Fullerenol, a water-soluble C-60-fullerene derivative, has been demonstrate
d to have the capability to scavenge free radicals in vitro and in vivo. Th
e purpose of this study was to investigate whether fullerenol can scavenge
the free radicals that are massively induced during ischemia-reperfusion (U
R) injury of the small intestine, either preventively or therapeutically. C
lamping the superior mesenteric artery and vein for 60 minutes to induce II
R injury was performed on male mongrel dogs. Thirty dogs were divided into
three groups (10 in each): The control (C) group received no medication; th
e preventive (P) group received fullerenol (1 mg/kg) intravenously 30 minut
es before ischemia; the therapeutic (T) group received the same dose of ful
lerenol immediately after reperfusion. This study was an experimental rando
mized trial. Intestinal segments were obtained 10, 20, 30, and 60 minutes a
fter reperfusion; and blood samples and specimens of major organs were take
n 60 minutes after reperfusion. Concentrations of lipid peroxidation produc
ts, including conjugated diene (CD) and malondialdehyde (MDA), and the leve
l of glutathione (GSH) in intestinal tissue were determined. Serum indicato
rs of liver and renal function were measured. Histologic examination of the
small intestine and major organs were also performed. A significant increa
se in intestinal MDA and CD contents was detected at 30 and 60 minutes afte
r reperfusion. The tissue GSH content, in contrast, was decreased 60 minute
s after reperfusion. Administration of fullerenol diminished these changes
both preventively and therapeutically. Liver and renal functions were withi
n normal limits in all groups. Moreover no obvious histopathologic addition
al damage could be found in either the P or the T group. It is suggested th
at fullerenol can be considered a powerful scavenger for the free radicals
induced by UR injury of the small intestine.