Yıl: 2020 Cilt: 7 Sayı: 6 Sayfa Aralığı: 541 - 550 Metin Dili: İngilizce DOI: 10.14744/nci.2020.54926 İndeks Tarihi: 13-06-2021

Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats

Öz:
OBJECTIVE: Paracetamol is thought that it acts by inhibiting the central cyclooxygenase (COX) enzyme; its mechanism of action is still not fully explained. Although its most important side effect is hepatoxicity, it is thought to cause toxicity on the brain in recent years. The present study aims to investigate the treatment and toxic effects of low and high doses of paracetamol on the liver and brain.METHODS: Wistar-albino rats were used in this study. At doses of 20–500 mg/kg, paracetamol was administered intraperitoneally once a day for one and three days. The brain and liver were used for immunohistochemical evaluation using COX-3, prostaglandin E2 (PGE2) and caspase 3 antibodies and for total antioxidant (TAS), total oxidant (TOS) and oxidative stress index (OSI) measurements. Results were evaluated using the Kruskal Wallis test (SPSS ver.24).RESULTS: The liver COX-3 levels were significantly lower in both groups with higher doses (p<0.05). In the brain, there was no statistically significant difference in COX-3 levels between the groups. There was no statistically significant difference in PGE2 levels in the liver and brain between the groups (p>0.05). The caspase 3 level in the liver was statistically significantly higher in the low dose group compared to the other groups (p<0.05). In both liver and brain, OSI values were significantly higher in the 3-day high-dose group compared to others (p<0.05). There was no statistically significant difference between the groups in ALT and AST values (p>0.05).CONCLUSION: The results of our study show that paracetamol inhibits the COX-3 enzyme in the liver but has no effect in the brain, and COX-3 does not have an effect on PGE2. Paracetamol causes apoptosis in the liver only in low doses; higher doses may cause toxicity by increasing oxidative stress, especially in the brain.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Bertolini A, Ferrari A, Ottani A, Guerzoni S, Tacchi R, Leone S. Paracetamol: new vistas of an old drug. CNS Drug Rev 2006;12:250–75.
  • 2. Chandrasekharan NV, Dai H, Roos KL, Evanson NK, Tomsik J, Elton TS, et al. COX-3, a cyclooxygenase-1 variant inhibited by acetaminophen and other analgesic/antipyretic drugs: cloning, structure, and expression. Proc Natl Acad Sci U S A 2002;99:13926–31.
  • 3. Kis B, Snipes JA, Busija DW. Acetaminophen and the cyclooxygenase-3 puzzle: sorting out facts, fictions, and uncertainties. J Pharmacol Exp Ther 2005;315:1–7.
  • 4. Li S, Dou W, Tang Y, Goorha S, Ballou LR, Blatteis CM. Acetaminophen: antipyretic or hypothermic in mice? In either case, PGHS-1b (COX-3) is irrelevant. Prostaglandins Other Lipid Mediat 2008;85:89–99.
  • 5. Davis M, Labadarios D, Williams RS. Metabolism of paracetamol after therapeutic and hepatotoxic doses in man. J Int Med Res 1976;4:40–5.
  • 6. Mitchell JR, Jollow DJ, Potter WZ, Gillette JR, Brodie BB. Acetaminophen-induced hepatic necrosis. IV. Protective role of glutathione. J Pharmacol Exp Ther 1973;187:211–7.
  • 7. Burcham PC, Harman AW. Acetaminophen toxicity results in site-specific mitochondrial damage in isolated mouse hepatocytes. J Biol Chem 1991;266:5049–54.
  • 8. Tsokos-Kuhn JO, Hughes H, Smith CV, Mitchell JR. Alkylation of the liver plasma membrane and inhibition of the Ca2+ ATPase by acetaminophen. Biochem Pharmacol 1988;37:2125–31.
  • 9. Isobe-Harima Y, Terai S, Miura I, Segawa M, Murata T, Itamoto K, et al. A new hepatic encephalopathy model to monitor the change of neural amino acids and astrocytes with behaviour disorder. Liver Int 2008;28:117–25.
  • 10. Aggarwal S, Kramer D, Yonas H, Obrist W, Kang Y, Martin M, et al. Cerebral hemodynamic and metabolic changes in fulminant hepatic failure: a retrospective study. Hepatology 1994;19:80–7.
  • 11. Upadhya SC, Tirumalai PS, Boyd MR, Mori T, Ravindranath V. Cytochrome P4502E (CYP2E) in brain: constitutive expression, induction by ethanol and localization by fluorescence in situ hybridization. Arch Biochem Biophys 2000;373:23–34.
  • 12. Courad JP, Besse D, Delchambre C, Hanoun N, Hamon M, Eschalier A, et al. Acetaminophen distribution in the rat central nervous system. Life Sci. 2001;69:1455–64.
  • 13. Micheli L, Fiaschi AI, Cerretani D, Giorgi G. Effect of acetaminophen on glutathione levels in several regions of the rat brain. Curr Ther Res 1993;53:730–6.
  • 14. Naziroğlu M, Uğuz AC, Koçak A, Bal R. Acetaminophen at different doses protects brain microsomal Ca2+-ATPase and the antioxidant redox system in rats. J Membr Biol 2009;231:57–64.
  • 15. Bisaglia M, Venezia V, Piccioli P, Stanzione S, Porcile C, Russo C, et al. Acetaminophen protects hippocampal neurons and PC12 cultures from amyloid beta-peptides induced oxidative stress and reduces NF-kappaB activation. Neurochem Int 2002;41:43–54.
  • 16. Erel O. A new automated colorimetric method for measuring total oxidant status. Clin Biochem 2005;38:1103–11.
  • 17. Vane JR. Inhibition of prostaglandin synthesis as a mechanism of action for aspirin-like drugs. Nat New Biol 1971;231:232–5.
  • 18. Ghanem CI, Pérez MJ, Manautou JE, Mottino AD. Acetaminophen from liver to brain: New insights into drug pharmacological action and toxicity. Pharmacol Res 2016;109:119–31.
  • 19. Engström Ruud L, Wilhelms DB, Eskilsson A, Vasilache AM, Elander L, Engblom D, et al. Acetaminophen reduces lipopolysaccharide-induced fever by inhibiting cyclooxygenase-2. Neuropharmacology 2013;71:124–9.
  • 20. Boutaud O, Aronoff DM, Richardson JH, Marnett LJ, Oates JA. Determinants of the cellular specificity of acetaminophen as an inhibitor of prostaglandin H(2) synthases. Proc Natl Acad Sci U S A 2002;99:7130–5.
  • 21. Stockler M, Vardy J, Pillai A, Warr D. Acetaminophen (paracetamol) improves pain and well-being in people with advanced cancer already receiving a strong opioid regimen: a randomized, double-blind, placebo-controlled cross-over trial. J Clin Oncol 2004;22:3389–94.
  • 22. Sima L, Fang WX, Wu XM, Li F. Efficacy of oxycodone/paracetamol for patients with bone-cancer pain: a multicenter, randomized, double-blinded, placebo-controlled trial. J Clin Pharm Ther 2012;37:27–31.
  • 23. Guo C, Xie G, Su M, Wu X, Lu X, Wu K, et al. Characterization of acetaminophen-induced cytotoxicity in target tissues. Am J Transl Res 2016;8:4440–5.
  • 24. Cover C, Mansouri A, Knight TR, Bajt ML, Lemasters JJ, Pessayre D, et al. Peroxynitrite-induced mitochondrial and endonuclease-mediated nuclear DNA damage in acetaminophen hepatotoxicity. J Pharmacol Exp Ther 2005;315:879–87.
  • 25. Sun Y, Li TY, Song L, Zhang C, Li J, Lin ZZ, et al. Liver-specific deficiency of unc-51 like kinase 1 and 2 protects mice from acetaminophen-induced liver injury. Hepatology 2018;67:2397–413.
  • 26. Ghanem CI, Rudraiah S, Bataille AM, Vigo MB, Goedken MJ, Manautou JE. Role of nuclear factor-erythroid 2-related factor 2 (Nrf2) in the transcriptional regulation of brain ABC transporters during acute acetaminophen (APAP) intoxication in mice. Biochem Pharmacol 2015;94:203–11.
  • 27. da Silva MH, da Rosa EJ, de Carvalho NR, Dobrachinski F, da Rocha JB, Mauriz JL, et al. Acute brain damage induced by acetaminophen in mice: effect of diphenyl diselenide on oxidative stress and mitochondrial dysfunction. Neurotox Res 2012;21:334–44.
  • 28. Vigo MB, Pérez MJ, De Fino F, Gómez G, Martínez SA, Bisagno V, et al. Acute acetaminophen intoxication induces direct neurotoxicity in rats manifested as astrogliosis and decreased dopaminergic markers in brain areas associated with locomotor regulation. Biochem Pharmacol 2019;170:113662.
  • 29. Posadas I, Santos P, Blanco A, Muñoz-Fernández M, Ceña V. Acetaminophen induces apoptosis in rat cortical neurons. PLoS One 2010;5:e15360.
  • 30. Posadas I, Vellecco V, Santos P, Prieto-Lloret J, Ceña V. Acetaminophen potentiates staurosporine-induced death in a human neuroblastoma cell line. Br J Pharmacol 2007;150:577–85.
  • 31. Baliga SS, Jaques-Robinson KM, Hadzimichalis NM, Golfetti R, Merrill GF. Acetaminophen reduces mitochondrial dysfunction during early cerebral postischemic reperfusion in rats. Brain Res 2010;1319:142– 54.
  • 32. Zhao WX, Zhang JH, Cao JB, Wang W, Wang DX, Zhang XY, et al. Acetaminophen attenuates lipopolysaccharide-induced cognitive impairment through antioxidant activity. J Neuroinflammation 2017;14:17.
APA öksüz e, yaşar s, Erten R, ARIHAN O, Oto G (2020). Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. , 541 - 550. 10.14744/nci.2020.54926
Chicago öksüz ersoy,yaşar semih,Erten Remzi,ARIHAN Okan,Oto Gökhan Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. (2020): 541 - 550. 10.14744/nci.2020.54926
MLA öksüz ersoy,yaşar semih,Erten Remzi,ARIHAN Okan,Oto Gökhan Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. , 2020, ss.541 - 550. 10.14744/nci.2020.54926
AMA öksüz e,yaşar s,Erten R,ARIHAN O,Oto G Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. . 2020; 541 - 550. 10.14744/nci.2020.54926
Vancouver öksüz e,yaşar s,Erten R,ARIHAN O,Oto G Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. . 2020; 541 - 550. 10.14744/nci.2020.54926
IEEE öksüz e,yaşar s,Erten R,ARIHAN O,Oto G "Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats." , ss.541 - 550, 2020. 10.14744/nci.2020.54926
ISNAD öksüz, ersoy vd. "Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats". (2020), 541-550. https://doi.org/10.14744/nci.2020.54926
APA öksüz e, yaşar s, Erten R, ARIHAN O, Oto G (2020). Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. İstanbul Kuzey Klinikleri, 7(6), 541 - 550. 10.14744/nci.2020.54926
Chicago öksüz ersoy,yaşar semih,Erten Remzi,ARIHAN Okan,Oto Gökhan Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. İstanbul Kuzey Klinikleri 7, no.6 (2020): 541 - 550. 10.14744/nci.2020.54926
MLA öksüz ersoy,yaşar semih,Erten Remzi,ARIHAN Okan,Oto Gökhan Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. İstanbul Kuzey Klinikleri, vol.7, no.6, 2020, ss.541 - 550. 10.14744/nci.2020.54926
AMA öksüz e,yaşar s,Erten R,ARIHAN O,Oto G Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. İstanbul Kuzey Klinikleri. 2020; 7(6): 541 - 550. 10.14744/nci.2020.54926
Vancouver öksüz e,yaşar s,Erten R,ARIHAN O,Oto G Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats. İstanbul Kuzey Klinikleri. 2020; 7(6): 541 - 550. 10.14744/nci.2020.54926
IEEE öksüz e,yaşar s,Erten R,ARIHAN O,Oto G "Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats." İstanbul Kuzey Klinikleri, 7, ss.541 - 550, 2020. 10.14744/nci.2020.54926
ISNAD öksüz, ersoy vd. "Comparison of effects of high and low doseparacetamol treatment and toxicity on brain and liver in rats". İstanbul Kuzey Klinikleri 7/6 (2020), 541-550. https://doi.org/10.14744/nci.2020.54926