucoma. CONCLUSIONS: Stereotactic radiotherapy offers a non-invasive alternative to enucleation and brachytherapy in the management of juxtapapillary choroidal melanoma with a high tumour control rate, however, at the expense of a significant rate of long-term ocular complications.


Subject(s)
Choroid Neoplasms/surgery , Melanoma/surgery , Neoplasm Recurrence, Local/surgery , Radiosurgery/methods , Choroid Neoplasms/pathology , Dose Fractionation, Radiation , Female , Follow-Up Studies , Humans , Male , Melanoma/pathology , Middle Aged , Neoplasm Recurrence, Local/pathology , Radiosurgery/adverse effects , Retrospective Studies , Treatment Outcome , Visual Acuity/physiology
6.
Indian J Otolaryngol Head Neck Surg ; 60(3): 242-4, 2008 Sep.
Article in English | MEDLINE | ID: mdl-23120552

ABSTRACT

We present a case of a child who presented with respiratory distress mimicking foreign body aspiration which was treated by bronchoscopic extraction of bronchial cast. Early interventional bronchoscopy in management of plastic bronchitis, though difficult, provides an immediate benefit and good prognosis especially in patients with no underlying cardiopulmonary morbidity.

7.
Dis Esophagus ; 17(1): 58-62, 2004.
Article in English | MEDLINE | ID: mdl-15209742

ABSTRACT

Motility abnormalities, common in gastroesophageal reflux disease, are likely to be related to endoscopic esophagitis. We studied pH and manometry parameters in relation to the severity of esophagitis. Forty-seven patients with symptomatic gastroesophageal reflux disease for > 3 months were evaluated by: (i) endoscopy (grading of esophagitis by Savary-Miller classification); (ii) mucosal biopsy; (iii) manometry; and (iv) 24-h pH-metry. We found Savary-Miller's grades of: 0 (9 patients out of 47), I (16/47), II (16/47), III (4/47), IV (2/47). Distal esophageal contraction amplitude was lower in severe (grade II to IV) as compared with mild (grade 0 and I) esophagitis (49 [7-182] versus 83 [27-196] mmHg [P = 0.001]). The length and pressure in the lower esophageal sphincter (LES), duration and velocity of contraction in the body, number of episodes of reflux and long-duration reflux, longest reflux, median pH, per cent of time with pH < 4 and DeMeester scores were not significantly different between the two groups. The area under pH 4 showed a negative correlation with LES pressure and amplitude of distal esophageal contractions. We conclude that higher endoscopic grades of esophagitis are associated with lower amplitude of contraction in distal esophagus. Lower LES pressure and distal esophageal contraction amplitude are associated with greater area under curve for pH below 4.


Subject(s)
Esophageal Motility Disorders/diagnosis , Esophagitis, Peptic/diagnosis , Esophagoscopy/methods , Hydrogen-Ion Concentration , Adolescent , Adult , Aged , Child , Endoscopy, Gastrointestinal/methods , Female , Gastric Acidity Determination , Humans , Male , Manometry , Middle Aged , Monitoring, Physiologic , Posture , Probability , Prognosis , Sensitivity and Specificity , Severity of Illness Index , Statistics, Nonparametric
8.
J Viral Hepat ; 10(6): 446-9, 2003 Nov.
Article in English | MEDLINE | ID: mdl-14633178

ABSTRACT

Intrafamilial transmission is rare in epidemic hepatitis E; its frequency in sporadic hepatitis E is not known. We followed up 86 household contacts (age range 4-75 years, mean +/- SD 32.4 +/- 15.8; 49 males), who were family members of patients with acute sporadic hepatitis E. Of the 86 contacts, 68 (79%) tested negative for IgG anti-hepatitis E virus antibodies. Four (4.7%) had IgM anti-hepatitis E virus antibodies at the time of diagnosis of hepatitis E in the index case; two of these contacts possibly had hepatitis E virus infection acquired simultaneously with that in the index case, and two could have had intrafamilial transmission. None developed serological evidence of hepatitis E virus infection over a period of 49 +/- 18 days after the diagnosis of index case, although a majority lacked IgG antibodies to hepatitis E virus and were likely to be susceptible. This suggests that person-to-person transmission is uncommon in sporadic hepatitis E.


Subject(s)
Antibodies, Viral/blood , Hepatitis E/transmission , Adolescent , Adult , Aged , Child , Child, Preschool , Family Health , Female , Hepatitis E virus/immunology , Humans , Immunoglobulin G/blood , Immunoglobulin M/blood , Male , Middle Aged , Serologic Tests
9.
Alcohol ; 25(2): 89-97, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11747978

ABSTRACT

Ethanol consumption and cigarette smoking are common in societies worldwide and have been identified as injurious to human health. This study was undertaken to examine the interactive effects of chronic ethanol and nicotine consumption on the antioxidant defense system in different tissues of rat. Male Fisher-344 rats were divided into four groups of five animals each and treated for 6.5 weeks as follows: (1) Control rats were administered normal saline orally; (2) ethanol (20% [wt./vol.]) was given orally at a dose of 2 g/kg; (3) nicotine was administered subcutaneously at a dose of 0.1 mg/kg; and (4) a combination of ethanol plus nicotine was administered by the route and at the dose described above. The animals were killed 20 h after the last treatment, and liver, lung, kidney, and testes were isolated and analyzed. Chronic ingestion of ethanol resulted in a significant depletion of glutathione (GSH) content in liver, lung, and testes, whereas chronic administration of nicotine significantly depleted GSH content in liver and testes. The combination of ethanol plus nicotine resulted in a significant depletion of GSH content in liver, lung, and testes. Ethanol, nicotine, or a combination of ethanol plus nicotine significantly increased superoxide dismutase (SOD) activity in liver and decreased SOD activity in kidney. Ethanol, nicotine, or a combination of ethanol plus nicotine significantly decreased catalase (CAT) activity in liver and increased CAT activity in kidney and testes. Chronic ingestion of ethanol resulted in a significant decrease in glutathione peroxidase (GSH-Px) activity in liver and kidney, whereas a combination of ethanol plus nicotine increased GSH-Px activity in liver and decreased GSH-Px activity in kidney and testes. Ethanol, nicotine, or a combination of ethanol plus nicotine significantly increased lipid peroxidation, respectively, in liver. It is suggested that prolonged exposure to ethanol and nicotine produce similar, and in some cases additive, oxidative tissue injuries in rat.


Subject(s)
Antioxidants/metabolism , Central Nervous System Depressants/pharmacology , Ethanol/pharmacology , Nicotine/pharmacology , Nicotinic Agonists/pharmacology , Animals , Catalase/metabolism , Drug Interactions/physiology , Glutathione/metabolism , Glutathione Peroxidase/metabolism , Lipid Peroxidation/drug effects , Lipid Peroxidation/physiology , Liver/drug effects , Liver/enzymology , Male , Oxidative Stress/drug effects , Oxidative Stress/physiology , Rats , Rats, Inbred F344 , Superoxide Dismutase/metabolism
10.
Hear Res ; 159(1-2): 14-22, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11520631

ABSTRACT

Carboplatin is currently being used in the clinic against a variety of human cancers. However, high dose carboplatin chemotherapy resulted in ototoxicity in cancer patients. This is the first study to show carboplatin-induced oxidative stress response in the cochlea of rat. Male Wistar rats were divided into two groups of six animals each and treated as follows: (1) control (normal saline, i.p.) and (2) carboplatin (256 mg/kg, i.p.). Animals in both groups were sedated with ketamine/xylazine and auditory brainstem-evoked responses were recorded before and 4 days after treatments. The animals were sacrificed on the fourth day and cochleae were harvested and analyzed. A significant elevation of the hearing threshold shifts was noted at clicks, 8, 16, and 32 kHz tone burst stimuli following carboplatin administration. Carboplatin significantly increased nitric oxide and malondialdehyde levels, xanthine oxidase and manganese-superoxide dismutase activities in the cochlea indicating enhanced flux of free radicals. Cochlear glutathione levels, antioxidant enzyme activities such as copper zinc-superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase and glutathione S-transferase and enzyme protein levels were significantly depleted 4 days after carboplatin treatment. The data suggest that carboplatin induced free radical generation and antioxidant depletion, and caused oxidative injury in the cochleae of rats.


Subject(s)
Antineoplastic Agents/toxicity , Carboplatin/toxicity , Cochlea/drug effects , Cochlea/metabolism , Oxidative Stress/drug effects , Animals , Antineoplastic Agents/administration & dosage , Antioxidants/metabolism , Auditory Threshold/drug effects , Carboplatin/administration & dosage , Catalase/antagonists & inhibitors , Cochlea/injuries , Cochlea/physiopathology , Evoked Potentials, Auditory, Brain Stem/drug effects , Free Radicals/metabolism , Glutathione/metabolism , Glutathione Peroxidase/antagonists & inhibitors , Humans , Lipid Peroxidation/drug effects , Male , Malondialdehyde/metabolism , Nitric Oxide/metabolism , Rats , Rats, Wistar , Superoxide Dismutase/metabolism
11.
J Appl Toxicol ; 21(4): 341-8, 2001.
Article in English | MEDLINE | ID: mdl-11481669

ABSTRACT

Pyridostigmine bromide (PB), a reversible anticholinesterase drug, had been used against possible nerve gas exposure during the Persian Gulf War. The Gulf War veterans used PB and they were under physical stress. This study investigated the delayed and interactive effects of pyridostigmine and physical stress on the antioxidant defense system in triceps muscle of mice. Male NIH Swiss mice were divided into four groups and treated as follows: sedentary control; pyridostigmine (1.2 mg kg(-1) p.o.); exercise; and PB plus exercise. Mice were exercised for 10 weeks, but PB was administered daily during the 5th and 6th weeks. Mice were sacrificed 24 h after the last treatments and the triceps muscle was isolated and analyzed. There was a significant increase in total superoxide dismutase (CuZn-SOD + Mn-SOD) activity (141% of control) with PB plus exercise, suggesting that any influx of superoxide anions was scavenged efficiently. The Mn-SOD enzyme protein levels were reduced significantly (63% of control) by PB plus exercise. Catalase enzyme protein levels were increased significantly by exercise (132% of control) as well as by PB plus exercise (139% of control). Glutathione levels were increased significantly by exercise alone (123% of control). Pyridostigmine bromide plus exercise significantly increased the malondialdehyde concentration (124% of control) in the triceps muscle, indicating an oxidative stress response of the combination. The data indicate that a combination of PB ingestion and exercise training significantly altered the antioxidant enzyme activities, enzyme protein levels and lipid peroxidation, leading to oxidative injury. Physical stress amplified the delayed effects of PB in the skeletal muscle of mice.


Subject(s)
Antioxidants/metabolism , Cholinesterase Inhibitors/pharmacology , Muscle, Skeletal/drug effects , Pyridostigmine Bromide/pharmacology , Stress, Physiological/enzymology , Animals , Catalase/drug effects , Catalase/metabolism , Enzyme-Linked Immunosorbent Assay , Glutathione Disulfide/drug effects , Glutathione Disulfide/metabolism , Glutathione Peroxidase/drug effects , Glutathione Peroxidase/metabolism , Glutathione Reductase/drug effects , Glutathione Reductase/metabolism , Lipid Peroxidation/drug effects , Male , Malondialdehyde/metabolism , Mice , Muscle, Skeletal/enzymology , Physical Conditioning, Animal/physiology , Physical Exertion/physiology , Stress, Physiological/metabolism , Superoxide Dismutase/drug effects , Superoxide Dismutase/metabolism , Time Factors
12.
Indian J Gastroenterol ; 20(3): 111, 2001.
Article in English | MEDLINE | ID: mdl-11400804

ABSTRACT

Acute hepatitis E and falciparum malaria can each present with fulminant hepatic failure and are common in tropical countries. However, co-existence of these two conditions has not been reported. We report a 20-year-old girl who presented with fever and altered sensorium. Peripheral smear was positive for Plasmodium falciparum, and IgM anti-HEV was positive. She died despite antimalarial drugs and supportive management. Postmortem liver tissue showed changes suggestive of acute viral hepatitis.


Subject(s)
Hepatitis E/complications , Liver Failure/parasitology , Liver Failure/virology , Malaria, Falciparum/complications , Acute Disease , Adult , Animals , Fatal Outcome , Female , Hepatitis E virus/immunology , Humans , Immunoglobulin M/blood , Plasmodium falciparum/isolation & purification
13.
Hear Res ; 151(1-2): 71-78, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11124453

ABSTRACT

Carboplatin, a platinum-containing anticancer drug, is currently being used against a variety of cancers. However, a single high dose of carboplatin is ototoxic in cancer patients. This is the first study to show carboplatin-induced hearing loss in a rat model. Male Wistar rats were divided into five groups and treated as follows: (1) control (saline, intraperitoneally (i.p.)); (2) carboplatin (64 mg/kg, i.p.); (3) carboplatin (128 mg/kg i.p.); (4) carboplatin (192 mg/kg, i.p.) and (5) carboplatin (256 mg/kg, i.p.). Animals in all groups were sedated with ketamine/xylazine and auditory brain-evoked responses (ABRs) were recorded before and 4 days after treatments. The animals were sacrificed on the fourth day and cochleae were harvested and analyzed. Carboplatin dose-dependently decreased body weight. However, at higher doses of carboplatin (192 and 256 mg/kg), there was a significant elevation of hearing threshold shifts at clicks, 4, 8, 16 and 32 kHz tone burst stimuli. The higher doses of carboplatin (192 and 256 mg/kg) significantly increased cochlear lipid peroxidation (132 and 146% of control) and depleted cochlear glutathione levels (66 and 63% of control), respectively. The antioxidant enzyme activities such as superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase, and glutathione-S-transferase (GST) depressed significantly at higher doses of carboplatin. The data suggest that higher doses of carboplatin (above 128 mg/kg) induce hearing loss as evidenced by significant changes in ABRs, lipid peroxidation and antioxidants in the cochlea of rats.


Subject(s)
Antineoplastic Agents/administration & dosage , Antineoplastic Agents/toxicity , Antioxidants/metabolism , Carboplatin/administration & dosage , Carboplatin/toxicity , Deafness/chemically induced , Animals , Auditory Threshold/drug effects , Catalase/antagonists & inhibitors , Cochlea/drug effects , Cochlea/metabolism , Cochlea/physiopathology , Deafness/metabolism , Deafness/physiopathology , Dose-Response Relationship, Drug , Enzyme Inhibitors/administration & dosage , Enzyme Inhibitors/toxicity , Evoked Potentials, Auditory, Brain Stem/drug effects , Glutathione/metabolism , Glutathione Peroxidase/antagonists & inhibitors , Glutathione Reductase/antagonists & inhibitors , Glutathione Transferase/antagonists & inhibitors , Humans , Lipid Peroxidation/drug effects , Male , Malondialdehyde/metabolism , Rats , Rats, Wistar , Superoxide Dismutase/antagonists & inhibitors
14.
Arch Toxicol ; 74(9): 539-46, 2000 Nov.
Article in English | MEDLINE | ID: mdl-11131034

ABSTRACT

In this study, the interactive effects of pyridostigmine, a pretreatment drug against nerve agents, and exercise training on muscle tension were investigated in the mouse lower extremity anterior muscular compartment by dorsiflexion of the foot with stimulation of the peroneal nerve. Acetylcholinesterase (AChE), lipid peroxidation (in terms of the end-product malondialdehyde, MDA) and creatine phosphokinase (CPK) activity in the muscle were correlated with muscle tension. Male NIH Swiss mice were divided into four groups and treated as follows: (1) sedentary control; (2) pyridostigmine (1.2 mg/kg orally) daily for the 5th and 6th weeks; (3) exercise training for 10 weeks; and (4) pyridostigmine plus exercise training for 10 weeks. Experiments on muscle tension were conducted 4 weeks after the last dose of pyridostigmine or saline and 24 h after exercise. The muscle tension was measured in right and left legs using a tension transduction device connected to a polygraph. After muscle tension recording, mice were killed, blood and triceps muscle were isolated, and plasma CPK and muscle AChE activities, and MDA were determined. There was a significant increase in the muscle tension (P<0.05) in the group treated with pyridostigmine plus exercise as compared to the control and exercise groups. The pyridostigmine plus exercise group also showed a significant reduction in AChE activity (P<0.01) and enhanced MDA (P<0.05) in the triceps muscle. These results suggest that subchronic dosages of pyridostigmine and interaction with exercise training result in the delayed effects of reduction in muscle AChE activity and enhanced muscle tension.


Subject(s)
Acetylcholinesterase/metabolism , Cholinesterase Inhibitors/pharmacology , Muscle, Skeletal/enzymology , Physical Conditioning, Animal/physiology , Pyridostigmine Bromide/pharmacology , Animals , Creatine Kinase/metabolism , Electric Stimulation , Leg/physiology , Lipid Peroxidation/drug effects , Male , Malondialdehyde/metabolism , Mice , Muscle Contraction/drug effects , Muscle Proteins/metabolism , Muscle, Skeletal/drug effects , Oxygen Consumption , Weight Gain/drug effects
15.
J Appl Toxicol ; 20(4): 327-34, 2000.
Article in English | MEDLINE | ID: mdl-10942908

ABSTRACT

Gulf War veterans were taking pyridostigmine orally against possible exposure to nerve agents as well as being under physical stress. This study was designed to investigate the delayed effects of pyridostigmine and treadmill exercise on cholinesterase activity, lipid peroxidation and histology of peripheral tissues of mice. Male NIH Swiss mice were divided into four groups of 15 animals each and treated as follows: sedentary control; exercise training for 10 weeks; pyridostigmine (1.2 mg kg(-1), p.o.) for 2 weeks during weeks 5 and 6; and pyridostigmine plus exercise training. The mice were sacrificed 24 h after the last exercise, and blood, triceps muscle and sciatic nerve were isolated and analyzed. The group treated with pyridostigmine alone showed decreased plasma butyrylcholinesterase (BChE) activity (87% of control), whereas pyridostigmine plus exercise significantly decreased the BChE activity (79% of control), indicating an interactive effect of the combination. Acetylcholinesterase (AChE) activity did not alter significantly in red blood cells, platelets or sciatic nerve with either of the treatments. However, AChE activity in triceps muscle decreased significantly (78% of control) in the group treated with pyridostigmine plus exercise. Creatine phosphokinase activity in plasma increased slightly (compared to control, pyridostigmine or exercise group) in mice treated with pyridostigmine plus exercise, which may be indicative of perturbation in the integrity of the skeletal muscle due to combination. However, there were no obvious histological abnormalities in the triceps muscle detected between experimental and control groups. Interaction of pyridostigmine and exercise significantly increased the concentration of the end product of lipid peroxidation (malondialdehyde) (124% of control) in triceps muscle, indicating an oxidative stress response of the combination. These results indicate that physical stress enhanced the delayed toxic effects of a subchronic oral dose of pyridostigmine primarily in the skeletal muscle of mice.


Subject(s)
Cholinesterase Inhibitors/toxicity , Pyridostigmine Bromide/toxicity , Stress, Physiological/enzymology , Acetylcholinesterase/drug effects , Acetylcholinesterase/metabolism , Animals , Butyrylcholinesterase/drug effects , Butyrylcholinesterase/metabolism , Creatine Kinase/drug effects , Creatine Kinase/metabolism , Delayed-Action Preparations , Lipid Peroxidation/drug effects , Male , Mice , Muscles/drug effects , Muscles/enzymology , Physical Conditioning, Animal/physiology , Stress, Physiological/metabolism
16.
Am J Otol ; 21(4): 513-20, 2000 Jul.
Article in English | MEDLINE | ID: mdl-10912697

ABSTRACT

HYPOTHESIS: The goals of this investigation were to compare the efficacy of three protective agents against cisplatin-induced elevation of auditory brainstem response (ABR) thresholds and to examine whether these protective agents prevent cisplatin-induced alterations of the antioxidant defense system in the cochlea of the rat. BACKGROUND: Cisplatin is an ototoxic antitumor agent. Previous animal studies have shown that cisplatin administration causes an elevation of ABR thresholds. These auditory changes are accompanied by alterations in the concentration of glutathione and the antioxidant enzymes in the cochlea. The authors' previous work has indicated that the protective agent diethyldithiocarbamate (DDTC) prevents decrease in glutathione (GSH), alteration of antioxidant enzyme activity, and disruption of cochlear function with cisplatin administration. METHODS: Wistar rats were sedated and underwent pretreatment ABR testing using clicks and tone burst stimuli at 8, 16, and 32 kHz. Control rats received saline by intraperitoneal (i.p.) injection. Positive control rats were administered cisplatin 16 mg/kg i.p. Three groups of rats received protective agents in combination with cisplatin. The DDTC-protected rats were given 600 mg/kg of DDTC subcutaneously 1 hour after cisplatin. Animals protected by 4-methylthiobenzoic acid (MTBA) were given 250 mg/kg of this agent i.p. 30 minutes before cisplatin. Animals protected with ebselen were given 16 mg/kg i.p. one hour before cisplatin. The ABR thresholds were recorded 72 hours after cisplatin administration in all groups. Cochleas were removed, and extracts of the tissues were analyzed for GSH, activities of antioxidant enzymes (superoxide dismutase [SOD], catalase, glutathione peroxidase, and glutathione reductase) and malondialdehyde (MDA) (as an index of lipid peroxidation). RESULTS: Cisplatin-treated rats had significant ABR threshold shifts, ranging from 27 to 40 dB. Rats administered each of the three protective agents in combination with cisplatin had ABR threshold shifts of <10 dB. The cochleae of rats administered cisplatin alone had nearly a 50% depletion of glutathione and about a 50% reduction in the activities of SOD, glutathione peroxidase, and glutathione reductase, while catalase activity was reduced to 70% of control values. These changes were accompanied by a reciprocal elevation of MDA of 165%. These changes, namely, the depletion of GSH and antioxidant enzyme activity and the elevation of MDA in the cochlea, were largely attenuated by the administration of the protective agents tested. CONCLUSION: These findings suggest that cisplatin ototoxicity is related to lipid peroxidation and that the use of protective agents prevents hearing loss and lipid peroxidation by sparing the antioxidant system in the cochlea. These results suggest the possibility that the clinical use of protective agents could effectively reduce or prevent damage to the inner ear of patients receiving cisplatin chemotherapy, provided that the antitumor effect is not altered.


Subject(s)
Adjuvants, Immunologic/therapeutic use , Antineoplastic Agents/adverse effects , Antioxidants/therapeutic use , Azoles/therapeutic use , Benzoates/therapeutic use , Cisplatin/adverse effects , Cochlear Diseases/chemically induced , Cochlear Diseases/prevention & control , Ditiocarb/therapeutic use , Hearing Disorders/chemically induced , Hearing Disorders/prevention & control , Organoselenium Compounds/therapeutic use , Animals , Cochlear Diseases/diagnosis , Cochlear Diseases/enzymology , Disease Models, Animal , Drug Evaluation, Preclinical , Evoked Potentials, Auditory, Brain Stem/drug effects , Glutathione/deficiency , Glutathione/drug effects , Hearing Disorders/diagnosis , Hearing Disorders/enzymology , Isoindoles , Lipid Peroxidation/drug effects , Rats , Rats, Wistar
17.
Pharmacol Toxicol ; 86(5): 234-41, 2000 May.
Article in English | MEDLINE | ID: mdl-10862506

ABSTRACT

This study was designed to investigate the role of graded doses of lipoic acid pretreatment against cisplatin-induced nephrotoxicity. Male Wistar rats were divided into six groups and treated as follows: 1) vehicle (saline) control; 2) cisplatin (16 mg/kg, intraperitoneally); 3) lipoic acid (100 mg/kg, intraperitoneally); 4) cisplatin plus lipoic acid (25 mg/kg); 5) cisplatin plus lipoic acid (50 mg/kg) and 6) cisplatin plus lipoic acid (100 mg/kg). Rats were sacrificed three days after treatment, and plasma as well as kidneys were isolated and analyzed. Plasma creatinine increased (677% of control) following cisplatin administration alone which was decreased by lipoic acid in a dose-dependent manner. Cisplatin-treated rats showed a depletion of renal glutathione (GSH), increased oxidized GSH and decreased GSH/GSH oxidized ratio (62%, 166% and 62% of control), respectively which were restored with lipoic acid pretreatment. Renal superoxide dismutase, catalase, glutathione peroxidase (GSH peroxidase) and glutathione reductase activities decreased (62%, 75%, 62% and 80% of control), respectively, and malondialdehyde content increased (204% of control) following cisplatin administration, which were restored with increasing doses of lipoic acid. The renal platinum concentration increased following cisplatin administration, which was possibly decreased by chelation with lipoic acid. The data suggest that the graded doses of lipoic acid effectively prevented a decrease in renal antioxidant defense system and prevented an increase in lipid peroxidation, platinum content and plasma creatinine concentrations in a dose-dependent manner.


Subject(s)
Antioxidants/therapeutic use , Cisplatin/antagonists & inhibitors , Kidney Diseases/prevention & control , Kidney/drug effects , Thioctic Acid/therapeutic use , Animals , Antineoplastic Agents/antagonists & inhibitors , Antineoplastic Agents/toxicity , Catalase/metabolism , Cisplatin/toxicity , Creatinine/blood , Dose-Response Relationship, Drug , Glutathione Peroxidase/metabolism , Glutathione Reductase/metabolism , Injections, Intraperitoneal , Kidney/metabolism , Kidney Diseases/blood , Kidney Diseases/chemically induced , Lipid Peroxidation/drug effects , Male , Malondialdehyde/metabolism , Platinum/metabolism , Rats , Rats, Wistar , Superoxide Dismutase/metabolism
18.
Laryngoscope ; 109(11): 1740-4, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10569399

ABSTRACT

OBJECTIVE/HYPOTHESIS: To review the recent data from experiments performed in this laboratory to test the hypothesis that cisplatin ototoxicity is related to depletion of glutathione and antioxidant enzymes in the cochlea and that the use of antioxidants or protective agents would protect the cochlea against cisplatin damage and prevent hearing loss. STUDY DESIGN/METHODS: Data were reviewed from experiments performed in this laboratory. Control rats were treated intraperitoneally with cisplatin 16 mg/kg. Experimental rats were given cisplatin in combination with one of the following protective agents: diethyldithiocarbamate, 4-methylthiobenzoic acid, ebselen, or lipoic acid. Animals in each group underwent auditory brainstem response (ABR) threshold testing before and 3 days after treatment. Cochleae were removed after final ABR testing and analyzed for glutathione and activities of the enzymes superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase, and malondialdehyde. RESULTS: Rats in the control group receiving cisplatin were found to have significant ABR threshold shifts. This was accompanied by a reduction of glutathione and the activity of antioxidant enzymes (superoxide dismutase, glutathione peroxidase, catalase, and glutathione reductase) and an elevation of malondialdehyde. Experimental animals had preservation of ABR thresholds and levels of glutathione, antioxidant enzyme activity, and malondialdehyde that were similar to untreated animals. CONCLUSION: Cisplatin ototoxicity appears to be initiated by fee-radical production, which causes depletion of glutathione and antioxidant enzymes in the cochlea, and lipid peroxidation, manifested by an increase in malondialdehyde. These effects were blocked by each of a series of antioxidant compounds given in combination with cisplatin. A mechanism for cisplatin ototoxicity is elaborated with a proposed plan of chemoprevention using agents with different mechanisms of action. These substances could be used alone or in combination to reduce the severity of cisplatin ototoxicity in patients.


Subject(s)
Antineoplastic Agents/adverse effects , Antioxidants/therapeutic use , Cisplatin/adverse effects , Cochlea/drug effects , Ear, Inner/drug effects , Animals , Evoked Potentials, Auditory, Brain Stem , Lipid Peroxidation , Rats , Reactive Oxygen Species , Retrospective Studies , Superoxide Dismutase/metabolism
19.
J Appl Toxicol ; 19(4): 221-8, 1999.
Article in English | MEDLINE | ID: mdl-10439335

ABSTRACT

This study was designed in order to evaluate alterations in the reactive oxygen species (ROS) scavenging system in olfactory bulb, dorsal neocortex and cerebellum for 6 weeks following a single subcutaneous dose (600 mg kg-1) of diethyldithiocarbamate (DDTC) to rats. A single dose of DDTC caused substantial damage to the olfactory epithelium and degeneration within the olfactory bulb. The epithelium regenerates, followed by regeneration in the olfactory bulb. The mean olfactory bulb weight decreased significantly 3 days after DDTC administration and gradually recovered to control values in 6 weeks. The DDTC-induced lesion of the olfactory nerve resulted in significant changes in glutathione (GSH) and antioxidant enzyme activities in olfactory bulb. In contrast, no significant changes were found in either cerebellum or dorsal neocortex. These observations indicate that a single dose of DDTC selectively affected the ROS scavenging system of the olfactory bulb. Moreover, these changes persisted for at least 6 weeks, which includes regeneration and synaptogenesis. Olfactory bulb GSH concentrations decreased significantly by 47 +/- 4%, glutathione reductase activity decreased by 18 +/- 3% and catalase activity increased by 27 +/- 7% over the 6 weeks. Superoxide dismutase activity decreased significantly in olfactory bulb of rats by 32 +/- 6% at 3 days following the lesion and then recovered and increased by 38 +/- 3% at 3 weeks. Olfactory bulb malondialdehyde concentrations were elevated (298 +/- 67%) throughout the post-lesion survival period, although this change did not reach the stringent statistical significance level required in this study. These data suggest that increased ROS flux perturbs the olfactory bulb antioxidant defense system during olfactory nerve regeneration.


Subject(s)
Antioxidants/metabolism , Chelating Agents/toxicity , Ditiocarb/toxicity , Olfactory Bulb/drug effects , Oxidoreductases/metabolism , Reactive Oxygen Species/metabolism , Animals , Catalase/metabolism , Cerebellum/drug effects , Cerebellum/metabolism , Epithelium/drug effects , Epithelium/metabolism , Glutathione/metabolism , Glutathione Peroxidase/metabolism , Glutathione Reductase/metabolism , Injections, Subcutaneous , Male , Malondialdehyde/metabolism , Neocortex/drug effects , Neocortex/metabolism , Nerve Regeneration/drug effects , Nerve Regeneration/physiology , Olfactory Bulb/metabolism , Olfactory Bulb/pathology , Olfactory Nerve/drug effects , Olfactory Nerve/metabolism , Organ Size/drug effects , Rats , Rats, Wistar , Superoxide Dismutase/metabolism
20.
Alcohol ; 18(2-3): 203-14, 1999.
Article in English | MEDLINE | ID: mdl-10456572

ABSTRACT

This study was designed to investigate the dose as well as time dependent effects of ethanol on testicular antioxidant defense system in rats. Male Fischer 344 rats were administered ethanol at a dose of 2, 4, and 6 gm/kg orally and control received equal volume of saline and sacrificed 1 h after ethanol ingestion. For time course study, animals were administered ethanol 4 g/kg orally and sacrificed at 1.5, 2, 4, and 6 h after ethanol ingestion. Testicular ethanol concentration increased with increasing doses of ethanol. Copper zinc-superoxide dismutase (CuZn-SOD) activity significantly decreased in the testes of rats treated with increasing doses of ethanol whereas manganese-superoxide dismutase (Mn-SOD) activity significantly increased in a dose dependent manner (181, 186, and 195% of control, respectively). Testicular glutathione (GSH) and malondialdehyde (MDA) levels did not significantly alter with increasing doses of ethanol one hour after ethanol ingestion. Ethanol concentration decreased in the testes with an increase in time after ethanol ingestion. Testicular CuZn-SOD activity significantly decreased whereas Mn-SOD activity increased with an increase in time after ethanol ingestion. Testicular catalase (CAT) activity significantly decreased at 2 h postethanol ingestion. Testicular MDA levels significantly increased at 4 and 6 h after ethanol ingestion indicating that end product of lipid peroxidation. MDA, takes considerable time to form in the testes. A significant decrease in the ratios of CAT/Mn-SOD and glutathione peroxidase (GSH-Px)/Mn-SOD in the testes of rat suggests the ability of mitochondria to scavenge reactive oxygen species (ROS). It is suggested that antioxidant enzyme ratios may be used as an important parameter to determine ethanol induced oxidative stress in the tissues.


Subject(s)
Antioxidants/metabolism , Central Nervous System Depressants/pharmacology , Ethanol/pharmacology , Superoxide Dismutase/drug effects , Testis/drug effects , Animals , Catalase/drug effects , Catalase/metabolism , Central Nervous System Depressants/administration & dosage , Dose-Response Relationship, Drug , Ethanol/administration & dosage , Glutathione/drug effects , Glutathione/metabolism , Male , Malondialdehyde/metabolism , Rats , Rats, Inbred F344 , Superoxide Dismutase/metabolism , Testis/metabolism , Time Factors
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