|Year : 2017 | Volume
| Issue : 5 | Page : 523-529
Harmful effects of formaldehyde and possible protective effect of Nigella sativa on the trachea of rats
E Sapmaz1, HI Sapmaz2, N Vardi3, U Tas2, M Sarsilmaz4, Y Toplu5, A Arici6, M Uysal2
1 Department of Otorhinolaryngology, Faculty of Medicine, Gaziosmanpasa University, Tokat, Turkey
2 Department of Anatomy, Faculty of Medicine, Gaziosmanpasa University, Tokat, Turkey
3 Department of Histology-Embryology, Faculty of Medicine, Inonu University, Malatya, Turkey
4 Department of Anatomy, Faculty of Medicine, Sifa University, Izmir, Turkey
5 Department of Otorhinolaryngology, Faculty of Medicine, Inonu University, Malatya, Turkey
6 Department of Pathology, Faculty of Medicine, Gaziosmanpasa University, Tokat, Turkey
|Date of Acceptance||25-Apr-2016|
|Date of Web Publication||17-May-2017|
Department of Otorhinolaryngology, Faculty of Medicine, Gaziosmanpasa University, Tokat
Source of Support: None, Conflict of Interest: None
| Abstract|| |
Objective: We aimed in this study to investigate the harmful effects of formaldehyde (FA) inhalation and possible protective effects of Nigella sativa (NS) on rats' trachea. Materials and Methods: In this study, 63 adult male rats were used. Animals were divided into nine groups. Group I was used as control group. All other groups were exposed to FA inhalation. Group III, V, VII, and IX were administered NS by gavage. Tissues were examined histologically, and immunohistochemical examination for Bax and caspase-3 immunoreactivity was carried out. Results: Our study demonstrated that FA caused apoptosis in the tracheal epithelial cells. The most apoptotic activity occurred at a 10 ppm dose in a 13-week exposure. Distortion of tracheal epithelium and cilia loss on epithelial surface was present in all groups. However, NS treated Groups VII and IX had decreased apoptotic activity and lymphoid infiltration and protected the epithelial structure, despite some shedded areas. Difference of tracheal epithelial thickness and histological score was statistically significant between Group VI–VII and VIII–IX. Conclusion: FA induces apoptosis and tracheal epithelial damage in rats, and chronic administration of NS can be used to prevent FA-induced apoptosis and epithelial damage.
Keywords: Apoptosis, formaldehyde, Nigella sativa, rat, trachea
|How to cite this article:|
Sapmaz E, Sapmaz H I, Vardi N, Tas U, Sarsilmaz M, Toplu Y, Arici A, Uysal M. Harmful effects of formaldehyde and possible protective effect of Nigella sativa on the trachea of rats. Niger J Clin Pract 2017;20:523-9
|How to cite this URL:|
Sapmaz E, Sapmaz H I, Vardi N, Tas U, Sarsilmaz M, Toplu Y, Arici A, Uysal M. Harmful effects of formaldehyde and possible protective effect of Nigella sativa on the trachea of rats. Niger J Clin Pract [serial online] 2017 [cited 2018 Apr 22];20:523-9. Available from: http://www.njcponline.com/text.asp?2017/20/5/523/183253
| Introduction|| |
Formaldehyde (FA) is the simplest member of aldehyde family; it is a chemical with high solubility and an irritant. FA that is found in the natural system of organism and it is used commonly in daily life for many purposes by reason of its chemical properties.,, FA has detrimental effects on the human body, particularly on the ocular and respiratory system, but it also affects the nervous and genital system.,, Previous studies claimed that FA demonstrates this effect causes the generation of reactive oxygen species (ROS) that cause apoptosis and necrosis, resulting in lipid peroxidation and metabolic alterations., Further, the carcinogenic and immunosuppressive effects of FA are well known.,,,
Nigella sativa (NS) is a plant from Ranunculaceae family, it is used, especially in Middle Eastern, North Africa, and Asia. NS has antimicrobial, anthelmintic antioxidant, and antiapoptotic specifications; it has also demonstrated antidiabetic, antitumoral, anti-inflammatory, bronchodilator, and neuroprotective specifications in animal experiments and various clinical studies.,,,,,
In this histopathological and immunohistochemical study, considering the antiapoptotic effects of NS, we aimed to determine the toxic effects of FA inhalation in the trachea of rats and NSs possible protective effects.
| Materials and Methods|| |
Animals and group design
Sixty-three Sprague-Dawley male rats weighing between 270 and 300 g were used in this experimental study. The Local Ethics Committee for Animal Research approved the experimental protocol for this study, and all animals received humane care in compliance with the European Convention on Animal Care. The rats were placed in glass cages in an air-conditioned room with automatically regulated temperature (22 + 1°C) and lighting (07.00–19.00 h). All the rats were acclimated for 1 week before the experimentation.
Type of exposure, dose level, and dose selection
FA was given by inhalation, and NS oil (Origo-Gaziantep, Turkey) was given (1 ml/kg/day) by gavage to the animals. FA concentrations and exposure periods were determined according to the previous studies., FA concentration was determined with an FA meter device (Environmental Sensors Co., Boca Raton FL 33432 USA-Catalog No: ZDL-300). The rats were divided into nine groups, with a total of seven animals in each group. FA gas was obtained by heating paraformaldehyde at a temperature of 35–40°C in specifically prepared glass assembly. Each group (n = 7) were placed in glass cages (50 cm × 20 cm × 100 cm) for 8 h. There were two holes in the glass cages to allow the input and output of air. In inhalation chambers equipped with a trap and designed to sustain dynamic and adjustable airflow (11,250 mg/m 3) 8 h/day between 8:00 and 16:00. For the remaining 16 h of the day, the rats were placed back in their cages where they received laboratory animal feed and tap water.
Group 1 was selected as control group. The rats in the other eight groups were given FA for 8 h a day in the glass cages. The rats in Group 2 (5 ppm FA 4 week) were exposed to FA for 4 weeks at a dose of 5 ppm. The rats in Group 3 (5 ppm FA 4 week + NS) were given NS at a dose of 1 ml/kg/day with exposure to 5 ppm FA. The dose of NS was based on a previous study. Group 4 (10 ppm FA 4 week) was exposed to 10 ppm FA for 4 weeks. Group 5 (10 ppm FA 4 week + NS) was given 1 ml/kg/day NS with exposure to 10 ppm FA 8 h a day. Group 6 (5 ppm FA 13 week) was exposed to 5 ppm FA for 13 weeks. Group 7 (5 ppm FA 13 week + NS) was given 1 ml/kg/day NS with exposure to 5 ppm FA for 13 weeks. Group 8 (10 ppm FA 13 week) was exposed to 10 ppm FA for 13 weeks. Group 9 (10 ppm FA 13 week + NS) was given 1 ml/kg/day NS with exposure to 10 ppm FA for 13 weeks. At the end of the experiment, the rats were decapitated. The trachea tissues were rapidly removed for histopathological and immunohistochemical evaluation.
The trachea tissues were placed in a 10% formalin solution. After dehydration and clearing, tissues were embedded in paraffin. Sections 5–6 μm thick were obtained using a microtome and were stained with periodic acid-Schiff + hematoxylin (PAS-H). Tracheal sections for histopathological evaluation were examined for shedding of epithelial cells, loss of cilia, metaplasia, lymphoid cell infiltration, and PAS(+) staining degree. Microscopic injury was evaluated as none (0), mild (1), moderate (2), and severe (3), the maximum score was 15. Each rat was scored, and values were determined for each group. In addition, tracheal epithelial thickness (TET) was measured with a ×40 objective lens with a Leica Q-Win Image Analysis System. TET was measured as the distance between the basal membrane and the ciliary surface in the anterior part of the trachea. Sections were examined using a Leica DFC-280 research microscope.
Immunohistochemical (IHC) staining was performed to determine the expression of Bax and caspase-3 protein according to the instructions of the manufacturer. First, paraffin-embedded trachea sections (4–5 μm thick) were placed on poly-L-lysine-coated coverslips, then deparaffinized in xylene and rehydrated in a series of graded concentrations of ethanol. Protein antigenicity was enhanced by boiling the sections in a citrate buffer in a microwave oven at 95°C for 15 min. Endogenous peroxidase activity was blocked with 3% hydrogen peroxide in phosphate-buffered saline (PBS) at 37°C for 20 min. Background staining was prevented using Ultra V Block solution (Ultra V Block, TA-125-UB, Thermo Fisher Scientific Inc., USA). Afterward, tissue sections were covered with biotinylated primary antibody (ab77566, Anti-Bax antibody, Abcam, Germany; ab2302, antiactive Caspase-3 antibody, Abcam, UK) and incubated for 60 min in a humidity chamber. Subsequently, the tissue sections were covered with streptavidin peroxidase (biotinylated anti-mouse IgG, Diagnostic BioSystems, KP 50A, Pleasanton, USA), and incubated for 30 min. Then, the slides were covered with 3-amino-9-ethylcarbazole chromogen solution and counterstained with hematoxylin. For negative controls, an equivalent volume of PBS was used in place of the specific primary antibodies.
Evaluation of immunohistochemistry
For the evaluation of the immunoreactivity of Bax and caspase-3, H-score analysis was used. Cytoplasmic staining intensities of Bax and caspase-3 were evaluated in four categories during the H-score analysis. According to the evaluation, (0) was considered as no stain, (1+) as poor but detectable staining, (2+) moderate staining, and (3+) as intense staining. Cells were detected according to each staining intensity category and percentage values were obtained by rating the number of cells in the category to the total number of cells under the ×40 objective. The total score was obtained by multiplying these percentage values with their own staining grade. When we formulize this as H-SCORE = ∑Pi (i + l), 'i' is staining grade and“Pi” is the percentage of cells in this staining intensity category. Evaluation of score was repeated at five different areas for each tissue slice, and a mean score value was calculated.
For statistical evaluation, a Windows compatible IBM-SPSS 20 package (SPSS Inc., Chicago, Illinois, USA) program was used. The results were given as mean ± standard deviation differences among two groups in terms of H-score values, histological scores, and TET were determined using the independent samples t-test. In addition, the one-way analysis of variance was used in comparisons between three or more independent groups and Tukey's test was used as post hoc test. P < 0.05 was considered statistically significant.
| Results|| |
In the control group, normal histological structure of the trachea was observed. It was covered with pseudostratified columnar epithelium cells. Purple-magenta color stained secretions and distinguished goblet cells were located among epithelial cells individually or in groups [Figure 1]. While a clear increase in goblet cell secretion was observed in Group 2 [Figure 1]c, In Group 3, the histological appearance of the epithelium was similar to control group, except partly epithelial splits, [Figure 1]d. The most conspicuous changes in Group 4 were noticeable leukocyte infiltration in some parts of lamina propria and cytoplasmic residues in the lumen; due to superficial loss of the epithelium [Figure 1]e. Administration of NS did not reveal any microscopic improvement. As a matter of fact, in terms of the histological scoring difference between Group 4 and Group 5, there was no statistical significance (P > 0.05).
|Figure 1: Histopathological examination of all groups. (a and b) control group; sills observed on the surface of epithelial cells (arrows) and goblet cells distinguished with purple excretes (arrowhead). (c) Goblet cells secretion is increased in Group 2. (d) Group 3, loss of tracheal epithelium in places. (e) Group 4, diffuse lymphoid infiltration on lamina propria (star). (f) Group 5, loss of cilia and irregularities in epithelium due to the loss of the apical epithelial surface. (g) Group 6, single-layered appearance of the tracheal epithelial (arrows). (h) Group 7, increase in goblet secretion and minimal disruption of the epithelial layout. (i), Group 8, single-layered appearance of epithelial, clear loss of cilia (arrows), and lymphoid infiltration followed on lamina propria (star). (j) In Group 9, it was observed that tracheal epithelium is preserved except the epithelial sheddings in the apical surface of the epithelial cells and loss of cilia in some areas PAS-H, ×40|
Click here to view
It was observed that tracheal epithelial cells of the rats in Group 6 turned into partly single epithelial and cilias were sparse and irregular [Figure 1]g. These changes were not observed in Group 7. In terms of the histological score, there was statistically significant difference in between Group 6 and 7 (P < 0.05).
Among the groups given FA, the highest histological damage (9.8 ± 0.3) was detected in Group 8. With the loss of the pseudostratified columnar features, the tracheal epithelium turned into a single-layer cubic epithelium. In this group, the both the loss of cilia on epithelial surfaces and a diffuse lymphoid infiltration in the lamina propria were observed [Figure 1]i. Furthermore, in Group 9, it was observed that NS prevents lymphoid infiltration and protects epithelial structure except for epithelial shedding in some areas. The difference between Group 8 and Group 9 in terms of TET and histological scores was significant (P < 0.05).
Tracheal epithelium was found to be the thinnest in Group 8 (50.8 ± 4.8). The thickest epithelium (125.3 ± 6.3), not including the control group, was identified in Group 5. Tracheal epithelium thickness and histological evaluation results of all groups are given in [Table 1].
|Table 1: Tracheal epithelium thickness of the groups (micrometer) and histological evaluation results|
Click here to view
H-score results of Bax and caspase-3 immunoreactivity are presented in [Figure 2]. H-score analysis revealed that Bax and caspase-3 immunoreactivity significantly increased in the Group 8 compared to all other groups (P < 0.001 for all comparisons) [Figure 3] and [Figure 4]. When compared the control group, all groups had higher expression levels of caspase-3 protein (P < 0.01 for comparison between Group 5 and control group; P < 0.001 for other comparisons). When compared the FA and treatment groups for Bax immunoreactivity, statistically significant difference was determined only between Group 8-9 (P < 0.01) but did not in Group 2–3, Group 4–5, and Group 6–7.
|Figure 3: Bax immunohistochemical staining intensity of all groups. (a) Group 1 (control), weak immunohistochemical staining (±); (b) negative control group, no immunohistochemical staining (-); (c) Group 2 (5 ppm FA, 4 weeks), mild immunohistochemical staining (+); (d) Group 3 (5 ppm FA + NS, 4 weeks), mild immunohistochemical staining (+); (e) Group 4 (10 ppm FA, 4 weeks), moderate immunohistochemical staining (++); (f) Group 5 (10 ppm FA + NS, 4 weeks), moderate immunohistochemical staining (++); (g) Group 6 (5 ppm FA, 13 weeks), moderate immunohistochemical staining (++); (h) Group 7 (5 ppm FA + NS, 13 weeks), moderate immunohistochemical staining (++); (i) Group 8 (10 ppm FA, 13 weeks), strong immunohistochemical staining (+++); (j) Group 9 (10 ppm FA + NS, 13 weeks), moderate immunohistochemical staining (++). FA = Formaldehyde; NS = Nigella sativa|
Click here to view
|Figure 4: Representative photomicrographs of cytoplasmic immunoreactivity for activated caspase-3 of all groups. (a) Group 1 (control); (b) negative control group, no immunohistochemical staining is seen in tracheal tissue; (c) Group 2 (5 ppm FA, 4 weeks), mild immunohistochemical staining (+); (d) Group 3 (5 ppm FA + NS, 4 weeks), mild immunohistochemical staining (+); (e) Group 4 (10 ppm FA, 4 weeks), mild immunohistochemical staining (+); (f) Group 5 (10 ppm FA + NS, 4 weeks), mild immunohistochemical staining (+); (g) Group 6 (5 ppm FA, 13 weeks), mild immunohistochemical staining (+); (h) Group 7 (5 ppm FA + NS, 13 weeks), mild immunohistochemical staining (+); (i) Group 8 (10 ppm FA, 13 weeks), ciliated cells and basal cells of the respiratory epithelium is strongly immunohistochemical staining for active caspase 3; (j) Group 9 (10 ppm FA + NS, 13 weeks), after the NS treatment it is seen that the reduction in the number of immunopositive cells. FA = Formaldehyde; NS = Nigella sativ|
Click here to view
| Discussion|| |
Experimental and clinical studies have revealed that FA can cause metaplastic changes in the epithelial layer in the nasal mucosa., When the trachea is exposed to glutaraldehyde, a member of the same aldehyde family, minimal changes are observed only in the larynx histopathology, whereas no changes are observed in the main bronchus or even in the lung. The cause of metaplasia of goblet cells is linked to the inhibition of mucociliary activity. The changes were more pronounced in the alveolar epithelium as marked emphysema, increased cellularity and thickness of alveolar wall, accumulation of inflammatory cells, mild edema, congestion, and hemorrhages. It has been reported that FA causes the loss of the pseudostratified columnar characteristic in tracheal epithelium, change to a single-layered cubic epithelium, loss of cilia on the surface of epithelial cells, and diffuse lymphoid infiltration in the lamina propria. Furthermore, we observed similar findings in the FA groups.
The deciliation or clumping of cilia of tracheal epithelium may impair the functional activity of cilia required for the continuous movement of glandular secretions toward pharynx. FA maximizes its own toxic effect by inhibiting mucociliary function. To minimize the carcinogenic effect, mucociliary function must be intact. Vitamin A deficiency in the tracheal epithelium of rats has been reported to cause squamous metaplasia. It is suggested that vitamin A controls gene expression, which is related to squamous differentiation via the retinoic acid receptor. A reduction of damage was observed in rats that had been exposed to benzopyrene when given vitamin A. In another study, FA exposure caused bronchoconstriction and hyperreactivity at lower concentrations when exposure duration was extended from 2 to 8 h. Exposure to ≥ 0.3 ppm FA for 8 h was sufficient to produce a significant increase in airway reactivity, whereas similar effects only occurred after > 9 ppm FA for 2 h. In our study, the most damage occurred at a 10 ppm dose in a 13-week exposure. We observed that subepithelial lymphocytic infiltration and superficial loss of the epithelium similar to the results of the study carried out by Davarian et al.
FA causes the generation of ROS that cause apoptosis and necrosis, resulting in lipid peroxidation and metabolic alterations., Apoptosis is a form of programmed cell death characterized by DNA fragmentation, cytoplasmic shrinkage, membrane changes, and cell death without damage to neighboring cells. Proapoptotic members of the Bcl-2 family (Bax, Bak, and Bad) are localized in the cytosol and transmigrate from the cytosol to the mitochondria during apoptosis and increase cytochrome c release. Increased cytochrome c triggers, the apoptosome complex and executioner caspases are then activated, especially caspase-3, which are responsible for morphological changes such as chromatin condensation and DNA breakdown. To sum up, increased Bax and caspase-3 immunoreactivity in the cytoplasm of the cells indicates increased apoptotic activity. In the present study, we showed that FA caused apoptosis in the trachea epithelial cells. Especially, the most apoptotic activity occurred at a 10 ppm dose in a 13-week exposure. Likewise, in previous studies, FA has been reported to cause DNA damage, thereby leading to apoptosis., Some studies have shown that FA caused more severe damages with a shorter exposure time at high concentrations in comparison to long-term exposure in low concentrations. The most apoptotic activity and tissue damage were observed in the group that was exposure to the longest and highest concentration.
A study reported that FA given to rats caused a tracheal hyperactivity, and it was found that estradiol prevents this but does not affect progesterone. In addition, the previous study demonstrated that some antioxidant has protective effects against FA toxicity., NS has been used as antioxidant in many studies, its protective effect in the liver, stomach, and brain tissue have previously been shown.,, Furthermore, it was reported that it prevents allergic inflammation in trachea.,
In our study, we showed that FA caused apoptosis in the tracheal epithelial cells. Especially, the most apoptotic activity occurred at long period exposure. Cellular damage of tracheal epithelium was present in all groups. However, NS treatment decreased apoptotic activity and lymphoid infiltration and protected the epithelial structure.
| Conclusion|| |
These findings suggest that the duration of exposure is important for the induction of airway hyperactivity. Furthermore, prolonged, high-level exposures generate abnormal histological, and IHC responses in the airway and NS serve to help prevent some of this damage, especially long period.
A part of manuscript was presented at International Symposium of Clinical and Applied Anatomy in 2012, Ankara, Turkey.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Cheney JE, Collins CH. Formaldehyde disinfection in laboratories: Limitations and hazards. Br J Biomed Sci 1995;52:195-201.
Formaldehyde. Council on scientific affairs. JAMA 1989;261:1183-7.
Smith AE. Formaldehyde. Occup Med (Lond) 1992;42:83-8.
Songur A, Ozen OA, Sarsilmaz M. The toxic effects of formaldehyde on the nervous system. Rev Environ Contam Toxicol 2010;203:105-18.
Matsukawa T, Yokoyama K, Itoh H. Ocular irritation from product of pesticide degradation among workers in a seed warehouse. Ind Health 2015;53:95-9.
Neghab M, Soltanzadeh A, Choobineh A. Respiratory morbidity induced by occupational inhalation exposure to formaldehyde. Ind Health 2011;49:89-94.
Zararsiz I, Kus I, Akpolat N, Songur A, Ogeturk M, Sarsilmaz M. Protective effects of omega-3 essential fatty acids against formaldehyde-induced neuronal damage in prefrontal cortex of rats. Cell Biochem Funct 2006;24:237-44.
Zararsiz I, Kus I, Ogeturk M, Akpolat N, Kose E, Meydan S, et al.
Melatonin prevents formaldehyde-induced neurotoxicity in prefrontal cortex of rats: An immunohistochemical and biochemical study. Cell Biochem Funct 2007;25:413-8.
Stroup NE, Blair A, Erikson GE. Brain cancer and other causes of death in anatomists. J Natl Cancer Inst 1986;77:1217-24.
Kerns WD, Pavkov KL, Donofrio DJ, Gralla EJ, Swenberg JA. Carcinogenicity of formaldehyde in rats and mice after long-term inhalation exposure. Cancer Res 1983;43:4382-92.
Veraldi A, Costantini AS, Bolejack V, Miligi L, Vineis P, van Loveren H. Immunotoxic effects of chemicals: A matrix for occupational and environmental epidemiological studies. Am J Ind Med 2006;49:1046-55.
Sapmaz HI, Sarsilmaz M, Gödekmerdan A, Ögetürk M, Tas U, Köse E. Effects of formaldehyde inhalation on humoral immunity and protective effect of Nigella sativa
oil: An experimental study. Toxicol Ind Health 2015. pii: 0748233714566294.
Philips JD. Medicinal plants. Biologist 1992;39:187-91.
Agarwal R, Kharya MD, Shrivastava R. Antimicrobial & anthelmintic activities of the essential oil of Nigella sativa
Linn. Indian J Exp Biol 1979;17:1264-5.
Burits M, Bucar F. Antioxidant activity of Nigella sativa
essential oil. Phytother Res 2000;14:323-8.
Meral I, Yener Z, Kahraman T, Mert N. Effect of Nigella sativa
on glucose concentration, lipid peroxidation, anti-oxidant defence system and liver damage in experimentally-induced diabetic rabbits. J Vet Med A Physiol Pathol Clin Med 2001;48:593-9.
Worthen DR, Ghosheh OA, Crooks PA. The in vitro
anti-tumor activity of some crude and purified components of blackseed, Nigella sativa
L. Anticancer Res 1998;18:1527-32.
Houghton PJ, Zarka R, de las Heras B, Hoult JR. Fixed oil of Nigella sativa
and derived thymoquinone inhibit eicosanoid generation in leukocytes and membrane lipid peroxidation. Planta Med 1995;61:33-6.
Kanter M. Nigella sativa
and derived thymoquinone prevents hippocampal neurodegeneration after chronic toluene exposure in rats. Neurochem Res 2008;33:579-88.
Sarsilmaz M, Kaplan S, Songur A, Colakoglu S, Aslan H, Tunc AT, et al.
Effects of postnatal formaldehyde exposure on pyramidal cell number, volume of cell layer in hippocampus and hemisphere in the rat: A stereological study. Brain Res 2007;1145:157-67.
Ozen OA, Akpolat N, Songur A, Kus I, Zararsiz I, Ozaçmak VH, et al.
Effect of formaldehyde inhalation on Hsp70 in seminiferous tubules of rat testes: An immunohistochemical study. Toxicol Ind Health 2005;21:249-54.
Cemek M, Enginar H, Karaca T, Unak P.In vivo
radioprotective effects of Nigella sativa
L oil and reduced glutathione against irradiation-induced oxidative injury and number of peripheral blood lymphocytes in rats. Photochem Photobiol 2006;82:1691-6.
Elbe H, Esrefoglu M, Vardi N, Taslidere E, Ozerol E, Tanbek K. Melatonin, quercetin and resveratrol attenuates oxidative hepatocellular injury in streptozotocin-induced diabetic rats. Hum Exp Toxicol 2015;34:859-68.
Tas U, Cayli S, Inanir A, Ozyurt B, Ocakli S, Karaca ZI, et al.
Aquaporin-1 and aquaporin-3 expressions in the intervertebral disc of rats with aging. Balkan Med J 2012;29:349-53.
Boysen M, Zadig E, Digernes V, Abeler V, Reith A. Nasal mucosa in workers exposed to formaldehyde: A pilot study. Br J Ind Med 1990;47:116-21.
Edling C, Hellquist H, Odkvist L. Occupational exposure to formaldehyde and histopathological changes in the nasal mucosa. Br J Ind Med 1988;45:761-5.
Gross EA, Mellick PW, Kari FW, Miller FJ, Morgan KT. Histopathology and cell replication responses in the respiratory tract of rats and mice exposed by inhalation to glutaraldehyde for up to 13 weeks. Fundam Appl Toxicol 1994;23:348-62.
Morgan KT, Patterson DL, Gross EA. Responses of the nasal mucociliary apparatus of F-344 rats to formaldehyde gas. Toxicol Appl Pharmacol 1986;82:1-13.
Njoya HK, Ofusori DA, Nwangwu SC, Amergor OF, Akinyeye AJ, Abayomi TA. Histopathological effect of exposure of formaldehyde vapour on the trachea and lungs of adult wistar rats. Int J Integr Biol 2009;7:160-5.
Bansal N, Uppal V, Pathak D. Toxic effect of formaldehyde on the respiratory organs of rabbits: A light and electron microscopic study. Toxicol Ind Health 2011;27:563-9.
Anzano MA, Olson JA, Lamb AJ. Morphologic alterations in the trachea and the salivary gland following the induction of rapid synchronous Vitamin A deficiency in rats. Am J Pathol 1980;98:717-32.
Denning MF, Verma AK. The mechanism of the inhibition of squamous differentiation of rat tracheal 2C5 cells by retinoic acid. Carcinogenesis 1994;15:503-7.
Edes TE, Gysbers DS. Carcinogen-induced tissue Vitamin A depletion. Potential protective advantages of beta-carotene. Ann N
Y Acad Sci 1993;686:203-11.
Swiecichowski AL, Long KJ, Miller ML, Leikauf GD. Formaldehyde-induced airway hyperreactivity in vivo
and ex vivo
in Guinea pigs. Environ Res 1993;61:185-99.
Davarian A, Fazeli SA, Azarhoush R, Golalipour MJ. Histopathologic changes of rat tracheal mucosa following formaldehyde exposure. Int J Morphol 2005;23:369-72.
Tao W, Kurschner C, Morgan JI. Modulation of cell death in yeast by the Bcl-2 family of proteins. J Biol Chem 1997;272:15547-52.
Saraste A, Pulkki K. Morphologic and biochemical hallmarks of apoptosis. Cardiovasc Res 2000;45:528-37.
D'Amelio M, Cavallucci V, Cecconi F. Neuronal caspase-3 signaling: Not only cell death. Cell Death Differ 2010;17:1104-14.
Thomson EJ, Shackleton S, Harrington JM. Chromosome aberrations and sister-chromatid exchange frequencies in pathology staff occupationally exposed to formaldehyde. Mutat Res 1984;141:89-93.
Lino-dos-Santos-Franco A, Amemiya RM, Ligeiro de Oliveira AP, Breithaupt-Faloppa AC, Damazo AS, Oliveira-Filho RM, et al.
Differential effects of female sex hormones on cellular recruitment and tracheal reactivity after formaldehyde exposure. Toxicol Lett 2011;205:327-35.
Zararsiz I, Sarsilmaz M, Tas U, Kus I, Meydan S, Ozan E. Protective effect of melatonin against formaldehyde-induced kidney damage in rats. Toxicol Ind Health 2007;23:573-9.
Kanter M, Demir H, Karakaya C, Ozbek H. Gastroprotective activity of Nigella sativa
L oil and its constituent, thymoquinone against acute alcohol-induced gastric mucosal injury in rats. World J Gastroenterol 2005;11:6662-6.
Ali BH, Blunden G. Pharmacological and toxicological properties of Nigella sativa
. Phytother Res 2003;17:299-305.
El Mezayen R, El Gazzar M, Nicolls MR, Marecki JC, Dreskin SC, Nomiyama H. Effect of thymoquinone on cyclooxygenase expression and prostaglandin production in a mouse model of allergic airway inflammation. Immunol Lett 2006;106:72-81.
[Figure 1], [Figure 2], [Figure 3], [Figure 4]