237
Views
5
CrossRef citations to date
0
Altmetric
Original Research

In vitro safety and performance evaluation of a seawater solution enriched with copper, hyaluronic acid, and eucalyptus for nasal lavage

ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon & show all
Pages 399-410 | Published online: 24 Sep 2019

Figures & data

Figure 1 Barrier-forming properties of SSPCF: TEER and Lucifer yellow assays. (A) SSPCF treatment caused a significant decrease in resistance after 1 day and a significant increase in resistance after 3 days, as compared to saline treatment. The increase in resistance at day 3 indicates maintenance of epithelium integrity. (B) As compared to saline treatment, SSPCF treatment did not cause any significant change in the membrane permeability measured by the LY permeability assay. This further indicates the maintenance of the integrity and functionality of the epithelium. **p<0.01. Error bars represent SEM.

Abbreviations: SSPCF, Stérimar Stop & Protect Cold and Flu; TEER, transepithelial electrical resistance; LY, Lucifer yellow.
Figure 1 Barrier-forming properties of SSPCF: TEER and Lucifer yellow assays. (A) SSPCF treatment caused a significant decrease in resistance after 1 day and a significant increase in resistance after 3 days, as compared to saline treatment. The increase in resistance at day 3 indicates maintenance of epithelium integrity. (B) As compared to saline treatment, SSPCF treatment did not cause any significant change in the membrane permeability measured by the LY permeability assay. This further indicates the maintenance of the integrity and functionality of the epithelium. **p<0.01. Error bars represent SEM.

Figure 2 Secreted lactate dehydrogenase profile after treatment with SSPCF. Levels of LDH were measured in untreated, SSPCF-treated and Triton X-100-treated MucilAir™ epithelial cells for 1–4 days. SSPCF treatment did not cause an increase in the secreted LDH levels as compared to untreated tissues. This indicates the safety of SSPCF on the nasal epithelium in terms of cytotoxicity. The values were normalized to the levels of secreted LDH in the Triton-X 100-treated tissues (100%).

Abbreviations: SSPCF, Stérimar Stop & Protect Cold and Flu; LDH, lactate dehydrogenase.
Figure 2 Secreted lactate dehydrogenase profile after treatment with SSPCF. Levels of LDH were measured in untreated, SSPCF-treated and Triton X-100-treated MucilAir™ epithelial cells for 1–4 days. SSPCF treatment did not cause an increase in the secreted LDH levels as compared to untreated tissues. This indicates the safety of SSPCF on the nasal epithelium in terms of cytotoxicity. The values were normalized to the levels of secreted LDH in the Triton-X 100-treated tissues (100%).

Figure 3 Effect of SSPCF on IL-8 secretion. Levels of IL-8 were measured in an ELISA assay in untreated, SSPCF-treated and Cytomix-treated MucilAir™ epithelial cells. SSPCF treatment did not cause a significant increase in the secreted IL-8 levels as compared to untreated tissues indicating the safety of use of SSPCF on the nasal epithelium in terms of pro-inflammation. Error bars represent SEM.

Abbreviations: SSPCF, Stérimar Stop & Protect Cold and Flu; IL-8, interleukin-8; ELISA, enzyme-linked immunosorbent assay.
Figure 3 Effect of SSPCF on IL-8 secretion. Levels of IL-8 were measured in an ELISA assay in untreated, SSPCF-treated and Cytomix-treated MucilAir™ epithelial cells. SSPCF treatment did not cause a significant increase in the secreted IL-8 levels as compared to untreated tissues indicating the safety of use of SSPCF on the nasal epithelium in terms of pro-inflammation. Error bars represent SEM.

Figure 4 Mucociliary clearance after treatment with SSPCF. Mucociliary clearance rates in untreated, SSPCF-treated, and isoproterenol-treated tissues. Both on Day 1 and Day 4, SSPCF and isoproterenol treatments increased MCC rates, as compared to untreated cultures. The differences between SSPCF and isoproterenol on days 1 and 4 did not reach the statistical significance (Day 1: p=0.538; Day 4: p=0.717). This indicates an improvement in the mucociliary clearance upon SSPCF treatment. *p<0.05, **p<0.01, ***p<0.001. Error bars represent SEM.

Abbreviations: SSPCF, Stérimar Stop & Protect Cold and Flu; MCC, mucociliary clearance.
Figure 4 Mucociliary clearance after treatment with SSPCF. Mucociliary clearance rates in untreated, SSPCF-treated, and isoproterenol-treated tissues. Both on Day 1 and Day 4, SSPCF and isoproterenol treatments increased MCC rates, as compared to untreated cultures. The differences between SSPCF and isoproterenol on days 1 and 4 did not reach the statistical significance (Day 1: p=0.538; Day 4: p=0.717). This indicates an improvement in the mucociliary clearance upon SSPCF treatment. *p<0.05, **p<0.01, ***p<0.001. Error bars represent SEM.

Figure 5 Evaluation of the ATP release and cell morphology effects of SSPCF. (A) ATP release (nM) after 2 mins of treatment following 5 mins of hypotonic saline solution pre-application. Hypotonic solution + saline treatment caused a significant increase in ATP release, as compared to saline-only control. On the other hand, the amount of ATP released upon hypotonic solution + SSPCF treatment was significantly lower compared to hypotonic solution + saline treatment. ***p<0.001. (B) Immunohistochemical staining of the tissues 2 mins after treatment, by AQP3 antibody and Alcian blue. These data indicate that SSPCF treatment helps recover the tissues from hypotonic stress. Error bars represent SEM.

Abbreviations: ATP, adenosine 5ʹ-triphosphate; SSPCF, Stérimar Stop & Protect Cold and Flu; AQP3, aquaporin 3.
Figure 5 Evaluation of the ATP release and cell morphology effects of SSPCF. (A) ATP release (nM) after 2 mins of treatment following 5 mins of hypotonic saline solution pre-application. Hypotonic solution + saline treatment caused a significant increase in ATP release, as compared to saline-only control. On the other hand, the amount of ATP released upon hypotonic solution + SSPCF treatment was significantly lower compared to hypotonic solution + saline treatment. ***p<0.001. (B) Immunohistochemical staining of the tissues 2 mins after treatment, by AQP3 antibody and Alcian blue. These data indicate that SSPCF treatment helps recover the tissues from hypotonic stress. Error bars represent SEM.