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A double‐blind, randomized, placebo‐controlled clinical trial on the effect of carvacrol on serum cytokine levels and pulmonary function tests in sulfur mustard induced lung injury

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Objective: The aim of this study was to evaluate the effect of carvacrol on serum levels of interleukins (IL‐2, IL‐4, IL‐6, IL‐8, and IL‐10), interferon‐gamma (IFN&ggr;) levels and pulmonary function… Click to show full abstract

Objective: The aim of this study was to evaluate the effect of carvacrol on serum levels of interleukins (IL‐2, IL‐4, IL‐6, IL‐8, and IL‐10), interferon‐gamma (IFN&ggr;) levels and pulmonary function tests (PFT) in patients who were exposed to sulfur mustard (SM). Methods: Twenty patients exposed to SM 27–30 years ago were divided to placebo and carvacrol (1.2 mg/kg/day) treated groups (n = 10 for each group). Drugs were given in a double‐blind manner for two months. Serum levels of cytokines and PFT values including; maximum mid‐expiratory flow (MMEF) and maximum expiratory flow at 25, 50 and 75% of vital capacity (MEF25, 50 and 75) were measured at the beginning (step 0), one and two month (steps I and II, respectively) after starting the treatment. Results: The serum levels of IL‐2, IL‐4, IL‐6 and IL‐8 were significantly decreased in step I and II compared to step 0 (p < 0.05 to p < 0.001), while the serum levels of IL‐10 and IFN&ggr; were increased in step II compared to step 0 (p < 0.01, for both cases) and IFN‐&ggr;/IL‐4 ratio was enhanced in step II compared to step 0 (p < 0.001) in carvacrol treated group. MMEF, MEF75, and 50 values were significant increase in step I and II compared to step 0 (p < 0.05 to p < 0.001) in carvacrol treated group. Conclusion: Treatment with carvacrol for two months reduced inflammatory cytokine, while increased anti‐inflammatory cytokines and improved PFT tests in SM induced lung injury.

Keywords: cytokine; step; carvacrol serum; effect carvacrol; carvacrol

Journal Title: Cytokine
Year Published: 2019

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