Ertunç Onur, Erzurumlu Yalçın, Savran Mehtap, Çataklı Deniz, Doğan Kıran Eltaf, Pekgöz Şakir
Süleyman Demirel University Faculty of Medicine, Department of Pathology, Isparta, Türkiye.
Süleyman Demirel University Faculty of Pharmacy, Department of Biochemistry, Isparta, Türkiye.
Turk J Pharm Sci. 2024 May 14;21(2):88-94. doi: 10.4274/tjps.galenos.2023.90846.
OBJECTIVES: Drug-induced liver injury is a common adverse reaction that frequently occurs with chemotherapeutic agents, such as cisplatin (CIS). This study seeks to enhance our understanding of drug actions and their associated adverse effects by examining the toxicity of CIS on rat liver tissue. We aimed to investigate the potential hepatoprotective effects of irbesartan (IRB), an easily accessible angiotensin II receptor blocker, in mitigating CIS-induced hepatotoxicity. MATERIALS AND METHODS: Wistar albino rats were divided into four groups. These groups included a control group [saline, oral (.)] for seven days, and 1 mL saline intraperitoneal [(.) on the fourth day]; a CIS group (1 mL saline for seven days and 7.5 mg/kg CIS . on the fourth day); a CIS + IRB group (IRB: 50 mg/kg . for seven days and 7.5 mg/kg CIS . on the fourth day), and an IRB group (50 mg/kg IRB . for seven days). The effect of IRB on interleukin-1 beta (IL-1β) and caspase 3 levels was evaluated by immunohistochemical analysis, and its effects on mRNA expression levels of CCAAT/enhancer-binding protein homologous protein (CHOP) and immunoglobulin-heavy-chain-binding protein (BiP) were tested by quantitative real-time polymerase chain reaction. RESULTS: IRB administration mitigated CIS-induced liver toxicity by inhibiting endoplasmic reticulum (ER) stress. Specifically, this drug reduced the mRNA expression of ER stress markers, including CHOP and BiP. In addition, IRB treatment decreased oxidative stress, inflammatory responses, and apoptotic markers. CONCLUSION: These findings suggest that IRB is a promising therapeutic option for preventing CIS-induced liver injury, potentially by modulating ER stress-related pathways.
目的:药物性肝损伤是一种常见的不良反应,在顺铂(CIS)等化疗药物使用过程中经常发生。本研究旨在通过检测CIS对大鼠肝脏组织的毒性,加深我们对药物作用及其相关不良反应的理解。我们旨在研究厄贝沙坦(IRB)(一种易于获取的血管紧张素II受体阻滞剂)在减轻CIS诱导的肝毒性方面的潜在肝脏保护作用。 材料与方法:将Wistar白化大鼠分为四组。这些组包括一个对照组[生理盐水,口服(.),持续7天,并在第4天腹腔注射1 mL生理盐水(.)];一个CIS组(7天内每天注射1 mL生理盐水,并在第4天注射7.5 mg/kg CIS.);一个CIS + IRB组(IRB:50 mg/kg.,持续7天,并在第4天注射7.5 mg/kg CIS.),以及一个IRB组(50 mg/kg IRB.,持续7天)。通过免疫组织化学分析评估IRB对白介素-1β(IL-1β)和半胱天冬酶3水平的影响,并通过定量实时聚合酶链反应检测其对CCAAT/增强子结合蛋白同源蛋白(CHOP)和免疫球蛋白重链结合蛋白(BiP)mRNA表达水平的影响。 结果:IRB给药通过抑制内质网(ER)应激减轻了CIS诱导的肝毒性。具体而言,该药物降低了ER应激标志物(包括CHOP和BiP)的mRNA表达。此外,IRB治疗降低了氧化应激、炎症反应和凋亡标志物。 结论:这些发现表明,IRB可能是预防CIS诱导的肝损伤的一种有前景的治疗选择,其潜在机制可能是通过调节与ER应激相关的途径。
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