L-Carnitine ameliorates methotrexate-induced oxidative organ injury and inhibits leukocyte death |
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Authors: | G Şener PhD E Ekşioğlu-Demiralp M Çetiner F Ercan S Şirvancı N Gedik B Ç Yeğen |
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Institution: | (1) Department of Pharmacology, School of Pharmacy, Istanbul;(2) Department of Hematology and Immunology, Marmara University, Istanbul;(3) Department of Histology-Embryology, Marmara University, Istanbul;(4) Department of Physiology, Marmara University, Istanbul;(5) Division of Biochemistry, Kasimpasa Military Hospital, Istanbul, Trukey;(6) Department of Pharmacology, Marmara University, School of Pharmacy, Tıbbiye Cad. 34668, Istanbul, Trukey |
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Abstract: | Methotrexate (MTX), a folic acid antagonist widely used for the treatment of a variety of tumors and inflammatory diseases,
affects normal tissues that have a high rate of proliferation, including the hematopoietic cells of the bone marrow and the
gastrointestinal mucosal cells. To elucidate the role of free radicals and leukocytes in MTX-induced oxidative organ damage
and the putative protective effect of L-carnitine (L-Car), Wistar albino rats were administered a single dose of MTX (20 mg/kg) followed by either saline or L-Car
(500 mg/kg) for 5 days. After decapitation of the rats, trunk blood was obtained, and the ileum, liver, and kidney were removed
for histological examination and for the measurement of malondialdehyde (MDA) and glutathione (GSH) levels, myeloperoxidase
(MPO) activity, and collagen content. Our results showed that MTX administration increased the MDA and MPO activities and
collagen content and decreased GSH levels in all tissues, while these alterations were reversed in L-Car-treated group. The
elevated serum TNF-α level observed following MTX treatment was depressed with L-Car. The oxidative burst of neutrophils stimulated
by Annexin V was reduced in the saline-treated MTX group, while L-Car abolished this inhibition. Similarly, flow cytometric
measurements revealed that leukocyte apoptosis was increased in MTX-treated animals, while L-Car reversed these effects. Severe
degeneration of the intestinal mucosa, liver parenchyma, and glomerular and tubular epithelium observed in the saline-treated
MTX group was improved by L-Car treatment. These results suggest that L-Car, possibly via its free radical scavenging and
antioxidant properties, ameliorates MTX-induced oxidative organ injury and inhibits leukocyte apoptosis. Thus, supplementation
with L-Carnitine as an adjuvant therapy may be promising in alleviating the systemic side-effects of chemotherapeutics. |
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Keywords: | methotrexate myeloperoxidase glutathione TNF-α apoptosis oxidative injury |
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