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Global Translational Medicine                                         Hesperetin alleviates pulmonary injury




                         A                       B                       C









                         D                       E                       F










                         G                                   H












            Figure 1. Histopathological examination of tissues from blunt chest trauma-induced PC rats treated with hesperetin. (A-C) H&E-stained lung sections:
            control (A), PC (B), and PC+hesperetin (C). (D-F) Masson’s trichrome-stained lung sections: control (D), PC (E), and PC+hesperetin (F). (G) Comparison
            of histopathological score between groups. (H) Comparison of wet/dry weight ratio between groups. For panels (A) to (F): Scale bar = 100 µm; arrow
            denotes pulmonary hemorrhage; arrow head denotes edema; star denotes pulmonary infiltration; sections were observed microscopically with ×100
            magnification (A-C) and ×200 magnification (D-F). For panels (G) and (H): *P<0.05 compared to control group; **P<0.05 compared to PC group.
            Abbreviation: PC: Pulmonary contusion.


            trichrome staining. These assessments confirmed that   3.3. MDA levels in lung tissue and expressions of
            hesperetin administration led to a significant reduction in   serum inflammatory markers
            histopathological change scores compared to the PC group   The results about the MDA, TNF-α, IL-1β, and IL-6 cytokine
            (P = 0.002) (Figure 1G). In parallel with this, hesperetin   levels are shown in  Table  1. PC induction was found to
            administration was determined to cause a statistically   increase local TNF-α expression in the lungs relative to the
            significant reduction in the wet/dry weight ratio compared   control group. Serum IL-1β and IL-6 levels were observed
            to the PC group (P = 0.005) (Figure 1H).           to be significantly increased in the PC group compared

            3.2. Immunohistochemical analyses of iNOS          to  the  control group  (P=0.002).  The  PC  group  exhibited
                                                               a significantly higher level of MDA, a lipid oxidation
            The control group displayed no positive expression of   marker, than the control group. Hesperetin administration
            iNOS, as determined by immunohistochemical means   was observed to cause a significant degree of reduction in
            (Figure 2A). Increased iNOS expression concomitant with   pulmonary MDA and TNF-α along with serum IL-1β and
            increased inflammatory cell infiltration was observed in   IL-6 levels in the PC + hesperetin group (P=0.002).
            alveolar epithelial cells and inflammatory areas in the PC
            group (Figure 2B). In the PC + hesperetin group, iNOS   4. Discussion
            immunoreactivity was observed to be reduced compared   In the present study, the effects of the natural flavonoid
            to the PC group (P = 0.002) (Figure 2C). The mean iNOS-  hesperetin on tissue injury and proinflammatory cytokine
            positive cell counts for the three groups are given in   levels in a rat PC model induced by unilateral blunt chest
            Figure 2D.                                         trauma were investigated using histopathological and




            Volume 3 Issue 2 (2024)                         4                               doi: 10.36922/gtm.2568
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