eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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2/2019
vol. 16
 
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abstract:
Original paper

Effects of N-acetyl cysteine, vitamin E and vitamin C on liver glutathione levels following amiodarone treatment in rats

Esin Akbay
1
,
Beril Erdem
1
,
Ahmet Ünlü
2
,
Ahmet Barış Durukan
1, 2
,
Mehmet Ali Onur
1

  1. Department of Cardiology, Faculty of Science, Hacettepe University, Ankara, Turkey
  2. Department of Cardiovascular Surgery, Medical Park Usak Hospital, Usak, Turkey
Kardiochirurgia i Torakochirurgia Polska 2019; 16 (2): 88-92
DOI: https://doi.org/10.5114/kitp.2019.86361
Online publish date: 2019/06/28
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Introduction
Amiodarone, a pharmaceutical extensively used to suppress atrial and ventricular tachyarrhythmias, is also known to cause many side effects on many tissues. N-acetyl-cysteine (NAC), vitamin E and vitamin C are known as antioxidants for their ability to minimize oxidative stress. In the peer-reviewed literature, there is no study reporting on the protective effects of these antioxidant agents against its hepatotoxicity.

Aim
We investigated the oxidative effects of NAC, vitamins E and C on liver tissue after amiodarone treatment.

Material and methods
Rats were randomly assigned to: control; amiodarone group; amiodarone + NAC treated group; amiodarone + Vit. E group and amiodarone + Vit. C group. Liver tissues were isolated from animals and total glutathione levels were measured.

Results
In all time intervals, the level of glutathione increased. When all time intervals were compared, the amiodarone group revealed the lowest levels. The antioxidant co-administered group was studied; the glutathione levels were statistically significantly higher than the sole amiodarone group. When vitamins E, C or N-acetyl cysteine were examined, there was no statistically significant difference among them.

Conclusions
In this study we found that hepatotoxicity capacity of amiodarone may be reduced by taking up antioxidants. In addition, the effect documented here may be reproducible and may be applied to clinical settings.

keywords:

amiodarone, toxicity, N-acetyl cysteine, vitamin E, ascorbic acid, hepatotoxicity, rats
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