Role of Cytochrome Modulators in Altering the Occurrence of Cataract in Rats

Background: Cataract is one of the primary causes of blindness all over the world. It indicates the onset of secondary complications of diabetes. The only treatment available is surgery as there are no satisfactory drugs which can prevent or retard the initiation and maturation of cataract. It w...

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Main Authors: Kanchan Gupta, Shivani Juneja, G S Bajwa, Sandeep Kaushal
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-07-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/6216/12411_CE[Ra1]_F(AK)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf
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author Kanchan Gupta
Shivani Juneja
G S Bajwa
Sandeep Kaushal
author_facet Kanchan Gupta
Shivani Juneja
G S Bajwa
Sandeep Kaushal
author_sort Kanchan Gupta
collection DOAJ
description Background: Cataract is one of the primary causes of blindness all over the world. It indicates the onset of secondary complications of diabetes. The only treatment available is surgery as there are no satisfactory drugs which can prevent or retard the initiation and maturation of cataract. It was hypothesized that cytochrome P 450 (CYP) inducers or inhibitors can modify the cataract occurrence by accelerating or delaying the occurrence of cataract respectively. Objective: To study the effect of two commonly used drugs, phenytoin (CYP inducer) and ciprofloxacin (CYP inhibitor) on the initiation and maturation of cataract with the galactoseinduced cataract model. Materials and Methods: The experiment was conducted in 24 new born male Wistar rats. Cataract formation was induced with a 50% galactose diet. The rats were randomized into four groups of 6 rats each: Group 1 rats received a normal diet; Group 2, 3 and 4 rats received 50% galactose diet day 23 onwards. In addition, Group 3 rats were pre-treated with ciprofloxacin (20mg/kg) and Group 4 rats were pre-treated with phenytoin (50mg/kg) day 18 onwards once a day orally. The appearance of cataract was checked daily with an ophthalmoscope. The maturation pattern was examined using Fundus Fluorsen Angiographer (FFA). The cataract was graded according to Sippel's classification. The experimental and control groups were compared by chi square test and the results were considered significant at p< 0.05. Results: The initiation of cataract was significantly delayed with ciprofloxacin as compared to galactose; however, there was no difference in the maturation pattern of cataract in both the groups. In spite of being a CYP inducer, the initiation of cataract was not accelerated in phenytoin group. Rather, it was significantly delayed and the cataract did not progress to stage 5 even on 30th day of galactose administration Conclusion: CYP450 modulators have a significant effect on the initiation of cataract without significantly altering the maturation pattern. It is not reasonable to extrapolate the results of one enzyme inhibitor or inducer to other CYP modulators. Hence, further studies are needed to identify the pharmacological profile of various CYP modulators on the occurrence of cataractogenesis.
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spelling doaj.art-aa8a75a956f74b24870f517b9758bd9d2022-12-22T01:24:19ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-07-0197FF05FF0710.7860/JCDR/2015/12411.6216Role of Cytochrome Modulators in Altering the Occurrence of Cataract in RatsKanchan Gupta0Shivani Juneja1G S Bajwa2Sandeep Kaushal3Associate Professor, Department of Pharmacology, Dayanand Medical College & Hospital, Ludhiana, India.Senior Resident, Department of Pharmacology, Maulana Azad Medical College, New Delhi, India.Professor & Head, Department of Ophthalmology, Dayanand Medical College & Hospital, Ludhiana, India.Professor & Head, Department of Pharmacology, Dayanand Medical College & Hospital, Ludhiana, India.Background: Cataract is one of the primary causes of blindness all over the world. It indicates the onset of secondary complications of diabetes. The only treatment available is surgery as there are no satisfactory drugs which can prevent or retard the initiation and maturation of cataract. It was hypothesized that cytochrome P 450 (CYP) inducers or inhibitors can modify the cataract occurrence by accelerating or delaying the occurrence of cataract respectively. Objective: To study the effect of two commonly used drugs, phenytoin (CYP inducer) and ciprofloxacin (CYP inhibitor) on the initiation and maturation of cataract with the galactoseinduced cataract model. Materials and Methods: The experiment was conducted in 24 new born male Wistar rats. Cataract formation was induced with a 50% galactose diet. The rats were randomized into four groups of 6 rats each: Group 1 rats received a normal diet; Group 2, 3 and 4 rats received 50% galactose diet day 23 onwards. In addition, Group 3 rats were pre-treated with ciprofloxacin (20mg/kg) and Group 4 rats were pre-treated with phenytoin (50mg/kg) day 18 onwards once a day orally. The appearance of cataract was checked daily with an ophthalmoscope. The maturation pattern was examined using Fundus Fluorsen Angiographer (FFA). The cataract was graded according to Sippel's classification. The experimental and control groups were compared by chi square test and the results were considered significant at p< 0.05. Results: The initiation of cataract was significantly delayed with ciprofloxacin as compared to galactose; however, there was no difference in the maturation pattern of cataract in both the groups. In spite of being a CYP inducer, the initiation of cataract was not accelerated in phenytoin group. Rather, it was significantly delayed and the cataract did not progress to stage 5 even on 30th day of galactose administration Conclusion: CYP450 modulators have a significant effect on the initiation of cataract without significantly altering the maturation pattern. It is not reasonable to extrapolate the results of one enzyme inhibitor or inducer to other CYP modulators. Hence, further studies are needed to identify the pharmacological profile of various CYP modulators on the occurrence of cataractogenesis.https://jcdr.net/articles/PDF/6216/12411_CE[Ra1]_F(AK)_PF1(PAK)_PFA(AK)_PF2(PAG).pdfgalactosemicrosomal enzyme inducermicrosomal enzyme inhibitor
spellingShingle Kanchan Gupta
Shivani Juneja
G S Bajwa
Sandeep Kaushal
Role of Cytochrome Modulators in Altering the Occurrence of Cataract in Rats
Journal of Clinical and Diagnostic Research
galactose
microsomal enzyme inducer
microsomal enzyme inhibitor
title Role of Cytochrome Modulators in Altering the Occurrence of Cataract in Rats
title_full Role of Cytochrome Modulators in Altering the Occurrence of Cataract in Rats
title_fullStr Role of Cytochrome Modulators in Altering the Occurrence of Cataract in Rats
title_full_unstemmed Role of Cytochrome Modulators in Altering the Occurrence of Cataract in Rats
title_short Role of Cytochrome Modulators in Altering the Occurrence of Cataract in Rats
title_sort role of cytochrome modulators in altering the occurrence of cataract in rats
topic galactose
microsomal enzyme inducer
microsomal enzyme inhibitor
url https://jcdr.net/articles/PDF/6216/12411_CE[Ra1]_F(AK)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf
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AT sandeepkaushal roleofcytochromemodulatorsinalteringtheoccurrenceofcataractinrats