Pentoxifylline ameliorates carbamazepine-induced hepatotoxicity via down expression of CYP3A4 and NF-kB gene expression in the rat: in vivo study

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Title: Pentoxifylline ameliorates carbamazepine-induced hepatotoxicity via down expression of CYP3A4 and NF-kB gene expression in the rat: in vivo study
Authors: Farah Rafie Mohammed, Yassir Mustafa Kamal Al Mulla Hummadi, Muthanna I. Al-Ezzi
Source: Pharmacia, Vol 71, Iss , Pp 1-11 (2024)
Publisher Information: Pensoft Publishers, 2024.
Publication Year: 2024
Collection: LCC:Pharmacy and materia medica
Subject Terms: Pharmacy and materia medica, RS1-441
More Details: Drug-induced liver injury (DILI) is a serious complication of many drugs, including carbamazepine; this study investigates the protective effect of pentoxifylline (PTX) against DILI induced by carbamazepine in rat models by attenuating CYP3A4 and NF-κB gene expression. Forty rats were divided into five groups: the control group received no treatment, the induction group received 50 mg/kg carbamazepine orally for 28 days, and three groups received PTX (100, 200, and 300 mg/kg) once daily for one hour before carbamazepine induction for 28 days. Then, the rats were euthanized, and blood and liver tissue were collected for biochemical, gene expression, and histopathology. PTX attenuates the carbamazepine-induced increased CYP3A4 and NF-κB gene expression, with the highest dose showing the best result. PTX also reduced aspartate aminotransferase, alanine aminotransferase, and malondialdehyde, while glutathione levels increased. In conclusion, PTX is highly efficacious in preventing and restoring the liver cells’ normal morphology and cellular function caused by carbamazepine hepatotoxicity. A possible mechanism of the PTC effect is hindering oxidative stress by scavenging free radicals and enhancing the body’s natural defense antioxidant system. Additionally, it exerts an anti-inflammatory impact by modulating NF-κB gene expression.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2603-557X
Relation: https://pharmacia.pensoft.net/article/136976/download/pdf/; https://pharmacia.pensoft.net/article/136976/download/xml/; https://pharmacia.pensoft.net/article/136976/; https://doaj.org/toc/2603-557X
DOI: 10.3897/pharmacia.71.e136976
Access URL: https://doaj.org/article/884647b40748473abc989a8a93b02795
Accession Number: edsdoj.884647b40748473abc989a8a93b02795
Database: Directory of Open Access Journals
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  Data: Pentoxifylline ameliorates carbamazepine-induced hepatotoxicity via down expression of CYP3A4 and NF-kB gene expression in the rat: in vivo study
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  Data: <searchLink fieldCode="AR" term="%22Farah+Rafie+Mohammed%22">Farah Rafie Mohammed</searchLink><br /><searchLink fieldCode="AR" term="%22Yassir+Mustafa+Kamal+Al+Mulla+Hummadi%22">Yassir Mustafa Kamal Al Mulla Hummadi</searchLink><br /><searchLink fieldCode="AR" term="%22Muthanna+I%2E+Al-Ezzi%22">Muthanna I. Al-Ezzi</searchLink>
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  Data: Pharmacia, Vol 71, Iss , Pp 1-11 (2024)
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  Data: Drug-induced liver injury (DILI) is a serious complication of many drugs, including carbamazepine; this study investigates the protective effect of pentoxifylline (PTX) against DILI induced by carbamazepine in rat models by attenuating CYP3A4 and NF-κB gene expression. Forty rats were divided into five groups: the control group received no treatment, the induction group received 50 mg/kg carbamazepine orally for 28 days, and three groups received PTX (100, 200, and 300 mg/kg) once daily for one hour before carbamazepine induction for 28 days. Then, the rats were euthanized, and blood and liver tissue were collected for biochemical, gene expression, and histopathology. PTX attenuates the carbamazepine-induced increased CYP3A4 and NF-κB gene expression, with the highest dose showing the best result. PTX also reduced aspartate aminotransferase, alanine aminotransferase, and malondialdehyde, while glutathione levels increased. In conclusion, PTX is highly efficacious in preventing and restoring the liver cells’ normal morphology and cellular function caused by carbamazepine hepatotoxicity. A possible mechanism of the PTC effect is hindering oxidative stress by scavenging free radicals and enhancing the body’s natural defense antioxidant system. Additionally, it exerts an anti-inflammatory impact by modulating NF-κB gene expression.
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      – TitleFull: Pentoxifylline ameliorates carbamazepine-induced hepatotoxicity via down expression of CYP3A4 and NF-kB gene expression in the rat: in vivo study
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