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Attenuating heat-induced acute lung inflammation and injury by dextromethorphan in rats

Hsi-Hsing Yang1, Ching-Cheng Hou, Mao-Tsun Lin

  • 1Department of Biotechnology, Southern Taiwan University, 1 Nan-Tai., Yongkang District, Tainan City 710, Taiwan. jessica@mail.stut.edu.tw

Insights

Dextromethorphan (DM) significantly improved survival and reduced lung injury in heatstroke rats, suggesting N-methyl-D-aspartate receptor antagonism as a therapeutic target for heatstroke.

Area of Science:

  • Physiology
  • Pharmacology
  • Toxicology

Background:

  • Heatstroke shares similarities with sepsis, a condition where Dextromethorphan (DM) has shown protective effects.
  • Acute lung inflammation and injury are critical complications of heatstroke.

Purpose of the Study:

  • To investigate the efficacy of Dextromethorphan (DM) in mitigating heat-induced acute lung inflammation and injury in a rat model.
  • To compare DM's effects with other receptor modulators: MK-801 (NMDA antagonist), SA4503 (sigma-1 agonist), and fluoxetine (serotonin reuptake inhibitor).

Main Methods:

  • Heatstroke was induced in rats by exposure to 43°C for 68 minutes.
  • Animals were treated with vehicle, DM, MK-801, SA4503, or fluoxetine post-heat stress.
  • Survival time, lung injury scores, pleurisy, bronchoalveolar fluid cytokines, and oxidative stress markers were assessed.

Main Results:

  • DM (30 mg/kg) significantly increased survival time (193-209 min) compared to vehicle controls (25-31 min).
  • DM treatment markedly reduced lung edema, neutrophil infiltration, hemorrhage, and pleurisy.
  • DM decreased pro-inflammatory cytokines and markers of ischemia and oxidative damage in bronchoalveolar fluid.

Conclusions:

  • Dextromethorphan therapy demonstrates significant therapeutic potential in improving outcomes for heatstroke in rats.
  • The protective effects of DM appear to be mediated through the antagonism of N-methyl-D-aspartate receptors.