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The Protective Potential of Metformin against Liver Acetaminophen Toxicity

Dina Suhail

PhD in Al-Yarmouk University College, Department of Pharmacy, Iraq

1-6

Vol: 11, Issue: 3, 2021

Receiving Date: 2021-05-29 Acceptance Date:

2021-07-07

Publication Date:

2021-07-17

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http://doi.org/10.37648/ijrst.v11i03.001

Abstract

The inadequacy to replace acetaminophen (APAP) with a more effective analgesic continues its use in therapeutic interventions, upholding the risk of hepatotoxicity. Depletion of glutathione reserves by a metabolic intermediate of acetaminophen, N-acetyl-p-benzoquinone imine (NAPQI), is the major reason. The current study presents the combinatorial effect of metformin, a biguanide, in ameliorating the APAP toxicity. HepG2 cells were used for in vitro studies and MTT and LDH leakage assays were used for viability assessment. 10 μM of metformin improved the cell viability and membrane integrity of cells treated with a high antioxidant enzymes and reduced glutathione were significantly increased in cells co-administrated with metformin and acetaminophen

Keywords: metformin; acetaminophen toxicity; liver toxicity; HepG2 cells; necrosis

References

  1. Anon. 2010. Tylenol professional product information. Fort Washington (MD): McNeil Consumer Healthcare, Division of McNEIL-PPC, IncBajt ML, Knight TR, Farhood A, Jaeschke H. Scavenging peroxynitrite with glutathione promotes regeneration and enhances survival during acetaminophen-induced liver injury in mice. J PharmacolExpTher. 307:67–73, 2003
  2. R. Dart, A. Erdman, K. Olson, G. Christianson and A. Manoguerra. 2006. Acetaminophen poisoning: an evidence based consensus guideline for out-of-hospital management. ClinToxicol (Phila). 44:1–18, 2006
  3. N. Kaplowitz, M. Shinohara, Z. Liu, and D. Han. How to protect against acetaminophen: don't ask for JUNK. Gastroenterology. 135:1047–1051, 2008.
  4. M. McGill, C. Williams, M. Taha, S. Curry and H. Jaeschke. The mechanism underlying acetaminophen induced hepatotoxicity in humans and mice involves mitochondrial damage and nuclear DNA fragmentation. J Clin Invest. 122:1574–1583, 2012
  5. M. Poon, P. Chiu, D. Mak and K. Ko. Metformin protects against carbon tetrachloride hepatotoxicity in mice. J Pharmacol Sci. 93:501–504, 2003.
  6. A. Reid, R. Kurten, S. McCullough, R. Brock and J. Hinson. Mechanisms of acetaminophen-induced hepatotoxicity: role of oxidative stress and mitochondrial permeability transition in freshly isolated mouse hepatocytes. J PharmacolExpTher. 312:509–516, 2005
  7. M. Tavafi. Complexity of diabetic nephropathy pathogenesis and design of investigations. J Renal Inj Prev. 2:59–62, 2013a
  8. M. Tavafi. Diabetic nephropathy and antioxidants. J Nephropathol. 2:20–27, 2013b
  9. S. Saravi, A. Hasanvand, K. Shahkarami and A. Dehpour. The protective potential of metformin against acetaminophen induced hepatotoxicity in BALB/C mice, Pharmaceutical Biology, vol54:pp12, 2830-2837, 2016.
  10. M. Yana, Y. Huob, S. Yina and H. Hu. Mechanisms of acetaminophen-induced liver injury and its implications for therapeutic interventions. Redox Biology 17, 274–283, 2018.
  11. G. Rena, D. Hardie and E. Pearson. The mechanisms of action of metformin. Diabetologia. vol 60, pp 9 :1577-1585, 2017 Sep.
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