Is <i>Punica granatum</i> Efficient Against Sepsis? A Comparative Study of Amifostine Versus Pomegranate

Sepsis is a clinical condition causing tissue damage as a result of infection and an exaggerated immune response. Sepsis causes 11 million deaths annually, a third of which are associated with acute lung injury (ALI). Rapid and effective treatment is crucial to improve survival rates. <i>Punic...

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Main Authors: Kazim Sahin, Sena Sahin Aktura, Ilkay Bahceci, Tolga Mercantepe, Levent Tumkaya, Atilla Topcu, Filiz Mercantepe, Omer Faruk Duran, Huseyin Avni Uydu, Zihni Acar Yazici
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Language:English
Published: MDPI AG 2025-01-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/15/1/78
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author Kazim Sahin
Sena Sahin Aktura
Ilkay Bahceci
Tolga Mercantepe
Levent Tumkaya
Atilla Topcu
Filiz Mercantepe
Omer Faruk Duran
Huseyin Avni Uydu
Zihni Acar Yazici
author_facet Kazim Sahin
Sena Sahin Aktura
Ilkay Bahceci
Tolga Mercantepe
Levent Tumkaya
Atilla Topcu
Filiz Mercantepe
Omer Faruk Duran
Huseyin Avni Uydu
Zihni Acar Yazici
author_sort Kazim Sahin
collection DOAJ
description Sepsis is a clinical condition causing tissue damage as a result of infection and an exaggerated immune response. Sepsis causes 11 million deaths annually, a third of which are associated with acute lung injury (ALI). Rapid and effective treatment is crucial to improve survival rates. <i>Punica granatum</i> (pomegranate) is rich in polyphenols and demonstrates strong antioxidant activity, while amifostine acts as a free radical scavenger. This study aimed to investigate the antioxidant and anti-inflammatory effects of <i>P. granatum</i> peel extract (PGPE) and amifostine in sepsis-related ALI. Experimental groups included Control, CLP (cecal ligation and puncture-induced sepsis), Amf (200 mg/kg amifostine, intraperitoneally), and PGPE250, and PGPE500 (250 and 500 mg/kg PGPE via oral gavage, respectively). Thiobarbituric acid reactive substances (TBARS), total thiol (TT), tumor necrosis factor-alpha (TNF-α) levels, and metalloproteinases 2 and 9 (MMP-2 and MMP-9) were assessed in the lung tissue. Biochemical analysis demonstrated that TBARS and TNF-α levels significantly decreased in both the PGPE and amifostine treatment groups compared to the CLP group, while TT levels showed notable improvement. Histopathological evaluation revealed reduced MMP-2 and MMP-9 immunopositivity in the PGPE250 and PGPE500 groups. These findings highlight the lung-protective properties of PGPE, underscoring its potential as a therapeutic agent for sepsis-induced acute lung injury.
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spelling doaj-art-573fad26ed1e4c629e4f40f06362fd382025-01-24T13:38:42ZengMDPI AGLife2075-17292025-01-011517810.3390/life15010078Is <i>Punica granatum</i> Efficient Against Sepsis? A Comparative Study of Amifostine Versus PomegranateKazim Sahin0Sena Sahin Aktura1Ilkay Bahceci2Tolga Mercantepe3Levent Tumkaya4Atilla Topcu5Filiz Mercantepe6Omer Faruk Duran7Huseyin Avni Uydu8Zihni Acar Yazici9Department of Microbiology, Faculty of Medicine, Recep Tayyip Erdogan University, 53020 Rize, TurkeyDepartment of Microbiology, Faculty of Medicine, Recep Tayyip Erdogan University, 53020 Rize, TurkeyDepartment of Microbiology, Faculty of Medicine, Recep Tayyip Erdogan University, 53020 Rize, TurkeyDepartment of Histology and Embryology, Faculty of Medicine, Recep Tayyip Erdogan University, 53020 Rize, TurkeyDepartment of Histology and Embryology, Faculty of Medicine, Ondokuz Mayıs University, 55139 Samsun, TurkeyDepartment of Pharmacology, Faculty of Medicine, Recep Tayyip Erdogan University, 53020 Rize, TurkeyDepartment of Endocrinology and Metabolism Diseases, Faculty of Medicine, Recep Tayyip Erdogan University, 53020 Rize, TurkeyDepartment of Microbiology, Faculty of Medicine, Recep Tayyip Erdogan University, 53020 Rize, TurkeyDepartment of Biochemistry, Faculty of Medicine, Samsun University, 55080 Samsun, TurkeyDepartment of Microbiology, Faculty of Medicine, Recep Tayyip Erdogan University, 53020 Rize, TurkeySepsis is a clinical condition causing tissue damage as a result of infection and an exaggerated immune response. Sepsis causes 11 million deaths annually, a third of which are associated with acute lung injury (ALI). Rapid and effective treatment is crucial to improve survival rates. <i>Punica granatum</i> (pomegranate) is rich in polyphenols and demonstrates strong antioxidant activity, while amifostine acts as a free radical scavenger. This study aimed to investigate the antioxidant and anti-inflammatory effects of <i>P. granatum</i> peel extract (PGPE) and amifostine in sepsis-related ALI. Experimental groups included Control, CLP (cecal ligation and puncture-induced sepsis), Amf (200 mg/kg amifostine, intraperitoneally), and PGPE250, and PGPE500 (250 and 500 mg/kg PGPE via oral gavage, respectively). Thiobarbituric acid reactive substances (TBARS), total thiol (TT), tumor necrosis factor-alpha (TNF-α) levels, and metalloproteinases 2 and 9 (MMP-2 and MMP-9) were assessed in the lung tissue. Biochemical analysis demonstrated that TBARS and TNF-α levels significantly decreased in both the PGPE and amifostine treatment groups compared to the CLP group, while TT levels showed notable improvement. Histopathological evaluation revealed reduced MMP-2 and MMP-9 immunopositivity in the PGPE250 and PGPE500 groups. These findings highlight the lung-protective properties of PGPE, underscoring its potential as a therapeutic agent for sepsis-induced acute lung injury.https://www.mdpi.com/2075-1729/15/1/78amifostinececal-ligation puncturelung<i>Punica granatum</i> peelsepsis
spellingShingle Kazim Sahin
Sena Sahin Aktura
Ilkay Bahceci
Tolga Mercantepe
Levent Tumkaya
Atilla Topcu
Filiz Mercantepe
Omer Faruk Duran
Huseyin Avni Uydu
Zihni Acar Yazici
Is <i>Punica granatum</i> Efficient Against Sepsis? A Comparative Study of Amifostine Versus Pomegranate
Life
amifostine
cecal-ligation puncture
lung
<i>Punica granatum</i> peel
sepsis
title Is <i>Punica granatum</i> Efficient Against Sepsis? A Comparative Study of Amifostine Versus Pomegranate
title_full Is <i>Punica granatum</i> Efficient Against Sepsis? A Comparative Study of Amifostine Versus Pomegranate
title_fullStr Is <i>Punica granatum</i> Efficient Against Sepsis? A Comparative Study of Amifostine Versus Pomegranate
title_full_unstemmed Is <i>Punica granatum</i> Efficient Against Sepsis? A Comparative Study of Amifostine Versus Pomegranate
title_short Is <i>Punica granatum</i> Efficient Against Sepsis? A Comparative Study of Amifostine Versus Pomegranate
title_sort is i punica granatum i efficient against sepsis a comparative study of amifostine versus pomegranate
topic amifostine
cecal-ligation puncture
lung
<i>Punica granatum</i> peel
sepsis
url https://www.mdpi.com/2075-1729/15/1/78
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