Effects of L-Carnitine and N-Acetylcysteine on nonalcoholic hepatic steatosis in rats

This study was performed to investigate whether the antioxidants L-carnitine and N-acetylcysteine (NAC) have therapeutic effects on Nonalcoholic hepatic steatosis (NHS) in rats with carbon tetrachloride (CCl4)-induced fatty liver disease. Twenty-four healthy male and female Wistar Albino rats, weighing 220–250 g and obtained from our university health research institute, were used in this study. The animals were divided into four groups of six rats each: Group 1 [Diet + normal saline solution (NSS), control group], Group 2 [Diet + CCl4], Group 3 [Diet + CCl4 + L-carnitine] and Group 4 [Diet + CCl4 + NAC]. For biochemical examinations blood samples were obtained from the right ventricle of the heart and liver samples for histopathological were also obtained. The mean Aspartate aminotransferase (AST) (P = 0.043) and lactate dehydrogenase (LDH) levels (P=0.021) were significantly lower in rats with l-carnitine treatment. The mean ALT level were significantly lower in rats with NAC and (P = 0.014). Microscopic steatosis severity was decreased in the rats with NAC treatment than the controls. However administration of l-carnitine did not sufficiently prevent hepatic steatosis or inflammation. Our study showed that L-carnitine and NAC treatment resulted in significant regression of steatosis in rats with NHS. However, these findings must be confirmed by further studies including larger populations.

___

Lee MR, Park KI, Ma JY. Leonurus japonicus Houtt attenuates nonalcoholic fatty liver disease in free fatty acid-induced HEPG2 cells and mice fed a highfat diet. Nutrients. 2018;10:20.

Erkan G, MuratogluS, Ercin U, et al. Angiopoietin-like protein 2 and angiopoietin-like protein 6 levels in patients with nonalcoholic fatty liver disease. Arch Med Sci. 2018;14:81-7.

Hardy T, Oakley F, Anstee QM, et al. Nonalcoholic fatty liver disease: pathogenesis and disease spectrum. Annu. Rev. Pathol. 2016;11:451-96.

Zarei M, Barroso E, Palomer X et al. Hepatic regulation of VLDL receptor by PPAR β/δ and FGF 21 modulates non-alcoholic fatty liver disease. Mol Metabol. 2018;8:117-31.

Bodaghi-Namileh V, Sepand MR, Omidi A et al. Acetyl-L-carnitine attenuates arsenic-induced liver injury by abrogation of mitochondrial dysfunction, inflammation, and apoptosis in rats. Environ. Toxicol. Pharmacol. 2018;58:1120.

Angulo P, Deach JC, Batts KP, et al. Independent predictors of liver fibrosis in patients with nonalcoholic steatohepatitis. Hepatology. 1999;30:1356-62.

S Yuan D, Xiang T, Huo Y. Preventive effects of total saponins of Panax japonicus on fatty liver fibrosis in mice. Arch Med Sci. 2018;14:396–406..

Nabi T, Nabi S, Rafiq N, et al. Role of N-acetylcysteine treatment in nonacetaminophen-induced acute liver failure: A prospective study. Saudi. J. Gastroenterol. 2017;23:169-75.

Peverill W, Powell LW, Skoien R. Evolving concepts in the pathogenesis of NASH: beyond steatosis and inflammation. Int J Mol Sci. 2014;15:8591-638.

García-Alcántara F, Murillo-Cuesta S, Pulido S et al. The expression of oxidative stress response genes is modulated by a combination of resveratrol and N-acetylcysteine to ameliorate ototoxicity in the rat cochlea. Hear Res. 2017;14;358:10-21.

Choi JW, Ohn JH, Jung HS et al. Carnitine induces autophagy and restores high-fat diet-induced mitochondrial dysfunction. Metabolism C linical and E xperimental. 2017;78:43-51.

Moghaddas A, Dashti-Khavidaki S. Potential protective effects of L-Carnitine against neuromuscular ischemia-reperfusion injury: From experimental data to potential clinical applications. Clin. Nutr. 2016;35:783-90.

Bae CJ, Lee WY, Yoon KH et al. Improvement of nonalcoholic fatty liver disease with carnitine-orotate complex in type 2 diabetes (CORONA): a randomized controlled trial. Diabetes Care. 2015;38:1245-52.

Shaw S, Rubin KP, Liyeber CS. Depressed hepatic glutathione and increased diene conjugates in alcoholic liver disease: evidence of lipid peroxidation. Dig. Dis. Sci. 1983;28:585-9.

Gokdemir MT, Karakilcik AZ, Gokdemir GS. Prognostic importance of paraoxonase, arylesterase and mean platelet volume efficiency in acute ischaemic stroke.J Pak Med Assoc. 2017;67:1679-83.

Amin Ka, Nagy MA. Effect of Carnitine and herbal mixture extract on obesity induced by high fat diet in rats. Diabetology & Metabolic Syndrome. 2009;1:17.

Chheda TK, Shivakumar P, Sadasivan SK et al. Fast food diet with CCl4 micro-dose induced hepatic-fibrosis a novel animal model. BMC Gastroenterol. 2014;14:89.

Zhou H, Shi T, Yan J et al. Effects of activated carbon N acetylcysteine sustained release microcapsule on dipeptidyl peptidase IV expression in young rats with non alcoholic fatty liver disease. Exp. Therap. Med. 2017;14:4737-44.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Rheumatoid arthritis and ankylosing spondylitis with cervical involvement and characteristics

Nevsun PİHTİLİ TAS, Rabia AYDOGAN BAYKARA, Ayhan KAMANLİ

Diagnostic utility of microhematuria in renal colic patients in emergency medicine: correlation with findings from multidetector computed tomography

Murat DAŞ, Okan BARDAKÇI, Ersan YURTSEVEN, Canan AKMAN, YAVUZ BEYAZİT, Okhan AKDUR

Communication difficulties in perioperative anesthesia management for immigrant and refugee patients

Mehmet Akif YAZAR, Yasin TİRE, Betül KOZANHAN

Early treatment with esophageal stenting in trauma-induced esophageal perforation- a case report and literature review

Yasir Furkan CAGİN

Dermatological findings in common rheumatologic diseases in children

Melike KİBAR OZTURK, İlkin ZİNDANCİ, Betul SOZERİ

Effects of ketofol and propofol on intubation conditions and hemodynamics without the use of neuromuscular blockers in patients undergoing tympanomastoidectomy

Duygu DEMİROZ ASLAN, Muharrem UCAR, Mehmet Ali ERDOGAN, Mukadder SANLİ, Nurcin GULHAS, CEMİL ÇOLAK, Mahmut DURMUS

Treatment of the left and the right coronary arteries’ ostial lesions by stenting in a patient with ımmune thrombocytopenic purpura

Selda MORRAD, Bektas MORRAD

Evaluation of strabismus surgery effects on anterior segment measurements using pentacam

Mehmet MURAT, Nilay CELEBİ, Çetin Akpolat

Malaria prevalence and risk analysis among pregnant women in Bungoma county, Kenya

Wekesa Antony WANYONYİ, Chrispinus Siteti MULAMBALAH, David H. MULAMA, Elizabeth OMUKUNDA

Evaluation of efficacy of oral honey use in adult tonsillectomy patients

Muge OZCELİK KORKMAZ, Mehmet GUVEN, Unal ERKORKMAZ