Estrogen receptor agonists protect against acetaminophen-induced hepatorenal toxicity in rats

Acetaminophen-induced hepatorenal toxicity varies among sexes with controversial results among species. The aim was to compare the impact of sex and ovarian hormones on hepatorenal toxicity and to elucidate protective effects of estrogen and estrogen receptor (ER) agonists. Under anesthesia, female...

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Veröffentlicht in:Life sciences (1973) 2020-12, Vol.263, p.118561, Article 118561
Hauptverfasser: Koyuncuoğlu, Türkan, Yıldırım, Alper, Dertsiz, Ekin K., Yüksel, Meral, Ercan, Feriha, Yeğen, Berrak Ç.
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container_start_page 118561
container_title Life sciences (1973)
container_volume 263
creator Koyuncuoğlu, Türkan
Yıldırım, Alper
Dertsiz, Ekin K.
Yüksel, Meral
Ercan, Feriha
Yeğen, Berrak Ç.
description Acetaminophen-induced hepatorenal toxicity varies among sexes with controversial results among species. The aim was to compare the impact of sex and ovarian hormones on hepatorenal toxicity and to elucidate protective effects of estrogen and estrogen receptor (ER) agonists. Under anesthesia, female rats underwent ovariectomy (OVX) or sham-OVX. Starting at postsurgical 40th day, OVX-rats received subcutaneously (each, 1 mg/kg/day) 17β-estradiol (E2), ERβ-agonist (DPN) or ERα-agonist (PPT) for 10 days, while male and sham-OVX rats received vehicle for 10 days. Then, rats received either acetaminophen (3 g/kg) or saline by orogastric gavage and were decapitated at 24th h. Blood samples were obtained to measure serum ALT, AST, BUN, creatinine levels. Liver and kidney samples were obtained for histopathologic examination and for analyzing levels of luminol- and lucigenin-chemiluminescence, glutathione and myeloperoxidase activity. Compared to their control groups, levels of AST, ALT, BUN, creatinine, hepatic and renal myeloperoxidase activity and chemiluminescence levels were increased, and hepatic glutathione level was decreased in acetaminophen-administered male groups, while ALT and hepatic chemiluminescence levels were not elevated in sham-OVX-rats. Both ER-agonists and E2 reduced BUN, creatinine and reversed all oxidative parameters in renal tissues of OVX-rats. Additionally, ERα-agonist reversed all hepatic injury parameters, while ERβ-agonist elevated hepatic glutathione level. Acetaminophen toxicity in female rats presented with a more preserved hepatic function, while renal toxicity was not influenced by sex or by the lack of ovarian hormones. Pretreatment with estrogen or ER agonists, via their antioxidant actions, provided protective effects on acetaminophen-induced hepatorenal toxicity. •Hepatic functions are more preserved in female rats with acetaminophen toxicity.•Acetaminophen renal toxicity is not related with sex/presence of ovarian hormones.•ERα and ERβ agonists are equally effective in reducing renal damage.•ERα agonist is more effective in improving hepatic damage.•Both ER agonists improve hepatorenal toxicity via their antioxidant actions.
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The aim was to compare the impact of sex and ovarian hormones on hepatorenal toxicity and to elucidate protective effects of estrogen and estrogen receptor (ER) agonists. Under anesthesia, female rats underwent ovariectomy (OVX) or sham-OVX. Starting at postsurgical 40th day, OVX-rats received subcutaneously (each, 1 mg/kg/day) 17β-estradiol (E2), ERβ-agonist (DPN) or ERα-agonist (PPT) for 10 days, while male and sham-OVX rats received vehicle for 10 days. Then, rats received either acetaminophen (3 g/kg) or saline by orogastric gavage and were decapitated at 24th h. Blood samples were obtained to measure serum ALT, AST, BUN, creatinine levels. Liver and kidney samples were obtained for histopathologic examination and for analyzing levels of luminol- and lucigenin-chemiluminescence, glutathione and myeloperoxidase activity. Compared to their control groups, levels of AST, ALT, BUN, creatinine, hepatic and renal myeloperoxidase activity and chemiluminescence levels were increased, and hepatic glutathione level was decreased in acetaminophen-administered male groups, while ALT and hepatic chemiluminescence levels were not elevated in sham-OVX-rats. Both ER-agonists and E2 reduced BUN, creatinine and reversed all oxidative parameters in renal tissues of OVX-rats. Additionally, ERα-agonist reversed all hepatic injury parameters, while ERβ-agonist elevated hepatic glutathione level. Acetaminophen toxicity in female rats presented with a more preserved hepatic function, while renal toxicity was not influenced by sex or by the lack of ovarian hormones. Pretreatment with estrogen or ER agonists, via their antioxidant actions, provided protective effects on acetaminophen-induced hepatorenal toxicity. •Hepatic functions are more preserved in female rats with acetaminophen toxicity.•Acetaminophen renal toxicity is not related with sex/presence of ovarian hormones.•ERα and ERβ agonists are equally effective in reducing renal damage.•ERα agonist is more effective in improving hepatic damage.•Both ER agonists improve hepatorenal toxicity via their antioxidant actions.</description><identifier>ISSN: 0024-3205</identifier><identifier>EISSN: 1879-0631</identifier><identifier>DOI: 10.1016/j.lfs.2020.118561</identifier><identifier>PMID: 33045213</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>17β-Estradiol ; Acetaminophen ; Acetaminophen - toxicity ; Agonists ; Analgesics ; Analgesics, Non-Narcotic - toxicity ; Anesthesia ; Animals ; Antioxidants ; Chemical activity ; Chemical and Drug Induced Liver Injury - drug therapy ; Chemical and Drug Induced Liver Injury - etiology ; Chemical and Drug Induced Liver Injury - metabolism ; Chemical and Drug Induced Liver Injury - pathology ; Chemiluminescence ; Creatinine ; Estradiol - pharmacology ; Estrogen receptor agonists ; Estrogen receptors ; Estrogens ; Estrogens - pharmacology ; Female ; Glutathione ; Hepatorenal toxicity ; Hormones ; Kidney Diseases - drug therapy ; Kidney Diseases - etiology ; Kidney Diseases - metabolism ; Kidney Diseases - pathology ; Kidneys ; Liver ; Male ; Males ; Nitriles - pharmacology ; Ovariectomy ; Ovaries ; Oxidative stress ; Oxidative Stress - drug effects ; Parameters ; Peroxidase ; Pretreatment ; Propionates - pharmacology ; Protective Agents - pharmacology ; Rats ; Rats, Sprague-Dawley ; Receptors ; Receptors, Estrogen - chemistry ; Renal function ; Rodents ; Sex hormones ; Toxicity</subject><ispartof>Life sciences (1973), 2020-12, Vol.263, p.118561, Article 118561</ispartof><rights>2020</rights><rights>Copyright © 2020. 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The aim was to compare the impact of sex and ovarian hormones on hepatorenal toxicity and to elucidate protective effects of estrogen and estrogen receptor (ER) agonists. Under anesthesia, female rats underwent ovariectomy (OVX) or sham-OVX. Starting at postsurgical 40th day, OVX-rats received subcutaneously (each, 1 mg/kg/day) 17β-estradiol (E2), ERβ-agonist (DPN) or ERα-agonist (PPT) for 10 days, while male and sham-OVX rats received vehicle for 10 days. Then, rats received either acetaminophen (3 g/kg) or saline by orogastric gavage and were decapitated at 24th h. Blood samples were obtained to measure serum ALT, AST, BUN, creatinine levels. Liver and kidney samples were obtained for histopathologic examination and for analyzing levels of luminol- and lucigenin-chemiluminescence, glutathione and myeloperoxidase activity. Compared to their control groups, levels of AST, ALT, BUN, creatinine, hepatic and renal myeloperoxidase activity and chemiluminescence levels were increased, and hepatic glutathione level was decreased in acetaminophen-administered male groups, while ALT and hepatic chemiluminescence levels were not elevated in sham-OVX-rats. Both ER-agonists and E2 reduced BUN, creatinine and reversed all oxidative parameters in renal tissues of OVX-rats. Additionally, ERα-agonist reversed all hepatic injury parameters, while ERβ-agonist elevated hepatic glutathione level. Acetaminophen toxicity in female rats presented with a more preserved hepatic function, while renal toxicity was not influenced by sex or by the lack of ovarian hormones. Pretreatment with estrogen or ER agonists, via their antioxidant actions, provided protective effects on acetaminophen-induced hepatorenal toxicity. •Hepatic functions are more preserved in female rats with acetaminophen toxicity.•Acetaminophen renal toxicity is not related with sex/presence of ovarian hormones.•ERα and ERβ agonists are equally effective in reducing renal damage.•ERα agonist is more effective in improving hepatic damage.•Both ER agonists improve hepatorenal toxicity via their antioxidant actions.</description><subject>17β-Estradiol</subject><subject>Acetaminophen</subject><subject>Acetaminophen - toxicity</subject><subject>Agonists</subject><subject>Analgesics</subject><subject>Analgesics, Non-Narcotic - toxicity</subject><subject>Anesthesia</subject><subject>Animals</subject><subject>Antioxidants</subject><subject>Chemical activity</subject><subject>Chemical and Drug Induced Liver Injury - drug therapy</subject><subject>Chemical and Drug Induced Liver Injury - etiology</subject><subject>Chemical and Drug Induced Liver Injury - metabolism</subject><subject>Chemical and Drug Induced Liver Injury - pathology</subject><subject>Chemiluminescence</subject><subject>Creatinine</subject><subject>Estradiol - pharmacology</subject><subject>Estrogen receptor agonists</subject><subject>Estrogen receptors</subject><subject>Estrogens</subject><subject>Estrogens - pharmacology</subject><subject>Female</subject><subject>Glutathione</subject><subject>Hepatorenal toxicity</subject><subject>Hormones</subject><subject>Kidney Diseases - drug therapy</subject><subject>Kidney Diseases - etiology</subject><subject>Kidney Diseases - metabolism</subject><subject>Kidney Diseases - pathology</subject><subject>Kidneys</subject><subject>Liver</subject><subject>Male</subject><subject>Males</subject><subject>Nitriles - pharmacology</subject><subject>Ovariectomy</subject><subject>Ovaries</subject><subject>Oxidative stress</subject><subject>Oxidative Stress - drug effects</subject><subject>Parameters</subject><subject>Peroxidase</subject><subject>Pretreatment</subject><subject>Propionates - pharmacology</subject><subject>Protective Agents - pharmacology</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Receptors</subject><subject>Receptors, Estrogen - chemistry</subject><subject>Renal function</subject><subject>Rodents</subject><subject>Sex hormones</subject><subject>Toxicity</subject><issn>0024-3205</issn><issn>1879-0631</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMotlZ_gBsZcD01j8k8cCWlPqDgRpcSMpmbNkM7GZOM2H9vylSXri73cs7h3A-ha4LnBJP8rp1vtZ9TTONOSp6TEzQlZVGlOGfkFE0xplnKKOYTdOF9izHmvGDnaMIYzjglbIo-lj44u4YucaCgD9Ylcm0744NPemcDqBAP0nQ-TgVB7kxn-w10qemaQUGTbKCX0Qad3CbBfhtlwj4xMU8Gf4nOtNx6uDrOGXp_XL4tntPV69PL4mGVKlaSkBKgVVVlWhclJqqkJde00KTBrK55nWueywY0ywiHrKJV1pSyqauaQJHrIqtqNkO3Y26s_DmAD6K1g4uNvKCc0oxGK40qMqqUs9470KJ3ZifdXhAsDkBFKyJQcQAqRqDRc3NMHuodNH-OX4JRcD8KIP73ZcAJrwx0kYyJRINorPkn_gdmfYdM</recordid><startdate>20201215</startdate><enddate>20201215</enddate><creator>Koyuncuoğlu, Türkan</creator><creator>Yıldırım, Alper</creator><creator>Dertsiz, Ekin K.</creator><creator>Yüksel, Meral</creator><creator>Ercan, Feriha</creator><creator>Yeğen, Berrak Ç.</creator><general>Elsevier Inc</general><general>Elsevier BV</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope></search><sort><creationdate>20201215</creationdate><title>Estrogen receptor agonists protect against acetaminophen-induced hepatorenal toxicity in rats</title><author>Koyuncuoğlu, Türkan ; Yıldırım, Alper ; Dertsiz, Ekin K. ; Yüksel, Meral ; Ercan, Feriha ; Yeğen, Berrak Ç.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-1e29994ff7801c8285f27f1d03bb5b6f56adef3415e49294d8adb9b1e76f749b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>17β-Estradiol</topic><topic>Acetaminophen</topic><topic>Acetaminophen - toxicity</topic><topic>Agonists</topic><topic>Analgesics</topic><topic>Analgesics, Non-Narcotic - toxicity</topic><topic>Anesthesia</topic><topic>Animals</topic><topic>Antioxidants</topic><topic>Chemical activity</topic><topic>Chemical and Drug Induced Liver Injury - drug therapy</topic><topic>Chemical and Drug Induced Liver Injury - etiology</topic><topic>Chemical and Drug Induced Liver Injury - metabolism</topic><topic>Chemical and Drug Induced Liver Injury - pathology</topic><topic>Chemiluminescence</topic><topic>Creatinine</topic><topic>Estradiol - pharmacology</topic><topic>Estrogen receptor agonists</topic><topic>Estrogen receptors</topic><topic>Estrogens</topic><topic>Estrogens - pharmacology</topic><topic>Female</topic><topic>Glutathione</topic><topic>Hepatorenal toxicity</topic><topic>Hormones</topic><topic>Kidney Diseases - drug therapy</topic><topic>Kidney Diseases - etiology</topic><topic>Kidney Diseases - metabolism</topic><topic>Kidney Diseases - pathology</topic><topic>Kidneys</topic><topic>Liver</topic><topic>Male</topic><topic>Males</topic><topic>Nitriles - pharmacology</topic><topic>Ovariectomy</topic><topic>Ovaries</topic><topic>Oxidative stress</topic><topic>Oxidative Stress - drug effects</topic><topic>Parameters</topic><topic>Peroxidase</topic><topic>Pretreatment</topic><topic>Propionates - pharmacology</topic><topic>Protective Agents - pharmacology</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Receptors</topic><topic>Receptors, Estrogen - chemistry</topic><topic>Renal function</topic><topic>Rodents</topic><topic>Sex hormones</topic><topic>Toxicity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koyuncuoğlu, Türkan</creatorcontrib><creatorcontrib>Yıldırım, Alper</creatorcontrib><creatorcontrib>Dertsiz, Ekin K.</creatorcontrib><creatorcontrib>Yüksel, Meral</creatorcontrib><creatorcontrib>Ercan, Feriha</creatorcontrib><creatorcontrib>Yeğen, Berrak Ç.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; 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The aim was to compare the impact of sex and ovarian hormones on hepatorenal toxicity and to elucidate protective effects of estrogen and estrogen receptor (ER) agonists. Under anesthesia, female rats underwent ovariectomy (OVX) or sham-OVX. Starting at postsurgical 40th day, OVX-rats received subcutaneously (each, 1 mg/kg/day) 17β-estradiol (E2), ERβ-agonist (DPN) or ERα-agonist (PPT) for 10 days, while male and sham-OVX rats received vehicle for 10 days. Then, rats received either acetaminophen (3 g/kg) or saline by orogastric gavage and were decapitated at 24th h. Blood samples were obtained to measure serum ALT, AST, BUN, creatinine levels. Liver and kidney samples were obtained for histopathologic examination and for analyzing levels of luminol- and lucigenin-chemiluminescence, glutathione and myeloperoxidase activity. Compared to their control groups, levels of AST, ALT, BUN, creatinine, hepatic and renal myeloperoxidase activity and chemiluminescence levels were increased, and hepatic glutathione level was decreased in acetaminophen-administered male groups, while ALT and hepatic chemiluminescence levels were not elevated in sham-OVX-rats. Both ER-agonists and E2 reduced BUN, creatinine and reversed all oxidative parameters in renal tissues of OVX-rats. Additionally, ERα-agonist reversed all hepatic injury parameters, while ERβ-agonist elevated hepatic glutathione level. Acetaminophen toxicity in female rats presented with a more preserved hepatic function, while renal toxicity was not influenced by sex or by the lack of ovarian hormones. Pretreatment with estrogen or ER agonists, via their antioxidant actions, provided protective effects on acetaminophen-induced hepatorenal toxicity. •Hepatic functions are more preserved in female rats with acetaminophen toxicity.•Acetaminophen renal toxicity is not related with sex/presence of ovarian hormones.•ERα and ERβ agonists are equally effective in reducing renal damage.•ERα agonist is more effective in improving hepatic damage.•Both ER agonists improve hepatorenal toxicity via their antioxidant actions.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>33045213</pmid><doi>10.1016/j.lfs.2020.118561</doi></addata></record>
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subjects 17β-Estradiol
Acetaminophen
Acetaminophen - toxicity
Agonists
Analgesics
Analgesics, Non-Narcotic - toxicity
Anesthesia
Animals
Antioxidants
Chemical activity
Chemical and Drug Induced Liver Injury - drug therapy
Chemical and Drug Induced Liver Injury - etiology
Chemical and Drug Induced Liver Injury - metabolism
Chemical and Drug Induced Liver Injury - pathology
Chemiluminescence
Creatinine
Estradiol - pharmacology
Estrogen receptor agonists
Estrogen receptors
Estrogens
Estrogens - pharmacology
Female
Glutathione
Hepatorenal toxicity
Hormones
Kidney Diseases - drug therapy
Kidney Diseases - etiology
Kidney Diseases - metabolism
Kidney Diseases - pathology
Kidneys
Liver
Male
Males
Nitriles - pharmacology
Ovariectomy
Ovaries
Oxidative stress
Oxidative Stress - drug effects
Parameters
Peroxidase
Pretreatment
Propionates - pharmacology
Protective Agents - pharmacology
Rats
Rats, Sprague-Dawley
Receptors
Receptors, Estrogen - chemistry
Renal function
Rodents
Sex hormones
Toxicity
title Estrogen receptor agonists protect against acetaminophen-induced hepatorenal toxicity in rats
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