1. Mitigation of Radiation-induced Gastrointestinal System Injury using Resveratrol or Alpha-lipoic Acid: A Pilot Histopathological Study
- Author
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Ehsan Khodamoradi, Dheyauldeen Shabeeb, Peyman Amini, Ahmed Eleojo Musa, Bagher Farhood, Habiballah Moradi, Akbar Aliasgharzadeh, Gholamreza Hassanzadeh, Masoud Najafi, and Mehran Mohseni
- Subjects
Male ,Antioxidant ,Colon ,Duodenum ,Alpha-Lipoic Acid ,medicine.medical_treatment ,Immunology ,Radiation-Protective Agents ,Pharmacology ,Resveratrol ,Jejunum ,Mice ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,medicine ,Animals ,Immunology and Allergy ,Large intestine ,030304 developmental biology ,0303 health sciences ,Thioctic Acid ,business.industry ,General Medicine ,Ascorbic acid ,Radiation Injuries, Experimental ,medicine.anatomical_structure ,chemistry ,Gamma Rays ,030220 oncology & carcinogenesis ,Toxicity ,business ,Whole-Body Irradiation - Abstract
Aim: In this study, we aimed to determine possible mitigation of radiationinduced toxicities in the duodenum, jejunum and colon using post-exposure treatment with resveratrol and alpha-lipoic acid. Background: After the bone marrow, gastrointestinal system toxicity is the second critical cause of death following whole-body exposure to radiation. Its side effects reduce the quality of life of patients who have undergone radiotherapy. Resveratrol has an antioxidant effect and stimulates DNA damage responses (DDRs). Alpha-lipoic acid neutralizes free radicals via the recycling of ascorbic acid and alpha-tocopherol. Objective: This study is a pilot investigation of the mitigation of enteritis using resveratrol and alpha-lipoic acid following histopathological study. Methods: 60 male mice were randomly assigned to six groups; control, resveratrol treatment, alpha-lipoic acid treatment, whole-body irradiation, irradiation plus resveratrol, and irradiation plus alpha-lipoic acid. The mice were irradiated with a single dose of 7 Gy from a cobalt-60 gamma-ray source. Treatment with resveratrol or alpha-lipoic acid started 24 h after irradiation and continued for 4 weeks. All mice were sacrificed after 30 days for histopathological evaluation of radiation-induced toxicities in the duodenum, jejunum and colon. Results and Conclusion: Exposure to radiation caused mild to severe damages to vessels, goblet cells and villous. It also led to significant infiltration of macrophages and leukocytes, especially in the colon. Both resveratrol and alpha-lipoic acid were able to mitigate morphological changes. However, they could not mitigate vascular injury. Conclusion: Resveratrol and alpha-lipoic acid could mitigate radiation-induced injuries in the small and large intestine. A comparison between these agents showed that resveratrol may be a more effective mitigator compared to alpha-lipoic acid.
- Published
- 2020