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19412

Influence of Silymarin on Valproic Acid Induced Hepatotoxicity in Adult Male Albino Rats

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Last updated: 22 Jan 2023

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Abstract

Introduction: Valproic acid (VPA) is a widely prescribed antiepileptic drug,  which might induce serious  hepatic disorders . Silymarin is currently used as a supportive therapy of liver disorders. Aim of the study: In this study we evaluated the protective effects of silymarin on valproic acid induced hepatotoxicity . Material and Methods: seventy adult male albino rats were divided into 7 groups (10 each), (Ia) negative control, (Ib) positive control, (II) silymarin group, received17.5 mg/kg. (IIIa) low dose VAP group, received 200mg/kg , (IIIb) high dose VAP group received 400 mg/kg (IVa) low dose VPA + silymarin group and (IVb) high dose VPA + silymarin group received doses as previously mentioned. The drugs were gavaged once daily, 6 days/week for 8 weeks, at the end of the experiment rats were sacrificed and estimation of alanine aminotransferase (ALT) and alkaline phosphatase (ALP) in the blood, malondialdehyde (MDA) and glutathione peroxidase (GSH-Px) in liver tissues and histopathological and immunnohistochemical examination of liver tissues were carried out. Results: this study showed significant increase in serum ALT, ALP and hepatic MDA contents while GSH-Px activity significantly reduced (especially in high dose VPA group) when compared with the control. Histopathological changes showed patchy microvesicular steatosis, focal necrosis of hepatocytes, dilated congested central vein and sinusoids. Immunolocalization of Bcl-2 revealed dose dependent weak cytoplasmic staining in the hepatocytes surrounding the central vein. VPA+ Silymarin groups showed partial improvement. Conclusion: It concluded that VPA has dose dependent toxic effects on liver that might be ameliorated by concomitant use of silymarin.

DOI

10.21608/ajfm.2013.19412

Keywords

Valproate, Silymarin, Oxidative Stress, ALT, ALP, MDA, GSH-Px, Bcl-2

Authors

First Name

Shereen

Last Name

El-Khateeb

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Affiliation

Department of Forensic Medicine and Clinical Toxicology,Faculty of Medicine, Zagazig University, Zagazig, Egypt.

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First Name

Manar

Last Name

Arafa

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Affiliation

Department of Forensic Medicine and Clinical Toxicology,Faculty of Medicine, Zagazig University, Zagazig, Egypt.

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First Name

Taiseer

Last Name

Ibraheem

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Affiliation

Department of Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

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Volume

20

Article Issue

1

Related Issue

3962

Issue Date

2013-01-01

Receive Date

2018-11-18

Publish Date

2013-01-01

Page Start

221

Page End

232

Print ISSN

1687-1030

Online ISSN

2636-3356

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https://ajfm.journals.ekb.eg/article_19412.html

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https://ajfm.journals.ekb.eg/service?article_code=19412

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19

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Original Article

Type Code

665

Publication Type

Journal

Publication Title

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

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https://ajfm.journals.ekb.eg/

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Article

Created At

22 Jan 2023