Cyclosporine A toxicity and effect of the S-adenosylmethionine
Palabras clave:
Bile acid, bile flow, cholestasis, cyclosporine A, glutathione, lipids, SAMeResumen
We studied the simultaneous changes undergone by the main indicators of hepatotoxicity, nephrotoxicity and diabetogenicityin rats treated with cyclosporine A (CyA) for one, two, three and four weeks, using the dose of 10 and 20 mg/kg/day.The effects of the drug on the biliary excretion of several biliary compounds as well as on the bile flow fractions -dependent and independent- of the biliary secretion of bile acids and glutathione were also studied. A further aim ofthis research was to evaluate the hepatoprotective effect of S-adenosylmethionine (SAMe) against the action of CyA. Ourresults show that CyA treatment alters hepatic, renal and pancreatic functions rapidly and simultaneously; the changeswere slightly more intense with the higher dose but they did not become more pronounced when the treatment wasprolonged for 4 weeks. The cholestatic effect of the drug is a multifactorial phenomena and develops accompanied bysimultaneous decreases in the biliary secretion of bile acids, lipid, glutathione and proteins. SAMe plus CyA cotreatmentantagonizes the main hepatotoxic effects of CyA in this species. This hepatoprotective effect of SAMe could be relatedto its regulatory function as regards membrane lipid composition and fluidity and to its key role in promoting the hepaticsynthesis of thiol compounds.Descargas
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