Yıl: 2018 Cilt: 7 Sayı: 2 Sayfa Aralığı: 196 - 206 Metin Dili: İngilizce DOI: 10.18036/aubtdc.349864 İndeks Tarihi: 24-12-2019

ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS

Öz:
Quetiapine is an atypical antipsychotic drug used for treatments of patients with schizophrenia. Although hepatotoxic effectsrelated to quetiapine treatment were reported in a few studies, potential hepatotoxicity of this drug was not identified. Therefore,it was aimed to evaluate the possible hepatotoxic effects of quetiapine by oral administration of this drug at 10 and 20 mg/kgdoses to rats for 30 days in our study. For this purpose, plasma aspartate aminotransferase, alanine aminotransferase, totalbilirubin and direct bilirubin levels as markers of hepatotoxicity were determined and histopathological examination wasperformed in liver tissues. Additionally, we evaluated GSH levels in liver tissues. According to our results, serum aspartateaminotransferase and alanine aminotransferase levels were significantly increased in quetiapine-administered groups, whereastotal and direct bilirubin levels were significantly increased in the high dose group. Histopathological investigation of livertissue indicated that necrotic regions were present in 10 mg/kg quetiapine-administered group whereas prevalent necroticregions accompanying sinusoidal dilatation were observed in 20 mg/kg quetiapine-administered group. Otherwise, there is notany significant difference among groups in terms of GSH levels. According to these results, we concluded that quetiapinetreatment induced hepatotoxic effects in rats, dose-dependently.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Kaplowitz N. Drug-induced liver injury. Clin Infect Dis 2004; 38(2): S44-8.
  • Grattagliano I, Bonfrate L, Diogo CV, Wang HH, Wang DQ, Portincasa P. Biochemical mechanisms in drug-induced liver injury: certainties and doubts. World J Gastroenterol 2009; 15(39): 4865-76.
  • Russmann S, Kullak-Ublick GA, Grattagliano I. Current concepts of mechanisms in drug-induced hepatotoxicity. Curr Med Chem 2009; 16(23): 3041-3053.
  • Vinken M, Maes M, Vanhaecke T, Rogiers V. Drug-induced liver injury: mechanisms, types and biomarkers. Curr Med Chem 2013; 20(24): 3011-21.
  • Alempijevic T, Zec S, Milosavljevic T. Drug-induced liver injury: Do we know everything? World J Hepatol 2017; 9(10): 491-502.
  • van Tonder JJ, Steenkamp V, Gulumian M. Pre-Clinical Assessment of the Potential Intrinsic Hepatotoxicity of Candidate Drugs. New Insights into Toxicity and Drug Testing. Edited by Sivakumar Gowder, Publisher: InTech 2013.
  • Chalasani NP, Hayashi PH, Bonkovsky HL, Navarro VJ, Lee WM, Fontana RJ. Practice Parameters Committee of the American College of Gastroenterology. ACG Clinical Guideline: the diagnosis and management of idiosyncratic drug-induced liver injury. Am J Gastroenterol 2014; 109(7): 950- 66.
  • Sanford M, Keating GM. Quetiapine: a review of its use in the management of bipolar depression. CNS Drugs 2012; 26(5): 435-460.
  • Pringsheim T, Gardner DM. Dispensed prescriptions for quetiapine and other second-generation antipsychotics in Canada from 2005 to 2012: a descriptive study. CMAJ Open 2014; 2(4): E225- 32.
  • Lally J, MacCabe JH. Antipsychotic medication in schizophrenia: a review. Br Med Bull 2015; 114(1): 169-79.
  • Soeiro-DE-Souza MG, Dias VV, Missio G, Balanzá-Martinez V, Valiengo L, Carvalho AF, Moreno RA. Role of quetiapine beyond its clinical efficacy in bipolar disorder: From neuroprotection to the treatment of psychiatric disorders (Review). Exp Ther Med 2015; 9(3): 643-652.
  • Lindsley CW. The Top Prescription Drugs of 2011 in the United States: Antipsychotics and Antidepressants Once Again Lead CNS Therapeutics, ACS Chem. Neurosci 2012; 3(8): 630-631.
  • Lin CH, Liu CM, Huang WL. Quetiapine-induced hepatocellular damage. Psychosomatics 2012; 53(6): 601-2.
  • El Hajj I, Sharara AI, Rockey DC. Subfulminant liver failure associated with quetiapine. Eur. J. Gastroenterol. Hepatol 2004; 16: 1415−1418.
  • Shpaner A, Li W, Ankoma-Sey V, Botero RC. Drug-induced liver injury: Hepatotoxicity of quetiapine revisited. Eur. J. Gastroenterol. Hepatol 2008; 20: 1106−1109.
  • Al Mutairi F, Dwivedi G, Al Ameel T. Fulminant hepatic failure in association with quetiapine: a case report. J Med Case Rep 2012; 6: 418.
  • Garver DL. Review of quetiapine side effects. J Clin Psychiatry 2000; 61(8): 31-35.
  • Atasoy N, Erdogan A, Yalug I, Ozturk U, Konuk N, Atik L, Ustundag Y. A review of liver function tests during treatment with atypical antipsychotic drugs: a chart review study. Prog NeuroPsychopharmacol Biol Psychiatry 2007; 31: 1255−1260.
  • Naharci MI, Karadurmus N, Demir O, Bozoglu E, Ak M, Doruk H. Fatal hepatotoxicity in an elderly patient receiving low-dose quetiapine. Am J Psychiatry 2011; 168: 212−213.
  • Guan HJ, Dai J, Zhu XZ. Atypical antipsychotic effects of quetiapine fumarate in animal models. Acta Pharmacol Sin 2000; 21(3): 205-10.
  • Pisu C, Pira L, Pani L. Quetiapine anxiolytic-like effect in the Vogel conflict test is serotonin dependent. Behav Pharmacol 2010; 21(7): 649-53.
  • Zhang XR, Zhang ZJ, Jenkins TA, Cheng WR, Reynolds GP. The dose-dependent effect of chronic administration of haloperidol, risperidone, and quetiapine on sexual behavior in the male rat. J Sex Med 2011; 8(12): 3345-53.
  • IACUC Guidelines: Anesthesia. Published on Office of Animal Resources. Institutional Animal Care and Use Committee. 2017.
  • Yang X, Schnackenberg LK, Shi Q, Salminen WF. Hepatic toxicity biomarkers. R. Gupta (Ed): Biomarkers in Toxicology. Elsevier Inc., 2014: page 241-259.
  • Khoury T, Rmeileh AA, Yosha L, Benson AA, Daher S, Mizrahi M. Drug Induced Liver Injury: Review with a Focus on Genetic Factors, Tissue Diagnosis, and Treatment Options. J Clin Transl Hepatol 2015; 3(2): 99-108.
  • Katarey D, Verma S. Drug-induced liver injury. Clin Med (Lond) 2016; 16(Suppl 6): s104-s109.
  • Singh A, Bhat TK, Sharma OP. Clinical Biochemistry of Hepatotoxicity.J Clinic Toxicol 2011; 4: 1
  • Aubrecht J, Schomaker SJ, Amacher DE. Emerging hepatotoxicity biomarkers and their potential to improve understanding and management of drug-induced liver injury. Genome Med 2013; 5(9): 85.
  • McGill MR. The past and present of serum aminotransferases and the future of liver injury biomarkers. EXCLI J. 2016; 15: 817-828.
  • Watkins PB. Biomarkers for the diagnosis and management of drug-induced liver injury. Semin Liver Dis 2009; 29(4): 393-9.
  • Liu Z, Que S, Xu J, Peng T. Alanine aminotransferase-old biomarker and new concept: a review. Int J Med Sci 2014; 11(9): 925-35.
  • Gowda S, Desai PB, Hull VV, Math AA, Vernekar SN, Kulkarni SS. A review on laboratory liver function tests. Pan Afr Med J 2009; 3: 17.
  • Giannini EG, Testa R, Savarino V. Liver enzyme alteration: a guide for clinicians. CMAJ 2005; 172(3): 367-79.
  • Senior JR. Evolution of the Food and Drug Administration approach to liver safety assessment for new drugs: current status and challenges. Drug Saf 2014; 37 Suppl 1: S9-17.
  • U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) Center for Biologics Evaluation and Research (CBER). Guidance for Industry Drug-Induced Liver Injury: Premarketing Clinical Evaluation. 2009.
  • Holt MP, Ju C. Mechanisms of drug-induced liver injury. AAPS J 2006; 8(1): E48-54.
  • Kirchain WR, Allen RE. eChapter 17. Drug-Induced Liver Disease. DiPiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey LM. Pharmacotherapy: A Pathophysiologic Approach, 9e. 2014.
  • Yuan L, Kaplowitz N. Mechanisms of Drug Induced Liver Injury Clin Liver Dis 2013; 17(4): 507– 518.
  • Stephens C, Andrade RJ, Lucena MI. Mechanisms of drug-induced liver injury. Curr Opin Allergy Clin Immunol 2014; 14(4): 286-92.
  • Gu X, Manautou JE. Molecular mechanisms underlying chemical liver injury. Expert Rev Mol Med 2012; 14: e4.
  • Li X, Cameron MD. Potential role of a quetiapine metabolite in quetiapine-induced neutropenia and agranulocytosis. Chem Res Toxicol 2012; 25(5): 1004-11
  • Wang H, Xu H, Dyck LE, Li XM. Olanzapine and quetiapine protect PC12 cells from beta-amyloid peptide(25-35)-induced oxidative stress and the ensuing apoptosis. J Neurosci Res 2005; 81(4): 572-80.
  • Xu H, Wang H, Zhuang L, Yan B, Yu Y, Wei Z, Zhang Y, Dyck LE, Richardson SJ, He J, Li X, Kong J, Li XM. Demonstration of an anti-oxidative stress mechanism of quetiapine: implications for the treatment of Alzheimer's disease. FEBS J 2008; 275(14): 3718-28.
  • Padurariu M, Ciobica A, Dobrin I, Stefanescu C. Evaluation of antioxidant enzymes activities and lipid peroxidation in schizophrenic patients treated with typical and atypical antipsychotics. Neurosci Lett 2010; 479(3): 317-20.
  • Dietrich-Muszalska A, Kontek B, Rabe-Jabłońska J. Quetiapine, olanzapine and haloperidol affect human plasma lipid peroxidation in vitro. Neuropsychobiology 2011; 63(4): 197-201.
  • Luo G, Liu M, He J, Guo H, Xue M, Wang X, Li XM. Quetiapine attenuates recognition memory impairment and hippocampal oxidative stress in a transgenic mouse model of Alzheimer's disease. Neuroreport 2014; 25(9): 647-50.
  • Han JH, Tian HZ, Lian YY, Yu Y, Lu CB, Li XM, Zhang RL, Xu H. Quetiapine mitigates the ethanol-induced oxidative stress in brain tissue, but not in the liver, of the rat. Neuropsychiatr Dis Treat 2015; 11: 1473-82.
  • Xuan Y, Yan G, Wu R, Huang Q, Li X, Xu H. The cuprizone-induced changes in (1)H-MRS metabolites and oxidative parameters in C57BL/6 mouse brain: Effects of quetiapine. Neurochem Int 2015; 90: 185-92.
  • Ignácio ZM, Réus GZ, Abelaira HM, de Moura AB, de Souza TG, Matos D, Goldim MP, Mathias K, Garbossa L, Petronilho F, Quevedo J. Acute and chronic treatment with quetiapine induces antidepressant-like behavior and exerts antioxidant effects in the rat brain. Metab Brain Dis 2017; 32(4): 1195-1208.
  • Lobo V, Patil A, Phatak A, Chandra N. Free radicals, antioxidants and functional foods: Impact on human health. Pharmacogn Rev 2010; 4(8): 118-26.
  • Li S, Tan HY, Wang N, Zhang ZJ, Lao L, Wong CW, Feng Y. The Role of Oxidative Stress and Antioxidants in Liver Diseases. Int J Mol Sci 2015; 16(11): 26087-124.
  • de Andrade KQ, Moura FA, dos Santos JM, de Araújo OR, de Farias Santos JC, Goulart MO. Oxidative Stress and Inflammation in Hepatic Diseases: Therapeutic Possibilities of NAcetylcysteine. Int J Mol Sci. 2015; 16(12): 30269-308.
  • Srivastava A, Maggs JL, Antoine DJ, Williams DP, Smith DA, Park BK. Role of reactive metabolites in drug-induced hepatotoxicity. Handb Exp Pharmacol 2010; (196): 165-94.
  • Zitka O, Skalickova S, Gumulec J, Masarik M, Adam V, Hubalek J, Trnkova L, Kruseova J, Eckschlager T, Kizek R. Redox status expressed as GSH: GSSG ratio as a marker for oxidative stress in paediatric tumor patients. Oncol Lett 2012; 4(6): 1247-1253.
  • Frijhoff J, Winyard PG, Zarkovic N, Davies SS, Stocker R, Cheng D, Knight AR, Taylor EL, Oettrich J, Ruskovska T, Gasparovic AC, Cuadrado A, Weber D, Poulsen HE, Grune T, Schmidt HH, Ghezzi P. Clinical Relevance of Biomarkers of Oxidative Stress. Antioxid Redox Signal 2015; 23(14): 1144-70.
  • Birben E, Sahiner EM, Sackesen C, Erzurum S, Kalayci O. Oxidative Stress and Antioxidant Defense. World Allergy Organ J 2012; 5(1): 9–19.
  • Rahal A, Kumar A, Singh V, Yadav B, Tiwari R, Chakraborty S, Dhama K. Oxidative Stress, Prooxidants, and Antioxidants: The Interplay Biomed Res Int 2014; 2014: 761264.
  • Pandit A, Sachdeva T, Bafna P. Drug-Induced Hepatotoxicity: A Review. JAPS 2012; 2(5): 233- 243
APA ILGIN S, BURUKOĞLU DÖNMEZ D, BAYSAL M, HINIS Ö, ATLI Ö (2018). ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. , 196 - 206. 10.18036/aubtdc.349864
Chicago ILGIN Sinem,BURUKOĞLU DÖNMEZ DİLEK,BAYSAL Merve,HINIS Özlem,ATLI Özlem ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. (2018): 196 - 206. 10.18036/aubtdc.349864
MLA ILGIN Sinem,BURUKOĞLU DÖNMEZ DİLEK,BAYSAL Merve,HINIS Özlem,ATLI Özlem ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. , 2018, ss.196 - 206. 10.18036/aubtdc.349864
AMA ILGIN S,BURUKOĞLU DÖNMEZ D,BAYSAL M,HINIS Ö,ATLI Ö ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. . 2018; 196 - 206. 10.18036/aubtdc.349864
Vancouver ILGIN S,BURUKOĞLU DÖNMEZ D,BAYSAL M,HINIS Ö,ATLI Ö ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. . 2018; 196 - 206. 10.18036/aubtdc.349864
IEEE ILGIN S,BURUKOĞLU DÖNMEZ D,BAYSAL M,HINIS Ö,ATLI Ö "ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS." , ss.196 - 206, 2018. 10.18036/aubtdc.349864
ISNAD ILGIN, Sinem vd. "ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS". (2018), 196-206. https://doi.org/10.18036/aubtdc.349864
APA ILGIN S, BURUKOĞLU DÖNMEZ D, BAYSAL M, HINIS Ö, ATLI Ö (2018). ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. Anadolu Üniversitesi Bilim ve Teknoloji Dergisi :C-Yaşam Bilimleri ve Biyoteknoloji, 7(2), 196 - 206. 10.18036/aubtdc.349864
Chicago ILGIN Sinem,BURUKOĞLU DÖNMEZ DİLEK,BAYSAL Merve,HINIS Özlem,ATLI Özlem ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. Anadolu Üniversitesi Bilim ve Teknoloji Dergisi :C-Yaşam Bilimleri ve Biyoteknoloji 7, no.2 (2018): 196 - 206. 10.18036/aubtdc.349864
MLA ILGIN Sinem,BURUKOĞLU DÖNMEZ DİLEK,BAYSAL Merve,HINIS Özlem,ATLI Özlem ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. Anadolu Üniversitesi Bilim ve Teknoloji Dergisi :C-Yaşam Bilimleri ve Biyoteknoloji, vol.7, no.2, 2018, ss.196 - 206. 10.18036/aubtdc.349864
AMA ILGIN S,BURUKOĞLU DÖNMEZ D,BAYSAL M,HINIS Ö,ATLI Ö ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. Anadolu Üniversitesi Bilim ve Teknoloji Dergisi :C-Yaşam Bilimleri ve Biyoteknoloji. 2018; 7(2): 196 - 206. 10.18036/aubtdc.349864
Vancouver ILGIN S,BURUKOĞLU DÖNMEZ D,BAYSAL M,HINIS Ö,ATLI Ö ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS. Anadolu Üniversitesi Bilim ve Teknoloji Dergisi :C-Yaşam Bilimleri ve Biyoteknoloji. 2018; 7(2): 196 - 206. 10.18036/aubtdc.349864
IEEE ILGIN S,BURUKOĞLU DÖNMEZ D,BAYSAL M,HINIS Ö,ATLI Ö "ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS." Anadolu Üniversitesi Bilim ve Teknoloji Dergisi :C-Yaşam Bilimleri ve Biyoteknoloji, 7, ss.196 - 206, 2018. 10.18036/aubtdc.349864
ISNAD ILGIN, Sinem vd. "ASSESSMENT OF HEPATOTOXIC EFFECTS OF QUETIAPINE AT REPEATED DOSES IN RATS". Anadolu Üniversitesi Bilim ve Teknoloji Dergisi :C-Yaşam Bilimleri ve Biyoteknoloji 7/2 (2018), 196-206. https://doi.org/10.18036/aubtdc.349864