N-acetylcysteine can attenuate liver injury in obstructive jaundice in rats
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Original Article
VOLUME: 25 ISSUE: 4
P: 146 - 149
October 2009

N-acetylcysteine can attenuate liver injury in obstructive jaundice in rats

Turk J Surg 2009;25(4):146-149
1. Ankara Onkoloji Hastanesi, 2. Genel Cerrahi Kliniği, Ankara, Türkiye
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Abstract

Purpose: To investigate the effect of N-acetylcysteine (NAC) on the level of tumor necrosis factor-a (TNF-α) and liver parenchyma injury in an experimental rat model of obstructive jaundice. Patients and Methods: Thirty-six Wistar-Albino rats weighing 250- 300 g were randomly divided into three groups of 12 animals in each, as sham-operated, bile duct ligated plus NAC-treated (treatment), bile duct ligated plus saline administered (control). After the operation, the rats in treatment and control groups were administered NAC and saline, respectively. After 10 days of treatment, liver function tests were performed and plasma TNF-a levels were determined in all rats to assess the parenchymal damage. Results: Parenchymal damage and plasma TNF-α levels were significantly lower in the treatment group, compared with the control group. Conclusion: NAC can be useful in decreasing the paranchymal damage in the liver and suppress the plasma TNF-α levels in experimental obstructive jaundice.

Keywords:
Obstructive jaundice, n-acetylcysteine, tumor necrosis factor-alpha

References

1
Greig JD, Krukowski ZH, Matheson NA. Surgical morbidity and mortality in one hundred and twenty-nine patients with obstructive jaundice. Br J Surg 1988; 75: 216-219.
2
Holman JM Jr, Rikkers LF, Moody FG. Sepsis in the management of complicated biliary disorders. Am J Surg 1979; 138: 809-813.
3
Nehéz L, Andersson R. Compromise of immune function in obstructive jaundice. Eur J Surg 2002; 168: 315-328.
4
Margaritis VG, Filos KS, Michalaki MA, Scopa CD, Spiliopoulou I, Nikolopoulou VN, Vagianos CE. Effect of oral glutamine administration on bacterial translocation, endotoxemia, liver and ileal morphology, and apoptosis in rats with obstructive jaundice. World J Surg 2005; 29: 1329- 1334.
5
Clements WD, Erwin P, McCaigue MD, Halliday I, Barclay GR, Rowlands BJ. Conclusive evidence of endotoxaemia in biliary obstruction. Gut 1998; 42: 293-299.
6
Liu TZ, Lee KT, Chern CL, Cheng JT, Stern A, Tsai LY. Free radical-triggered hepatic injury of experimental obstructive jaundice of rats involves overproduction of proinflammatory cytokines and enhanced activation of nuclear factor kappaB. Ann Clin Lab Sci 2001; 31: 383-390.
7
Tsai LY, Lee KT, Tsai SM, Lee SC, Yu HS. Changes of lipid peroxide levels in blood and liver tissue of patients with obstructive jaundice. Clin Chim Acta 1993; 215: 41-50.
8
Tsuji F, Miyake Y, Aono H, Kawashima Y, Mita S. Effects of bucillamine and Nacetyl- L-cysteine on cytokine production and collagen-induced arthritis (CIA). Clin Exp Immunol 1999; 115: 26-31.
9
Verhasselt V, Vanden Berghe W, Vanderheyde N, Willems F, Haegeman G, Goldman M. N-acetyl-L-cysteine inhibits primary human T cell responses at the dendritic cell level: association with NFkappaB inhibition. J Immunol 1999; 162: 2569-2574.
10
Rahman A, Kefer J, Bando M, Niles WD, Malik AB. E-selectin expression in human endothelial cells by TNF-alpha-induced oxidant generation and NF-kappaB activation. Am J Physiol 1998; 275: 533-544.
11
Nakano H, Fujiwara Y, Kitamura N, Kumada K, Matsumiya A, Sakai H, Hatakeyama T, Yamaguchi M, Jaeck D. Susceptibility to lipopolysaccharide of cholestatic rat liver produced with bile duct ligation: assessments of the mitochondrial glutathione pool and the effects of N-acetylcysteine. Eur Surg Res 2000; 32: 148-154.
12
Assimakopoulos SF, Maroulis I, Patsoukis N, Vagenas K, Scopa CD, Georgiou CD, Vagianos CE. Effect of antioxidant treatments on the gut-liver axis oxidative status and function in bile duct-ligated rats. World J Surg 2007; 31: 2023-2032.
13
Perez MJ, Briz O. Bile-acid-induced cell injury and protection. World J Gastroenterol 2009; 15: 1677-1689.
14
Krähenbühl S, Talos C, Lauterburg BH, Reichen J. Reduced antioxidative capacity in liver mitochondria from bile duct ligated rats. Hepatology 1995; 22: 607-612.
15
Parola M, Leonarduzzi G, Robino G, Albano E, Poli G, Dianzani MU. On the role of lipid peroxidation in the pathogenesis of liver damage induced by long-standing cholestasis. Free Radic Biol Med 1996; 20: 351-359.
16
Alptekin N, Mehmetçik G, Uysal M, Aykaç-toker G. Evidence for oxidative stress in the hepatic mitochondria of bile duct ligated rats. Pharmacol Res 1997; 36: 243-247.
17
Tsai LY, Lee KT, Liu TZ. Evidence for accelerated generation of hydroxyl radicals in experimental obstructive jaundice of rats. Free Radic Biol Med 1998; 24: 732- 737.
18
Vendemiale G, Grattagliano I, Lupo L, Memeo V, Altomare E. Hepatic oxidative alterations in patients with extra-hepatic cholestasis. Effect of surgical drainage. J Hepatol 2002; 37: 601-605.
19
Assimakopoulos SF, Scopa CD, Zervoudakis G, Mylonas PG, Georgiou C, Nikolopoulou V, Vagianos CE. Bombesin and neurotensin reduce endotoxemia, intestinal oxidative stress, and apoptosis in experimental obstructive jaundice. Ann Surg 2005; 241: 159-167.
20
Fang HQ, Liu YB, Li HJ, Peng SY, Wu YL, Xu B, Wang JW, Li JT, Wang XB. Effects of glycine on plasma and liver tissue changes of TNF-alpha, ET-1 and nitric oxide contents in rats with obstructive jaundice. World J Gastroenterol 2003; 9: 2374-2376.
21
Sheen-Chen SM, Chen HS, Ho HT, Chen WJ, Sheen CC, Eng HL. Effect of bile acid replacement on endotoxin-induced tumor necrosis factor-alpha production in obstructive jaundice. World J Surg 2002; 26: 448-450.
22
Sheen-Chen SM, Chau P, Harris HW. Obstructive jaundice alters Kupffer cell function independent of bacterial translocation. J Surg Res 1998; 80: 205-209.
23
Ito Y, Bethea NW, Baker GL, McCuskey MK, Urbaschek R, McCuskey RS. Hepatic microcirculatory dysfunction during cholestatic liver injury in rats. Microcirculation 2003; 10: 421-432.
24
Kennedy JA, Lewis H, Clements WD, Kirk SJ, Campbell G, Halliday MI, Rowlands BJ. Kupffer cell blockade, tumour necrosis factor secretion and survival following endotoxin challenge in experimental biliary obstruction. Br J Surg 1999; 86: 1410-1414.
25
Sakaguchi S, Furusawa S, Yokota K, Sasaki K, Takayanagi M, Takayanagi Y. The enhancing effect of tumour necrosis factoralpha on oxidative stress in endotoxemia. Pharmacol Toxicol 1996; 79: 259-265.
26
Nakano H, Boudjema K, Jaeck D, Alexandre E, Imbs P, Chenard MP, Nagasaki H, Kumada K, Wolf P, Cinqualbre J. Amelioration of hepatocellular integrity and inhibition of sinusoidal oxidative stress by N-acetylcysteine pretreatment in cold ischemia-reperfusion injury of rat liver. Eur Surg Res 1996; 28: 245-255.
27
Aruoma OI, Halliwell B, Hoey BM, Butler J. The antioxidant action of N-acetylcysteine: its reaction with hydrogen peroxide, hydroxyl radical, superoxide, and hypochlorous acid. Free Radic Biol Med 1989; 6: 593-597.
28
Neuschwander-Tetri BA, Bellezzo JM, Britton RS, Bacon BR, Fox ES. Thiol regulation of endotoxin-induced release of tumour necrosis factor alpha from isolated rat Kupffer cells. Biochem J 1996; 320: 1005-1010.