The Combination of Zinc and Melatonin Enhanced Neuroprotection and Attenuated Neuropathy in Oxaliplatin-Induced Neurotoxicity

Mayyadah Ali,1 Tavga Aziz2 1Hiwa Cancer Hospital, Sulaimani, Kurdistan Region, Iraq; 2Department of Pharmacology and Toxicology, College of Pharmacy, University of Sulaimani, Sulaimani, Kurdistan Region, IraqCorrespondence: Tavga Aziz, Tel +9647701523544, Email tavga.aziz@univsul.edu.iqObjective: Th...

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Main Authors: Ali M, Aziz T
Format: Article
Language:English
Published: Dove Medical Press 2022-10-01
Series:Drug Design, Development and Therapy
Subjects:
Online Access:https://www.dovepress.com/the-combination-of-zinc-and-melatonin-enhanced-neuroprotection-and-att-peer-reviewed-fulltext-article-DDDT
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author Ali M
Aziz T
author_facet Ali M
Aziz T
author_sort Ali M
collection DOAJ
description Mayyadah Ali,1 Tavga Aziz2 1Hiwa Cancer Hospital, Sulaimani, Kurdistan Region, Iraq; 2Department of Pharmacology and Toxicology, College of Pharmacy, University of Sulaimani, Sulaimani, Kurdistan Region, IraqCorrespondence: Tavga Aziz, Tel +9647701523544, Email tavga.aziz@univsul.edu.iqObjective: The present study was designed to investigate the possible synergistic effects of melatonin with zinc in the prevention and treatment of oxaliplatin-induced neurotoxicity in rats.Methodology: Forty-eight male Wistar albino rats were used and randomly allocated into six groups: The negative control group, oxaliplatin group, zinc + oxaliplatin group, melatonin + oxaliplatin group, zinc + melatonin + oxaliplatin prevention-approach group, and zinc + melatonin + oxaliplatin treatment-approach group. The thermal nociceptive/hyperalgesia tests were performed. Brain tissue homogenate was used for measuring GFAP, NCAM, TNF α, MAPK 14, NF-kB, GPX, and SOD. Brain tissue was sent for histopathological and immunohistochemistry studies.Results: The combination therapies showed improvement in the behavioral tests. A significant increase in GPX and SOD with a significant decrease in GFAP levels resulted in the prevention approach. TNF α decreased significantly in the treatment approach. No significant changes were seen in NCAM, NFkB, and MAPK-14. The histopathological findings support the biochemical results. Additionally, immunohistochemistry revealed a significant attenuation of p53 and a non-significant decrease in Bcl2 levels in the combination groups.Conclusion: The combination of zinc with melatonin for the prevention approach was effective in attenuating neurotoxicity induced by oxaliplatin. The proposed mechanisms are boosting the antioxidant system and attenuating the expression of p53, GFAP, and TNF-α.Keywords: melatonin, zinc, oxaliplatin, neurotoxicity, antioxidant activity, GFAP, p53
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spelling doaj.art-e9b0b17c844d4f85adb935fdd8b467a72022-12-22T02:26:02ZengDove Medical PressDrug Design, Development and Therapy1177-88812022-10-01Volume 163447346378744The Combination of Zinc and Melatonin Enhanced Neuroprotection and Attenuated Neuropathy in Oxaliplatin-Induced NeurotoxicityAli MAziz TMayyadah Ali,1 Tavga Aziz2 1Hiwa Cancer Hospital, Sulaimani, Kurdistan Region, Iraq; 2Department of Pharmacology and Toxicology, College of Pharmacy, University of Sulaimani, Sulaimani, Kurdistan Region, IraqCorrespondence: Tavga Aziz, Tel +9647701523544, Email tavga.aziz@univsul.edu.iqObjective: The present study was designed to investigate the possible synergistic effects of melatonin with zinc in the prevention and treatment of oxaliplatin-induced neurotoxicity in rats.Methodology: Forty-eight male Wistar albino rats were used and randomly allocated into six groups: The negative control group, oxaliplatin group, zinc + oxaliplatin group, melatonin + oxaliplatin group, zinc + melatonin + oxaliplatin prevention-approach group, and zinc + melatonin + oxaliplatin treatment-approach group. The thermal nociceptive/hyperalgesia tests were performed. Brain tissue homogenate was used for measuring GFAP, NCAM, TNF α, MAPK 14, NF-kB, GPX, and SOD. Brain tissue was sent for histopathological and immunohistochemistry studies.Results: The combination therapies showed improvement in the behavioral tests. A significant increase in GPX and SOD with a significant decrease in GFAP levels resulted in the prevention approach. TNF α decreased significantly in the treatment approach. No significant changes were seen in NCAM, NFkB, and MAPK-14. The histopathological findings support the biochemical results. Additionally, immunohistochemistry revealed a significant attenuation of p53 and a non-significant decrease in Bcl2 levels in the combination groups.Conclusion: The combination of zinc with melatonin for the prevention approach was effective in attenuating neurotoxicity induced by oxaliplatin. The proposed mechanisms are boosting the antioxidant system and attenuating the expression of p53, GFAP, and TNF-α.Keywords: melatonin, zinc, oxaliplatin, neurotoxicity, antioxidant activity, GFAP, p53https://www.dovepress.com/the-combination-of-zinc-and-melatonin-enhanced-neuroprotection-and-att-peer-reviewed-fulltext-article-DDDTmelatoninzincoxaliplatinneurotoxicityantioxidant activitygfapp53.
spellingShingle Ali M
Aziz T
The Combination of Zinc and Melatonin Enhanced Neuroprotection and Attenuated Neuropathy in Oxaliplatin-Induced Neurotoxicity
Drug Design, Development and Therapy
melatonin
zinc
oxaliplatin
neurotoxicity
antioxidant activity
gfap
p53.
title The Combination of Zinc and Melatonin Enhanced Neuroprotection and Attenuated Neuropathy in Oxaliplatin-Induced Neurotoxicity
title_full The Combination of Zinc and Melatonin Enhanced Neuroprotection and Attenuated Neuropathy in Oxaliplatin-Induced Neurotoxicity
title_fullStr The Combination of Zinc and Melatonin Enhanced Neuroprotection and Attenuated Neuropathy in Oxaliplatin-Induced Neurotoxicity
title_full_unstemmed The Combination of Zinc and Melatonin Enhanced Neuroprotection and Attenuated Neuropathy in Oxaliplatin-Induced Neurotoxicity
title_short The Combination of Zinc and Melatonin Enhanced Neuroprotection and Attenuated Neuropathy in Oxaliplatin-Induced Neurotoxicity
title_sort combination of zinc and melatonin enhanced neuroprotection and attenuated neuropathy in oxaliplatin induced neurotoxicity
topic melatonin
zinc
oxaliplatin
neurotoxicity
antioxidant activity
gfap
p53.
url https://www.dovepress.com/the-combination-of-zinc-and-melatonin-enhanced-neuroprotection-and-att-peer-reviewed-fulltext-article-DDDT
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