Abstract

Nitrogen mustard (NM) is a devastating casualty agent in chemical warfare. There is no effective antidote to treat NM-induced ocular injury. We aimed to assess the effects of proanthocyanidin (PAC) and coenzyme Q10 (CoQ10) on NM-induced ocular injury. Eighteen male rats were divided into the following 4 groups: NM, NM + PAC, NM + CoQ10, and control. The 3 NM groups received a single dose of NM (0.02 mg/μL) on the right eye to induce ocular injury. The control group received saline only. Thirty minutes after the application of NM, the NM + PAC group received PAC (100 mg/kg) via gastric gavage, while the NM + CoQ10 group received CoQ10 (10 mg/kg) via intraperitoneal injection. PAC and CoQ10 were administered once a day for 5 consecutive days. The rats were then sacrificed. Macroscopic images of the eyes were examined and eye tissues were collected for histology. The treatment groups were compared to the control group with regard to both corneal opacity and lid injury scores. The findings were not significantly different for both the NM + PAC and NM + CoQ10 groups. In both the NM + PAC and NM + CoQ10 groups, the histological changes seen in the NM group demonstrated improvement. Our results indicate that PAC and CoQ10 treatments have therapeutic effects on NM-induced ocular injury in a rat model. PAC and CoQ10 may be novel options in patients with NM-induced ocular injury.

Highlights

  • The findings were not significantly different for both the Nitrogen mustard (NM) + coenzyme Q10 (CoQ10) (p=0.33 for corneal opacity and p=0.318 for lid injury) and NM + PAC groups (p=0.93 for corneal opacity and p=0.95 for lid injury). These similarities between the treatment and control groups indicate that CoQ10 and PAC have therapeutic effects on NM-induced ocular injury

  • There were no significant differences between the NM + PAC and NM + CoQ10 groups, corneal opacity results appeared to be better in the NM + PAC group (p=0.33)

  • Zhou et al identified a relationship between reactive oxygen species (ROSs) and inflammation, and this relationship suggested that ROSs derived from mitochondria act as signal transducing molecules to trigger pro-inflammatory cytokine production[29]

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Summary

Introduction

Mustard agents are some of the most devastating casualty agents in chemical warfare, and they have been. This content is licensed under a Creative Commons Attributions 4.0 International License. Used since World War I in at least 12 conflicts[1] They are considered the first option in chemical warfare because of their simple and inexpensive manufacturing approaches[2]. Nitrogen mustard (NM) belongs to the group of mus­ tard agents referred to as vesicant agents that especially affect the skin, eyes, and lungs after exposure[3]. After exposure to mustard agents, ocular injury symptoms occur in 1-12 h. Common symptoms include eyelid burns, severe eye pain, photophobia, excessive lacrimation, and visual de­terioration[4,5]. Sometimes, total epithelial detachment is noted in a few hours

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