Silibinin attenuates methotrexate-induced pulmonary injury by targeting oxidative stress

Serdar Kalemci1, Yasar Topal2, Serkan Yasar Celik3

  • 1Department of Chest Disease, Medical Faculty, Mugla Sıtkı Kocman University, Mugla 48000, Turkey.

Insights

Silibinin protects against lung damage caused by methotrexate (MTX). This study shows silibinin

Area of Science:

  • Pharmacology and Toxicology
  • Pulmonary Medicine
  • Natural Product Chemistry

Background:

  • Methotrexate (MTX) is a chemotherapy agent with known pulmonary toxicity.
  • Oxidative stress plays a key role in MTX-induced lung injury.
  • Silibinin, a flavonoid from milk thistle, possesses antioxidant properties.

Purpose of the Study:

  • To evaluate the protective potential of silibinin against MTX-induced pulmonary toxicity in a rat model.
  • To investigate the underlying mechanisms, focusing on oxidative stress markers.

Main Methods:

  • Female Wistar rats were administered MTX (10 mg/kg/day for 3 days) to induce pulmonary toxicity.
  • Groups received either MTX alone, MTX plus silibinin (100 mg/kg/day for 10 days), silibinin alone, or served as controls.
  • Serum levels of liver enzymes (ALT, AST), oxidant enzymes (NO, MPO), and antioxidant enzymes (GPx, SOD) were measured.

Main Results:

  • MTX administration significantly increased liver enzymes and oxidant markers while decreasing antioxidant enzyme activity.
  • Silibinin treatment significantly ameliorated MTX-induced pulmonary toxicity, normalizing oxidative stress parameters.
  • Histopathological examination revealed reduced MTX-induced lung damage following silibinin administration.

Conclusions:

  • Silibinin demonstrates significant protective effects against methotrexate-induced pulmonary toxicity.
  • The antioxidant activity of silibinin is likely responsible for its protective mechanism.
  • Silibinin may be a potential therapeutic agent for mitigating MTX-related lung damage.

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