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Sefi M, Chaâbane M, Bejaoui S, Elwej A, Marrekchi R, Jamoussi K, Gouiaa N, Sellami TB, El Cafsi M, Zeghal N. Antioxidant role of selenium against maneb-induced cardiotoxicity in mice. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:54827-54841. [PMID: 35312919 DOI: 10.1007/s11356-022-19497-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 02/24/2022] [Indexed: 06/14/2023]
Abstract
The current study was conducted to assess the beneficial effect of selenium (Se) on maneb-induced cardiotoxicity and fatty acid alterations in adult mice. Swiss albino male mice were assigned into four experimental groups. The first group consisted of negative controls. The second group represented the positive controls where mice received daily, via the diet, sodium selenite at a dose of 0.2 mg/kg. For the third group, mice were subjected to intraperitoneal injections of maneb (30 mg/kg BW). The fourth group (MB+Se) received daily the same dose of maneb as group 3 along with sodium selenite at the same dose as group 2. Mice exposure to maneb caused cardiotoxicity as indicated by an increase in malondialdehyde, hydrogen peroxide, and protein carbonyl levels, and an alteration of the antioxidant defense system (catalase, glutathione peroxidase, superoxide dismutase, glutathione, and vitamin C). Plasma lactate dehydrogenase activity and total cholesterol, triglyceride, and low-density lipoprotein cholesterol levels increased, while high-density lipoprotein cholesterol level decreased. Results showed also a decrease in the amount of n-3 PUFA, docosahexaenoic, docosapentaenoic, and eicosapentaenoic acids. However, an increase in the levels of MUFA, cis-vaccenic, and palmitoleic acids was observed. Co-administration of Se restored the parameters indicated above to near control values. The histopathological findings confirmed the biochemical results. Selenium could be a useful and efficient agent against maneb-induced cardiotoxicity.
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Affiliation(s)
- Mediha Sefi
- Animal Physiology Laboratory, Department of Life Sciences, Sciences Faculty of Sfax, University of Sfax, Sfax, Tunisia.
- Ecology, Biology and Physiology Laboratory of Aquatic Organisms, Department of Biological Sciences, Sciences Faculty of Tunis, University of Tunis El Manar, 2092, Tunis, Tunisia.
| | - Mariem Chaâbane
- Animal Physiology Laboratory, Department of Life Sciences, Sciences Faculty of Sfax, University of Sfax, Sfax, Tunisia
| | - Safa Bejaoui
- Ecology, Biology and Physiology Laboratory of Aquatic Organisms, Department of Biological Sciences, Sciences Faculty of Tunis, University of Tunis El Manar, 2092, Tunis, Tunisia
| | - Awatef Elwej
- Animal Physiology Laboratory, Department of Life Sciences, Sciences Faculty of Sfax, University of Sfax, Sfax, Tunisia
| | - Rim Marrekchi
- Biochemistry Laboratory, Department of Biochemistry, CHU Hedi Chaker, University of Sfax, 3029, Sfax, Tunisia
| | - Kamel Jamoussi
- Biochemistry Laboratory, Department of Biochemistry, CHU Hedi Chaker, University of Sfax, 3029, Sfax, Tunisia
| | - Naourez Gouiaa
- Histopathology Laboratory, Department of Anatomo-pathology, CHU Habib Bourguiba, University of Sfax, Sfax, Tunisia
| | - Tahia Boudawara Sellami
- Histopathology Laboratory, Department of Anatomo-pathology, CHU Habib Bourguiba, University of Sfax, Sfax, Tunisia
| | - M'hamed El Cafsi
- Ecology, Biology and Physiology Laboratory of Aquatic Organisms, Department of Biological Sciences, Sciences Faculty of Tunis, University of Tunis El Manar, 2092, Tunis, Tunisia
| | - Najiba Zeghal
- Animal Physiology Laboratory, Department of Life Sciences, Sciences Faculty of Sfax, University of Sfax, Sfax, Tunisia
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Bahtiyar N, Yoldas A, Abbak Y, Dariyerli N, Toplan S. Erythroid microRNA and oxidant status alterations in l-thyroxine-induced hyperthyroid rats: effects of selenium supplementation. Minerva Endocrinol (Torino) 2021; 46:107-115. [PMID: 33779112 DOI: 10.23736/s2724-6507.20.03154-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Hypermetabolic state in hyperthyroidism causes oxidative stress. Erythrocytes are the cells that are involved in oxidant equilibrium in an organism and contain microRNA (miRNA). Selenium, which is an essential element for an organism, has antioxidant properties. The present study was aimed at investigating the effects of selenium supplementation in hyperthyroidism, on pro- and antioxidant enzymes, and miRNA (miR-144 and miR-451) expressions in the erythrocytes. METHODS Forty-eight Sprague-Dawley male rats were divided into 6 groups; control group, group fed with 0.5 mg/kg sodium selenite; group fed with 1 mg/kg sodium selenite; hyperthyroid group; hyperthyroid group fed with 0.5 mg/kg sodium selenite; and hyperthyroid group fed with 1 mg/kg sodium selenite. Malondialdehyde (MDA), superoxide dismutase (SOD), glutathione (GSH), miR-144, and miR-451 expression levels were studied in erythrocyte hemolysates. RESULTS MDA levels were increased in the hyperthyroid group compared to the control group, and the group fed with 0.5 mg/kg sodium selenite (P<0.001 and P<0.01, respectively). GSH levels were increased in the hyperthyroid group and the hyperthyroid group fed with 0.5 mg/kg sodium selenite compared to the control group (P<0.001, and P<0.05, respectively). GSH levels of the hyperthyroid group fed with 1 mg/kg sodium selenite were decreased when compared with the hyperthyroid group (P<0.05). SOD levels of the hyperthyroid group were increased when compared with the control group (P<0.05, and P<0.001, respectively). Similarly, SOD levels of the hyperthyroid group fed with 1 mg/kg sodium selenite were lower than the hyperthyroid group (P<0.01). miR-144 values were increased in the hyperthyroid group and the hyperthyroid group fed with 0.5 mg/kg sodium selenite compared to the control group (P<0.001, and P<0.05 respectively). miR-451 expression was increased significantly in the hyperthyroid group compared to the control group (P<0.05). CONCLUSIONS Our findings showed that MDA, SOD and GSH levels increased, and miR-144 and miR-451 expressions changed in hyperthyroidism. Supplementation of 1 mg/kg sodium selenite was more effective than 0.5 mg/kg sodium selenite for normalizing the MDA, GSH, SOD, and miRNA levels in the hyperthyroid group.
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Affiliation(s)
- Nurten Bahtiyar
- Department of Biophysics, University Hospital of Cerrahpasa, Istanbul, Turkey -
| | - Aysun Yoldas
- Department of Biophysics, University Hospital of Cerrahpasa, Istanbul, Turkey
| | - Yavuz Abbak
- Department of Biophysics, University Hospital of Cerrahpasa, Istanbul, Turkey
| | - Nuran Dariyerli
- Department of Physiology, University Hospital of Cerrahpasa, Istanbul, Turkey
| | - Selmin Toplan
- Department of Biophysics, University Hospital of Cerrahpasa, Istanbul, Turkey
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Early-Life Programming and Reprogramming of Adult Kidney Disease and Hypertension: The Interplay between Maternal Nutrition and Oxidative Stress. Int J Mol Sci 2020; 21:ijms21103572. [PMID: 32443635 PMCID: PMC7278949 DOI: 10.3390/ijms21103572] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 05/12/2020] [Accepted: 05/18/2020] [Indexed: 02/06/2023] Open
Abstract
Kidney disease and hypertension both have attained the status of a global pandemic. Altered renal programming resulting in kidney disease and hypertension can begin in utero. Maternal suboptimal nutrition and oxidative stress have important implications in renal programming, while specific antioxidant nutrient supplementations may serve as reprogramming strategies to prevent kidney disease and hypertension of developmental origins. This review aims to summarize current knowledge on the interplay of maternal nutrition and oxidative stress in response to early-life insults and its impact on developmental programming of kidney disease and hypertension, covering two aspects. Firstly, we present the evidence from animal models supporting the implication of oxidative stress on adult kidney disease and hypertension programmed by suboptimal maternal nutrition. In the second part, we document data on specific antioxidant nutrients as reprogramming strategies to protect adult offspring against kidney disease and hypertension from developmental origins. Research into the prevention of kidney disease and hypertension that begin early in life will have profound implications for future health.
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Protective Effects of Micro-Emulsion of Sour Cherry (Prunus cerasus L.) Kernel Extract on Methimazole-Induced Nephrotoxicity in Mice. Jundishapur J Nat Pharm Prod 2019. [DOI: 10.5812/jjnpp.58994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Liao C, Carlson BA, Paulson RF, Prabhu KS. The intricate role of selenium and selenoproteins in erythropoiesis. Free Radic Biol Med 2018; 127:165-171. [PMID: 29719207 PMCID: PMC6168382 DOI: 10.1016/j.freeradbiomed.2018.04.578] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Accepted: 04/26/2018] [Indexed: 01/18/2023]
Abstract
Selenium (Se) is incorporated as the 21st amino acid selenocysteine (Sec) into the growing polypeptide chain of proteins involved in redox gatekeeper functions. Erythropoiesis presents a particular problem to redox regulation as the presence of iron, heme, and unpaired globin chains lead to high levels of free radical-mediated oxidative stress, which are detrimental to erythroid development and can lead to anemia. Under homeostatic conditions, bone marrow erythropoiesis produces sufficient erythrocytes to maintain homeostasis. In contrast, anemic stress induces an alternative pathway, stress erythropoiesis, which rapidly produces new erythrocytes at extramedullary sites, such as spleen, to alleviate anemia. Previous studies suggest that dietary Se protects erythrocytes from such oxidative damage and the absence of selenoproteins causes hemolysis of erythrocytes due to oxidative stress. Furthermore, Se deficiency or lack of selenoproteins severely impairs stress erythropoiesis exacerbating the anemia in rodent models and human patients. Interestingly, erythroid progenitors develop in close proximity with macrophages in structures referred to as erythroblastic islands (EBIs), where macrophage expression of selenoproteins appears to be critical for the expression of heme transporters to facilitate export of heme from macrophage stores to the developing erythroid cells. Here we review the role of Se and selenoproteins in the intrinsic development of erythroid cells in addition to their role in the development of the erythropoietic niche that supports the functional role of EBIs in erythroid expansion and maturation in the spleen during recovery from anemia.
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Affiliation(s)
- Chang Liao
- Department of Veterinary and Biomedical Sciences, The Pennsylvania State University, University Park, PA 16802, USA
| | - Bradley A Carlson
- Molecular Biology of Selenium Section, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA
| | - Robert F Paulson
- Department of Veterinary and Biomedical Sciences, The Pennsylvania State University, University Park, PA 16802, USA.
| | - K Sandeep Prabhu
- Department of Veterinary and Biomedical Sciences, The Pennsylvania State University, University Park, PA 16802, USA.
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Chalouati H, Ben Sâad MM, Payrastre L. Hepatoprotective effects of vitamin E against hexachlorobenzene-induced hepatotoxicity and oxidative stress in rats: histological, biochimical and antioxidant status changes. Toxicol Mech Methods 2018; 29:18-25. [PMID: 30064338 DOI: 10.1080/15376516.2018.1506847] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
The protective effects of α-Tocopherol (vitamin E) on liver injury induced by hexachlorobenzene (HCB) were investigated in adult male rats of Wistar strain. Animals were randomly divided into six groups of eight rats each. Group 1 and 2 have received HCB, dissolved in olive oil, at a dose of 4 mg or 16 mg/kg b.w., respectively. Group 3 and 4 were treated by the same doses of HCB (4 mg and 16 mg/kg b.w.) after 1 h of pretreatment with α-tocopherol at a dose of 100 mg kg-1 b.w. The other two groups served as controls; which received either olive oil only, a solvent of HCB, or α-tocopherol. A significant increase in hepatic lipid peroxidation (LPO) and GSH activity were observed following HCB administration. The activities of antioxidant enzymes like superoxide dismutase and catalase were significantly decreased while glutathione peroxidase was significantly increased following HCB administration. Similarly, a significant increase in plasma levels of various marker enzymes [aminotransferase (aspartate aminotransférase (AST) and alanine aminotransferase (ALT)), alkaline phosphatase (ALP) and lactate dehydrogenase (LDH)] and a decrease of total protein level were observed. Pretreatment with vitamin E of HCB treated rats ameliorated all biochemical parameters to near normal values. Liver histological study confirmed biochemical parameters and the beneficial role of vitamin E.
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Affiliation(s)
- Hela Chalouati
- a Laboratoire de Physiologie Animale, Département des Sciences Biologiques, Faculté des Sciences de Tunis , Université Tunis el Manar , Tunis , Tunisie.,b INRA UMR 1331Toxalim (Research center in food Toxicology) , Toulouse , France
| | - Mohamed Moncef Ben Sâad
- a Laboratoire de Physiologie Animale, Département des Sciences Biologiques, Faculté des Sciences de Tunis , Université Tunis el Manar , Tunis , Tunisie
| | - Laurence Payrastre
- b INRA UMR 1331Toxalim (Research center in food Toxicology) , Toulouse , France
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Ameliorative effect of vitamin E and selenium against oxidative stress induced by sodium azide in liver, kidney, testis and heart of male mice. Biomed Pharmacother 2017; 91:602-610. [PMID: 28494416 DOI: 10.1016/j.biopha.2017.04.122] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Revised: 04/18/2017] [Accepted: 04/27/2017] [Indexed: 01/26/2023] Open
Abstract
The study purported to define the effects of daily administration of vitamin E (Vit E) and selenium (Se) on antioxidant enzyme activity in mice treated with high doses of sodium azide (SA). Male mice were randomly split into nine groups. Groups 1, 2 and 3 were injected daily with saline, Vit E, and Se, respectively, while groups 4, 5 and 6 administrated with different doses of SA (low, medium and high, respectively). The mice in groups 7, 8 and 9 received 100mg/kg Vit E, 17.5mg/kg Se, and a combination of Vit E and Se, respectively before the SA-treatment. Hepatic, renal, testis and heart, antioxidant enzymes as well as levels of lipid peroxidation and total antioxidant capacity levels were determined. Vit E alone affected on the antioxidant parameters of the examined tissues. Se had a preventive effect on the decrease of antioxidant parameters caused by SA and improved the diminished activities of all of them. The study demonstrates that a high dose of SA may alter the effects of normal level antioxidant/oxidative status of male mice and that Se is effective in reducing the SA-damage. Se acts as a synergistic agent with the effect of Vit E in various damaged caused by SA.
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Jaballi I, Ben Saad H, Bkhairia I, Kammoun I, Droguet M, Magné C, Boudawara T, Kallel C, Nasri M, Hakim A, Ben Amara I. Increasing maneb doses induces reactive oxygen species overproduction and nephrotoxicity in adult mice. Toxicol Mech Methods 2017; 27:382-393. [DOI: 10.1080/15376516.2017.1300617] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- Imen Jaballi
- Laboratory of Pharmacology, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Hajer Ben Saad
- Laboratory of Pharmacology, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Intidhar Bkhairia
- Laboratory of Enzyme Engineering and Microbiology, National Engineering School in Sfax, University of Sfax, Sfax, Tunisia
| | - Intissar Kammoun
- Higher Institute of Biotechnology of Sfax, University of Sfax, Sfax, Tunisia
| | - Michael Droguet
- EA 4324 ORPHY, Faculty of Medicine, University of Brest, Brest Cedex, France
| | - Christian Magné
- EA 2219 Géoarchitecture, University of Brest, Brest Cedex, France
| | - Tahia Boudawara
- Laboratory of Anatomopathology, CHU Habib Bourguiba, University of Sfax, Sfax, Tunisia
| | - Choumous Kallel
- Laboratory of Hematology, CHU Habib Bourguiba, University of Sfax, Sfax, Tunisia
| | - Monsef Nasri
- Laboratory of Enzyme Engineering and Microbiology, National Engineering School in Sfax, University of Sfax, Sfax, Tunisia
| | - Ahmed Hakim
- Laboratory of Pharmacology, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Ibtissem Ben Amara
- Higher Institute of Biotechnology of Sfax, University of Sfax, Sfax, Tunisia
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Ktari N, Belguith-Hadriche O, Ben Amara I, Ben Hadj A, Turki M, Makni-Ayedi F, Boudaouara T, El Feki A, Boualga A, Ben Salah R, Nasri M. Cholesterol regulatory effects and antioxidant activities of protein hydrolysates from zebra blenny (Salaria basilisca) in cholesterol-fed rats. Food Funct 2016; 6:2273-82. [PMID: 26065510 DOI: 10.1039/c5fo00492f] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
This study aims to explore the hypocholesterolemic effects and antioxidative activities of zebra blenny protein hydrolysates (ZBPHs) in rats fed with a hypercholesterolemic diet. The rats were fed during eight weeks a standard laboratory diet (normal rats), a high-cholesterol diet (HCD) (1%) or a HCD and orally treated with ZBPHs or undigested zebra blenny proteins (UZBPs) (400 mg per kg per day). Results showed that a hypercholesterolemic diet induced the increase of total cholesterol (TC), triglycerides (TG), and low-density lipoprotein cholesterol (LDL-C). Treatment with ZBPHs increased the level of high-density lipoprotein cholesterol (HDL-C) and decreased significantly the levels of TC, TG, and LDL-C. In addition, ZBPH treatment showed significant normalization of thiobarbituric acid-reactive substance (TBARS) levels as well as catalase, superoxide dismutase (SOD), and glutathione peroxidase (GPx) activities in renal and hepatic tissues. Furthermore, ZBPHs may also exert significant protective effects on liver and kidney functions, evidenced by a marked decrease in the level of serum urea, uric acid, creatinine, alkaline phosphatase (ALP), and alanine aminotransferase (ALAT). Histological studies confirmed that ZBPHs effectively protected the livers and kidneys against hypercholesterolemia-mediated oxidative damage. Therefore, the study strengthens the hypothesis that ZBPHs can be used as novel antioxidants and hypocholesterolemic compounds against hyperlipidemia induced atherosclerosis.
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Affiliation(s)
- Naourez Ktari
- Laboratory of Enzyme Engineering and Microbiology, National School of Engineering of Sfax, University of Sfax, P.O. 1173-3038, Sfax, Tunisia.
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Ben Saad H, Driss D, Ellouz Chaabouni S, Boudawara T, Zeghal KM, Hakim A, Ben Amara I. Vanillin mitigates potassium bromate-induced molecular, biochemical and histopathological changes in the kidney of adult mice. Chem Biol Interact 2016; 252:102-13. [PMID: 27074584 DOI: 10.1016/j.cbi.2016.04.015] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Revised: 04/03/2016] [Accepted: 04/08/2016] [Indexed: 02/06/2023]
Abstract
The present study aimed to explore the ability of vanillin to ameliorate the adverse effects induced by potassium bromate (KBrO3) in the renal tissue. Our results showed a significant increase in hydrogen peroxide, superoxide anion, malondialdehyde, advanced oxidation protein product and protein carbonyl levels in the kidney of KBrO3 treated mice, compared with the control group. Nephrotoxicity was evidenced by a decrease in plasma uric acid and kidney glutathione levels, Na(+)-K(+)-ATPase, lactate dehydrogenase and catalase activities. Additionally, creatinine and urea levels significantly increased in the plasma and declined in the urine. Also, Kidney glutathione peroxidase, superoxide dismutase, metallothionein (MT1 and MT2) mRNA expression remarkably increased. These modifications in biochemical and molecular values were substantiated by histopathological data. Co-treatment with vanillin restored these parameters to near control values. Interestingly, vanillin proved to possess, in vitro, a stronger scavenging radical activity than vitamin C and Trolox. Thus, vanillin inhibited KBrO3-induced damage via its antioxidant and antiradical activities as well as its capacity to protect genes expression and histopathological changes.
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Affiliation(s)
- Hajer Ben Saad
- Laboratory of Pharmacology, UR/12 ES-13, Faculty of Medicine, 3029 Sfax, University of Sfax, Tunisia.
| | - Dorra Driss
- Enzymes and Bioconversions Laboratory, National Engineering School, University of Sfax, BP 1173, 3038 Sfax, Tunisia
| | - Samia Ellouz Chaabouni
- Enzymes and Bioconversions Laboratory, National Engineering School, University of Sfax, BP 1173, 3038 Sfax, Tunisia
| | - Tahia Boudawara
- Anatomopathology Laboratory, Habib Bourguiba University Hospital, 3029 Sfax, University of Sfax, Tunisia
| | - Khaled Mounir Zeghal
- Laboratory of Pharmacology, UR/12 ES-13, Faculty of Medicine, 3029 Sfax, University of Sfax, Tunisia
| | - Ahmed Hakim
- Laboratory of Pharmacology, UR/12 ES-13, Faculty of Medicine, 3029 Sfax, University of Sfax, Tunisia
| | - Ibtissem Ben Amara
- Higher Institute of Biotechnology of Sfax, 3000 Sfax University, Tunisia
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El-Shenawy NS, AL-Harbi MS, Hamza RZ. Effect of vitamin E and selenium separately and in combination on biochemical, immunological and histological changes induced by sodium azide in male mice. ACTA ACUST UNITED AC 2015; 67:65-76. [DOI: 10.1016/j.etp.2014.10.005] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2014] [Revised: 09/27/2014] [Accepted: 10/24/2014] [Indexed: 01/20/2023]
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12
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Abedelhaffez A, Hassan A. Brain derived neurotrophic factor and oxidative stress index in pups with developmental hypothyroidism: Neuroprotective effects of selenium. ACTA ACUST UNITED AC 2013; 100:197-210. [DOI: 10.1556/aphysiol.100.2013.2.7] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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