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Commentary| Volume 176, ISSUE 1, e5-e7, July 2012

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Curcumin for the Prevention of Acute Lung Injury in Sepsis: Is It More Than the Flavor of the Month?

  • I. Michael Leitman
    Correspondence
    To whom correspondence and reprint requests should be addressed at Department of Surgery, Beth Israel Medical Center, Philips Ambulatory Care Center, 10 Union Square East, Suite 2M, New York, NY 10003.
    Affiliations
    Department of Surgery, Beth Israel Medical Center, Philips Ambulatory Care Center, 10 Union Square East, Suite 2M, New York, NY
    Search for articles by this author
Published:December 21, 2011DOI:https://doi.org/10.1016/j.jss.2011.11.1034
      Curcumin is found in the popular spice turmeric, which is a member of the ginger family. It gives curry its bright yellow color and it is even used as a food color [
      • Kolev T.M.
      DFT and experimental studies of the structure and vibrational spectra of curcumin.
      ]. It has been used for thousands of years as a Chinese and Indian herbal medication [

      Food Standards Australia New Zealand. Food Additives-Numerical List. Accessed November 27, 2011.

      ]. Curcumin has long been known to have anti-inflammatory properties since the 1950s, especially in murine models. Tham and co-workers demonstrated that a curcuminoid substance reduced the lethality in induced abdominal sepsis in mice [
      • Tham C.L.
      • Lam K.W.
      • Rajajendram R.
      • et al.
      The effects of a synthetic curcuminoid analogue, 2,6-bis-(4-hydroxyl-3-methoxybenzylidine)cyclohexanone on proinflammatory signaling pathways and CLP-induced lethal sepsis in mice.
      ]. The mechanism might be due to up-regulation of peroxisome proliferator-activated receptor (PPAR)-gamma, an anti-inflammatory nuclear receptor. In one study, a bolus injection of curcumin given to rats reduced mortality by this mechanism [
      • Siddiqui A.M.
      • Cui X.
      • Wu R.
      • et al.
      The anti-inflammatory effect of curcumin in an experimental model of sepsis is mediated by up-regulation of peroxisome proliferator-activated receptor-γ.
      ]. It has also been found to have activity in alleviating the chronic changes in asthma [
      • Karaman M.
      • Firinci F.
      • Cilaker S.
      • et al.
      Anti-inflammatory effects of curcumin in a murine model of chronic asthma.
      ]. Also, its anti-inflammatory effect appears to be responsible for curcumin's ability to prevent pulmonary toxicity from paraquat [
      • Venkatesan N.
      Pulmonary protective effects of curcumin against paraquat toxicity.
      ]. It has also been shown to reduce pulmonary toxicity from bleomycin and oleic acid [
      • Smith M.R.
      • Gangireddy S.R.
      • Narala V.R.
      • et al.
      Curcumin inhibits fibrosis-related effects in IPF fibroblasts and in mice following bleomycin-induced lung injury.
      ,
      • Zhu R.F.
      • Zhou M.
      • He J.L.
      • et al.
      Protective effect of curcumin on oleic-induced acute lung injury in rats.
      ]. Others have also shown the prevention of acute lung injury due to sepsis. Lian and colleagues demonstrated that curcumin reduced endotoxin-mediated lung injury in a rat model [
      • Lian Q.
      • Li X.
      • Shang Y.
      • et al.
      Protective effect of curcumin on endotoxin-induced acute lung injury in rats.
      ]. It may also have an effect as an oxygen radical scavenger [
      • Barzegar A.
      • Moosavi-Movahedi A.A.
      Intracellular ROS protection efficiency and free radical-scavenging activity of curcumin.
      ]. In studies examining prevention of radiation-induced lung injury, dietary curcumin was found to ameliorate pulmonary fibrosis and increased mouse survival while not impairing tumor cell killing by radiation [
      • Lee J.C.
      • Kinniry P.A.
      • Arguiri E.
      • et al.
      Dietary curcumin increases antioxidant defenses in lung, ameliorates radiation-induced pulmonary fibrosis, and improves survival in mice.
      ]. In an article previously published in the Journal of Surgical Research, Liu et al. demonstrated that curcumin helped to prevent cardiopulmonary bypass induced lung injury [
      • Liu K.
      • Shen L.
      • Wang J.
      • et al.
      The preventative role of curcumin on the lung inflammatory response induced by cardiopulmonary bypass in rats.
      ]. Unfortunately, the poor solubility of curcumin, due to its hydrophobic property and preferential interaction with lipid membranes, limits its bioavailability and clinical efficacy. To increase its solubility and bioavailability, Sun and co-workers have demonstrated increased efficacy in preventing lung injury in experimental sepsis in mice through encapsulation in liposomes [
      • Sun D.
      • Zhuang X.
      • Xiang X.
      • et al.
      A novel nanoparticle drug delivery system: The anti-inflammatory activity of curcumin is enhanced when encapsulated in exosomes.
      ]. Others have shown that injection of Sertoli cells, preloaded with curcumin, reduces the incidence of oxidative injury to the lung and ARDS in a lung transplantation model [
      • Kumar A.
      • Glaum M.
      • El-Badri N.
      • et al.
      Initial observations of cell-mediated drug delivery to the deep lung.
      ]. Also, on a cellular level, pretreatment with curcumin modulates leukocyte and platelet adhesion improves survival in mice sepsis [
      • Vachharajani V.
      • Wang S.
      • Mishra N.
      Curcumin modulates leukocyte and platelet adhesion in murine sepsis.
      ].
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      References

        • Kolev T.M.
        DFT and experimental studies of the structure and vibrational spectra of curcumin.
        Int J Quantum Chem (Wiley Periodicals). 2005; 102: 1069
      1. Food Standards Australia New Zealand. Food Additives-Numerical List. Accessed November 27, 2011.

        • Tham C.L.
        • Lam K.W.
        • Rajajendram R.
        • et al.
        The effects of a synthetic curcuminoid analogue, 2,6-bis-(4-hydroxyl-3-methoxybenzylidine)cyclohexanone on proinflammatory signaling pathways and CLP-induced lethal sepsis in mice.
        Eur J Pharmacol. 2011; 652: 136
        • Siddiqui A.M.
        • Cui X.
        • Wu R.
        • et al.
        The anti-inflammatory effect of curcumin in an experimental model of sepsis is mediated by up-regulation of peroxisome proliferator-activated receptor-γ.
        Crit Care Med. 2006; 34: 1874
        • Karaman M.
        • Firinci F.
        • Cilaker S.
        • et al.
        Anti-inflammatory effects of curcumin in a murine model of chronic asthma.
        Allergol Immunopathol (Madr). 2011; (in press)
        • Venkatesan N.
        Pulmonary protective effects of curcumin against paraquat toxicity.
        Life Sci. 2000; 66: PL21
        • Smith M.R.
        • Gangireddy S.R.
        • Narala V.R.
        • et al.
        Curcumin inhibits fibrosis-related effects in IPF fibroblasts and in mice following bleomycin-induced lung injury.
        Am J Physiol Lung Cell Mol Physiol. 2010; 298: L616
        • Zhu R.F.
        • Zhou M.
        • He J.L.
        • et al.
        Protective effect of curcumin on oleic-induced acute lung injury in rats.
        Zhongguo Zhong Yao Za Zhi. 2008; 33: 2141
        • Lian Q.
        • Li X.
        • Shang Y.
        • et al.
        Protective effect of curcumin on endotoxin-induced acute lung injury in rats.
        J Huazhong Univ Sci Technolog Med Sci. 2006; 26: 678
        • Barzegar A.
        • Moosavi-Movahedi A.A.
        Intracellular ROS protection efficiency and free radical-scavenging activity of curcumin.
        PLoS One. 2011; 6: e26012
        • Lee J.C.
        • Kinniry P.A.
        • Arguiri E.
        • et al.
        Dietary curcumin increases antioxidant defenses in lung, ameliorates radiation-induced pulmonary fibrosis, and improves survival in mice.
        Radiat Res. 2010; 173: 590
        • Liu K.
        • Shen L.
        • Wang J.
        • et al.
        The preventative role of curcumin on the lung inflammatory response induced by cardiopulmonary bypass in rats.
        J Surg Res. 2012; 174: 73
        • Sun D.
        • Zhuang X.
        • Xiang X.
        • et al.
        A novel nanoparticle drug delivery system: The anti-inflammatory activity of curcumin is enhanced when encapsulated in exosomes.
        Mol Ther. 2010; 18: 1606
        • Kumar A.
        • Glaum M.
        • El-Badri N.
        • et al.
        Initial observations of cell-mediated drug delivery to the deep lung.
        Cell Transplant. 2011; 20: 609
        • Vachharajani V.
        • Wang S.
        • Mishra N.
        Curcumin modulates leukocyte and platelet adhesion in murine sepsis.
        Microcirculation. 2010; 17: 407
        • Chainani-Wu N.
        Safety and anti-inflammatory activity of curcumin: A component of tumeric (Curcuma longa).
        J Altern Complement Med. 2003; 9: 161
        • Hu M.
        • Du Q.
        • Vancurova I.
        • et al.
        Proapoptotic effect of curcumin on human neutrophils: Activation of the p38 mitogen-activated protein kinase pathway.
        Crit Care Med. 2005; 33: 2571
        • Misra J.
        • Chanda D.
        • Kim D.K.
        • et al.
        Curcumin differentially regulates endoplasmic reticulum stress through transcriptional corepressor SMILE (small heterodimer partner-interacting leucine zipper protein)-mediated inhibition of CREBH (cAMP responsive element-binding protein H).
        J Biol Chem. 2011; 286: 41972
        • Yun S.S.
        • Kim S.P.
        • Kang M.Y.
        • et al.
        Inhibitory effect of curcumin on liver injury in a murine model of endotoxemic shock.
        Biotechnol Lett. 2010; 32: 209
        • Lukita-Atmadja W.
        • Ito Y.
        • Baker G.L.
        • et al.
        Effect of curcuminoids as anti-inflammatory agents on the hepatic microvascular response to endotoxin.
        Shock. 2002; 17: 399
        • Singh R.
        • Sharma P.
        Hepatoprotective effect of curcumin on lindane-induced oxidative stress in male Wistar rats.
        Toxicol Int. 2011; 18: 124
        • Sompamit K.
        • Kukongviriyapan U.
        • Nakmareong S.
        • et al.
        Curcumin improves vascular function and alleviates oxidative stress in non-lethal lipopolysaccharide-induced endotoxemia in mice.
        Eur J Pharmacol. 2009; 616: 192
        • Memis D.
        • Hekimoglu S.
        • Sezer A.
        • et al.
        Curcumin attenuates the organ dysfunction caused by endotoxemia in the rat.
        Nutrition. 2008; 24: 1133
        • Xiao X.
        • Yang M.
        • Sun D.
        • Sun S.
        • et al.
        Curcumin protects against sepsis-induced acute lung injury in rats.
        J Surg Res. 2012; 176: e31

      Linked Article

      • Curcumin Protects Against Sepsis-Induced Acute Lung Injury in Rats
        Journal of Surgical ResearchVol. 176Issue 1
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          The present study aimed to investigate the effect of curcumin on sepsis-induced acute lung injury (ALI) in rats, and explore its possible mechanisms. Male Sprague-Dawley rats were randomly divided into the following five experimental groups (n = 20 per group): animals undergoing a sham cecal ligature puncture (CLP) (sham group); animals undergoing CLP (control group); or animals undergoing CLP and treated with vehicle (vehicle group), curcumin at 50 mg/kg (low-dose curcumin [L-Cur] group), or curcumin at 200 mg/kg (high-dose curcumin [H-Cur] group).At 6, 12, 24 h after CLP, blood, bronchoalveolar lavage fluid (BALF) and lung tissue were collected.
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