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47251

Protective effect of silymarin and ascorbic acid in valproic acid-induced hepatic toxicity in male albino Rats

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Last updated: 30 Jan 2023

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Abstract

Valproic acid (VPA) is widely used worldwide for the treatment of epilepsy, migraine and as a mood stabilizer in some psychiatric diseases. It has been condemned for causing hepatotoxicity. Oxidative stress and some metabolites of VPA have been proposed to be responsible for VPA induced hepatotoxicity. The current study was conducted to assess the damage induced by toxic doses of valproic acid on rats' livers and to assess the protective role of silymarin and ascorbic acid in VPA induced hepatotoxicity. Forty-two male albino rats were divided equally into seven groups; group (1): normal control, group (2): ascorbic acid, group (3): silymarin, group (4): VPA, group (5): VPA+ascorbic acid, group (6): VPA + silymarin and group (7): VPA + ascorbic acid + silymarin. After four weeks, the animals were sacrificed and livers were collected for histopathologic examination and biochemical assessment. VPA group showed a significant increase in serum alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, bilirubin and a significant decrease in albumin and total protein. Liver malondialdehyde was significantly increased and antioxidant enzymes levels were significantly decreased. Liver sections showed loss of normal pattern of hepatocytes, inflammatory infiltration, congested central vein and fatty infiltration. Each of ascorbic acid and silymarin partially improved some of the measured parameters. When they were combined together, they depict high improvement in most of measured parameters and showed near normal liver sections. This study concludes that combination of ascorbic acid and silymarin has synergistic antioxidant and hepatoprotective effects against VPA induced toxic effects on liver.

DOI

10.21608/mjfmct.2018.47251

Keywords

Valproic acid, Silymarin, ascorbic acid, hepatoxicity, antioxidants

Authors

First Name

Mahrous

Last Name

Ibrahim

MiddleName

A.

Affiliation

Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Suez Canal University (SCU), Ismailia, Egypt./ Forensic Medicine and Clinical Toxicology Department, College of Medicine, Aljouf University, Aljouf, KSA.

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Orcid

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First Name

Rehab

Last Name

Abdel-Karim

MiddleName

I

Affiliation

Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Suez Canal University (SCU), Ismailia, Egypt.

Email

rehabnegm@yahoo.com

City

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Orcid

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First Name

Hany

Last Name

Tamam

MiddleName

G.

Affiliation

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

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-

Orcid

-

First Name

Alaa

Last Name

Mohamed

MiddleName

A.

Affiliation

Medical Biochemistry Department, Faculty of Medicine, BeniSuef University, Beni- Suef, Egypt./ Pathology Department, Faculty of Medicine, Aljouf University, Aljouf, KSA

Email

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City

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Orcid

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First Name

Farooq

Last Name

Wani

MiddleName

A.

Affiliation

Pathology Department, Faculty of Medicine, Aljouf University, Aljouf, KSA.

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Orcid

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Volume

25

Article Issue

2

Related Issue

7048

Issue Date

2017-07-01

Receive Date

2017-06-05

Publish Date

2017-07-01

Page Start

33

Page End

49

Print ISSN

1110-5437

Online ISSN

2682-3217

Link

https://mjfmct.journals.ekb.eg/article_47251.html

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https://mjfmct.journals.ekb.eg/service?article_code=47251

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4

Type

Original Article

Type Code

966

Publication Type

Journal

Publication Title

Mansoura Journal of Forensic Medicine and Clinical Toxicology

Publication Link

https://mjfmct.journals.ekb.eg/

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Article

Created At

22 Jan 2023