Comparison of N-Acetyl Cysteine and Resveratrol Treatments in Acetaminophen Toxicity Model in Rabbits

Purpose: Acetaminophen is safe analgesic drug but it may cause hepatic failure in high doses. N-acetyl cysteine (NAC) is used in the treatment of acetaminophen intoxication. Resveratrol may be used in experimental acetaminophen intoxication models. Purpose, compare the efficacy of NAC and resveratro...

Full description

Bibliographic Details
Main Authors: Hasan Gazi UYAR, Aysegül BAYIR, Hasan KARA, Pınar KARABAĞLI, Abdullah SİVRİKAYA, Ali UNLU
Format: Article
Language:English
Published: Kirsehir Ahi Evran University 2022-12-01
Series:Ahi Evran Medical Journal
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/2200798
_version_ 1797916926075207680
author Hasan Gazi UYAR
Aysegül BAYIR
Hasan KARA
Pınar KARABAĞLI
Abdullah SİVRİKAYA
Ali UNLU
author_facet Hasan Gazi UYAR
Aysegül BAYIR
Hasan KARA
Pınar KARABAĞLI
Abdullah SİVRİKAYA
Ali UNLU
author_sort Hasan Gazi UYAR
collection DOAJ
description Purpose: Acetaminophen is safe analgesic drug but it may cause hepatic failure in high doses. N-acetyl cysteine (NAC) is used in the treatment of acetaminophen intoxication. Resveratrol may be used in experimental acetaminophen intoxication models. Purpose, compare the efficacy of NAC and resveratrol treatments in acetaminophen intoxication. Materials and Methods: We used 34 rabbits. Six rabbits were included in control group, and 7 rabbits were enrolled in other groups Asetaminophen (APAP) (N=7) group. The animals were administered 2 g/kg of acetaminophen by an orogastric tube. Asetaminophen+N-acetylcysteine (APAP+NAC) (N=7) group, 150 mg/kg NAC was administered intramuscular (i.m) to animals at 1st hour following 2 g/kg of acetaminophen administration by orogastric tube. Asetaminophen+resveratrol (APAP+RES) (N=7) group, animals received 100 mg/kg resveratrol by orogastric tube at 1st hour following oral administration of 2 g/kg of acetaminophen by orogastric tube. e. Asetaminophen+N-acetyl cysteine+resveratrol (APAP+NAC + RES) (N=7) group, animals received 100 mg/kg resveratrol by orogastric tube and 150 mg/kg NAC i.m at 1st hour following oral administration of 2 g/kg of acetaminophen by orogastric tube. ALT, AST, GSH, and acetaminophen levels were measured. Animals were sacrificed at the 24th hour. Liver samples were obtained for histopathological examination. Results: According to our results, the GSH level at 12th hour was significantly different between APAP+NAC group and APAP+RES group (p=0.007). In histopathological examination, HSCORE level we used for apoptosis was statistically significantly lower in control group than in APAP group (p=0.007). Its supports that acetaminophen toxicity triggers apoptosis in liver cells. Conclusion: Resveratrol may be an alternative treatment option to NAC in the treatment of acetaminophen toxicity.
first_indexed 2024-04-10T13:06:28Z
format Article
id doaj.art-9fb81bb1c417470ca5830a280609b364
institution Directory Open Access Journal
issn 2619-9203
language English
last_indexed 2024-04-10T13:06:28Z
publishDate 2022-12-01
publisher Kirsehir Ahi Evran University
record_format Article
series Ahi Evran Medical Journal
spelling doaj.art-9fb81bb1c417470ca5830a280609b3642023-02-15T16:12:58ZengKirsehir Ahi Evran UniversityAhi Evran Medical Journal2619-92032022-12-016328228910.46332/aemj.1060025Comparison of N-Acetyl Cysteine and Resveratrol Treatments in Acetaminophen Toxicity Model in RabbitsHasan Gazi UYAR0https://orcid.org/0000-0003-4291-5017Aysegül BAYIR1https://orcid.org/0000-0002-5680-031XHasan KARA2https://orcid.org/0000-0002-3839-7651Pınar KARABAĞLI3https://orcid.org/0000-0002-5558-0175Abdullah SİVRİKAYA4https://orcid.org/0000-0003-2956-5681Ali UNLU5https://orcid.org/0000-0002-9991-3939KONYA MERAM DEVLET HASTANESİSELÇUK ÜNİVERSİTESİ, TIP FAKÜLTESİSELÇUK ÜNİVERSİTESİ, TIP FAKÜLTESİSELÇUK ÜNİVERSİTESİ, TIP FAKÜLTESİSELÇUK ÜNİVERSİTESİ, TIP FAKÜLTESİSELÇUK ÜNİVERSİTESİ, TIP FAKÜLTESİPurpose: Acetaminophen is safe analgesic drug but it may cause hepatic failure in high doses. N-acetyl cysteine (NAC) is used in the treatment of acetaminophen intoxication. Resveratrol may be used in experimental acetaminophen intoxication models. Purpose, compare the efficacy of NAC and resveratrol treatments in acetaminophen intoxication. Materials and Methods: We used 34 rabbits. Six rabbits were included in control group, and 7 rabbits were enrolled in other groups Asetaminophen (APAP) (N=7) group. The animals were administered 2 g/kg of acetaminophen by an orogastric tube. Asetaminophen+N-acetylcysteine (APAP+NAC) (N=7) group, 150 mg/kg NAC was administered intramuscular (i.m) to animals at 1st hour following 2 g/kg of acetaminophen administration by orogastric tube. Asetaminophen+resveratrol (APAP+RES) (N=7) group, animals received 100 mg/kg resveratrol by orogastric tube at 1st hour following oral administration of 2 g/kg of acetaminophen by orogastric tube. e. Asetaminophen+N-acetyl cysteine+resveratrol (APAP+NAC + RES) (N=7) group, animals received 100 mg/kg resveratrol by orogastric tube and 150 mg/kg NAC i.m at 1st hour following oral administration of 2 g/kg of acetaminophen by orogastric tube. ALT, AST, GSH, and acetaminophen levels were measured. Animals were sacrificed at the 24th hour. Liver samples were obtained for histopathological examination. Results: According to our results, the GSH level at 12th hour was significantly different between APAP+NAC group and APAP+RES group (p=0.007). In histopathological examination, HSCORE level we used for apoptosis was statistically significantly lower in control group than in APAP group (p=0.007). Its supports that acetaminophen toxicity triggers apoptosis in liver cells. Conclusion: Resveratrol may be an alternative treatment option to NAC in the treatment of acetaminophen toxicity.https://dergipark.org.tr/tr/download/article-file/2200798resveratrolacetaminophenparacetamolnactoxicity
spellingShingle Hasan Gazi UYAR
Aysegül BAYIR
Hasan KARA
Pınar KARABAĞLI
Abdullah SİVRİKAYA
Ali UNLU
Comparison of N-Acetyl Cysteine and Resveratrol Treatments in Acetaminophen Toxicity Model in Rabbits
Ahi Evran Medical Journal
resveratrol
acetaminophen
paracetamol
nac
toxicity
title Comparison of N-Acetyl Cysteine and Resveratrol Treatments in Acetaminophen Toxicity Model in Rabbits
title_full Comparison of N-Acetyl Cysteine and Resveratrol Treatments in Acetaminophen Toxicity Model in Rabbits
title_fullStr Comparison of N-Acetyl Cysteine and Resveratrol Treatments in Acetaminophen Toxicity Model in Rabbits
title_full_unstemmed Comparison of N-Acetyl Cysteine and Resveratrol Treatments in Acetaminophen Toxicity Model in Rabbits
title_short Comparison of N-Acetyl Cysteine and Resveratrol Treatments in Acetaminophen Toxicity Model in Rabbits
title_sort comparison of n acetyl cysteine and resveratrol treatments in acetaminophen toxicity model in rabbits
topic resveratrol
acetaminophen
paracetamol
nac
toxicity
url https://dergipark.org.tr/tr/download/article-file/2200798
work_keys_str_mv AT hasangaziuyar comparisonofnacetylcysteineandresveratroltreatmentsinacetaminophentoxicitymodelinrabbits
AT aysegulbayir comparisonofnacetylcysteineandresveratroltreatmentsinacetaminophentoxicitymodelinrabbits
AT hasankara comparisonofnacetylcysteineandresveratroltreatmentsinacetaminophentoxicitymodelinrabbits
AT pınarkarabagli comparisonofnacetylcysteineandresveratroltreatmentsinacetaminophentoxicitymodelinrabbits
AT abdullahsivrikaya comparisonofnacetylcysteineandresveratroltreatmentsinacetaminophentoxicitymodelinrabbits
AT aliunlu comparisonofnacetylcysteineandresveratroltreatmentsinacetaminophentoxicitymodelinrabbits