Hepatoprotective and Hematoprotective Effects of Vitamin C Against Paracetamol Toxicity in Wistar Albino Rats

Authors

  • Wafa elmatoni Biology department, zoology branch, faculty of science, Misurata university, Libya https://orcid.org/0000-0002-8781-3324
  • Mustafa Sidoun Biology department, zoology branch, faculty of science, Misurata university, Libya
  • Alhammaly Shabash Biology department, zoology branch, faculty of science, Misurata university, Libya

Keywords:

Paracetamol, Vitamin C, Hepatotoxicity, Liver enzymes, Complete blood count.

Abstract

Paracetamol is a commonly prescribed analgesic and antipyretic medication with potentially lethal side effects when used in large doses. The current experiment sought to determine if vitamin C (ascorbic acid) alleviates the hepatotoxicity and Hematotoxicity induced by paracetamol in rats. 36 male rats were divided into four groups: control group; paracetamol group (APAP 400 mg/kg, orally); vitamin C treated group (200 mg/kg, orally); vitamin C-paracetamol treated group (vitamin C 200 mg/kg orally and APAP 400 mg/kg orally). The findings of this study showed that paracetamol administration significantly elevated the liver enzymes (AST and ALT), WBCs and MCHC values while significantly reduced the MCV level. Vitamin C restored the AST, ALT levels and WBCs count nearly to their normal levels and reverse the paracetamol effects on hematological markers. The current study's findings show that vitamin C greatly reduces PCM-induced hepatotoxicity while only slightly protecting against hematotoxicity.

References

Badr, N. S., Elbalakousy, H. H., Mohamed, H. F., Elgendy, H. A., Gabr, M. A., Elmezaien, M. S., ... & El, N. N. (2023): Unveiling the Hepatoprotective and Ameliorative Potential of Natural Products in Paracetamol Overdose. Journal of Medical and Life Science, 5(2),76-95.

Prescott, L. F. (2000). Paracetamol: past, present, and future. American journal of therapeutics, 7(2), 143-148.

Chidiac, A. S., Buckley, N. A., Noghrehchi, F., & Cairns, R. (2023). Paracetamol (acetaminophen) overdose and hepatotoxicity: mechanism, treatment, prevention measures, and estimates of burden of disease. Expert Opinion on Drug Metabolism & Toxicology, 19(5), 297-317.

Lucock, M., Yates, Z., Boyd, L., Naylor, C., Choi, J. H., Ng, X., ... & Veysey, M. (2013). Vitamin C-related nutrient–nutrient and nutrient–gene interactions that modify folate status. European journal of nutrition, 52, 569-582.

Abdullah, M., Jamil, R. T., & Attia, F. N. (2023). Vitamin C (ascorbic acid). In StatPearls [Internet]. StatPearls Publishing.

Adikwu, E.and Deo, O(2013) : Hepatoprotective Effect of Vitamin C (Ascorbic Acid). Pharmacology & Pharmacy; 4: 84-92.

Cichoż-Lach, H., & Michalak, A. (2014). Oxidative stress as a crucial factor in liver diseases. World journal of gastroenterology: WJG, 20(25), 8082-8091.

Bharatia, R., Jaiswal, A., & Jaiswal, H. (2023). Different experimental models for hepatotoxicity; a review. International Journal of Pharma Professional’s Research (IJPPR), 14(2), 129-144.

Agrawal, S., Dhiman, R. K., & Limdi, J. K. (2016). Evaluation of abnormal liver function tests. Postgraduate medical journal, 92(1086), 223-234.

Gwaltney-Brant, S. M. (2016). Veterinary forensic toxicology. Veterinary pathology, 53(5), 1067-1077.

Seo, I.-H., & Lee, Y.-J. (2022). Usefulness of Complete Blood Count (CBC) to Assess Cardiovascular and Metabolic Diseases in Clinical Settings: A Comprehensive Literature Review. Biomedicines, 10(11), 2697. https://doi.org/10.3390/biomedicines10112697

George-Gay, B., & Parker, K. (2003). Understanding the complete blood count with differential. Journal of PeriAnesthesia Nursing, 18(2), 96-117.

El-Ridi, M. R., & Rahmy, T. R. (2000). Action of vitamin C against acetaminophen-induced hepatorenal toxicity in rats. Journal of Toxicology: Toxin Reviews, 19(3-4), 275-304.

Abdulkhaleq, F. M., Alhussainy, T. M., Badr, M. M., Khalil, A. A. A., Gammoh, O., Ghanim, B. Y., & Qinna, N. A. (2018). Antioxidative stress effects of vitamins C, E, and B12, and their combination can protect the liver against acetaminophen-induced hepatotoxicity in rats. Drug design, development and therapy, 3525-3533.

Hassanin, K.; Hashem, K. and Abdel-Kawi, S. (2013): Hepatoprotective Effects of Vitamin C and Micronized Vitamin C Against Paracetamol Induced Hepatotoxicity in Rats: A Comparative Study. International Journal of Biochemistry and Biotechnology; 2 (7): 474-483.

Latif, A. A. E., Assar, D. H., Elkaw, E. M., Hamza, H. A., Alkhalifah, D. H. M., Hozzein, W. N., & Hamouda, R. A. (2021). Protective role of Chlorella vulgaris with Thiamine against Paracetamol induced toxic effects on haematological, biochemical, oxidative stress parameters and histopathological changes in Wistar rats. Scientific Reports, 11(1), 3911.

Yousef, M. I., Omar, S. A., El-Guendi, M. I., & Abdelmegid, L. A. (2010). Potential protective effects of quercetin and curcumin on paracetamol-induced histological changes, oxidative stress, impaired liver and kidney functions and haematotoxicity in rat. Food and Chemical Toxicology, 48(11), 3246-3261.

Simeon, J. O., Zubairu, S. A., & Tosin, J. O. (2023). Nephroprotective effect of Anacardium occidentale (cashew) apple juice on kidney of paracetamol-induced injury in Albino rats. Future Natural Products, 9(1), 31-37.

Matić, M. M., Paunović, M. G., Milošević, M. D., Ognjanović, B. I., & Saičić, Z. S. (2021). Hematoprotective effects and antioxidant properties of β-glucan and vitamin C against acetaminophen-induced toxicity: an experimental study in rats. Drug and Chemical Toxicology, 44(3), 302-309.

Salem, G. A., Shaban, A., Diab, H. A., Elsaghayer, W. A., Mjedib, M. D., Hnesh, A. M., & Sahu, R. P. (2018). Phoenix dactylifera protects against oxidative stress and hepatic injury induced by paracetamol intoxication in rats. Biomedicine & Pharmacotherapy, 104, 366-374.

Saheed,S.; Hendrik,O.and Tom,A.(2016): Zea Mays,Stigma Maydis Prevents and Extenuates Acetaminophen-Perturbed Oxidative Onslaughts In Rat Hepatocytes. Pharmaceutical Biology; 54 ( 11): 2664–2673.

Shabash, A. H., El Matoni, W. F., Alzedani, A. K., ben Saleh, F. A., Eljadi, N. M., Ahnish, F. A. (2019).The Therapeutic Effect of Vitamin C on The Liver of Albino Rats (Albino Wistar) Treated with Paracetamol. Third Conference on Theories and Applications of Basic and Life Sciences (Special Issue within the Journal of Science), 9:333-340.

Abraham, P. (2005). Vitamin C may be beneficial in the prevention of paracetamol-induced renal damage. Clinical and experimental nephrology, 9, 24-30.

Talaat, A., Elgendy, Y. A., Mohamed, H. F., Saed, N. M., Abd Elrouf, N. A., Elgendy, H. A., ... & Badr, N. S. (2023). Ameliorative effects of frankincense oil on rats treated with a minimum toxic dose of paracetamol. Journal of Medical and Life Science,5(3),155-175.

Gomaa, S. (2017). Immunomodulatory and hematological effects induced by diclofenac, ibuprofen or paracetamol toxicity in Swiss albino mice. European Journal of Biological Research, 7(4), 348-359.

Khattab, A. A., Taweek, A. M., Abo-EL-Sooud, K., Ahmed, K. A., El-Gendy, A. N., & Ahmed, A. R. (2020). Elettaria cardamomum essential oil rescues paraceta-mol-induced hepatorenal damage via modulating oxidative stress in rats. Adv. Anim. Vet. Sci, 8(s2), 24-33.

Nithiyanandam, S., & Prince, S. E. (2023). Caesalpinia bonducella counteracts paracetamol-instigated hepatic toxicity via modulating TNF-α and IL-6/10 expression and Bcl-2 and caspase-8/3 signalling. Applied Biochemistry and Biotechnology, 1-20.

Doğan, M. F., Kaya, K., Demirel, H. H., Başeğmez, M., Şahin, Y., & Çiftçi, O. (2023). The effect of vitamin C supplementation on favipiravir-induced oxidative stress and proinflammatory damage in livers and kidneys of rats. Immunopharmacology and Immunotoxicology, 1-6.

Arika, W. M., & Nyamai, D. W. (2016). Hematological markers of in vivo toxicity. Journal of Hematology & Thromboembolic Diseases, 4(02), 1.

Scharf, R. E. (2021). Thrombocytopenia and hemostatic changes in acute and chronic liver disease: pathophysiology, clinical and laboratory features, and management. Journal of Clinical Medicine, 10(7), 1530.

Fetoui, H., Garoui, E. M., Makni-Ayadi, F., & Zeghal, N. (2008). Oxidative stress induced by lambda-cyhalothrin (LTC) in rat erythrocytes and brain: attenuation by vitamin C. Environmental Toxicology and Pharmacology, 26(2), 225-231.

Downloads

Published

2024-08-11

How to Cite

elmatoni, W., Sidoun, M. . and Shabash, A. (2024) “Hepatoprotective and Hematoprotective Effects of Vitamin C Against Paracetamol Toxicity in Wistar Albino Rats”, The Libyan Journal of Science, 27(2). Available at: http://uot.edu.ly/journals/index.php/ljs/article/view/752 (Accessed: 21 November 2024).

Issue

Section

Zoology

Categories

#