Research Article Exploring Beta Blockers' Efficacy in Sepsis-Induced Acute Lung Injury and HMGB1-sRAGE Interaction
Küçük Resim Yok
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Asian Network Scientific Information-Ansinet
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background and Objective: Beta-blockers improve cardiac function and prevent catecholamine-mediated hypermetabolism in critically ill patients. This study investigated the role of beta blockers in reducing inflammation in a sepsis model and their influence on acute lung injury (ALI). The study aimed to understand beta blockers' potential role in mitigating ALI risk in sepsis patients. Materials and Methods: Fifty Wistar albino rats were divided into five groups. The first group was the control and the remaining four had feces- induced peritonitis (FIP) to mimic sepsis. The second group was the FIP group, while the third, fourth and fifth groups received different intraperitoneal doses of beta-blockers: 10 mg/kg/day of propranolol, 2 mg/kg/day of metoprolol and 5 mg/kg/day of carvedilol. Results: Beta-blocker administration in FIP rats significantly decreased inflammatory biomarkers, including Tumor Necrosis Factor-alpha (TNF-alpha), lactic acid, Interleukin-6 (IL-6), malondialdehyde (MDA), high mobility group box 1 (HMGB1) and Interleukin-1 beta (IL-1$), compared to the FIP+Saline group. The FIP+beta blockers group exhibited elevated Soluble Receptors for Advanced Glycation End product (s-RAGE) levels compared to the FIP+saline group. Carvedilol, metoprolol and propranolol showed distinct mechanisms, resulting in biochemical improvements in sepsis and curative effects observed in computed tomography and histology. These findings suggested that beta-blockers may effectively prevent ALI side effects in sepsis treatments. Conclusion: Commencing beta-blocker treatment alongside standard sepsis therapy could potentially protect against adverse effects like ALI. It is recommended to consider adding beta-blockers to standard sepsis treatment regimens.
Açıklama
Anahtar Kelimeler
Sepsis, acute lung injury, beta-blockers, HMGB1, s-RAGE, Cytokine, Hmgb1
Kaynak
International Journal of Pharmacology
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
19
Sayı
3
