Carvacrol ameliorates haematological parameters, oxidant/antioxidant biomarkers and pulmonary function tests in patients with sulphur mustard-induced lung disorders: A randomized double-blind clinical trial

J Clin Pharm Ther. 2018 Oct;43(5):664-674. doi: 10.1111/jcpt.12684. Epub 2018 Mar 25.

Abstract

What is known and objective: In this study, the effect of carvacrol (CAR) on pulmonary function tests (PFT), haematological indices and oxidant/antioxidant biomarkers in patients with sulphur mustard (SM)-induced lung disorders was examined.

Methods: Twenty patients exposed to SM 27-30 years ago were divided into two groups and treated with either placebo (P) or CAR (1.2 mg/kg per day) (n = 10 for each group). Forced vital capacity (FVC), peak expiratory flow (PEF), total and different white blood cell (WBC), haematological parameters and oxidant/antioxidant biomarkers were measured at the baseline (step 0), one and two months (steps I and II, respectively) after starting the treatment.

Results and discussion: PEF was significantly increased in the CAR-treated group in step II compared to step 0 (P < .01). Total WBC (P < .01) and neutrophil (P < .05) count in the CAR-treated group were significantly decreased in the group in steps I and II (P < .01 for both cases) compared to step 0. The levels of thiol, superoxide dismutase and catalase in the CAR-treated group were significantly increased (P < .05 to P < .001) in steps I and II, but malondialdehyde significantly decreased in step II compared to step 0 (P < .01). The percentage of total and differential WBC, oxidant/antioxidant biomarkers, FVC and PEF values following a two-month treatment period were significantly improved in the CAR-treated group compared to the placebo group (P < .05 to P < .001).

What is new and conclusion: Two-month treatment with CAR reduced inflammatory cells and oxidant biomarkers, whereas increased antioxidant biomarkers and improved PFT tests in SM-exposed patients.

Keywords: carvacrol; haematological indices; oxidant/antioxidant markers; pulmonary function tests; sulphur mustard.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Antioxidants / metabolism*
  • Biomarkers / metabolism*
  • Catalase / metabolism
  • Cymenes
  • Double-Blind Method
  • Humans
  • Lung Diseases / chemically induced*
  • Lung Diseases / drug therapy*
  • Male
  • Middle Aged
  • Monoterpenes / therapeutic use*
  • Mustard Gas / pharmacology*
  • Oxidants / metabolism*
  • Respiratory Function Tests / methods
  • Superoxide Dismutase / metabolism

Substances

  • Antioxidants
  • Biomarkers
  • Cymenes
  • Monoterpenes
  • Oxidants
  • carvacrol
  • Catalase
  • Superoxide Dismutase
  • Mustard Gas