A trend over time study of hepatic Farnesoid-X-activated receptor and its downstream targets modulation by valproic

Amir Saamaan Fattahi1, Azadeh Khalili2,3, Seyed Ali Hashemi4

  • 1Department of Pharmacology and Toxicology, Faculty of Pharmacy, Pharmaceutical Sciences Branch, Islamic Azad University, Tehran, Iran.

PubMed

Insights

Valproic acid (VA) can cause liver damage, potentially by disrupting the FXR-Nrf2 pathway. This pathway

Area of Science:

  • Hepatotoxicity and molecular mechanisms
  • Drug-induced liver injury
  • Oxidative stress and detoxification pathways

Background:

  • Valproic acid (VA) is an anticonvulsant with known liver toxicity.
  • Farnesoid X receptor (FXR) and nuclear factor erythroid 2-related factor 2 (Nrf2) regulate oxidative damage responses.
  • Understanding VA's impact on FXR-Nrf2 is crucial for mitigating hepatotoxicity.

Purpose of the Study:

  • To investigate the role of the FXR-Nrf2 pathway in VA-induced liver toxicity.
  • To assess alterations in downstream target genes of FXR-Nrf2.
  • To correlate molecular changes with biochemical and histological damage.

Main Methods:

  • Male albino mice received daily oral doses of VA (300 mg/kg) for 3, 7, 10, and 14 days.
  • Serum liver enzymes (ALT, AST, ALP) and bilirubin levels were measured.
  • Liver histology (H&E staining) and gene expression (FXR, Nrf2, α-GST, SOD, TNF-α) via RT-PCR were analyzed.

Main Results:

  • Maximal biochemical and histopathological liver damage occurred by day 14.
  • FXR, Nrf2, α-GST, and SOD expression showed dynamic changes: upregulation on day 3, downregulation on day 10, and re-upregulation on day 14.
  • TNF-α expression patterns were also observed.

Conclusions:

  • Dysregulation of the FXR-Nrf2 cascade is evident during VA administration.
  • Downregulation of the FXR-Nrf2 pathway and its target genes may contribute to VA-induced hepatotoxicity.
  • This study highlights the potential involvement of oxidative stress and detoxification pathways in VA's liver side effects.

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