Low-dose hydrogen sulfide ameliorates cisplatin-induced hepatotoxicity in rats
Yıl 2025,
Cilt: 3 Sayı: 1, 8 - 18, 30.04.2025
Kudret Ensarioğlu Baktır
,
Mehmet Günata
,
Onural Özhan
,
Recep Bentli
,
Nigar Vardı
,
Yusuf Türköz
,
Azibe Yıldız
,
Ahmet Acet
,
Hakan Parlakpınar
Öz
Objective: Cisplatin (CIS) is non-specific to the cell cycle, has a cytotoxic effect, and is used in many cancers. The side effects of CIS, such as hepatotoxicity, seriously limit its clinical use. This experimental study aims to prevent hepatotoxicity, one of the clinical side effects that cisplatin may cause. At the same time, Hydrogen sulfide (H2S) will be applied prophylactically and therapeutically and its effect levels will be compared. This study aims to contribute to the literature by preventing dose restriction due to the hepatotoxicity side effect of cisplatin, which plays an important role in cancer treatment, by prophylactic application of H2S. Our study investigated the protective and therapeutic efficacy of sodium hydrosulfide (NaHS, a donor of H2S), which activates the antioxidant system on CIS-induced hepatotoxicity.
Method: Control (Vehicle), CIS (7.5 mg/kg CIS), H2S+CIS (10 µmol/kg NaHS+7.5 mg/kg CIS), CIS+H2S (7.5 mg/kg CIS+10 µmol/kg NaHS) groups were formed by using 35 rats in the study. At the end of the study, blood and liver tissue was taken, and histopathological and biochemical analyzes were performed.
Results: It was determined that sinusoidal dilatation and congestion increased significantly in the CIS group and decreased in the H2S+CIS and CIS+H2S groups. Likewise, glycogen loss occurred in the CIS group, and a significant improvement was observed in the H2S+CIS group. In addition, significant deterioration was detected in malondialdehyde, catalase, glutathione, aspartate aminotransferase, alanine aminotransferase, and lactate dehydrogenase values in the CIS group compared to the control group. In contrast, significant improvements were observed in both the H2S+CIS and CIS+H2S groups compared to the CIS group.
Conclusion: Both protective and therapeutic beneficial effects of H2S in CIS-induced hepatotoxicity were demonstrated by histopathological and biochemical analyses.
Etik Beyan
The study protocol was approved by the Ethics Committee on Animal Research (reference no: 2015/A-84) under the Faculty of Medicine, Inonu University, Malatya, Turkey.
Destekleyen Kurum
This work was supported by the [2209-A research grant from the Scientific and Technological Research Council of Turkey] under Grant [number 1919B011503776]
Kaynakça
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- Bentli, R., Parlakpinar, H., Polat, A., Samdanci, E., Sarihan, M. E., & Sagir, M. (2013). Molsidomine prevents cisplatin-induced hepatotoxicity. Archives of Medical Research, 44(7), 521–528.
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Yıl 2025,
Cilt: 3 Sayı: 1, 8 - 18, 30.04.2025
Kudret Ensarioğlu Baktır
,
Mehmet Günata
,
Onural Özhan
,
Recep Bentli
,
Nigar Vardı
,
Yusuf Türköz
,
Azibe Yıldız
,
Ahmet Acet
,
Hakan Parlakpınar
Kaynakça
- Abd Rashid, N., Abd Halim, S. A. S., Teoh, S. L., Budin, S. B., Hussan, F., Adib Ridzuan, N. R., ... (2021). The role of natural antioxidants in cisplatin-induced hepatotoxicity. Biomedicine & Pharmacotherapy, 144, 112328.
- Aboraya, D. M., El Baz, A., Risha, E. F., & Abdelhamid, F. M. (2022). Hesperidin ameliorates cisplatin induced hepatotoxicity and attenuates oxidative damage, cell apoptosis, and inflammation in rats. Saudi Journal of Biological Sciences, 29(5), 3157–3166.
- Ahmed, M. A. A. S. (2013). The protective effect of ginger (Zingiber officinale) against adriamycin-induced hepatotoxicity in rats: Histological study. Life Science Journal – Acta Zhengzhou University Overseas Edition, 10(1), 1412–1422.
- Al-Malki, A. L., & Sayed, A. A. (2014). Thymoquinone attenuates cisplatin-induced hepatotoxicity via nuclear factor kappa-beta. BMC Complementary and Alternative Medicine, 14(1), 282.
- Amirana, S., & Babby, J. (2015). A review of drug-induced liver injury. JNP – Journal for Nurse Practitioners, 11(2), 270–271.
- Arslan, A. K., Yaşar, Ş., Çolak, C., & Yoloğlu, S. (2018). WSSPAS: An interactive web application for sample size and power analysis with R using Shiny. Turkiye Klinikleri Journal of Biostatistics, 10(3).
- Auten, R. L., & Davis, J. M. (2009). Oxygen toxicity and reactive oxygen species: The devil is in the details. Pediatric Research, 66(2), 121–127.
- Azarbarz, N., Shafiei Seifabadi, Z., Moaiedi, M. Z., & Mansouri, E. (2020). Assessment of the effect of sodium hydrogen sulfide (hydrogen sulfide donor) on cisplatin-induced testicular toxicity in rats. Environmental Science and Pollution Research International, 27(8), 8119–8128.
- Bentli, R., Parlakpinar, H., Polat, A., Samdanci, E., Sarihan, M. E., & Sagir, M. (2013). Molsidomine prevents cisplatin-induced hepatotoxicity. Archives of Medical Research, 44(7), 521–528.
- Bilgic, Y., Akbulut, S., Aksungur, Z., Erdemli, M. E., Ozhan, O., & Parlakpinar, H. (2018). Protective effect of dexpanthenol against cisplatin-induced hepatotoxicity. Experimental and Therapeutic Medicine, 16(5), 4049–4057.
- Birk, J., Meyer, M., Aller, I., Hansen, H. G., Odermatt, A., Dick, T. P., ... (2013). Endoplasmic reticulum: Reduced and oxidized glutathione revisited. Journal of Cell Science, 126(Pt 7), 1604–1617.
- Bitar, M. S., Nader, J., Al-Ali, W., Al Madhoun, A., Arefanian, H., & Al-Mulla, F. (2018). Hydrogen sulfide donor NaHS improves metabolism and reduces muscle atrophy in type 2 diabetes: Implication for understanding sarcopenic pathophysiology. Oxidative Medicine and Cellular Longevity, 2018, 6825452.
- Cagin, Y. F., Erdogan, M. A., Sahin, N., Parlakpinar, H., Atayan, Y., Polat, A., ... (2015). Protective effects of apocynin on cisplatin-induced hepatotoxicity in rats. Archives of Medical Research, 46(7), 517–526.
- Calvert, J. W., Coetzee, W. A., & Lefer, D. J. (2010). Novel insights into hydrogen sulfide–mediated cytoprotection. Antioxidants & Redox Signaling, 12(10), 1203–1217.
- Chirino, Y. I., Sanchez-Gonzalez, D. J., Martinez-Martinez, C. M., Cruz, C., & Pedraza-Chaverri, J. (2008). Protective effects of apocynin against cisplatin-induced oxidative stress and nephrotoxicity. Toxicology, 245(1–2), 18–23.
- Chu, G. (1994). Cellular responses to cisplatin. Journal of Biological Chemistry, 269, 787–790.
Cohen, A. R., Cox, A. G., & Goessling, W. (2013). Hydrogen sulfide (H₂S) regulates liver development and protects from acetaminophen (APAP)-induced liver injury in zebrafish. Gastroenterology, 5(144), S-912.
- Coskun, O., Oztopuz, O., & Buyuk, B. (2021). Possible protective activity of N-acetyl cysteine against cisplatin-induced hepatotoxicity in rats. Molecular Biology Reports, 48(1), 637–644.
- Crosas-Molist, E., & Fabregat, I. (2015). Role of NADPH oxidases in the redox biology of liver fibrosis. Redox Biology, 6, 106–111.
- Darwish, M. A., Abo-Youssef, A. M., Khalaf, M. M., Abo-Saif, A. A., Saleh, I. G., & Abdelghany, T. M. (2017). Vitamin E mitigates cisplatin-induced nephrotoxicity due to reversal of oxidative/nitrosative stress, suppression of inflammation and reduction of total renal platinum accumulation. Journal of Biochemical and Molecular Toxicology, 31(1), 1–9.
- De Bruijn, N. G. (1981). Asymptotic methods in analysis. Courier Corporation.
Dickinson, D. A., Iles, K. E., Zhang, H., Blank, V., & Forman, H. J. (2003). Curcumin alters EpRE and AP-1 binding complexes and elevates glutamate-cysteine ligase gene expression. FASEB Journal, 17(3), 473–475.
- Eisa, N. H., El-Sherbiny, M., & Abo El-Magd, N. F. (2021). Betulin alleviates cisplatin-induced hepatic injury in rats: Targeting apoptosis and Nek7-independent NLRP3 inflammasome pathways. International Immunopharmacology, 99, 107925.
- El-Gizawy, M. M., Hosny, E. N., Mourad, H. H., & Abd-El Razik, A. N. (2020). Curcumin nanoparticles ameliorate hepatotoxicity and nephrotoxicity induced by cisplatin in rats. Naunyn-Schmiedeberg’s Archives of Pharmacology, 393(10), 1941–1953.
- Ellman, G. L. (1959). Tissue sulfhydryl groups. Archives of Biochemistry and Biophysics, 82(1), 70–77.
- Farooqui, Z., Afsar, M., Rizwan, S., Khan, A. A., & Khan, F. (2016). Oral administration of Nigella sativa oil ameliorates the effect of cisplatin on membrane enzymes, carbohydrate metabolism and oxidative damage in rat liver. Toxicology Reports, 3, 328–335.
- Fathy, M., Darwish, M. A., Abdelhamid, A. M., Alrashedy, G. M., Othman, O. A., Naseem, M., ... (2022). Kinetin ameliorates cisplatin-induced hepatotoxicity and lymphotoxicity via attenuating oxidative damage, cell apoptosis and inflammation in rats. Biomedicines, 10(7), 1620.
- Fatima, S., Suhail, N., Alrashed, M., Wasi, S., Aljaser, F. S., AlSubki, R. A., ... (2021). Epigallocatechin gallate and coenzyme Q10 attenuate cisplatin-induced hepatotoxicity in rats via targeting mitochondrial stress and apoptosis. Journal of Biochemical and Molecular Toxicology, 35(4), e22701.
- Feng, X., Zhang, H., Shi, M., Chen, Y., Yang, T., & Fan, H. (2020). Toxic effects of hydrogen sulfide donor NaHS induced liver apoptosis is regulated by complex IV subunits and reactive oxygen species generation in rats. Environmental Toxicology, 35(3), 322–332.
- Fu, M., Zhang, W., Wu, L., Yang, G., Li, H., & Wang, R. (2012). Hydrogen sulfide (H₂S) metabolism in mitochondria and its regulatory role in energy production. Proceedings of the National Academy of Sciences of the United States of America, 109(8), 2943–2948.
- Gao, C., Liu, C., Chen, Y., Wang, Q., & Hao, Z. (2021). Protective effects of natural products against drug-induced nephrotoxicity: A review in recent years. Food and Chemical Toxicology, 153, 112255.
- Garcia-Cortes, M., Robles-Diaz, M., Stephens, C., Ortega-Alonso, A., Lucena, M. I., & Andrade, R. J. (2020). Drug induced liver injury: An update. Archives of Toxicology, 94(10), 3381–3407.
- Gunata, M., & Parlakpinar, H. (2021). A review of myocardial ischaemia/reperfusion injury: Pathophysiology, experimental models, biomarkers, genetics and pharmacological treatment. Cell Biochemistry and Function, 39(2), 190–217.
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