Akool El-Sayed
Pharmacology and Toxicology Department, Faculty of Pharmacy, Al-Azhar University , Cairo , Egypt.
Pharm Biol. 2015;53(9):1311-7. doi: 10.3109/13880209.2014.980584. Epub 2015 Apr 10.
Cyclosporin A (CsA) is one of the most important immunosuppressive agents. However, its clinical use is strongly limited by several side effects including hepatotoxicity which remains a major clinical problem. Involvement of reactive oxygen species (ROS) in CsA-induced hepatotoxicity has been reported.
This study investigates the potential protective role of wheat germ oil (WGO) as an antioxidant against CsA-induced hepatotoxicity.
Twenty-four male Wistar albino rats (six animals in each group) received castor oil, the vehicle of CsA i.p. (control) or either CsA (25 mg/kg/d i.p.), WGO (900 mg/kg/d by oral gavage), or CsA in combination with WGO daily for 21 d.
CsA administration significantly increased serum levels of the liver enzymes alanine aminotransferase (ALT) and aspartate aminotransferase (AST). In addition, an increase in lipid peroxidation, inducible NO-synthase (iNOS), and NF-κB expression were observed in hepatic tissues of CsA-alone-treated rats. Furthermore, significant reduction in the hepatic content of reduced glutathione (GSH), superoxide dismutase (SOD), and catalase (CAT) was also observed in CsA-alone-treated animals. Moreover, histopathological changes occurred in CsA-alone-treated rats. Concomitant administration of WGO along with CsA improved all these parameters. Most interestingly, the immunosuppressive effect of CsA was not affected by WGO.
The present study suggests that concomitant use of WGO might be useful in reducing liver toxicity induced by CsA via inhibition of ROS, iNOS, and NF-κB expression.
环孢素A(CsA)是最重要的免疫抑制剂之一。然而,其临床应用受到多种副作用的严重限制,其中肝毒性仍然是一个主要的临床问题。已有报道称活性氧(ROS)参与了CsA诱导的肝毒性。
本研究调查了小麦胚芽油(WGO)作为抗氧化剂对CsA诱导的肝毒性的潜在保护作用。
24只雄性Wistar白化大鼠(每组6只动物)接受蓖麻油(CsA的溶剂,腹腔注射,作为对照),或每天腹腔注射CsA(25mg/kg/d)、经口灌胃给予WGO(900mg/kg/d),或CsA与WGO联合给药,持续21天。
给予CsA显著提高了血清中肝酶丙氨酸转氨酶(ALT)和天冬氨酸转氨酶(AST)的水平。此外,在单独用CsA处理的大鼠肝组织中,观察到脂质过氧化、诱导型一氧化氮合酶(iNOS)和核因子κB(NF-κB)表达增加。此外,在单独用CsA处理的动物中,还观察到肝脏中还原型谷胱甘肽(GSH)、超氧化物歧化酶(SOD)和过氧化氢酶(CAT)含量显著降低。此外,单独用CsA处理的大鼠出现了组织病理学变化。WGO与CsA联合给药改善了所有这些参数。最有趣的是,CsA的免疫抑制作用不受WGO的影响。
本研究表明,联合使用WGO可能有助于通过抑制ROS、iNOS和NF-κB表达来降低CsA诱导的肝毒性。