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- W2013102789 abstract "Summary 1. Chlorhexidine digluconate has been used as a topical antiseptic in the treatment of acne vulgaris and periodontitis. The acute phase of these diseases involves neutrophilic infiltration. Neutrophil activation and recruitment to inflammatory sites are crucial in both protection against bacterial infection and the induction of hystotoxic damage. Activated neutrophils release several enzymes, including elastase and myeloperoxidase (MPO), which contribute to tissue injury via direct toxic actions, the generation of oxidants and inactivation of protective factors, such as α1‐antitrypsin (α1‐AT). In the present study, we investigated whether chlorhexidine can modulate neutrophil‐mediated histotoxicity. 2. Human primary neutrophils were isolated from healthy donors. Inactivation of α1‐AT by neutrophils or hypochlorous acid (HOCl) was evaluated by spectrophotometry and sodium dodecyl sulphate–polyacrylamide gel electrophoresis analysis of its capacity to complex with porcine pancreatic elastase (PPE). Neutrophil generation of HOCl, superoxide anion and MPO release were assessed spectrophometrically. 3. Chlorhexidine (0, 0.5, 1, 5 and 10 μmol/L) dose‐dependently prevented HOCl‐induced inactivation of α1‐AT and reduced HOCl recovery from phorbol myristate acetate (PMA)‐treated human neutrophils, but did not inhibit superoxide anion and MPO release. Chlorhexidine directly inhibited HOCl recovery from neutrophils and HOCl‐induced inactivation of α1‐AT in a cell‐free assay. Accordingly, chlorhexidine reversed HOCl‐mediated inhibition of α1‐AT capacity to complex with PPE. 4. These data suggest that chlorhexidine prevents neutrophil‐induced α1‐AT inactivation via a direct inhibitory action on HOCl. Although highly speculative, the present study indicates that chlorhexidine may protect inflamed tissues not only through its antimicrobial properties, but also via a direct anti‐inflammatory effect on neutrophil toxic products." @default.
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- W2013102789 date "2009-11-01" @default.
- W2013102789 modified "2023-10-18" @default.
- W2013102789 title "Chlorhexidine prevents hypochlorous acid-induced inactivation of α1-antitrypsin" @default.
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- W2013102789 doi "https://doi.org/10.1111/j.1440-1681.2009.05270.x" @default.
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