2013
DOI: 10.1002/jbt.21542
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Mechanisms of Phenytoin‐Induced Toxicity in Freshly Isolated Rat Hepatocytes and the Protective Effects of Taurine and/or Melatonin

Abstract: Phenytoin is a widely used antiepileptic drug. However, hepatotoxicity is one of its adverse effects reported in some patients. The mechanism(s) by which phenytoin causes hepatotoxicity is not clear yet. This study was designed to evaluate the cytotoxic mechanism(s) of phenytoin toward rat hepatocytes (whose cytochrome P450 enzymes had been induced by Phenobarbital). Furthermore, the effect of taurine and/or melatonin on this toxicity was investigated. Cell death, reactive oxygen species (ROS) formation, lipid… Show more

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Cited by 27 publications
(30 citation statements)
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“…Melatonin significantly delayed disease onset and neurological deterioration; its effects were explained by an inhibition of Rip2/caspase-1 pathway activation, by the release of mitochondrial cytochrome c, and by a decreased overexpression and activation of caspase-3 (Zhang et al, 2013). In hepatocytes, melatonin normalized the levels of ROS formation, intracellular reduced glutathione, cellular oxidized glutathione, lipid peroxidation, and mitochondrial depolarization induced by the antiepileptic drug phenytoin (Eghbal et al, 2014). In smooth muscle cells, aging induced a partial mitochondrial depolarization in resting conditions and reduced the depolarizing response to cellular stimulation, and melatonin treatment prevented all these changes (Martin-Cano et al, 2014).…”
Section: Melatonin and Mitochondriamentioning
confidence: 96%
“…Melatonin significantly delayed disease onset and neurological deterioration; its effects were explained by an inhibition of Rip2/caspase-1 pathway activation, by the release of mitochondrial cytochrome c, and by a decreased overexpression and activation of caspase-3 (Zhang et al, 2013). In hepatocytes, melatonin normalized the levels of ROS formation, intracellular reduced glutathione, cellular oxidized glutathione, lipid peroxidation, and mitochondrial depolarization induced by the antiepileptic drug phenytoin (Eghbal et al, 2014). In smooth muscle cells, aging induced a partial mitochondrial depolarization in resting conditions and reduced the depolarizing response to cellular stimulation, and melatonin treatment prevented all these changes (Martin-Cano et al, 2014).…”
Section: Melatonin and Mitochondriamentioning
confidence: 96%
“…In the same study, the drugs also impaired Ca 2+ uptake/release [159]. An evaluation of the cytotoxic mechanisms of phenytoin in rat hepatocytes showed elevation in ROS formation, depletion of intracellular reduced glutathione, increase in cellular oxidized glutathione, enhancement of lipid peroxidation, and mitochondrial damage [180]. …”
Section: Anti-epileptic Drug Hepatotoxicitymentioning
confidence: 99%
“…ROS in the liver is generated both enzymatically or non-enzymatically in the mitochondria of nonphagocytic cells [74], but phagocytic cells like macrophages and neutrophils also produce ROS via the cytochrome P450 enzymes (CYP450) [75]. Oxidative stress is involved in most kinds of acute and chronic liver diseases even in drug/xenobiotics associated hepatic injuries [72,76].…”
Section: Oxidative Stress and Liver Diseasementioning
confidence: 99%