El-Kattan Mohammad Abd-El-Same'e, Saeed Eman, Khattab Mahmoud Ahmed, Maksoud Fatma, Eldein Maha Emad, Abdel-Roaf Nada Elsayed, Awad Walaa, Elshatory Ahmed
Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Mansoura University, MANSOURA, EGYPT.
Department of Medical Histology and Cell Biology, Faculty of Medicine, Mansoura University, MANSOURA, EGYPT.
Turk Patoloji Derg. 2025;41(3):90-104. doi: 10.5146/tjpath.2025.14236.
The past ten years have seen an increase in gabapentin (GBP) overuse and abuse in Egypt after pregabalin scheduling. Numerous studies have demonstrated the detrimental effects of pregabalin; nonetheless, GBPs effects are minimal. The objective of this investigation is to study GBP-induced neurotoxicity in rats and the protective benefits of alpha-tocopherol (vitamin E Vit E`).
Forty (40) adult male albino rats were randomly split into four groups: (10 rats each): Group I, which was subdivided into group Ia (5 rats), received a regular diet as a negative control; group Ib (5 rats) received corn oil as a positive control; group II received alpha-tocopherol; group III (GBP misuse); and group IV received GBP + alpha-tocopherol. The corresponding medicines were administered to every rat for fifty days. Neurobehavioral tests were performed on the day of scarification. Hippocampal tissues were collected for immunohistochemical and histological analysis.
Weight gain rose considerably by the end of the research in the drug-treated groups. In neurobehavioral tests, controls performed better and had higher locomotor indices. The group that misused GBP showed more deteriorated cells and more negative effects on hippocampal tissues. These histological alterations dramatically decreased with alpha-tocopherol therapy.
GBP in high doses had neurotoxic effects, disrupted hippocampal tissues, and increased the number of degenerated cells. Alpha-tocopherol treatment significantly attenuated the deleterious effects induced by GBP.
在普瑞巴林被列入管制后,过去十年间埃及加巴喷丁(GBP)的过度使用和滥用现象有所增加。众多研究已证实普瑞巴林的有害影响;尽管如此,GBP的影响却微乎其微。本研究的目的是探讨GBP对大鼠的神经毒性作用以及α-生育酚(维生素E,Vit E)的保护作用。
40只成年雄性白化大鼠随机分为四组(每组10只):第一组再细分为Ia组(5只大鼠),给予常规饮食作为阴性对照;Ib组(5只大鼠)给予玉米油作为阳性对照;第二组给予α-生育酚;第三组(GBP滥用组);第四组给予GBP + α-生育酚。相应药物对每只大鼠连续给药五十天。在处死当天进行神经行为测试。收集海马组织进行免疫组织化学和组织学分析。
在研究结束时,药物治疗组的体重显著增加。在神经行为测试中,对照组表现更好且运动指数更高。滥用GBP的组显示细胞退化更严重,对海马组织的负面影响更大。α-生育酚治疗使这些组织学改变显著减少。
高剂量GBP具有神经毒性作用,破坏海马组织,增加退化细胞数量。α-生育酚治疗显著减轻了GBP诱导的有害影响。