Abstract

One major challenge with the use of anticancer agents is the phenomenon of drug-induced toxicity. Melphalan (MPLN) is an alkylating anticancer agent, while quercetin (QCT) is an antioxidant. We investigated the protective role of quercetin against MPLN-induced toxicity. Twenty-five male Wistar rats (160–170 g) were randomized into five treatment groups; (I) control, (II) MPLN (0.2 mg/kg b.w.), (III) pre-treated with QCT (20 mg/kg b.w.) for 7 days followed by MPLN (0.2 mg/kg b.w.) for 7 days, (IV) cotreated with QCT (20 mg/kg b.w.) and MPLN (0.2 mg/kg b.w.) for 7 days, and (V) QCT (20 mg/kg b.w.) alone. MPLN caused a significant increase in plasma bilirubin, urea, and creatinine by 122.2%, 102.3%, and 188%, respectively (P < 0.05). Similarly, plasma ALP, ALT, AST, and γ-GT activities increased significantly by 57.9%, 144.3%, 71.3%, and 307.2%, respectively, relative to control. However, pre or cotreatment with QCT ameliorated the levels of renal and hepatic function indices. Hepatic ascorbic acid and GSH and activities of glutathione-S-transferase, SOD, and catalase decreased significantly by 36.2%, 188%, 46.5%, 34.4%, and 55.2%, respectively, followed by increase in MDA content by 46.5% relative to control. Pre- and cotreatment with QCT reestablished the hepatic antioxidant status and lipid peroxidation. Overall, quercetin protected against MPLN-induced renal and hepatic toxicity in rats.

Highlights

  • Melphalan (4-[bis(2-chloroethyl)amino]-L-phenylalanine), Figure 1(a), is a phenylalanine derivative of nitrogen mustard

  • We investigated the protective role of quercetin against MPLNinduced toxicity

  • Administration of MPLN caused a significant increase in the plasma level of creatinine and urea by 188% and 102.3%, respectively, when compared

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Summary

Introduction

Melphalan (4-[bis(2-chloroethyl)amino]-L-phenylalanine), Figure 1(a), is a phenylalanine derivative of nitrogen mustard. It is a bifunctional alkylating agent and one of the most aggressive antineoplastic drugs indicated for multiple myeloma and ovarian cancer [1]. Melphalan (MPLN) is classified as a cell cycle phase-nonspecific alkylating agent [2]. Its mechanism of action involves inhibition of DNA and RNA synthesis through formation of interstrand cross-links with DNA. Among the reported toxicities elicited by melphalan are hematological suppression [4], hepatotoxicity [5,6,7], renal toxicity [8, 9], and bone marrow suppression [10]

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