The effects of N-acetylcysteine on inflammatory and oxidative stress biomarkers: A systematic review and meta-analysis of controlled clinical trials

The effects of N-acetylcysteine on inflammatory and oxidative stress biomarkers: A systematic review and meta-analysis of controlled clinical trials


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نویسندگان: امیرحسین فغفوری , میثم زارع زاده , امید محمد توکلی روزبهانی , نیما رادخواه , علیرضا استاد رحیمی

کلمات کلیدی: N-Acetylcysteine Inflammation Oxidative stress Systematic review Meta-analysis

نشریه: 55157 , 173368 , 884 , 2020

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نویسنده ثبت کننده مقاله علیرضا استاد رحیمی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده تغذیه
کد مقاله 73239
عنوان فارسی مقاله The effects of N-acetylcysteine on inflammatory and oxidative stress biomarkers: A systematic review and meta-analysis of controlled clinical trials
عنوان لاتین مقاله The effects of N-acetylcysteine on inflammatory and oxidative stress biomarkers: A systematic review and meta-analysis of controlled clinical trials
ناشر 8
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Systematic Review Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Prolonged inflammation could be considered as the leading cause of chronic diseases such as cardiovascular disorders, type two diabetes, and obesity. N-acetylcysteine (NAC) is considered an antioxidant. The present meta-analysis aims to determine the efficacy of NAC in alleviating inflammation and oxidative stress. PubMed-Medline, SCOPUS, Web of Science and Embase databases and Google Scholar were searched up to Nov 2019. Random effect analysis was used to perform meta-analysis. Subgroup analyses were carried out to find heterogeneity sources. Meta-regression analysis was used to explore linear relationship between effect size and variables. Trim and fill analysis were performed in case of the presence of publication bias. Quality assessment was performed using Cochrane Collaboration's tool. A total of 28 studies were included in meta-analysis. NAC significantly decreased malondialdehyde (MDA) (SMD = −1.44 μmol/L; 95% CI: −2.05, −0.84; P < 0.001), IL-8 (WMD = −2.56 pg/ml; 95% CI: −3.89, −1.23; P < 0.001) and homocysteine (WMD = −1.45 pg/ml; 95% CI: −2.74, −0.17; P = 0.027) levels. There were no significant effects of NAC supplementation on CRP (SMD = −0.1 g/L; 95% CI: −0.52, 0.32; P = 0.647), TNF- α (WMD = −0.2 pg/ml; 95% CI: −0.65, 0.25; P = 0.378) and IL-6 (WMD = −0.41 pg/ml; 95% CI: −1.15, 0.32; P = 0.270) levels. However, NAC effects were significant in ameliorating TNF-α and IL-6 using sensitivity analysis. NAC significantly decreased MDA, IL-8, and homocysteine levels. The effects of NAC on amending TNF-α and IL-6 levels were significant after sensitivity analysis. No significant change was observed on CRP levels.

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نویسنده نفر چندم مقاله
امیرحسین فغفوریاول
میثم زارع زادهدوم
امید محمد توکلی روزبهانیسوم
نیما رادخواهچهارم
علیرضا استاد رحیمیهشتم

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