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Ascorbate and deferoxamine administration after chlorine exposure decrease mortality and lung injury in mice.

Sotirios G Zarogiannis1, Asta Jurkuvenaite, Solana Fernandez

  • 1Department of Anesthesiology, School of Medicine and Public Health, University of Alabama at Birmingham, 35294, USA.

American Journal of Respiratory Cell and Molecular Biology
|December 7, 2010
PubMed
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Antioxidants ascorbate and deferoxamine significantly reduced mortality and lung injury in mice exposed to chlorine gas. This treatment offers a potential therapeutic strategy for acute lung injury caused by chlorine inhalation.

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Area of Science:

  • Toxicology
  • Pulmonary Medicine
  • Pharmacology

Background:

  • Chlorine (Cl(2)) gas exposure is a significant occupational and environmental hazard.
  • Acute lung injury from chlorine gas inhalation currently lacks effective treatments.
  • Oxidative stress and inflammation play key roles in chlorine-induced lung damage.

Purpose of the Study:

  • To evaluate the efficacy of antioxidants, specifically ascorbate and deferoxamine, in mitigating mortality and lung injury following chlorine gas exposure.
  • To investigate the protective mechanisms of these antioxidants against chlorine-induced acute lung injury.

Main Methods:

  • C57BL/6 mice were exposed to 600 ppm of chlorine gas for 45 minutes.
  • Ascorbate and deferoxamine were administered via intramuscular injection and nose-only inhalation starting 1 hour post-exposure for 3 days.
  • Control groups received vehicle treatments (saline or water).
  • Outcomes assessed included mortality, bronchoalveolar lavage (BAL) fluid analysis (protein, cell counts, epithelial cells), and lipid peroxidation.

Main Results:

  • Mortality was reduced fourfold in the antioxidant treatment group compared to controls (22% vs. 78%, P = 0.007).
  • Surviving mice treated with antioxidants showed significantly lower protein concentrations, cell counts, and epithelial cells in BAL fluid.
  • Antioxidant treatment led to a threefold reduction in lipid peroxidation in BAL fluid.
  • Lung tissue ascorbate levels correlated inversely with BAL protein and inflammatory cell counts.

Conclusions:

  • Combined administration of ascorbate and deferoxamine effectively reduces mortality following chlorine gas exposure.
  • These antioxidants decrease lung injury by mitigating alveolar-capillary permeability, inflammation, epithelial cell damage, and lipid peroxidation.
  • This study highlights a promising therapeutic approach for acute lung injury induced by chlorine gas.