Nebivolol Mitigate the Hepatic Expression Level of Inducible and Endothelial Nitric Oxide Synthase in Tamoxifen-Induced Oxido-Inflammatory Changes in Female Rats

          Liver injury can arise post-exposure to drugs or their metabolites, herbal and dietary supplements. Tamoxifen is a famous drug used in breast cancer treatment. Long-term tamoxifen treatment has been associated with the development of hepatotoxicity. Oxidative stress, fatty changes, and in...

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Main Authors: Noor Ahmed Hammadi, Yassir Mustafa Kamal Al Mulla Hummadi, Huda Jaber Waheed
Format: Article
Language:English
Published: College of Pharmacy University of Baghdad 2025-06-01
Series:Iraqi Journal of Pharmaceutical Sciences
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Online Access:https://bijps.uobaghdad.edu.iq/index.php/bijps/article/view/3100
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author Noor Ahmed Hammadi
Yassir Mustafa Kamal Al Mulla Hummadi
Huda Jaber Waheed
author_facet Noor Ahmed Hammadi
Yassir Mustafa Kamal Al Mulla Hummadi
Huda Jaber Waheed
author_sort Noor Ahmed Hammadi
collection DOAJ
description           Liver injury can arise post-exposure to drugs or their metabolites, herbal and dietary supplements. Tamoxifen is a famous drug used in breast cancer treatment. Long-term tamoxifen treatment has been associated with the development of hepatotoxicity. Oxidative stress, fatty changes, and inflammation are the major implicated mechanisms contributing to tamoxifen hepatotoxicity including the iNOS-mediated inflammatory pathway in addition to standard hepatotoxicity biomarkers like alanine aminotransferase (ALT) and aspartate aminotransferase (AST). Nebivolol is a third-generation selective beta1-adrenergic receptor blocker with vasodilator characteristics with significant antioxidant activity. The present study was designed to investigate the possible protective role of nebivolol against rat hepatotoxicity induced by tamoxifen. Rats utilized in this study were randomized into 5 groups (6 rats per group); Group 1- (Control) rats received distilled water (5mL/kg b.w. orally) for 14 consecutive days. Group 2- Rats received tamoxifen (75mg/kg b.w., orally) on days 13,14 only. Group 3- Rats received Nebivolol (5 mg/kg b.w., orally for 14 consecutive days) and tamoxifen (75mg/kg b.w., orally) on days 13,14 only. Group 4- Rats received Nebivolol (8 mg/kg b.w., orally for 14 consecutive days) and tamoxifen (75mg/kg b.w., orally) on days 13,14 only. Group 5- Rats received Nebivolol (8 mg/kg b.w., orally for 14 consecutive days) and tamoxifen (75mg/kg b.w., orally) on days 13,14 only. pre-administration of nebivolol at different doses with tamoxifen showed significant downregulation (P<0.05) in hepatic AST, ALT, and iNOS with overexpression of eNOS compared to corresponding levels in the tamoxifen-only treated group. In conclusion, this study demonstrated that pre-administration of nebivolol in different doses with tamoxifen resulted in attenuation of its hepatotoxicity by the utilization of selected parameters.
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spelling doaj-art-e30f4a5d7b2c49feb720898e231f82b82025-08-20T02:24:17ZengCollege of Pharmacy University of BaghdadIraqi Journal of Pharmaceutical Sciences1683-35972521-35122025-06-0134210.31351/vol34iss2pp98-107Nebivolol Mitigate the Hepatic Expression Level of Inducible and Endothelial Nitric Oxide Synthase in Tamoxifen-Induced Oxido-Inflammatory Changes in Female RatsNoor Ahmed Hammadi0Yassir Mustafa Kamal Al Mulla Hummadi1Huda Jaber Waheed2Department of Pharmacology and Toxicology, College of Pharmacy, Mustansiriyah University, Baghdad, IraqDepartment of Pharmacology and Toxicology, College of Pharmacy, Mustansiriyah University, Baghdad, Iraq.Department of Pharmacology and Toxicology, College of Pharmacy, Mustansiriyah University, Baghdad, Iraq. *Corresponding Author           Liver injury can arise post-exposure to drugs or their metabolites, herbal and dietary supplements. Tamoxifen is a famous drug used in breast cancer treatment. Long-term tamoxifen treatment has been associated with the development of hepatotoxicity. Oxidative stress, fatty changes, and inflammation are the major implicated mechanisms contributing to tamoxifen hepatotoxicity including the iNOS-mediated inflammatory pathway in addition to standard hepatotoxicity biomarkers like alanine aminotransferase (ALT) and aspartate aminotransferase (AST). Nebivolol is a third-generation selective beta1-adrenergic receptor blocker with vasodilator characteristics with significant antioxidant activity. The present study was designed to investigate the possible protective role of nebivolol against rat hepatotoxicity induced by tamoxifen. Rats utilized in this study were randomized into 5 groups (6 rats per group); Group 1- (Control) rats received distilled water (5mL/kg b.w. orally) for 14 consecutive days. Group 2- Rats received tamoxifen (75mg/kg b.w., orally) on days 13,14 only. Group 3- Rats received Nebivolol (5 mg/kg b.w., orally for 14 consecutive days) and tamoxifen (75mg/kg b.w., orally) on days 13,14 only. Group 4- Rats received Nebivolol (8 mg/kg b.w., orally for 14 consecutive days) and tamoxifen (75mg/kg b.w., orally) on days 13,14 only. Group 5- Rats received Nebivolol (8 mg/kg b.w., orally for 14 consecutive days) and tamoxifen (75mg/kg b.w., orally) on days 13,14 only. pre-administration of nebivolol at different doses with tamoxifen showed significant downregulation (P<0.05) in hepatic AST, ALT, and iNOS with overexpression of eNOS compared to corresponding levels in the tamoxifen-only treated group. In conclusion, this study demonstrated that pre-administration of nebivolol in different doses with tamoxifen resulted in attenuation of its hepatotoxicity by the utilization of selected parameters. https://bijps.uobaghdad.edu.iq/index.php/bijps/article/view/3100HepatotoxicityTamoxifenNebivololiNOSeNOS
spellingShingle Noor Ahmed Hammadi
Yassir Mustafa Kamal Al Mulla Hummadi
Huda Jaber Waheed
Nebivolol Mitigate the Hepatic Expression Level of Inducible and Endothelial Nitric Oxide Synthase in Tamoxifen-Induced Oxido-Inflammatory Changes in Female Rats
Iraqi Journal of Pharmaceutical Sciences
Hepatotoxicity
Tamoxifen
Nebivolol
iNOS
eNOS
title Nebivolol Mitigate the Hepatic Expression Level of Inducible and Endothelial Nitric Oxide Synthase in Tamoxifen-Induced Oxido-Inflammatory Changes in Female Rats
title_full Nebivolol Mitigate the Hepatic Expression Level of Inducible and Endothelial Nitric Oxide Synthase in Tamoxifen-Induced Oxido-Inflammatory Changes in Female Rats
title_fullStr Nebivolol Mitigate the Hepatic Expression Level of Inducible and Endothelial Nitric Oxide Synthase in Tamoxifen-Induced Oxido-Inflammatory Changes in Female Rats
title_full_unstemmed Nebivolol Mitigate the Hepatic Expression Level of Inducible and Endothelial Nitric Oxide Synthase in Tamoxifen-Induced Oxido-Inflammatory Changes in Female Rats
title_short Nebivolol Mitigate the Hepatic Expression Level of Inducible and Endothelial Nitric Oxide Synthase in Tamoxifen-Induced Oxido-Inflammatory Changes in Female Rats
title_sort nebivolol mitigate the hepatic expression level of inducible and endothelial nitric oxide synthase in tamoxifen induced oxido inflammatory changes in female rats
topic Hepatotoxicity
Tamoxifen
Nebivolol
iNOS
eNOS
url https://bijps.uobaghdad.edu.iq/index.php/bijps/article/view/3100
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