Effect of antiretroviral drugs on the DNA damage in mice

Hugo Martins de Oliveira1, Adriani Paganini Damiani1, Renata de Oliveira Dias1

  • 1Laboratório de Biologia Celular e Molecular-LABIM, Programa de Pós-Graduação em Ciências da Saúde, Unidade Acadêmica de Ciências da Saúde, Universidade do Extremo Sul Catarinense (UNESC), Criciúma, SC, Brazil.

Insights

This study found that while nevirapine and efavirenz (non-nucleoside reverse transcriptase inhibitors) did not cause DNA damage in most tissues, efavirenz may induce genotoxicity in the brain after subchronic exposure.

Area of Science:

  • Pharmacology
  • Toxicology
  • Neuroscience

Background:

  • Non-nucleoside reverse transcriptase inhibitors (NNRTIs) are crucial antiretroviral drugs.
  • Understanding the genotoxic potential of NNRTIs is essential for patient safety.
  • Previous studies have not fully elucidated the in vivo genotoxicity of NNRTIs, particularly in the central nervous system.

Purpose of the Study:

  • To investigate the in vivo genotoxicity of nevirapine (NVP) and efavirenz (EFV) in mice.
  • To assess both acute and subchronic effects of NNRTI administration on DNA damage.
  • To evaluate potential neurotoxic effects of these antiretroviral drugs.

Main Methods:

  • Oral administration of NVP (3.3 mg/kg) or EFV (10 mg/kg) or saline to mice.
  • Genotoxicity assessment using the micronucleus test and comet assay.
  • Analysis of peripheral blood, brain, heart, and liver tissues at acute (24h post-single dose) and subchronic (24h post-last dose) time points.

Main Results:

  • The micronucleus test showed no significant genotoxicity for either NNRTI in any tissue.
  • Comet assay revealed no significant DNA damage in heart, liver, or peripheral blood cells after acute or subchronic NNRTI treatment.
  • Subchronic EFV administration significantly increased DNA damage indexes and frequencies in the brain.

Conclusions:

  • Neither NVP nor EFV demonstrated significant genotoxicity in peripheral blood, heart, or liver tissues.
  • Subchronic exposure to EFV may induce genotoxicity specifically within the brain.
  • This study highlights a potential neurotoxic risk associated with long-term efavirenz use, warranting further investigation.