Effect of Zingiber officinale on liver oxidative status and biochemical parameters in rats exposed to paraquat

Hepatotoxicity of paraquat on common carp (Cyprinus carpio L.)

Paraquat (PQ) is a nonselective herbicide that is used worldwide and has been demonstrated to be a high risk to aquatic organisms. However, relatively little is known about the mechanisms on detoxification and hepatotoxicity of PQ in fish. In the present study, a sub-acute toxicity test of PQ exposure on common carp at 1.596 and 3.192mgL^-1 for 7d was conducted under laboratory conditions. The results showed that the transcriptional levels of cytochrome P450s (CYPs), such as CYP1A, CYP2K, and CYP3A138, GSTα and GSTpi, and export pump gene MDR1, as well as the erythromycin-N-demethylase (ERND) activity were generally up-regulated by PQ exposure for 7d, indicating that these genes or enzymes are potentially involved in the detoxification of PQ in the fish liver. Further research showed that PQ exposure significantly increased the levels of HSP70, HSP90, NOS, and MDA; promoted expression of pro-inflammatory cytokines, including IL-6 and IL-8; altered the levels of anti-inflammatory cytokines IL-10 and TGF-β, and generally reduced the levels of T-AOC, SOD, CAT, and GSH. In addition, we also found that caspase-3, caspase-8, and caspase-9 were significantly activated in the fish liver following PQ exposure. In brief, the present study showed that PQ exposure induced fish liver injury by destabilizing the metabolism of fish, inhibiting antioxidant enzyme activity, elevating lipid peroxidation, and promoting an immune inflammatory response and apoptosis. The present study further enriches and perfects the mechanism theory of PQ hepatotoxicity to fish, which may be valuable for the risk assessment of PQ and human health protection.

Discernment scheme for paraquat poisoning: A five-year experience in Shiraz, Iran

AIM

To evaluate various schemes for paraquat poisoning and different variables that influence the outcome of acute paraquat poisoning.

METHODS

In a cross-sectional study, the information about all cases of acute paraquat poisoning who were admitted to teaching hospitals affiliated to Shiraz University of Medical Sciences, in a five year period (September 2010 to September 2015) were evaluated. The variables included: Demographic data, medical assessment, therapeutic options, laboratory findings, and the outcomes. Data were analyzed using SPSS, version 22. Significant difference between groups was tested using t-test for continues outcomes and χ² test for categorical. The significance level was considered to be P < 0.05.

RESULTS

A total of 104 patients (66.3% male) were evaluated. The mean age of the female patients was 22.81 ± 9.87 years and the male patients’ was 27.21 ± 11.06 years. Ninety seven (93.3%) of all the cases were suicide attempts with mortality rate of 43.2%. Despite the necessity for emergency hemodialysis during the first 6 h of intoxication, none of the patients had dialysis during this time. Immunosuppressive and corticosteroid medications were not administrated in adequate dosage in 31.1% and 60% of the patients, respectively. Ingestion of more than 22.5 cc of paraquat and increase in creatinine level were the most important predictors of mortality.

CONCLUSION

Treatment should start immediately for these patients. Moreover, creating a clinical guideline according to the findings can have an impact on the treatment procedure which seems to be necessary.