Skip to main content
Log in

Investigation of the biochemical and histopathological effects of vitamin C, selenium, and therapeutic ultrasound on muscle damage in rats

  • Research
  • Published:
Naunyn-Schmiedeberg's Archives of Pharmacology Aims and scope Submit manuscript

Abstract

Muscle injury is a common type of soft tissue injury. Increased oxidative damage has been reported after muscle injuries. Therapeutic ultrasound is commonly used for such injuries. This study compared the efficacy of therapeutic ultrasound treatment and various antioxidant agents in experimental muscle injuries. For this purpose, some serum enzymes, oxidative stress, and inflammatory markers were evaluated together with histopathological examinations. Six groups were formed with 6 male Wistar albino rats in each group. These groups were control, only injury (OI), ultrasound (U), vitamin C (Vit C), selenium (S), and mixture (M). Muscle injury was caused by a laceration of the gastrocnemius muscle in all groups except the control group. No treatment was performed in the OI group. At the end of the 6-day application, all rats were sacrificed. As for serum enzymes, CK, ALT, and AST levels returned to control values in almost all treatment groups. Total oxidative status (TOS) and oxidative stress index (OSI) increased in the OI group, while they decreased in the S and M groups. In addition, the decrease in MPO activity in the blood tissue of the Vit C group was statistically significant. There were no significant changes between groups in terms of serum inflammatory markers and histological findings. This study has shown that the ingestion of vitamin C and selenium may contribute to the treatment of muscle injury in addition to therapeutic ultrasound treatment. However, further studies are needed to support these results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Data availability

The data used to support the findings of this study are available from the corresponding author upon request.

Abbreviations

AU:

Arbitrary units

ROS:

Reactive oxygen species

TAS:

Total antioxidant status

TOS:

Total oxidant status

OSI:

Oxidative stress index

EDTA:

Ethylenediaminetetraacetic acid

TPU:

Therapeutic pulsed ultrasound

MuSCs:

Muscle satellite cells

TBARS:

Thiobarbituric acid reactive substances

CK:

Creatine kinase

LDH:

Lactate dehydrogenase

ALT:

Alanine aminotransferase

AST:

Aspartate aminotransferase

SOD:

Superoxide dismutase

TNF-α:

Tumor necrosis factor-alpha

IL-1β:

Interleukin-1 β

H2O2 :

Hydrogen peroxide

KH2PO4 :

Potassium dihydrogen phosphate

MPO:

Myeloperoxidase

C:

Control

OI:

Only injury

U:

Ultrasound

Vit C:

Vitamin C

S:

Selenium

M:

Mix

References

  • Acques W (2000) Interpretation of diagnostic tests. Seventh edition, New York

    Google Scholar 

  • Aggarwal BB (2003) Signalling pathways of the TNF superfamily: a double-edged sword. Nat Rev Immunol 3(9):745–756

    Article  CAS  PubMed  Google Scholar 

  • Akkuş İ (1995) Serbest Radikaller ve Fizyopatolojik Etkileri. Mimoza Yayınları, Konya

  • Alfredson H (2005) The chronic painful Achilles and patellar tendon: research on basic biology and treatment. Scand J Med Sci Sports 15:252–259

    Article  PubMed  Google Scholar 

  • Alfredson H, Bjur D, Thorsen K, Lorentzon R (2002) High intratendinous lactate levels in painful chronic Achilles tendinosis. An investigation using microdialysis technique. J Orthop Res 20:934–938

    Article  CAS  PubMed  Google Scholar 

  • Arbogast S, Ferreiro A (2010) Selenoproteins and protection against oxidative stress: selenoprotein N as a novel player at the crossroads of redox signaling and calcium homeostasis. Antioxid Redox Signal 12(7):893–904

    Article  CAS  PubMed  Google Scholar 

  • Barker T, Leonard SW, Trawick RH, Martins TB, Kjeldsberg CR, Hill HR, Traber MG (2009) Modulation of inflammation by vitamin E and C supplementation prior to anterior cruciate ligament surgery. Free Radic Biol Med 46(5):599–606

    Article  CAS  PubMed  Google Scholar 

  • Barroso GC, Thiele ES (2015) Muscle injuries in athletes. Rev Bras Ortop 46(4):354–358

    Article  PubMed  PubMed Central  Google Scholar 

  • Berger MM, Chioléro R (1995) Relations between copper, zinc and selenium intakes and malondialdehyde excretion after major burns. Burns 21(7):507–512

    Article  CAS  PubMed  Google Scholar 

  • Betancor MB, Caballero MJ, Terova G, Saleh R, Atalah E, Benítez-Santana T, Bell JG, Izquierdo M (2012) Selenium inclusion decreases oxidative stress indicators and muscle injuries in sea bass larvae fed high-DHA microdiets. Br J Nutr 12:2115–2128

    Article  Google Scholar 

  • Bradley P, Priebat DA, Christensen RD, Rothstein G (1982) Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker. J Invest Detmatol 78:206–209

    Article  CAS  Google Scholar 

  • Burk RF, Hill KE, Motley AK (2003) Selenoprotein metabolism and function: evidence for more than one function for selenoprotein P J Nutr 133 (5 Suppl 1):1517S-20S

  • Carl AB, Edward RA (1999) Tietz textbook of clinical chemistry. W.B. Saunders Company, New York

  • Çelik İ, Tülüce Y (2007) Determination of toxicity of subacute treatment of some plant growth regulators on rats. Environ Toxicol 22(6):613–619

    Article  PubMed  Google Scholar 

  • Chan YS, Li Y, Foster W, Horaguchi T, Somogyi G, Fu FH (2003) Antifibrotic effects of suramin in injured skeletal muscle after laceration. J Appl Physiol 95(2):771–780

    Article  CAS  PubMed  Google Scholar 

  • Chaudhary K, Haddadin S, Nistala R, Papageorgio C (2010) Intraperitoneal drug therapy: an advantage. Curr Clin Pharmacol 5(2):82–88

    Article  CAS  PubMed  Google Scholar 

  • Choi M, Park H, Cho S, Lee M (2013) Vitamin D(3) supplementation modulates inflammatory responses from the muscle damage induced by high-intensity exercise in SD rats. Cytokine 63(1):27–35

    Article  CAS  PubMed  Google Scholar 

  • Cuzzocrea S, Thiemermann C, Salvemini D (2004) Potential therapeutic effect of antioxidant therapy in shock and inflammation. Curr Med Chem 11(9):1147–1162

    Article  CAS  PubMed  Google Scholar 

  • Engelmann J, Vitto MF, Cesconetto PA, Silveira PC, Possato JC, Pinho RA, Paula MM, Victor EG, De Souza CT (2012) Pulsed ultrasound and dimethylsulfoxide gel treatment reduces the expression of pro-inflammatory molecules in an animal model of muscleinjury. Ultrasound Med Biol 38(8):1470–1475

    Article  PubMed  Google Scholar 

  • Enos RT, Davis JM, McClellan JL, Murphy EA (2013) Indomethacin in combination with exercise leads to muscle and brain inflammation in mice. J Interferon Cytokine Res 33(8):446–451

    Article  CAS  PubMed  Google Scholar 

  • Filho LFS, Menezes PP, Santana DVS, Lima BS, Saravanan S, Almeida GKM, Filho JERM, Santos MMB, Araújo AAS, de Oliveira ED (2018) Effect of pulsed therapeutic ultrasound and diosmin on skeletal muscle oxidative parameters. Ultrasound Med Biol 44(2):359–367

    Article  PubMed  Google Scholar 

  • Fox JM (1992) Selenium: nutritional implications and prospects for therapeutic medicine. Methods Find Exp Clin Pharmacol 14(4):275–287

    CAS  PubMed  Google Scholar 

  • Frei B, Stocker R, England L, Ames BN (1990) Ascorbate: the most effective antioxidant in human blood plasma. Adv Exp Med Biol 264:155–163

    Article  CAS  PubMed  Google Scholar 

  • Freitas LS, Freitas TP, Silveira PC, Rocha LG, Pinho RA, Streck EL (2007) Effect of therapeutic pulsed ultrasound on parameters of oxidative stress in skeletal muscle after injury. Cell Biol Int 31(5):482–488

    Article  CAS  PubMed  Google Scholar 

  • Ghadi FE, Malhotra A, Ghara AR, Dhawan DK (2012) Selenium as a modulator of membrane stability parameters and surface changes during the initiation phase of 1,2 dimethylhydrazine induced colorectal carcinogenesis. Mol Cell Biochem 369:119–126

    Article  CAS  PubMed  Google Scholar 

  • Hill KE, Motley AK, May JM, Burk RF (2009) Combined selenium and vitamin C deficiency causes cell death in guinea pig skeletal muscle. Nutr Res 29(3):213–219

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Johns LD (2002) Nonthermal effects of therapeutic ultrasound: the frequency resonance hypothesis J. Athletic Train 37:293–299

    Google Scholar 

  • Judge AR, Selsby JT, Dodd SL (2008) Antioxidants attenuate oxidative damage in rat skeletal muscle during mild ischaemia. Exp Physiol 93(4):479–485

    Article  CAS  PubMed  Google Scholar 

  • Kearns SR, Moneley D, Murray P, Kelly C, Daly AF (2001) Oral vitamin C attenuates acute ischaemia-reperfusion injury in skeletal muscle. J Bone Joint Surg Br 83:1202–1206

    Article  CAS  PubMed  Google Scholar 

  • Kearns SR, Daly AF, Sheehan K, Murray P, Kelly C, Bouchier-Hayes D (2004) Oral vitamin C reduces the injury to skeletal muscle caused by compartment syndrome. J Bone Joint Surg Br 86(6):906–911

    Article  CAS  PubMed  Google Scholar 

  • Kearns SR, O'Briain DE, Sheehan KM, Kelly C, Bouchier-Hayes D (2010) N-acetylcysteine protects striated muscle in a model of compartment syndrome. Clin Orthop Relat Res 468(8):2251–2259

    Article  PubMed  PubMed Central  Google Scholar 

  • Khassaf M, McArdle A, Esanu C, Vasilaki A, McArdle F, Griffiths RD, Brodie DA, Jackson MJ (2003) Effect of vitamin C supplements on antioxidant defence and stress proteins in human lympocytes and skeletal muscle. J Physiol 549(2):645–652

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kozakowska M, Pietraszek-Gremplewicz K, Jozkowicz A, Dulak J (2015) The role of oxidative stress in skeletal muscle injury and regeneration: focus on antioxidant enzymes. J Muscle Res Cell Motil 36(6):377–393

    Article  CAS  PubMed  Google Scholar 

  • Lawrence AK, Amadeo JP (1996) Clinical chemistry theory, analysis and correlation. Mosby Inc, Missouri

  • Levine M, Conry-Cantilena C, Wang Y, Welch RW, Washko PW, Dhariwal KR, Park JB, Lazarev A, Graumlich JF, King J, Cantilena LR (1996) Vitamin C pharmacokinetics in healthy volunteers: evidence for a recommended dietary allowance. Proc Natl Acad Sci U S A 93(8):3704–3709

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Li YP (2003) TNF-alpha is a mitogen in skeletal muscle. Am J Physiol Cell Physiol 285(2):C370–C376

    Article  CAS  PubMed  Google Scholar 

  • Marklund SL (1990) Analysis of extracellular superoxide dismutase in tissue homogenates and extracellular fluids. Methods Enzymol 186:260–265

    Article  CAS  PubMed  Google Scholar 

  • May JM, Qu ZC (2010) Chelation of intracellular iron enhances endothelial barrier function: a role for vitamin C. Arch Biochem Biophys 500(2):162–168

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Menetrey CJ, Kasemkijwattana CS (2000) Day growth factors improve muscle healing in vivo. J Bone Joint Surg 82:131–137

    Article  CAS  Google Scholar 

  • Morozov VI, Tsyplenkov PV, Golberg ND, Kalinski MI (2006) The effects of high-intensity exercise on skeletal muscle neutrophil myeloperoxidase in untrained and trained rats. Eur J Appl Physiol 97(6):716–722

    Article  CAS  PubMed  Google Scholar 

  • Ostjen CA, Rosa CGS, Hartmann RM, Schemitt EG, Colares JR, Marroni NP (2019) Anti-inflammatory and antioxidant effect of melatonin on recovery from muscular trauma induced in rats. Exp Mol Pathol 106:52–59

    Article  CAS  PubMed  Google Scholar 

  • Özdil S, Bolkent S, Yanardag R, Arda-Pirincci P (2004) Protective effects of ascorbic acid, dl-alpha-tocopherol acetate and sodium selenate on ethanol-induced liver damage of rats. Biol Trace Elem Res 97(2):149–162

    Article  PubMed  Google Scholar 

  • Piedade MC, Galhardo MS, Battlehner CN (2008) Effect of ultrasound therapy on the repair of gastrocnemius muscle injury in rats. Ultrasonics 48:403–411

    Article  CAS  PubMed  Google Scholar 

  • Qiao Y, Yokoyama M, Kameyama K, Asano G (1993) Effect of vitamin E on vascular integrity in cholesterol-fed guinea pigs. Arterioscler Thromb 13(12):1885–1892

    Article  CAS  PubMed  Google Scholar 

  • Rantanen J, Thorsson O, Wollmer P (1999) Effects of therapeutic ultrasound on the regeneration of skeletal myofibers after experimental muscle injury. Am J Sports Med 27:54–59

    Article  CAS  PubMed  Google Scholar 

  • Rayman MP (2000) The importance of selenium to human health. Lancet 356(9225):233–241

    Article  CAS  PubMed  Google Scholar 

  • Reynolds WF, Sermet-Gaudelus I, Gausson V, Feuillet MN, Bonnefont JP, Lenoir G, Descamps-Latscha B, Witko-Sarsat V (2006) Myeloperoxidase promoter polymorphism-463G is associated with more several clinical expression of cystic fibrosis pulmonary disease. Mediators Inflamm 2006(2):36735

  • Rossi B, Siciliano G, Risaliti R, Muratorio A (1990) Effects of selenium and vitamin E on muscular strength and blood parameters in Steinert disease. Ital J Neurol Sci 11(1):37–42

    Article  CAS  PubMed  Google Scholar 

  • Saborido A, Naudí A, Portero-Otín M, Pamplona R, Megías A (2011) Stanozolol treatment decreases the mitochondrial ROS generation and oxidative stress induced by acute exercise in rat skeletal muscle. J Appl Physiol 110(3):661–669

    Article  CAS  PubMed  Google Scholar 

  • Sacks D (2001) Clinical diagnosis and management by laboratory methods. W.B. Saunders Company, New York

  • Saliba S, Mistry DJ, Perrin DH, Gieck J, Weltman A (2007) Phonophoresis and the absorption of dexamethasone in the presence of an occlusive dressing. J Athl Train 42:349–354

    PubMed  PubMed Central  Google Scholar 

  • Santos MMB, Filho LFS, De Souza JB, Filho JERM, Mesquita TRR, Santos MS, De Vasconcelos CML, Lauton-Santos S, De Oliveira ED (2020) Topical application of (S)-(-)-limonene is as effective as phonophoresis for improving oxidative parameters of injured skeletal muscle in rats. Naunyn Schmiedebergs Arch Pharmacol 393(12):2293–2300

    Article  CAS  PubMed  Google Scholar 

  • Saturnino-Oliveira J, Tomaz MA, Fonseca TF, Gaban GA, Monteiro-Machado M, Strauch MA, Cons BL, Calil-Elias S, Martinez AM, Melo PA (2012) Pulsed ultrasound therapy accelerates the recovery of skeletal muscle damage induced by Bothrops jararacussu venom. Braz J Med Biol Res 45(6):488–496

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Schneider BS, Tiidus PM (2007) Neutrophil infiltration in exercise-injured skeletal muscle: how do we resolve the controversy. Sports Med 37(10):837–856

    Article  PubMed  Google Scholar 

  • Scicchitano BM, Pelosi L, Sica G, Musarò A (2018) The physiopathologic role of oxidative stress in skeletal muscle. Mech Ageing Dev 170:37–44

    Article  CAS  PubMed  Google Scholar 

  • Serrano AL, Baeza-Raja B, Perdiguero E, Jardí M, Muñoz-Cánoves P (2008) Interleukin-6 is an essential regulator of satellite cell-mediated skeletal muscle hypertrophy. Cell Metab 7(1):33–44

    Article  CAS  PubMed  Google Scholar 

  • Shu B, Yang Z, Li X, Zhang LQ (2011) Effect of different intensity pulsed ultrasound on the restoration of rat skeletal muscle contusion. Cell Biochem Biophys 62(2):329–336

    Article  Google Scholar 

  • Silva LA, Silveira PC, Ronsani MM, Souza PS, Scheffer D, Vieira LC, Benetti M, De Souza CT, Pinho RA (2011) Taurine supplementation decreases oxidative stress in skeletal muscle after eccentric exercise. Cell Biochem Funct 29(1):43–49

    Article  CAS  PubMed  Google Scholar 

  • Silveira PC, Silva LA, Tromm PT, Scheffer DL, Souza CT, Pinho RA (2012) Effects of therapeutic pulsed ultrasound and dimethylsulfoxide phonophoresis on oxidative stress parameters after injury induced by eccentric exercise. Ultrasonics 52(5):650–654

    Article  CAS  PubMed  Google Scholar 

  • Sousa Filho LF, Barbosa Santos MM, Menezes PDP, Lima BDS, de Souza Araújo AA, de Oliveira ED (2021) A novel quercetin/β-cyclodextrin transdermal gel, combined or not with therapeutic ultrasound, reduces oxidative stress after skeletal muscle injury. RSC Adv 11(45):27837–27844

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tonon E, Ferretti R, Shiratori JH, Santo Neto H, Marques MJ, Minatel E (2012) Ascorbic acid protects the diaphragm muscle against myonecrosis in mdx mice. Nutrition 28(6):686–690

    Article  CAS  PubMed  Google Scholar 

  • Toufektsian MC, Boucher FR, Tanguy S, Morel S, de Leiris JG (2001) Cardiac toxicity of singlet oxygen: implication in reperfusion injury. Antioxid Redox Signal 3(1):63–69

    Article  CAS  PubMed  Google Scholar 

  • Tuluce Y, Ozkol H, Koyuncu I, Ine H (2011) Gastroprotective effect of small centaury (Centaurium erythraea) on aspirin induced gastric damage in rats. Toxicol Ind Health 27(8):760–768

    Article  PubMed  Google Scholar 

  • Tülüce Y, Lak PTA, Koyuncu İ, Kılıç A, Durgun M, Özkol H (2017) The apoptotic, cytotoxic and genotoxic effect of novel binuclear boron-fluoride complex on endometrial cancer. Biometals 30:933–944

    Article  PubMed  Google Scholar 

  • Tülüce Y, Masseh HDI, Koyuncu İ, Kiliç A, Durgun M, Özkol H (2019) Novel fluorine boron hybrid complex as potential antiproliferative drugs on colorectal cancer cell line. Anticancer Agents Med Chem 19(5):627–637

    Article  PubMed  Google Scholar 

  • Warden SJ (2003) A new direction for ultrasound therapy in sports medicine. Sports Med 33:95–107

    Article  PubMed  Google Scholar 

  • Wojewoda M, Duszyński J, Szczepanowska J (2010) Antioxidant defence systems and generation of reactive oxygen species in osteosarcoma cells with defective mitochondria: effect of selenium. Biochim Biophys Acta 1797(6–7):890–896

    Article  CAS  PubMed  Google Scholar 

  • Xia E, Rao G, Remmen HV, Heydari AR, Richardson A (1994) Activities of antioxidant enzymes in various tissues of male fischer 344 rats are altered by food restriction. J Nutr 125:195–201

    Google Scholar 

  • Van Zutphen LFM, Baumans V, Beynen AC (2001) Principles of Laboratory Animal Science: A Contribution to the Humane Use and Care of Animals and to the Quality of Experimental Results. Elsevier, Amsterdam

Download references

Funding

This study was supported by Van Yuzuncu Yil University Scientific Research Projects (YYU BAP) with Project number 2012-SBE-YL034.

Author information

Authors and Affiliations

Authors

Contributions

Yasin Tülüce: conceptualization, methodology, supervision, writing—reviewing and editing, project administration, funding acquisition, formal analysis, resources, methodology. Necati Muhammed Tat: conceptualization, conducting, writing—original draft preparation, validation, data curation. Mehmet Kara: supervision, visualization, investigation. Ayşe Merve Tat: formal analysis, data curation. The authors declare that all data were generated in-house and that no paper mill was used.

Corresponding author

Correspondence to Yasin Tülüce.

Ethics declarations

Ethical approval

This study was approved by Van Yüzüncü Yıl University Animal Experiments Local Committee. Approval number: 2012/04–11.

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tülüce, Y., Tat, N.M., Kara, M. et al. Investigation of the biochemical and histopathological effects of vitamin C, selenium, and therapeutic ultrasound on muscle damage in rats. Naunyn-Schmiedeberg's Arch Pharmacol 396, 3581–3593 (2023). https://doi.org/10.1007/s00210-023-02547-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00210-023-02547-w

Keywords

Navigation