Fructooligosaccharide raftilose reduces the mycophenolate mofetil-induced complications: Hematological and

Hadi Cheraghi1, Zohreh Khaki1, Hassan Malekinejad2

  • 1Department of Clinical Pathology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran;

Insights

Mycophenolate mofetil (MMF) can cause gastrointestinal issues. Co-administering fructooligosaccharide raftilose (RFT) with MMF helped protect against these MMF-induced complications in rats.

Area of Science:

  • Pharmacology
  • Gastroenterology
  • Toxicology

Background:

  • Mycophenolate mofetil (MMF) is an immunosuppressant drug.
  • MMF can cause gastrointestinal (GI) disturbances, especially in immature individuals.
  • Dose reduction of MMF may be necessary if GI complications arise.

Purpose of the Study:

  • To investigate the protective effects of fructooligosaccharide raftilose (RFT) against MMF-induced GI complications.
  • To evaluate RFT's impact on various clinical, hematological, and biochemical parameters affected by MMF.

Main Methods:

  • Thirty-six immature male Wistar rats were used, divided into control, RFT-treated, MMF-treated, and MMF + RFT groups (varying RFT doses).
  • Parameters assessed included hematocrit, lymphocyte/WBC ratio, fecal water content and pH, liver function tests (ALT, AST), kidney biomarkers (urea, creatinine), lipid/protein profiles, total antioxidant capacity (TAC), malondialdehyde (MDA), and nitric oxide (NO).

Main Results:

  • MMF administration reduced body weight, hematocrit, and lymphocyte/WBC ratio.
  • MMF increased fecal water content and serum ALT/AST levels.
  • RFT co-administration, particularly at a medium dose, improved lymphocyte counts, ameliorated fecal parameters, reduced ALT, enhanced TAC, and decreased MDA and NO levels.

Conclusions:

  • Fructooligosaccharide raftilose (RFT) demonstrates a protective effect against MMF-induced clinical, hematological, and biochemical disorders.
  • RFT can be considered a potential agent to mitigate MMF-related adverse effects.
  • Further research may explore RFT's role in managing MMF-induced complications in clinical settings.

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