Does lithium attenuate the liver damage due to oxidative stress and liver glycogen depletion in experimental common bile duct obstruction?

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In extrahepatic cholestasis, the molecular mechanisms of liver damage due to bile acid accumulation remain elusive. In this study, the activation of glutamatergic receptors was hypothesized to be responsible for bile acid-induced oxidative stress and liver damage. Recent evidence showed that lithium, as an N-methyl-d-aspartate receptor (NMDAR) GluN2B subunit inhibitor, may act on the glutamate/NMDAR signaling axis. Guinea pigs were assigned to four groups, as sham laparotomy (SL), bile duct ligated (BDL), lithium-treated SL (SL + Li) and lithium-treated BDL (BDL + Li) groups. Cholestasis-induced liver injury was evaluated by aspartate aminotransferase (AST), alanine transaminase (ALT), interleukin-6 (IL-6), tissue malondialdehyde (MDA), copper‑zinc superoxide dismutase and reduced glutathione levels. The liability of glutamate/NMDAR signaling axis was clarified by glutamate levels in both plasma and liver samples, with the production of nitric oxide (NO), as well as with the serum calcium concentrations. Blood glucose, glucagon, insulin levels and glucose consumption rates, in addition to tissue glycogen were measured to evaluate the liver glucose-glycogen metabolism. A high liver damage index (AST/ALT) was calculated in BDL animals in comparison to SL group. In the BDL animals, lithium reduced plasma NO and glutamate in addition to tissue glutamate concentrations, while serum calcium increased. The antioxidant capacities and liver glycogen contents significantly increased, whereas blood glucose levels unchanged and tissue MDA levels decreased 3-fold in lithium-treated cholestatic animals. It was concluded that lithium largely protects the cholestatic hepatocyte from bile acid-mediated damage by blocking the NMDAR-GluN2B subunit.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:466

Enthalten in:

Toxicology and applied pharmacology - 466(2023) vom: 01. Mai, Seite 116489

Sprache:

Englisch

Beteiligte Personen:

Engin, Ayse Basak [VerfasserIn]
Engin, Atilla [VerfasserIn]
Engin, Evren Doruk [VerfasserIn]
Memis, Leyla [VerfasserIn]

Links:

Volltext

Themen:

9FN79X2M3F
Bile Acids and Salts
Blood Glucose
Calcium
Extrahepatic cholestasis
Glutamate
Glutamates
Hydrophobic bile acids
Journal Article
Lithium
Lithium Compounds
Liver Glycogen
Liver glycogen
N-methyl-d-aspartate receptor
SY7Q814VUP

Anmerkungen:

Date Completed 07.09.2023

Date Revised 07.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.taap.2023.116489

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354686518