Ciprofloxacin: a novel therapeutic agent for iron overload?

Objective: Major thalassemia is one of the hematological diseases requiring multiple blood transfusions, which results in iron overload in the liver, heart and other organs. Current iron chelation therapy consists of intravenous (IV) deferoxamine and oral deferasirox and deferiprone. Although these...

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Main Authors: Mitra Elmi, Parvaneh Rahimi-Moghaddam, Khosrou Abdi, Mehdi Shafiee-Ardestani, Massoud Mahmoudian
Format: Article
Language:English
Published: Galenos Publishing House 2009-09-01
Series:Turkish Journal of Hematology
Subjects:
Online Access:http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-04796
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author Mitra Elmi
Parvaneh Rahimi-Moghaddam
Khosrou Abdi
Mehdi Shafiee-Ardestani
Massoud Mahmoudian
author_facet Mitra Elmi
Parvaneh Rahimi-Moghaddam
Khosrou Abdi
Mehdi Shafiee-Ardestani
Massoud Mahmoudian
author_sort Mitra Elmi
collection DOAJ
description Objective: Major thalassemia is one of the hematological diseases requiring multiple blood transfusions, which results in iron overload in the liver, heart and other organs. Current iron chelation therapy consists of intravenous (IV) deferoxamine and oral deferasirox and deferiprone. Although these chelators are effective, many side effects are reported. In the present study, the iron-chelating effect of ciprofloxacin with good oral absorption was investigated. Material and Methods: Thirty male albino Wistar rats were used for the study. Ciprofloxacin (7 or 14 mg/kg per day) was administered simultaneously with iron (0.03 g/kg per day) or after one-month administration of iron. Ciprofloxacin effect on iron absorption in the liver and heart was studied carefully using atomic absorption. Results: A significant decrease in the liver and heart iron following the ciprofloxacin (14 mg/kg per day) administration was observed, when compared with the control group. This ciprofloxacin-induced tissue iron depletion was more pronounced when it was administered simultaneously with iron, when it was administered for a longer duration (2 months rather than 1 month) and when it was given in higher doses (14 mg/kg per day). Conclusion: Administration of ciprofloxacin may help to decrease the burden of parenteral administration, thereby improving compliance and also the life expectancy of thalassemic patients.
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spelling doaj.art-91aa51c7ff3540c2861d92b84ecbe55d2023-02-15T16:09:14ZengGalenos Publishing HouseTurkish Journal of Hematology1300-77771308-52632009-09-012603114117Ciprofloxacin: a novel therapeutic agent for iron overload?Mitra ElmiParvaneh Rahimi-MoghaddamKhosrou AbdiMehdi Shafiee-ArdestaniMassoud MahmoudianObjective: Major thalassemia is one of the hematological diseases requiring multiple blood transfusions, which results in iron overload in the liver, heart and other organs. Current iron chelation therapy consists of intravenous (IV) deferoxamine and oral deferasirox and deferiprone. Although these chelators are effective, many side effects are reported. In the present study, the iron-chelating effect of ciprofloxacin with good oral absorption was investigated. Material and Methods: Thirty male albino Wistar rats were used for the study. Ciprofloxacin (7 or 14 mg/kg per day) was administered simultaneously with iron (0.03 g/kg per day) or after one-month administration of iron. Ciprofloxacin effect on iron absorption in the liver and heart was studied carefully using atomic absorption. Results: A significant decrease in the liver and heart iron following the ciprofloxacin (14 mg/kg per day) administration was observed, when compared with the control group. This ciprofloxacin-induced tissue iron depletion was more pronounced when it was administered simultaneously with iron, when it was administered for a longer duration (2 months rather than 1 month) and when it was given in higher doses (14 mg/kg per day). Conclusion: Administration of ciprofloxacin may help to decrease the burden of parenteral administration, thereby improving compliance and also the life expectancy of thalassemic patients.http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-04796Thalassemiairon overloadciprofloxacinatomic absorptionchelator
spellingShingle Mitra Elmi
Parvaneh Rahimi-Moghaddam
Khosrou Abdi
Mehdi Shafiee-Ardestani
Massoud Mahmoudian
Ciprofloxacin: a novel therapeutic agent for iron overload?
Turkish Journal of Hematology
Thalassemia
iron overload
ciprofloxacin
atomic absorption
chelator
title Ciprofloxacin: a novel therapeutic agent for iron overload?
title_full Ciprofloxacin: a novel therapeutic agent for iron overload?
title_fullStr Ciprofloxacin: a novel therapeutic agent for iron overload?
title_full_unstemmed Ciprofloxacin: a novel therapeutic agent for iron overload?
title_short Ciprofloxacin: a novel therapeutic agent for iron overload?
title_sort ciprofloxacin a novel therapeutic agent for iron overload
topic Thalassemia
iron overload
ciprofloxacin
atomic absorption
chelator
url http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-04796
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AT parvanehrahimimoghaddam ciprofloxacinanoveltherapeuticagentforironoverload
AT khosrouabdi ciprofloxacinanoveltherapeuticagentforironoverload
AT mehdishafieeardestani ciprofloxacinanoveltherapeuticagentforironoverload
AT massoudmahmoudian ciprofloxacinanoveltherapeuticagentforironoverload