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Published on: November 27, 2019
The beneficial effects of ozone therapy in acetaminophen-induced hepatotoxicity in mice
Aysu Hayriye Tezcan1, Omur Ozturk1, Sefer Ustebay2
1Kafkas University, School of Medicine, Department of Anesthesiology and Reanimation, Kars, Turkey.
Background:
The aim of the present study was to determine the therapeutic effects of medical ozone therapy on acute acetaminophen (APAP)-induced hepatotoxicity which were not clearly demonstrated in prior studies.
Method:
Twenty-four mice were randomly assigned into three equal groups: Group 1 (control), Group 2 (APAP) and Group 3 (APAP +ozone). Hepatotoxicity was induced by APAP given as a single dose of 300mg/kg intraperitoneally in Groups 2 and 3. Additionally, Group 3 received 20mcg/0.5mL ozone intraperitoneal twice a day for the remaining of the study. Other groups received saline injections. On the fourth day of the study, biochemical variables (AST, ALT, ALP) and liver histopathology was assessed.
Results:
Intraperitoneal administration of a single dose of APAP induced hepatocellular damage that was shown by both liver enzymes and histopathological changes (p<0.001). AST, ALT, ALP levels were elevated in both groups 2 and 3 and the difference from group 1 was statistically significant (p<0.01).Mean ALT and AST levels of group 2 were statistically significantly higher versus group 3 (p<0.01). In histopathological examinations; necrosis and inflammation were more prominent in Group 2 compared to Group 3 (p<0.01).
Conclusion:
Ozone showed beneficial effects on APAP hepatotoxicity at a statistically significant level. It is known that ozone has therapeutic effects in various diseases owing to its antioxidant effects. The present study suggests that ozone may be utilized as a routine supplementary therapy in acute APAP hepatotoxicity.
Insights
Medical ozone therapy demonstrated significant therapeutic benefits for acute acetaminophen (APAP)-induced liver injury in mice. Ozone treatment reduced liver enzymes and histopathological damage, suggesting its potential as a supplementary therapy.
Area of Science:
- Hepatology
- Toxicology
- Ozone Therapy
Background:
- Acute liver injury is a significant clinical concern.
- Acetaminophen (APAP) overdose is a leading cause of drug-induced hepatotoxicity.
- The therapeutic potential of ozone therapy for APAP-induced liver injury requires further elucidation.
Purpose of the Study:
- To investigate the therapeutic efficacy of medical ozone therapy in a mouse model of acute acetaminophen (APAP)-induced hepatotoxicity.
- To evaluate the impact of ozone therapy on liver enzyme levels and histopathological changes associated with APAP-induced liver damage.
Main Methods:
- Twenty-four mice were divided into control, APAP-induced hepatotoxicity, and APAP + ozone therapy groups.
- Hepatotoxicity was induced by a single intraperitoneal dose of APAP (300mg/kg).
- Ozone therapy was administered intraperitoneally twice daily to the treatment group; liver enzymes and histopathology were assessed on day four.
Main Results:
- APAP administration significantly induced hepatocellular damage, evidenced by elevated liver enzymes (AST, ALT, ALP) and histopathological alterations.
- Both APAP and APAP + ozone groups showed significantly higher liver enzyme levels compared to the control group.
- Mice receiving ozone therapy exhibited significantly lower ALT and AST levels and reduced necrosis and inflammation compared to the APAP-only group.
Conclusions:
- Medical ozone therapy demonstrated statistically significant beneficial effects in mitigating APAP-induced hepatotoxicity.
- Ozone's known antioxidant properties likely contribute to its protective effects against liver injury.
- The findings suggest that ozone therapy could be a valuable supplementary treatment for acute acetaminophen-induced liver damage.
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