Metformin ameliorates methotrexate-induced hepatotoxicity
Najah R. Hadi1, Fadhil G. Al-Amran2★, Asma Swadi3★ Corresponding author
- 1Department of Pharmacology, College, Kufa University, Kufa Najaf street, Najaf.
- 2Department of Surgery, Medical College, Kufa University, Kufa Najaf street, Najaf.
- 3Department of Pharmacology and Therapeutics, College of Medicine, Qadisiyah University, Diwaniyah, Iraq Research Paper.
CORRESPONDENCE
Fadhil G. Al-Amran
Department of Surgery, Medical College, Kufa University, Kufa Najaf street, Najaf.
Volume 3, Issue 3 · pp. 248–253 · PUBLISHED 2012 · DOI: 10.4103/0976-500X.99426
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ABSTRACT
Objective: To study the effect of metformin on amelioration of hepatotoxicity induced by methotrexate. Materials and Methods: After a 2-weeks of acclimatization period, the animals were randomly separated into three groups (seven rabbits each), all groups were maintained on standard chow diet throughout the experiment (8 weeks). Group 1 was treated with normal saline water (control), Group 2 with methotrexate (MTX, hepatotoxic), and Group 3 with MTX plus metformin. Induction of hepatotoxicity was carried out by administration of MTX to the rabbit in a dose of 0.25 mg/kg /day i.m. for 8 weeks. Results: The treatment with MTX to rabbits for 8 weeks resulted in significant changes in serum liver enzymes, as compared to the baseline group. SGOT, SGPT, ALP, and bilirubin were significantly increased (P < 0.001), while total serum protein was significantly decreased. Similarly, 8 weeks of MTX treatment produced significant (P < 0.001) prolongation in PT. PTT was not significantly changed. It was found that serum MDA levels and SOD activity were significantly increased (P < 0.001), while serum GSH levels were significantly decreased (P < 0.001). Adding metformin to MTX is found to be significantly (P < 0.001) reduced the liver function test and shortening of PT and a significant increase in TSP (P < 0.001). Conclusion: It can be concluded that administration of metformin restored the altered liver function parameters and produced significant improvement in liver histopathological findings. Therefore, this additive drug possesses hepatoprotection against MTX-induced hepatotoxicity.
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Hadi, N. R., Al-Amran, F. G., & Swadi, A. (2012). Metformin ameliorates methotrexate-induced hepatotoxicity. Journal of Pharmacology and Pharmacotherapeutics, 3(3), 248–253. https://doi.org/10.4103/0976-500X.99426
