Acute Enteritis, in most cases is defined as a condition of
inflammation of the small intestine as a result of eating and drinking
contaminated water and foods infected by virus and bacteria. But
according to the study by the University Hospital Aintree, chronic
radiation enteritis
is an increasing problem, as more patients receive radiotherapy as part
of their cancer therapy and as the long-term survival of these patients
improves(a). Other study indicated that acute radiation enteritis
is almost inevitable in the curative treatment of malignant tumors of
the abdomen and pelvic area. It is frequently a self-limiting disorder
of intestinal function associated with reversible mucosal changes of the
intestine(b). The prevalence of the disease although is decreasing, it
still affects millions (approx 1 in 83 or 1.20% or 3.3 million people
in USA ) of people in the U.S alone, according to the statistic. Chronic enteritis is a condition of inflammation caused by other health conditions, such as Crohn's or celiac disease.
Antioxidants to prevent Enteritis
1. Melatonin
In the study to tests the hypothesis that "the intake of melatonin can
minimize the morphological features of cell damage associated with
radiation enteritis", conducted by the
Assuit University, Assuit, Egypt, found that Administration of melatonin
prior to irradiation can protect the intestine against X-rays
destructive effects, i.e. radiation enteritis(44).
2. Cu/Zn-superoxide dismutase (SOD1)
In the study to analyze the therapeutic value of Cu/Zn-superoxide
dismutase (SOD1) supplementation in an experimental model of
radiation-induced intestinal inflammation and explore its mechanistic
effects, showed that Treatment with SOD1 decreases oxidative stress and
adhesion molecule upregulation in response to abdominal irradiation.
This is associated with an attenuation of the radiation-induced
intestinal inflammatory response(45).
3. Vitamin A
Vitamin is a free radical scavenger. It emhances the immune system in
fighting against forming of free radicals and foreign invasion. In the
study to examine Serum retinol, retinyl palmitate, and total vitamin A
concentrations, and jejunoileal morphology in neonatal calves infected
with Cryptosporidium parvum, showed that
Cryptosporidium parvum infection was associated with significant (P <
or = 0.05) reduction in postadministration serum retinol, retinyl
palmitate, and total vitamin A concentrations in calves of groups 2, 3,
and 4. Cryptosporidium parvum infection caused significant (P < or =
0.05) reduction in villus height. Decreased villus height, villus
blunting and fusion, and attenuation of the intestinal mucosa were
associated with reduced absorption of vitamin A, as indicated by lower
peak postadministration retinyl palmitate concentration in C
parvum-infected calves(46).
4. Vitamin E
In the study to the effects of a nonenzymatic oxygen radical scavenger (vitamin E) and an exogenous PGE1 analog known to increase mucosal blood flow (misoprostol) on acute radiation enteritis
in rats, showed that ionizing radiation reduces in vivo intestinal
fluid absorption without significant changes in histologic or
morphometric appearance. Treatment with vitamin E,
but not misoprostol, protects gastrointestinal mucosa against
radiation-induced absorptive injury(47). Other study showed that
selenium, vitamin E and selenium plus vitamin E
pretreatments prior to whole abdominal irradiation on intestinal injury
may have some beneficial effects against irradiation-induced intestinal
injury(48).
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Sources
(a) http://www.ncbi.nlm.nih.gov/pubmed/19897345
(b) http://www.ncbi.nlm.nih.gov/pubmed/3310287
(44) http://www.ncbi.nlm.nih.gov/pubmed/18762261
(45) http://www.ncbi.nlm.nih.gov/pubmed/15752897
(46) http://www.ncbi.nlm.nih.gov/pubmed/1456546
(47) http://www.ncbi.nlm.nih.gov/pubmed/1735337
(48) http://www.ncbi.nlm.nih.gov/pubmed/10821115
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