Yi Yang1,
Yan Peng2,
Jin Yang1
1Department of Intensive Care Unit, Chongqing People's Hospital , 400014,Chongqing,China;
2Department of Intensive Care Unit, First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, China.
For correspondence:- Jin Yang
Email: cb0750@163.com Tel:+86236351524
Accepted: 28 March 2018
Published: 30 April 2018
Citation:
Yang Y, Peng Y, Yang J.
Galantamine protects against hydrochloric acid aspiration-induced acute respiratory distress syndrome in rabbits. Trop J Pharm Res 2018; 17(4):669-673
doi:
10.4314/tjpr.v17i4.15
© 2018 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..
Abstract
Purpose: To study the effect of galantamine on anti-inflammatory responses in acid aspiration-induced acute respiratory syndrome (ARDS), and the underlying mechanism.
Methods: Six groups of male rabbits (156), i.e., control group, ARDS group, galantamine + ARDS (GAL) group, galantamine + ARDS + methyllycaconitine (MLA) group, galantamine + ARDS + vagotomy (Vag) group, and galantamine + ARDS + atropine sulfate (ATS) group. ARDS model was produced by acid aspiration. After 4 h, TNF-α, IL-6 and IL-1β were assayed in lung tissue, while corticosterone levels were determined in blood. Histopathological lesions and wet-to-dry (W/D) weight ratio of lung tissue (n = 10) were assessed. After 12 h, HMGB1 protein and corticosterone levels were determined in lung tissue and blood, respectively. Mortality rate was determined after 72 h.
Results: Acid aspiration-induced ARDS induced disorganization of lung structure, and elevated TNF-α, IL-6, IL-1β, and HMGB1activities, and lung W/D weight ratio. The acid-induced ARDS, as well as increases in W/D weight ratio, pro-inflammatory cytokines and lung lesions were significantly decreased by galantamine pretreatment. Methyllycaconitin, vagotomy and atropine sulfate abolished the galantamine-induced suppression of acute inflammatory response, pathological changes in lungs, and W/D weight ratio. However, serum corticosterone levels were not significantly altered in each group.
Conclusion: Galantamine reduces inflammation in acid aspiration-induced ARDS by the cholinergic anti-inflammatory pathway.
Keywords: Galantamine, Hydrochloric acid, Aspiration-induced, Respiratory distress syndrome, Methyllycaconitin, Vagotomy, Atropine sulfate