PMID- 32314290 OWN - NLM STAT- MEDLINE DCOM- 20200710 LR - 20220531 IS - 1614-7499 (Electronic) IS - 0944-1344 (Linking) VI - 27 IP - 18 DP - 2020 Jun TI - The effect of Zataria multiflora on inflammatory cytokine and respiratory symptoms in veterans exposed to sulfur mustard. PG - 22451-22460 LID - 10.1007/s11356-020-08855-5 [doi] AB - The effect of Zataria multiflora (Z. multiflora) on serum cytokine, chemokines, and respiratory symptoms in the veterans exposed to sulfur mustard (SM) more than two decades (27-30 years) ago was conducted in 2018. Thirty-four patients were randomly assigned to the placebo group (P, mean age (54.40 +/- 5.51)) and two treated groups with Z. multiflora extract 5 and 10 mg/kg/day (Z5 and 10; mean age, 58.50 +/- 3.60 and 55.18 +/- 4.11, respectively). Serum levels of tumor necrosis factor (TNF-alpha), monocyte chemotactic protein 1 (MCP-1), vascular endothelial growth factor (VEGF), epidermal growth factor (EGF), forced expiratory volume-one second (FEV(1)), and respiratory symptoms including chest wheeze (CW), night wheeze (NW), night cough (NC), and cough and wheeze during exercise (ECW) were assessed at the baseline (phase 0), 1 and 2 months after starting treatment (phase I and II, respectively). The value of FEV(1) was significantly increased in Z10 in phase I and II compared with that in phase 0 (p < 0.01 for both) and in Z5 in phase II compared with phase I and 0 (p < 0.001for both). All respiratory symptoms significantly decreased in Z5 and 10 in phase I and II compared with those in phase 0 (p < 0.05 to p < 0.001). Serum levels of TNF-alpha and VEGF were decreased in Z5 and 10 in phase I and II compared with those in phase 0 (p < 0.05 to p < 0.001). Serum levels of MCP-1 and EGF were decreased in Z10 in phase I and II compared with those in phase 0 (p < 0.05 to p < 0.001). The percent change of respiratory symptoms, serum levels of cytokines during the treatment period, was significantly improved in the treated groups compared with that in the placebo group. Two months' of treatment with Z. multiflora improved cytokine levels, respiratory symptom, and FEV(1) values in SM-exposed patients. FAU - Khazdair, Mohammad Reza AU - Khazdair MR AD - Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran. AD - Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Rezaeetalab, Fariba AU - Rezaeetalab F AD - COPD Research Center, Department of Internal Medicine, Imam-Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Rafatpanah, Houshang AU - Rafatpanah H AD - Department of Immunology, Immunology Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Boskabady, Mohammad Hossein AU - Boskabady MH AD - Department of Physiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, 9177948564, Iran. boskabadymh@mums.ac.ir. AD - Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, 9177948564, Iran. boskabadymh@mums.ac.ir. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20200420 PL - Germany TA - Environ Sci Pollut Res Int JT - Environmental science and pollution research international JID - 9441769 RN - 0 (Cytokines) RN - 0 (Plant Extracts) RN - 0 (Vascular Endothelial Growth Factor A) RN - T8KEC9FH9P (Mustard Gas) SB - IM MH - *Cytokines MH - Humans MH - *Lung/drug effects/physiopathology MH - Middle Aged MH - *Mustard Gas MH - Plant Extracts MH - Respiratory Function Tests MH - Vascular Endothelial Growth Factor A MH - *Veterans OTO - NOTNLM OT - Chemokine OT - Respiratory symptoms OT - Serum cytokines OT - Sulfur mustard OT - Zataria multiflora EDAT- 2020/04/22 06:00 MHDA- 2020/07/11 06:00 CRDT- 2020/04/22 06:00 PHST- 2018/07/10 00:00 [received] PHST- 2020/04/13 00:00 [accepted] PHST- 2020/04/22 06:00 [pubmed] PHST- 2020/07/11 06:00 [medline] PHST- 2020/04/22 06:00 [entrez] AID - 10.1007/s11356-020-08855-5 [pii] AID - 10.1007/s11356-020-08855-5 [doi] PST - ppublish SO - Environ Sci Pollut Res Int. 2020 Jun;27(18):22451-22460. doi: 10.1007/s11356-020-08855-5. Epub 2020 Apr 20.