Disordered inflammatory and coagulation function also contribute to the adverse clinical effects in severe sepsis and septic shock. However, safflower yellow improved inflammation indices and coagulation function in these patients. It has been found that safflower yellow effectively inhibits expression of mRNA for proinflammatory factors such as TNF-α, IL-1β, and IL-6 and promotes expression of anti-inflammatory factors such as IL-10 [27]. Through anti-inflammatory mechanisms, damage to the lung tissue of patients with sepsis and septic shock caused by inflammatory reaction may be reduced, and increases in permeability of blood capillaries may be inhibited. Safflower yellow may also act by blocking the cascade reaction of cytokines that are activated by this disease and thus inhibit activation and adhesion of neutrophils [12, 13, 21]. Leukocyte counts in the study group were significantly decreased as compared with those in the control group after treatment. The platelet counts in the study group were not significantly decreased, but those in the control group decreased significantly, suggesting safflower yellow inhibits platelet activation and aggregation [28].
Serum creatinine was improved in the study group together with urine volume increases as compared with the control group, consistent with safflower yellow acting to improve renal blood flow and perfusion while conferring no injury to renal function. Safflower yellow had no effects on liver function, and after treatment there were no statistically significant differences in bilirubin levels between groups, demonstrating safflower yellow has no hepatotoxicity (Table 3). Employment of safflower yellow thus appears to be safe and effective in the treatment of severe sepsis and septic shock.
Disordered inflammatory and coagulation function also contribute to the adverse clinical effects in severe sepsis and septic shock. However, safflower yellow improved inflammation indices and coagulation function in these patients. It has been found that safflower yellow effectively inhibits expression of mRNA for proinflammatory factors such as TNF-α, IL-1β, and IL-6 and promotes expression of anti-inflammatory factors such as IL-10 [27]. Through anti-inflammatory mechanisms, damage to the lung tissue of patients with sepsis and septic shock caused by inflammatory reaction may be reduced, and increases in permeability of blood capillaries may be inhibited. Safflower yellow may also act by blocking the cascade reaction of cytokines that are activated by this disease and thus inhibit activation and adhesion of neutrophils [12, 13, 21]. Leukocyte counts in the study group were significantly decreased as compared with those in the control group after treatment. The platelet counts in the study group were not significantly decreased, but those in the control group decreased significantly, suggesting safflower yellow inhibits platelet activation and aggregation [28].Serum creatinine was improved in the study group together with urine volume increases as compared with the control group, consistent with safflower yellow acting to improve renal blood flow and perfusion while conferring no injury to renal function. Safflower yellow had no effects on liver function, and after treatment there were no statistically significant differences in bilirubin levels between groups, demonstrating safflower yellow has no hepatotoxicity (Table 3). Employment of safflower yellow thus appears to be safe and effective in the treatment of severe sepsis and septic shock.
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