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Protective effect of bromelain on corrosive burn in rats
Institution:1. Department of Pharmacology, Faculty of Dentistry, Near East University, Nicosia, Cyprus;2. Department of Biochemistry, Faculty of Veterinary Medicine, Near East University, Nicosia, Cyprus;3. Department of Oral and Maxillofacial Surgery, School of Dental Sciences, Cyprus Health and Social Sciences University, Morphou, Cyprus;4. Vocational School of Health-Related Professions, Marmara University, Istanbul, Turkey;1. St. Andrews Centre for Plastic Surgery & Burns, Broomfield University Hospital, Court Road, Chelmsford, Essex CM1 7ET, UK;2. Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London E1 2AT, UK;1. Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences, Amsterdam, The Netherlands;2. Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands;1. Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands;2. Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands
Abstract:IntroductionIn some cases, the tongue and oesophagus tissues are damaged by the corrosive burn. Surgical interventions may cause scar formation, and severe burns treatment methods are limited. This study aims to investigate bromelain, a phytotherapeutic product, on the corrosive burn as a non-surgical option and as an adjunctive therapy, insofar as the treatment of corrosive wounds is not limited only to the treatment of oxidative stress and inflammatory reactions.MethodsOn the tongues of Wistar albino rats, chemically produced oral ulcers were created by topical application of NaOH (40%) solution, and in the distal oesophagus same mixture was applied to produce a corrosive oesophageal burn. For a week, they were treated orally by bromelain (100 mg/kg/day) or saline solution. At the end of seven days, animals were decapitated to remove the tongue and oesophagus, and blood samples were collected to obtain serum. Myeloperoxidase (MPO) activity, malondialdehyde (MDA), glutathione (GSH), interleukin-1 beta (IL-1β) and tumour necrosis factor-alpha (TNF-α) concentrations were measured in serum, and luminol and lucigenin chemiluminescence (CL) were measured in tissue samples.ResultsMDA and CL values were significantly increased, and GSH levels in tissue significantly decreased due to the corrosive burns. Saline treated corrosive burn group measured higher in the serum cytokines in according to the control group.ConclusionsBromelain administration decreased oxidant and inflammatory parameters and increased antioxidant levels in NaOH-induced corrosive burns. Thus, we concluded that bromelain may protect the tongue and oesophagus tissues with its anti-inflammatory and antioxidant effects.
Keywords:Bromelain  Corrosive burn  Oesophagus  Inflammation  Tongue
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