Skip to main content
Erschienen in: Supportive Care in Cancer 6/2016

23.12.2015 | Original Article

Topical application of Aloe vera and vitamin E on induced ulcers on the tongue of rats subjected to radiation: clinical and histological evaluation

verfasst von: Letícia de Freitas Cuba, Aroldo Braga Filho, Karen Cherubini, Fernanda Gonçalves Salum, Maria Antonia Zancanaro de Figueiredo

Erschienen in: Supportive Care in Cancer | Ausgabe 6/2016

Einloggen, um Zugang zu erhalten

Abstract

Objective

The aim of this study is to assess the effect of two types of antioxidants, vitamin E (VE) and Aloe vera (AV), on healing of induced oral lesions after radiation in a murine model by clinical and histological analysis.

Methods

The animals were randomly divided into three groups of 12 animals each (400 mg VE, 70 % AV and control) and two time periods (5 and 7 days). They were irradiated with a single dose of 30 Gy, and after 24 h, a lesion was produced on the ventral tongue of each animal. The products were applied daily in their respective group until euthanasia.

Results

On clinical analysis, there was a higher frequency of lesions in the animals of the control group at both periods. The area of the lesions was also greater in the control group compared with the groups AV and VE (5 days p = 0.006; 7 days p = 0.002). On microscopic analysis, the degree of inflammation differed between the study groups and experimental periods. At 5 days, the statistical difference was not significant among the groups evaluated, but at 7 days, animals in the control group showed intense inflammation, while those in groups VE and AV exhibited mild to moderate inflammation (p = 0.002).

Conclusion

The results suggest that VE and AV contributed to the decrease in inflammatory response and healing of the lesions induced on the tongue of rats subjected to radiation.
Literatur
1.
Zurück zum Zitat Tolentino ES, Centurion BS, Ferreira LHC, Souza AP, Damante JH, Rubira-Bullen IRF (2011) Oral adverse effects of head and neck radiotherapy: literature review and suggestion of a clinical oral care guideline for irradiated patients. J Appl Oral Sci 19:448–454. doi:10.1590/S1678-77572011000500003 CrossRefPubMedCentral Tolentino ES, Centurion BS, Ferreira LHC, Souza AP, Damante JH, Rubira-Bullen IRF (2011) Oral adverse effects of head and neck radiotherapy: literature review and suggestion of a clinical oral care guideline for irradiated patients. J Appl Oral Sci 19:448–454. doi:10.​1590/​S1678-7757201100050000​3 CrossRefPubMedCentral
2.
4.
Zurück zum Zitat Deboni ALS, Giordani AJ, Lopes NNF, Dias RS, Segreto RA, Jensen SB, Segreto HRC (2012) Long-term oral effects in patients treated with radiochemotherapy for head and neck cancer. Support Care Cancer 20:2903–2911. doi:10.1007/s00520-012-1418-7 CrossRefPubMed Deboni ALS, Giordani AJ, Lopes NNF, Dias RS, Segreto RA, Jensen SB, Segreto HRC (2012) Long-term oral effects in patients treated with radiochemotherapy for head and neck cancer. Support Care Cancer 20:2903–2911. doi:10.​1007/​s00520-012-1418-7 CrossRefPubMed
5.
Zurück zum Zitat Worthington HV, Clarkson JE, Bryan G, Furness S, Glenny AM, Littlewood A, McCabe MG, Meyer S, Khalid T (2011) Interventions for preventing oral mucositis for patients with cancer receiving treatment (Review). The Cochrane Library 4:1–75. doi:10.1002/14651858.CD000978.pub5 Worthington HV, Clarkson JE, Bryan G, Furness S, Glenny AM, Littlewood A, McCabe MG, Meyer S, Khalid T (2011) Interventions for preventing oral mucositis for patients with cancer receiving treatment (Review). The Cochrane Library 4:1–75. doi:10.​1002/​14651858.​CD000978.​pub5
6.
Zurück zum Zitat Bey A, Ahmer SS, Hussain B, Devi S, Hashmi SH (2012) Prevention and management of antineoplastic therapy induced oral mucositis. Natl J Maxillofac Surg 1:127–134. doi:10.4103/0975-5950.79214 Bey A, Ahmer SS, Hussain B, Devi S, Hashmi SH (2012) Prevention and management of antineoplastic therapy induced oral mucositis. Natl J Maxillofac Surg 1:127–134. doi:10.​4103/​0975-5950.​79214
7.
8.
Zurück zum Zitat Li E, Trovato JA (2012) New developments in management of oral mucositis in patients with head and neck cancer or receiving targeted anticancer therapies. Am J Health Syst Pharm 69:1031–1037. doi:10.2146/ajhp100531 CrossRefPubMed Li E, Trovato JA (2012) New developments in management of oral mucositis in patients with head and neck cancer or receiving targeted anticancer therapies. Am J Health Syst Pharm 69:1031–1037. doi:10.​2146/​ajhp100531 CrossRefPubMed
11.
Zurück zum Zitat Sonis ST, Elting LS, Keefe D, Peterson D, Schubert M, Hauer-Jensen M et al (2004) Perspective on cancer therapy-induced mucosal injury—pathogenesis, measurement, epidemiology, and consequences for patients. Cancer 100:1995–2024. doi:10.1002/cncr.2016 CrossRefPubMed Sonis ST, Elting LS, Keefe D, Peterson D, Schubert M, Hauer-Jensen M et al (2004) Perspective on cancer therapy-induced mucosal injury—pathogenesis, measurement, epidemiology, and consequences for patients. Cancer 100:1995–2024. doi:10.​1002/​cncr.​2016 CrossRefPubMed
12.
16.
Zurück zum Zitat Urbain P, Raynor A, Bertz H, Lambert C, Biesalski HK (2012) Role of antioxidants in buccal mucosa cells and plasma on the incidence and severity of oral mucositis after allogeneic hematopoietic cell transplantation. Support Care Cancer 20:1831–1838. doi:10.1007/s00520-011-1284-8 CrossRefPubMed Urbain P, Raynor A, Bertz H, Lambert C, Biesalski HK (2012) Role of antioxidants in buccal mucosa cells and plasma on the incidence and severity of oral mucositis after allogeneic hematopoietic cell transplantation. Support Care Cancer 20:1831–1838. doi:10.​1007/​s00520-011-1284-8 CrossRefPubMed
18.
Zurück zum Zitat Felemovicius I, Bonsack ME, Baptista ML, Delaney JP (1995) Intestinal radioprotection by vitamin E (Alpha-Tocopherol). Ann Surg 4:504–510CrossRef Felemovicius I, Bonsack ME, Baptista ML, Delaney JP (1995) Intestinal radioprotection by vitamin E (Alpha-Tocopherol). Ann Surg 4:504–510CrossRef
20.
Zurück zum Zitat Ferreira PR, Fleck JF, Diehl A, Barletta D, Braga-Filho A, Barletta A, Ilha L (2004) Protective effect of alpha-tocopherol in head and neck cancer radiation-induced mucositis: a double-blind randomized trial. Head Neck 26:313–321. doi:10.1002/hed.10382 CrossRefPubMed Ferreira PR, Fleck JF, Diehl A, Barletta D, Braga-Filho A, Barletta A, Ilha L (2004) Protective effect of alpha-tocopherol in head and neck cancer radiation-induced mucositis: a double-blind randomized trial. Head Neck 26:313–321. doi:10.​1002/​hed.​10382 CrossRefPubMed
21.
Zurück zum Zitat Su CK, Mehta V, Ravikumar L, Shah R, Pinto H, Halpern J et al (2004) Phase II double-blind randomized study comparing oral aloe vera versus placebo to prevent radiation-related mucositis in patients with head-and-neck neoplasms. Int J Radiat Oncol Biol Phys 60:171–177. doi:10.1016/j.ijrobp.2004.02.012 CrossRefPubMed Su CK, Mehta V, Ravikumar L, Shah R, Pinto H, Halpern J et al (2004) Phase II double-blind randomized study comparing oral aloe vera versus placebo to prevent radiation-related mucositis in patients with head-and-neck neoplasms. Int J Radiat Oncol Biol Phys 60:171–177. doi:10.​1016/​j.​ijrobp.​2004.​02.​012 CrossRefPubMed
24.
Zurück zum Zitat Sahebjamee M, Mansourian A, Mohammad MH, Zadeh MT, Bekhradi R, Kazemian A, Manifar S, Ashnagar S, Doroudgar K (2014) Comparative efficacy of aloe vera and benzydamine mouthwashes on radiation-induced oral mucositis: a triple-blind, randomised, controlled clinical trial. Oral Health Prev Dent. doi:10.3290/j.ohpd.a33091 Sahebjamee M, Mansourian A, Mohammad MH, Zadeh MT, Bekhradi R, Kazemian A, Manifar S, Ashnagar S, Doroudgar K (2014) Comparative efficacy of aloe vera and benzydamine mouthwashes on radiation-induced oral mucositis: a triple-blind, randomised, controlled clinical trial. Oral Health Prev Dent. doi:10.​3290/​j.​ohpd.​a33091
25.
Zurück zum Zitat Lalla RV, Bowen J, Barasch A, Elting L, Epstein J, Keefe DM, McGuire DB, Migliorati C, Nicolatou-Galitis O, Peterson DE, Raber-Durlacher JE, Sonis ST, Elad S, Mucositis Guidelines Leadership Group of the Multinational Association of Supportive Care in Cancer and International Society of Oral Oncology (MASCC/ISOO) (2014) MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer 10:1453–61. doi:10.1002/cncr.28592, Review. Erratum in: Cancer. 2015 Apr 15;121(8):1339CrossRef Lalla RV, Bowen J, Barasch A, Elting L, Epstein J, Keefe DM, McGuire DB, Migliorati C, Nicolatou-Galitis O, Peterson DE, Raber-Durlacher JE, Sonis ST, Elad S, Mucositis Guidelines Leadership Group of the Multinational Association of Supportive Care in Cancer and International Society of Oral Oncology (MASCC/ISOO) (2014) MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer 10:1453–61. doi:10.​1002/​cncr.​28592, Review. Erratum in: Cancer. 2015 Apr 15;121(8):1339CrossRef
27.
28.
31.
Zurück zum Zitat Uçüncü H, Ertekin MV, Yörük O, Sezen O, Ozkan A, Erdoğan F et al (2006) Vitamin E and l-carnitine, separately or in combination, in the prevention of radiation-induced oral mucositis and myelosuppression: a controlled study in a rat model. J Radiat Res 47:91–102. doi:10.1269/jrr.47.91 CrossRefPubMed Uçüncü H, Ertekin MV, Yörük O, Sezen O, Ozkan A, Erdoğan F et al (2006) Vitamin E and l-carnitine, separately or in combination, in the prevention of radiation-induced oral mucositis and myelosuppression: a controlled study in a rat model. J Radiat Res 47:91–102. doi:10.​1269/​jrr.​47.​91 CrossRefPubMed
32.
Zurück zum Zitat Santos SB (2009) O efeito da vitamina E e do selênio na prevenção da mucosite em pacientes com tumores malignos nas vias aerodigestivas superiores submetidos a radioterapia, concomitantemente ou não com quimioterapia. Dissertation, Faculdade de Medicina da Universidade de São Paulo Santos SB (2009) O efeito da vitamina E e do selênio na prevenção da mucosite em pacientes com tumores malignos nas vias aerodigestivas superiores submetidos a radioterapia, concomitantemente ou não com quimioterapia. Dissertation, Faculdade de Medicina da Universidade de São Paulo
33.
Zurück zum Zitat Dörr W, Schlichting S, Bray MA, Flockhart IR, Hopewell JW (2005) Effects of dexpanthenol with or without aloe vera extract on radiation-induced oral mucositis: preclinical studies. Int J Radiat Biol 81:243–250. doi:10.1080/09553000500103033 CrossRefPubMed Dörr W, Schlichting S, Bray MA, Flockhart IR, Hopewell JW (2005) Effects of dexpanthenol with or without aloe vera extract on radiation-induced oral mucositis: preclinical studies. Int J Radiat Biol 81:243–250. doi:10.​1080/​0955300050010303​3 CrossRefPubMed
34.
Zurück zum Zitat Yarom N, Ariyawardana A, Hovan A, Barasch A, Jarvis V, Jensen SB et al (2013) Systematic review of natural agents for the management of oral mucositis in cancer patients. Support Care Cancer 21:3209–3221. doi:10.1007/s00520-013-1869-5 CrossRefPubMed Yarom N, Ariyawardana A, Hovan A, Barasch A, Jarvis V, Jensen SB et al (2013) Systematic review of natural agents for the management of oral mucositis in cancer patients. Support Care Cancer 21:3209–3221. doi:10.​1007/​s00520-013-1869-5 CrossRefPubMed
35.
Zurück zum Zitat Bossi PL, Numico G, De Santis V, Ruo Redda MG, Reali A, Belgioia L et al (2014) Prevention and treatment of oral mucositis in patients with head and neck cancer treated with (chemo) radiation: report of an Italian survey. Support Care Cancer 22:1889–1896. doi:10.1007/s00520-014-2166-7 PubMed Bossi PL, Numico G, De Santis V, Ruo Redda MG, Reali A, Belgioia L et al (2014) Prevention and treatment of oral mucositis in patients with head and neck cancer treated with (chemo) radiation: report of an Italian survey. Support Care Cancer 22:1889–1896. doi:10.​1007/​s00520-014-2166-7 PubMed
36.
Zurück zum Zitat Speksnijder CM, van der Bilt A, van der Glas HW, Koole R, Merkx MA (2011) Tongue function in patients treated for malignancies in tongue and/or floor of mouth; a one year prospective study. Int J Oral Maxillofac Surg 40:1388–1394. doi:10.1016/j.ijom.2011.09.003 PubMed Speksnijder CM, van der Bilt A, van der Glas HW, Koole R, Merkx MA (2011) Tongue function in patients treated for malignancies in tongue and/or floor of mouth; a one year prospective study. Int J Oral Maxillofac Surg 40:1388–1394. doi:10.​1016/​j.​ijom.​2011.​09.​003 PubMed
Metadaten
Titel
Topical application of Aloe vera and vitamin E on induced ulcers on the tongue of rats subjected to radiation: clinical and histological evaluation
verfasst von
Letícia de Freitas Cuba
Aroldo Braga Filho
Karen Cherubini
Fernanda Gonçalves Salum
Maria Antonia Zancanaro de Figueiredo
Publikationsdatum
23.12.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 6/2016
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-015-3048-3

Weitere Artikel der Ausgabe 6/2016

Supportive Care in Cancer 6/2016 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.