XIA De-hong,XI Lei,SHEN Wei-sheng.Anti-radiation effect of Erdosteine on injuries of lungs in patients with lung radiotherapy[J].Chinese Journal of Radiological Medicine and Protection,2007,27(5):488-490
Anti-radiation effect of Erdosteine on injuries of lungs in patients with lung radiotherapy
Received:September 20, 2006  
DOI:
KeyWords:Radiotherapy  Erdosteine  Lung injuries  Tumor necrosis factor
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Author NameAffiliation
XIA De-hong Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China 
XI Lei Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China 
SHEN Wei-sheng Jiangyin Hospital of Medical College, Southeast University, Jiangyin 214400, China 
杨宏志 中山大学医学院第三附属医院 
吴敏慧 陕西省肿瘤医院 
戴敏 中山大学医学院第三附属医院 
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Abstract::
      Objective To observe the anti-radiation effect of Erdosteine on radioprotection of lung and expression of plasma tumor necrosis factor α(TNF-α) in patients with lung radiotherapy. Methods Sixty lung irradiated patients were randomized into control group(30 patients)and therapy group(30 patients). Therapy group was administered with Erdosteine 0.6 g,po,b.i.d,for 3 months. Plasma TNF-α was examined by ELISA before and after radiotherapy.Clinical symptoms,lung function,and high-resolution computed tomography of thorax were evaluated at day 15 after the beginning of radiotherapy. Results At the end of radiotherapy,the level of TNF-α in control group was much higher than that in therapy group(5.06±1.03 ng/ml vs 2.38±0.78 ng/ml,P<0.001).At months 5 and 10 after radiotherapy,patients in the therapy group whose CO diffusion capacity of lung(DLCO) declined were less than those in the control group(P<0.05).Incidence of radiatior pneumonia and lung fibrosis was statistically different between the two groups. Conclusions Erdosteine can inhibit overexpression of plasma TNF-α after radiotherapy,and may reduce the severity of dysfunction lung injury. Erdosteine can prevent and treat the radioactive lung injuries.
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