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An Experimental Study: Benefits of Digoxin on Hepatotoxicity Induced by Methotrexate Treatment
Banu Taskin1, Mümin Alper Erdoğan2, Gürkan Yiğittürk3
1Department of Dermatology, Koc University Hospital, Istanbul, Turkey.
Purpose:
The aim of the study is to examine the possible therapeutic effects of a known cardiac glycoside, digoxin, on a rat model of MTX-induced hepatotoxicity.
Methods:
The study was conducted on twenty-four male rats. While eighteen rats received a single dose of 20 mg/kg MTX to obtain an injured liver model, six rats constituted the control group. Also, the eighteen liver toxicity model created rats were equally divided into two groups, one of which received digoxin 0.1 mg/kg/day digoxin (Group 1) and the other group (Group 2) was given saline (% 0.9NaCl) with a dose of 1 ml/kg/day for ten days. Following the trial, the rats were sacrificed to harvest blood and liver tissue samples to determine blood and tissue MDA, serum ALT, plasma TNF-α, TGF-β, IL-6, IL-1-Beta, and PTX3 levels.
Results:
MTX's structural and functional hepatotoxicity was observable and evidenced by relatively worse histopathological scores and increased biochemical marker levels. Digoxin treatment significantly reduced the liver enzyme ALT, plasma TNF-α, TGF-β, PTX3, and MDA levels and decreased histological changes in the liver tissue with MTX-induced hepatotoxicity in the rat model.
Conclusion:
We suggest that digoxin has an anti-inflammatory and antihepatotoxic effect on the MTX-induced liver injury model.
Insights
Digoxin demonstrates therapeutic potential by reducing liver damage and inflammation in a rat model of methotrexate-induced hepatotoxicity. This cardiac glycoside offers a promising anti-inflammatory and antihepatotoxic effect for liver injury.
Area of Science:
- Pharmacology
- Toxicology
- Hepatology
Background:
- Methotrexate (MTX) is known to cause liver injury.
- Investigating therapeutic agents for MTX-induced hepatotoxicity is crucial.
Purpose of the Study:
- To evaluate the therapeutic effects of digoxin on MTX-induced hepatotoxicity in a rat model.
- To assess digoxin's impact on biochemical and histological markers of liver injury.
Main Methods:
- Twenty-four male rats were used, with 18 receiving MTX to induce hepatotoxicity.
- Hepatotoxic rats were divided into groups receiving digoxin or saline for ten days.
- Blood and liver samples were analyzed for markers like ALT, MDA, TNF-α, TGF-β, IL-6, IL-1-Beta, and PTX3.
Main Results:
- MTX induced significant structural and functional hepatotoxicity, confirmed by histopathology and elevated biochemical markers.
- Digoxin treatment markedly reduced liver enzyme ALT, MDA, and plasma markers TNF-α, TGF-β, and PTX3.
- Histological damage in the liver tissue was significantly decreased following digoxin administration.
Conclusions:
- Digoxin exhibits significant anti-inflammatory and antihepatotoxic properties.
- The findings suggest digoxin as a potential therapeutic agent for MTX-induced liver injury.
- Further research may explore digoxin's mechanisms in mitigating liver damage.
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