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J Korean Soc Emerg Med > Volume 10(4); 1999 > Article
Journal of The Korean Society of Emergency Medicine 1999;10(4): 522-530.
Effects of Vitamin-C on Sepsis Rat Model Induced by Endotoxin
Joong Eui Rhee, Sang Do Shin, Chang Hae Pyo, Gil Joon Suh, Sung Eun Jung, Yeo Kyu Youn
ABSTRACT
BACKGROUND: Multi-organ failure from sepsis is very lethal disease entity, which is suspected to be caused by activated inflammatory cells. Inflammatory cells activated by endotoxins generate oxidants and cytokines such as TNF-alpha and IL-6, which in turn stimulate macrophages and neutrophils. Augmented inflammation makes an organ-injury deteriorate into an organ-failure, which may progress to multi-organ failure. This study is designed to evaluate the therapeutic effects of vitamin-C, a scavenger of oxidants, in sepsis.
METHODS:
Male Sprague-Dawley rats were divided into 3 groups : a control group, a group injected intrapetoneally with LPS(lipopolysaccharide), and a group injected intraperitoneally with LPS and vitamin-C. Each eight rats were sacrified 24 hours and 48 hours after injection, and samples of the blood, the liver and the lung were obtained. Biochemical assays of TNF-alpha level in the blood and malondialdehyde(MDA) level, catalase activity and nitric oxide synthase(NOS) activity in the liver and the lung tissues were performed.
RESULTS:
Serum TNF-alpha level, tissue lipid peroxidation and tissue i-NOS activity were dramatically increased, and tissue catalase activity was exhausted rapidly in sepsis. High dose vitamin-C administration decreased serum TNF-alpha level, tissue lipid peroxidation and tissue i-NOS induction, and protected against catalase exhaustion.
CONCLUSION:
high dose vitamin-C therapy was proved to have definite antioxidant effect in septic condition.
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