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68421

Modulatory Role of Gallic Acid and Vitamin C on Amoxicillin/Clavulanic Acid Combination Induced Hepatotoxicity in Adult Albino Rats

Article

Last updated: 30 Jan 2023

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Abstract

Amoxicillin/ Clavulanate (AC) combination has become one of the antibiotics most widely prescribed used in the treatment of several bacterial infections, might be associated with liver injury. This study was aimed to investigate amoxicillin/clavulanic acid induced hepatotoxicity and the modulatory effect of gallic acid (GA)/ vitamin C (VTC) individually and in combination on oxidative stress-related liver damage. Sixty-four male albino rats were randomly separated into eight groups; negative control; GA group; VTC group; GA +VTC group; AC- treated group; AC + GA- treated group; AC + VTC treated group & AC+ GA + VTC treated group. A twice daily dose of AC (31.83 mg/kg) and a single daily dose of both GA (60 mg/kg) and VTC (200 mg/kg/day) were introduced to rats orally for 7 consecutive days. The serum levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT) and tumor necrosis factor alpha (TNF-α) were significantly increased and upregulation of caspase-3 protein in rats treated with AC. Hepatic contents of malondialdehyde (MDA) were markedly increased following AC administration but produced a significant decrease in the levels of reduced glutathione (GSH) and glutathione-S-transferase (GST) along with downregulated the expression of the hemeoxygenase-1 gene (HMOX-1). These findings were in accordance with the histopathological findings. Co-administration of GA and/or VTC along with AC to rats reduced liver injury, oxidative stress, apoptosis and histopathological alterations. So, we concluded that GA and VTC pose a positive modulatory effect against AC induced hepatotoxicity.

DOI

10.21608/mjfmct.2020.19063.1002

Keywords

amoxicillin, Clavulanate, Gallic acid, vitamin c, Hemoxygenase gene

Authors

First Name

Asmaa

Last Name

Hussein

MiddleName

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Affiliation

Forensic Medicine & Clinical Toxicology Department, Faculty of Medicine, Banha University, Egypt.

Email

asmaa.hussein@fmed.bu.edu.eg

City

-

Orcid

-

First Name

Sania

Last Name

Elwia

MiddleName

-

Affiliation

Biochemistry Department, Faculty of Medicine, Banha University, Egypt

Email

ehaboraby2000@gmail.com

City

-

Orcid

-

First Name

Shaymaa

Last Name

Abd El Rahman

MiddleName

-

Affiliation

Biochemistry Department, Faculty of Medicine, Banha University, Egypt

Email

mishmish1282@yahoo.com

City

-

Orcid

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First Name

Haidy

Last Name

Fakher

MiddleName

-

Affiliation

Forensic Medicine & Clinical Toxicology Department, Faculty of Medicine, Banha University, Egypt

Email

aafakher@gmail.com

City

Benha

Orcid

-

Volume

28

Article Issue

1

Related Issue

10566

Issue Date

2020-01-01

Receive Date

2019-11-07

Publish Date

2020-01-01

Page Start

55

Page End

71

Print ISSN

1110-5437

Online ISSN

2682-3217

Link

https://mjfmct.journals.ekb.eg/article_68421.html

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https://mjfmct.journals.ekb.eg/service?article_code=68421

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5

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