The effects of meldonium on the acute ischemia/reperfusion liver injury in rats

Abstract Acute ischemia/reperfusion (I/R) liver injury is a clinical condition challenging to treat. Meldonium is an anti-ischemic agent that shifts energy production from fatty acid oxidation to less oxygen-consuming glycolysis. Thus, we investigated the effects of a 4-week meldonium pre-treatment...

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Autores principales: Siniša Đurašević, Maja Stojković, Jelena Sopta, Slađan Pavlović, Slavica Borković-Mitić, Anđelija Ivanović, Nebojša Jasnić, Tomislav Tosti, Saša Đurović, Jelena Đorđević, Zoran Todorović
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:14e9b5ecda134393bd94a0a2a36385cd2021-12-02T14:12:08ZThe effects of meldonium on the acute ischemia/reperfusion liver injury in rats10.1038/s41598-020-80011-y2045-2322https://doaj.org/article/14e9b5ecda134393bd94a0a2a36385cd2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-80011-yhttps://doaj.org/toc/2045-2322Abstract Acute ischemia/reperfusion (I/R) liver injury is a clinical condition challenging to treat. Meldonium is an anti-ischemic agent that shifts energy production from fatty acid oxidation to less oxygen-consuming glycolysis. Thus, we investigated the effects of a 4-week meldonium pre-treatment (300 mg/kg b.m./day) on the acute I/R liver injury in Wistar strain male rats. Our results showed that meldonium ameliorates I/R-induced liver inflammation and injury, as confirmed by liver histology, and by attenuation of serum alanine- and aspartate aminotransferase activity, serum and liver high mobility group box 1 protein expression, and liver expression of Bax/Bcl2, haptoglobin, and the phosphorylated nuclear factor kappa-light-chain-enhancer of activated B cells. Through the increased hepatic activation of the nuclear factor erythroid 2-related factor 2, meldonium improves the antioxidative defence in the liver of animals subjected to I/R, as proved by an increase in serum and liver ascorbic/dehydroascorbic acid ratio, hepatic haem oxygenase 1 expression, glutathione and free thiol groups content, and hepatic copper-zinc superoxide dismutase, manganese superoxide dismutase, catalase, glutathione peroxidase, and glutathione reductase activity. Based on our results, it can be concluded that meldonium represent a protective agent against I/R-induced liver injury, with a clinical significance in surgical procedures.Siniša ĐuraševićMaja StojkovićJelena SoptaSlađan PavlovićSlavica Borković-MitićAnđelija IvanovićNebojša JasnićTomislav TostiSaša ĐurovićJelena ĐorđevićZoran TodorovićNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-14 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Siniša Đurašević
Maja Stojković
Jelena Sopta
Slađan Pavlović
Slavica Borković-Mitić
Anđelija Ivanović
Nebojša Jasnić
Tomislav Tosti
Saša Đurović
Jelena Đorđević
Zoran Todorović
The effects of meldonium on the acute ischemia/reperfusion liver injury in rats
description Abstract Acute ischemia/reperfusion (I/R) liver injury is a clinical condition challenging to treat. Meldonium is an anti-ischemic agent that shifts energy production from fatty acid oxidation to less oxygen-consuming glycolysis. Thus, we investigated the effects of a 4-week meldonium pre-treatment (300 mg/kg b.m./day) on the acute I/R liver injury in Wistar strain male rats. Our results showed that meldonium ameliorates I/R-induced liver inflammation and injury, as confirmed by liver histology, and by attenuation of serum alanine- and aspartate aminotransferase activity, serum and liver high mobility group box 1 protein expression, and liver expression of Bax/Bcl2, haptoglobin, and the phosphorylated nuclear factor kappa-light-chain-enhancer of activated B cells. Through the increased hepatic activation of the nuclear factor erythroid 2-related factor 2, meldonium improves the antioxidative defence in the liver of animals subjected to I/R, as proved by an increase in serum and liver ascorbic/dehydroascorbic acid ratio, hepatic haem oxygenase 1 expression, glutathione and free thiol groups content, and hepatic copper-zinc superoxide dismutase, manganese superoxide dismutase, catalase, glutathione peroxidase, and glutathione reductase activity. Based on our results, it can be concluded that meldonium represent a protective agent against I/R-induced liver injury, with a clinical significance in surgical procedures.
format article
author Siniša Đurašević
Maja Stojković
Jelena Sopta
Slađan Pavlović
Slavica Borković-Mitić
Anđelija Ivanović
Nebojša Jasnić
Tomislav Tosti
Saša Đurović
Jelena Đorđević
Zoran Todorović
author_facet Siniša Đurašević
Maja Stojković
Jelena Sopta
Slađan Pavlović
Slavica Borković-Mitić
Anđelija Ivanović
Nebojša Jasnić
Tomislav Tosti
Saša Đurović
Jelena Đorđević
Zoran Todorović
author_sort Siniša Đurašević
title The effects of meldonium on the acute ischemia/reperfusion liver injury in rats
title_short The effects of meldonium on the acute ischemia/reperfusion liver injury in rats
title_full The effects of meldonium on the acute ischemia/reperfusion liver injury in rats
title_fullStr The effects of meldonium on the acute ischemia/reperfusion liver injury in rats
title_full_unstemmed The effects of meldonium on the acute ischemia/reperfusion liver injury in rats
title_sort effects of meldonium on the acute ischemia/reperfusion liver injury in rats
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/14e9b5ecda134393bd94a0a2a36385cd
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