Key result
Pretreatment with a combination of N-acetylcysteine and atorvastatin significantly attenuated lung injury scores and inflammatory markers following mesenteric ischemia-reperfusion in rats.
Why the study?
Acute lung injury is a major cause of death following severe injury and ischemia-reperfusion, prompting investigation into the protective effects of N-acetylcysteine and atorvastatin pretreatment.
Does pretreatment with N-acetylcysteine and atorvastatin alleviate lung injury in a mesenteric ischemia-reperfusion rat model?
RCT
Randomly divided
Does pretreatment with N-acetylcysteine and atorvastatin alleviate lung injury in a mesenteric ischemia-reperfusion rat model?
The combination of N-acetylcysteine and atorvastatin pretreatment synergistically alleviates lung injury and inflammation following mesenteric ischemia-reperfusion in rats.
NAC/ATOR pretreatment attenuates lung injury in rat mesenteric IR; leaves open translation to human IR injury.
BACKGROUND: Acute lung injury is a major cause of death following severe injury and ischemia-reperfusion (IR). We investigated the protective effect of pretreatment with N-acetylcysteine (NAC) and atorvastatin (ATOR) in a mesenteric IR rat model. METHODS: Male rats were randomly divided into five experimental groups: sham; mesenteric IR; and ATOR, NAC, ATOR + NAC (A + N) pretreatment followed by IR. Blood gas and cytokine levels, biochemistry, and cell count were analyzed. Lung injury was evaluated through histopathology and by using the wet-to-dry lung weight (W/D) ratio. RESULTS: Following IR, significant changes were noted in biochemistry, cytokine, and lung injury. Compared with those in the IR group, neutrophil-to-lymphocyte ratio, lactate and alanine aminotransferase (ALT) levels were lower in all pretreatment groups, and creatinine and alkaline phosphatase (ALKP) levels were lower only in the A + N group. Blood pH and base excess (BE) were higher, and partial pressure of carbon dioxide in venous blood (PvCO2) lowered significantly in the ATOR and A + N groups than those in the IR group, and bicarbonate (HCO3-) levels increased only in the A + N group. Lung injury scores and W/D indicated significant attenuation in the A + N group. Compared with those in the IR group, tissue tumor necrosis factor-α levels were significantly lower in all the pretreatment groups and interleukin-1β levels were lower in the A + N group. CONCLUSION: NAC and ATOR decreased inflammation and lung injury following mesenteric IR in rats. NAC and ATOR may alleviate lung injury more efficiently in combination than individually.
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Guo et al. (2019) conducted an RCT in Acute lung injury due to mesenteric ischemia-reperfusion. N-acetylcysteine and atorvastatin vs. Sham and mesenteric ischemia-reperfusion without pretreatment was evaluated on Lung injury (evaluated through histopathology and wet-to-dry lung weight ratio), blood gas, cytokine levels, biochemistry, and cell count. Pretreatment with a combination of N-acetylcysteine and atorvastatin significantly attenuated lung injury scores and inflammatory markers following mesenteric ischemia-reperfusion in rats.
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