Enemas with n-Acetylcysteine Can Reduce the Level of Oxidative Damage in Cells of the Colonic Mucosa Diverted from the Faecal Stream

Background Oxidative stress has been related to inflammation of the colonic mucosa in patients with diversion colitis (DC). Aim The purpose of this study was to evaluate the antioxidants effects of n -acetylcysteine (NAC) in colon segments without faecal stream. Methods Thirty-six Wistar rats were s...

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Veröffentlicht in:Digestive diseases and sciences 2013-12, Vol.58 (12), p.3452-3459
Hauptverfasser: Martinez, Carlos Augusto Real, de Almeida, Marcos Gonçalves, da Silva, Camila Moraes Gonçalves, Ribeiro, Marcelo Lima, da Cunha, Fernando Lorenzetti, Rodrigues, Murilo Rocha, Sato, Daniela Tiemi, Pereira, José Aires
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container_issue 12
container_start_page 3452
container_title Digestive diseases and sciences
container_volume 58
creator Martinez, Carlos Augusto Real
de Almeida, Marcos Gonçalves
da Silva, Camila Moraes Gonçalves
Ribeiro, Marcelo Lima
da Cunha, Fernando Lorenzetti
Rodrigues, Murilo Rocha
Sato, Daniela Tiemi
Pereira, José Aires
description Background Oxidative stress has been related to inflammation of the colonic mucosa in patients with diversion colitis (DC). Aim The purpose of this study was to evaluate the antioxidants effects of n -acetylcysteine (NAC) in colon segments without faecal stream. Methods Thirty-six Wistar rats were subjected to diversion of the faecal stream by proximal colostomy and a distal mucosal colon fistula. They were distributed into three experimental groups of 12 animals each; the animals in each group underwent daily enemas containing saline solution (control group) or either a 25 or 100 mg/kg dose of NAC (treated groups). In each group, animals were sacrificed after 2 or 4 weeks. The degree of inflammation was determined by histopathological analysis and stratified by inflammatory grading scale. Oxidative DNA damage was measured by comet assay. The Mann–Whitney test and ANOVA were used for statistical analysis; p  
doi_str_mv 10.1007/s10620-013-2768-9
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Aim The purpose of this study was to evaluate the antioxidants effects of n -acetylcysteine (NAC) in colon segments without faecal stream. Methods Thirty-six Wistar rats were subjected to diversion of the faecal stream by proximal colostomy and a distal mucosal colon fistula. They were distributed into three experimental groups of 12 animals each; the animals in each group underwent daily enemas containing saline solution (control group) or either a 25 or 100 mg/kg dose of NAC (treated groups). In each group, animals were sacrificed after 2 or 4 weeks. The degree of inflammation was determined by histopathological analysis and stratified by inflammatory grading scale. Oxidative DNA damage was measured by comet assay. The Mann–Whitney test and ANOVA were used for statistical analysis; p  &lt; 0.05 was considered significant. Results The oxidative DNA damage in colon segments without faecal stream was significantly lower in animals treated with either concentration of NAC than in control group, regardless of the duration of intervention ( p  &lt; 0.01). Conclusions Intrarectal application of NAC reduces the inflammation as well as DNA oxidative damage and could be beneficial as a complementary agent in the treatment of DC.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-013-2768-9</identifier><identifier>PMID: 23828143</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acetylcysteine ; Acetylcysteine - administration &amp; dosage ; Analysis ; Animals ; Antioxidants ; Biochemistry ; Colectomy - adverse effects ; Colitis ; Colitis - drug therapy ; Colitis - etiology ; Colitis - metabolism ; Colon - pathology ; DNA Damage - drug effects ; Enema ; Free Radical Scavengers - administration &amp; dosage ; Gastroenterology ; Hepatology ; Inflammation ; Intestinal Mucosa - drug effects ; Intestinal Mucosa - metabolism ; Intestinal Mucosa - pathology ; Medicine ; Medicine &amp; Public Health ; Oncology ; Original Article ; Oxidative Stress - drug effects ; Pouchitis - drug therapy ; Random Allocation ; Rats ; Rats, Wistar ; Transplant Surgery</subject><ispartof>Digestive diseases and sciences, 2013-12, Vol.58 (12), p.3452-3459</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>COPYRIGHT 2013 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-da047e3666de9241e37e295e94d29f6f44d8bb58f396fa2499f74a0f9f8885f03</citedby><cites>FETCH-LOGICAL-c439t-da047e3666de9241e37e295e94d29f6f44d8bb58f396fa2499f74a0f9f8885f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-013-2768-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-013-2768-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23828143$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martinez, Carlos Augusto Real</creatorcontrib><creatorcontrib>de Almeida, Marcos Gonçalves</creatorcontrib><creatorcontrib>da Silva, Camila Moraes Gonçalves</creatorcontrib><creatorcontrib>Ribeiro, Marcelo Lima</creatorcontrib><creatorcontrib>da Cunha, Fernando Lorenzetti</creatorcontrib><creatorcontrib>Rodrigues, Murilo Rocha</creatorcontrib><creatorcontrib>Sato, Daniela Tiemi</creatorcontrib><creatorcontrib>Pereira, José Aires</creatorcontrib><title>Enemas with n-Acetylcysteine Can Reduce the Level of Oxidative Damage in Cells of the Colonic Mucosa Diverted from the Faecal Stream</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Background Oxidative stress has been related to inflammation of the colonic mucosa in patients with diversion colitis (DC). Aim The purpose of this study was to evaluate the antioxidants effects of n -acetylcysteine (NAC) in colon segments without faecal stream. Methods Thirty-six Wistar rats were subjected to diversion of the faecal stream by proximal colostomy and a distal mucosal colon fistula. They were distributed into three experimental groups of 12 animals each; the animals in each group underwent daily enemas containing saline solution (control group) or either a 25 or 100 mg/kg dose of NAC (treated groups). In each group, animals were sacrificed after 2 or 4 weeks. The degree of inflammation was determined by histopathological analysis and stratified by inflammatory grading scale. Oxidative DNA damage was measured by comet assay. The Mann–Whitney test and ANOVA were used for statistical analysis; p  &lt; 0.05 was considered significant. Results The oxidative DNA damage in colon segments without faecal stream was significantly lower in animals treated with either concentration of NAC than in control group, regardless of the duration of intervention ( p  &lt; 0.01). 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Aim The purpose of this study was to evaluate the antioxidants effects of n -acetylcysteine (NAC) in colon segments without faecal stream. Methods Thirty-six Wistar rats were subjected to diversion of the faecal stream by proximal colostomy and a distal mucosal colon fistula. They were distributed into three experimental groups of 12 animals each; the animals in each group underwent daily enemas containing saline solution (control group) or either a 25 or 100 mg/kg dose of NAC (treated groups). In each group, animals were sacrificed after 2 or 4 weeks. The degree of inflammation was determined by histopathological analysis and stratified by inflammatory grading scale. Oxidative DNA damage was measured by comet assay. The Mann–Whitney test and ANOVA were used for statistical analysis; p  &lt; 0.05 was considered significant. Results The oxidative DNA damage in colon segments without faecal stream was significantly lower in animals treated with either concentration of NAC than in control group, regardless of the duration of intervention ( p  &lt; 0.01). Conclusions Intrarectal application of NAC reduces the inflammation as well as DNA oxidative damage and could be beneficial as a complementary agent in the treatment of DC.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>23828143</pmid><doi>10.1007/s10620-013-2768-9</doi><tpages>8</tpages></addata></record>
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subjects Acetylcysteine
Acetylcysteine - administration & dosage
Analysis
Animals
Antioxidants
Biochemistry
Colectomy - adverse effects
Colitis
Colitis - drug therapy
Colitis - etiology
Colitis - metabolism
Colon - pathology
DNA Damage - drug effects
Enema
Free Radical Scavengers - administration & dosage
Gastroenterology
Hepatology
Inflammation
Intestinal Mucosa - drug effects
Intestinal Mucosa - metabolism
Intestinal Mucosa - pathology
Medicine
Medicine & Public Health
Oncology
Original Article
Oxidative Stress - drug effects
Pouchitis - drug therapy
Random Allocation
Rats
Rats, Wistar
Transplant Surgery
title Enemas with n-Acetylcysteine Can Reduce the Level of Oxidative Damage in Cells of the Colonic Mucosa Diverted from the Faecal Stream
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