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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;
Abstract:
Mycophenolate mofetil (MMF) is a selective inhibitor of Inosine-5'-monophosphate dehydrogenase. Gastrointestinal (GI) disturbances in immature ones are reported for MMF-induced compilations, which in the case of occurrence dose reduction is required. Thus, in the present study, the fructooligosaccharide raftilose(®) (RFT) was co-administrated with MMF to estimate the protective effect of RFT against MMF-induced GI complications. Thirty six immature male Wistar rats were divided into six groups including: Control (normal saline), RFT-treated (100 mg kg(-1)), MMF-treated (20 mg kg(-1)), MMF + LRFT (50 mg kg(-1)), MMF + MRFT (100 mg kg(-1)) and MMF + HRFT (200 mg kg(-1)) groups. The hematocrit (Hct), lymphocyte/total WBC, feces water content and pH were analyzed. Moreover, the hepatic functional tests, kidney-related biomarkers, lipid and protein profiles, total antioxidant capacity (TAC), malondialdehyde (MDA) and nitric oxide (NO) contents were assessed. Co-administration of RFT stabilized the MMF-reduced body weight. The MMF significantly diminished Hct and lymph/total WBC (p < 0.05). Only MRFT enhanced the lymphocyte/total WBC. Increased water content, no changes in feces pH, increased serum ALT and AST, no alteration in urea and mild enhancement in creatinine were demonstrated in MMF-received animals. However, RFT at low dose ameliorated the feces parameters and reduced ALT. No significant changes were demonstrated for serum lipid and protein profiles in MMF- and RFT + MMF-treated groups. The RFT enhanced the serum TAC, reduced MDA and NO contents. In conclusion, our data suggested that RFT could be considered as an effective agent to subsidize the MMF-induced clinical, hematological and biochemical disorders.
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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