Abstract

Background: Intensive care units (ICUs) admissions due to sepsis represent 2 to 11%. Although there are well stablished therapeutic available, it still is the major cause of death in most ICUs and the leading cause of acute kidney injury. The objective of this work was to evaluate the role of Aloe vera extract on survival rates and kidney histopathology of mice submitted to sepsis induced by cecal ligation and puncture. Methods and Findings: Twenty six mice were distributed into four groups: Sham - surgery simulation (N=5); Control - Cecal ligation and puncture was performed (N=7); Aloe - Surgery simulation and treatment with Aloe vera extract (N=7); and Sepsis + Aloe - Cecal ligation and puncture was performed followed by treatment with Aloe vera extract (N=7). The animals were observed until death. Kidneys were analysed by histopathology. Kruskall-Wallis test was used to compare the histopathological results. Survival analysis was assessed by Kaplan-Meier statistics and compared using log rank test. A significance level of 5% was adopted. The survival time ranged from 19 hours for the Control group up to 24 hours for the animals of Sepsis + Aloe group, corresponding to a survival time of 1.26 times greater (p 0.05). Conclusions: Aloe vera extracts delays mortality but does not attenuate kidney injury in sepsis induced by cecal ligation and puncture in mice.

Highlights

  • Intensive care units (ICUs) admissions due to sepsis represent 2 to 11% [1]

  • There are well stablished therapeutic available, it still is the major cause of death in most ICUs and the leading cause of acute kidney injury

  • The objective of this work was to evaluate the role of Aloe vera extract on survival rates and kidney histopathology of mice submitted to sepsis induced by cecal ligation and puncture

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Summary

Introduction

The great therapeutic available, it is the major cause of death in most ICUs and the leading cause of acute kidney injury [2, 3]. The “progress study” [6, 7], a multicenter trial involving 276 ICUs in 37 countries, showed higher mortality rates in Brazilian ICUs (56%) compared to other developing countries (30%), even though with similar populations studies. In this regard, interventions to reduce morbidity and mortality, and improve the prognosis in sepsis must be encouraged. The objective of this work was to evaluate the role of Aloe vera extract on survival rates and kidney histopathology of mice submitted to sepsis induced by cecal ligation and puncture

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