Therapeutic Potential of Silymarin in Mitigating Paclitaxel-Induced Hepatotoxicity and Nephrotoxicity: Insights into Oxidative Stress, Inflammation, and Apoptosis in Rats

dc.authorid0000-0003-1673-5661
dc.authorid0000-0002-9566-7531
dc.authorid0000-0001-5608-554X
dc.authorid0000-0002-8490-2479
dc.authorid0000-0002-5766-6116
dc.authorid0000-0002-8903-9993
dc.contributor.authorYakut, Seda
dc.contributor.authorAtcalı, Tuğçe
dc.contributor.authorÇağlayan, Cüneyt
dc.contributor.authorUlucan, Aykut
dc.contributor.authorKandemir, Fatih Mehmet
dc.contributor.authorKara, Adem
dc.contributor.authorAnuk, Turgut
dc.date.accessioned2024-07-18T12:35:40Z
dc.date.available2024-07-18T12:35:40Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstractPaclitaxel (PAX) is a widely used chemotherapy drug for various cancer types but often induces significant toxicity in multiple organ systems. Silymarin (SIL), a natural flavonoid, has shown therapeutic potential due to its multiple benefits. Aims: To evaluate the therapeutic efficacy of SIL in mitigating liver and kidney damage induced by PAX in rats, focusing on oxidative stress, inflammation, and apoptosis pathways. Study Design: Experimental animal model. Methods: The study included 28 male Wistar rats aged 12-14 weeks weighing 270-300 g. The rats were divided into four groups: control, SIL, PAX, and PAX + SIL, with seven in each group. The rats received intraperitoneal (i.p.) injections at a dose of 2 mg per kilogram of body weight of PAX for 5 successive days, followed by oral gavage with 200 mg/ kg body mass of SIL for 10 uninterrupted days. We examined the effect of SIL on specific serum biochemical parameters using an autoanalyzer and rat-specific kits. The spectrophotometric methods was used to investigate oxidative stress indicators in kidney and liver tissues. Aquaporin-2 (AQP-2), B-cell lymphoma-2 (Bcl-2), cysteine aspartate-specific protease-3 (caspase-3), interleukin-6 (IL-6), nuclear factor kappa B (NF-?B), and streptavidin-biotin staining were used to assess immunoreactivity in PAXinduced liver and kidney injury models. Results: SIL treatment significantly reduced serum levels of alanine aminotransferase, aspartate aminotransferase, creatinine, urea, and C-reactive protein, indicating its effectiveness in treating PAX-induced liver and kidney injury. SIL treatment significantly reduced oxidative stress by increasing essential antioxidant parameters, such as superoxide dismutase, catalase, glutathione peroxidase, and glutathione. It also reduced malondialdehyde levels in liver and kidney tissues of SIL-PAX groups (p < 0.05). SIL administration reduced NF-?B, caspase-3, and IL-6 expression while increasing Bcl-2 and AQP2 levels in liver and kidney tissues of rats treated with SIL and PAX (p < 0.05). Conclusion: Our findings indicate the potential of SIL to alleviate PAXinduced liver and kidney damage in rats by reducing oxidative stress, inflammation, and apoptotic processes.
dc.identifier.doi10.4274/balkanmedj.galenos.2024.2024-1-60
dc.identifier.endpage205en_US
dc.identifier.issn2146-3123
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage193en_US
dc.identifier.urihttps:/dx.doi.org/10.4274/balkanmedj.galenos.2024.2024-1-60
dc.identifier.urihttps://hdl.handle.net/20.500.12451/12163
dc.identifier.volume41en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherGalenos Publishing House
dc.relation.ispartofBalkan Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess*
dc.rightsAttribution-NonCommercial 3.0 United States*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/us/*
dc.subjectAnimals
dc.subjectAntineoplastic Agents
dc.subjectPhytogenic
dc.subjectAntioxidants
dc.subjectApoptosis
dc.titleTherapeutic Potential of Silymarin in Mitigating Paclitaxel-Induced Hepatotoxicity and Nephrotoxicity: Insights into Oxidative Stress, Inflammation, and Apoptosis in Rats
dc.typeArticle

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