Ameliorative effects of agomelatine against doxorubicin-induced hepatotoxicity

Hasan Basri Savas1, Mehmet Enes Sozen2, Gokhan Cuce3

  • 1School of Medicine, Department of Medical Biochemistry, Mardin Artuklu University, Mardin, Turkey.

PubMed

Insights

Agomelatine demonstrates protective effects against doxorubicin-induced liver damage in rats. This study found agomelatine reduced key markers of oxidative stress and apoptosis, suggesting its potential to mitigate chemotherapy-related hepatotoxicity.

Area of Science:

  • Pharmacology
  • Toxicology
  • Oncology

Background:

  • Doxorubicin is a vital chemotherapeutic agent, but its use is limited by significant hepatotoxicity.
  • Drug-induced liver injury remains a major clinical challenge, necessitating protective strategies.

Purpose of the Study:

  • To investigate the potential hepatoprotective effects of agomelatine against doxorubicin-induced liver injury in a rat model.
  • To evaluate agomelatine's impact on biochemical, hematological, and immunohistochemical markers of liver damage.

Main Methods:

  • Thirty-two rats were divided into four groups: control, doxorubicin-only, and two groups receiving doxorubicin with varying doses of agomelatine.
  • Rats were administered treatments, and samples were collected on day 14 for comprehensive analysis.
  • Immunohistochemical, hematological, and biochemical assays were performed to assess liver injury and oxidative stress markers.

Main Results:

  • Doxorubicin administration significantly increased TNF-alpha, caspase-3 levels, and oxidative stress markers.
  • Agomelatine treatment, particularly at 40 mg/kg, significantly reduced elevated TNF-alpha and caspase-3 levels.
  • Agomelatine administration reversed doxorubicin-induced alterations in oxidative stress markers, demonstrating a protective effect (p < 0.05).

Conclusions:

  • Doxorubicin induces significant hepatotoxicity, oxidative stress, and apoptosis in rats.
  • Agomelatine exhibits notable hepatoprotective properties against doxorubicin-induced liver damage.
  • Agomelatine may be a beneficial adjunct therapy to mitigate doxorubicin-related hepatic injury.