Romanian Journal of Medical and Dental Education (May 2024)

ZINC GLUCONATE SLIGHTLY ATTENUATES THE TOXICITY INDUCED WITH ETHANOL AND POTENTIATED WITH RIFAMPICIN IN RATS

  • Alexandra Ciocan (Moraru),
  • Diana Ciubotariu,
  • Cristina Mihaela Ghiciuc,
  • Mihnea Hurmuzache,
  • Cătălina Elena Lupușoru,
  • Radu Crișan-Dabija,
  • Mihai Danciu,
  • Raoul Vasile Lupușoru

Journal volume & issue
Vol. 13, no. 2
pp. 24 – 32

Abstract

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The purpose was to investigate the influence of zinc gluconate (ZnG) supplementation on liver and kidney toxicity induced with ethanol (E) and potentiated by rifampicin (R) addition in rats. Material and methods: The experiment was performed on 4 groups: group 1 – control, treated for 6 weeks with saline, 1mL/kg; group 2 – E, treated for 6 weeks with ethanol (E), 56%; group 3 – E+R, treated with E for 6 weeks and rifampicin 50mg /kg/day, only in the last 14 days of the experiment; group 4 – E+R+Zn (same treatment as group 3, but, in the last 14 days, zinc gluconate – ZnG,10 mg/kg/day was added). All administrations were performed by oral gavage. For groups 2, 3, and 4, the ethanol dose was 6g/kg/day on the first 3 days, then it was increased to 7g/kg/day in the following 3 days, and to 8g/kg/day until the end of the experiment. At the end of the experiment (6 weeks), rats were sacrificed and blood samples were collected for biochemistry determinations. Results: Treatment with E for 6 weeks determined significant increases in liver enzymes (alanine aminotransferase, aspartate aminotransferase, lactic dehydrogenase, gamma-glutamyl transferase and alkaline phosphatase, P < 0.001 group 2 vs. 1 for all mentioned parameters) and renal function impairment (increases in serum urea and creatinine, P < 0.001 and respectively P < 0.05, group 2 vs. 1). The antioxidant defense was also impaired in group 2 vs. 1 (superoxide dismutase and glutathione peroxidase activity decreased, P < 0.05). The addition of rifampicin, 50 mg/kg/day during the last 14 days resulted in further increases in alanine aminotransferase and alkaline phosphatase (P < 0.001, group 3 vs. control group 2), as well as aspartate aminotransferase, lactic dehydrogenase, creatinine and ureea (0.01 < P < 0.05, group 3 vs. group 2). ZnG provided a slight protection against the increase of some of the liver enzymes (alanine aminotransferase, aspartate aminotransferase, lactic dehydrogenase and alkaline phosphatase) and serum creatinine, as well as against the decrease of serum glutathione peroxidase and superoxide dismutase concentration. Conclusions: This study represents a furthermore proof for the beneficial effect of zinc salts against toxicity induced by different agents, including antibacterials added to the alcohol; the protection is proven mainly for liver function and the antioxidant profile improvement appears to have a key role in it. Supplements with zinc may be beneficial in patients undergoing long-term anti-biotherapy.