Abstract

Cyclophosphamide (CP) was found to have a potential toxic effect on lung tissues. Raspberry ketones (RKs) are natural antioxidant chemicals isolated from red raspberries (Rubus ideaus). They are commonly used for weight loss and obesity. The current study aimed to evaluate the possible protective effects of RKs against lung toxicity induced by CP. Mice were allocated into six groups: (1) control group; (2) CP group: received a single intraperitoneal dose of CP (150 mg/kg, i.p.); and (3–6) mice were pre-treated orally with different doses of RKs (25, 50, 100, and 200 mg/kg) for 14 consecutive days, respectively, before the administration of an intraperitoneal dose of CP (150 mg/kg, i.p.). Mice were then sacrificed under anesthesia, then lungs were removed for histopathological and biochemical investigations. A single dose of CP markedly altered the levels of some oxidative stress biomarkers and resulted in the fragmentation of DNA in lung homogenates. Histological examination of CP-treated mice demonstrated diffuse alveolar damage that involved apparent hyalinization of membranes, thickening of inter alveolar septa, and proliferation of type II pneumocytes. The immunohistochemical results of CP-treated mice revealed strongly positive Bax and weakly positive proliferating cell nuclear antigen (PCNA) staining reactivity of the nuclei of the lining epithelium of the bronchioles and alveoli. CP activated the cyclooxygenase-2/nuclear factor-kappa B pathway. However, pre-treatment with RKs significantly attenuated CP-evoked alterations in the previously mentioned parameters, highlighting their antioxidant, anti-inflammatory, and anti-apoptotic potential. RKs may be suggested to be a potential candidate to ameliorate CP-induced pulmonary toxicity.

Highlights

  • Cyclophosphamide (CP) is a chemotherapeutic agent that is commonly used in the treatment of a variety of human neoplasia and as immunosuppressive therapy following organ transplants.It is used in some autoimmune disorders such as nephritic syndrome in children, Wegener’s granulomatosis, and rheumatoid arthritis [1,2]

  • Histological inspection of lung sections of the control group stained with haematoxylin and eosin (H&E) displayed normal histological architecture of the air conducting and respiratory portion of the lung

  • The absence of the hyaline membranes was detected in the Raspberry ketones (RKs) pretreated groups

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Summary

Introduction

Cyclophosphamide (CP) is a chemotherapeutic agent that is commonly used in the treatment of a variety of human neoplasia and as immunosuppressive therapy following organ transplants.It is used in some autoimmune disorders such as nephritic syndrome in children, Wegener’s granulomatosis, and rheumatoid arthritis [1,2]. Cyclophosphamide (CP) is a chemotherapeutic agent that is commonly used in the treatment of a variety of human neoplasia and as immunosuppressive therapy following organ transplants. CP is metabolized by a microsomal cytochrome P450 enzyme in the liver into phosphoramide mustard and acrolein The latter is related to CP’s side effects via inhibition of the endogenous antioxidant system and enhancing the production of reactive oxygen species (ROS) in the cells [3]. These free radicals damage the DNA, leading to a variety of pathological findings [4]. CP was demonstrated to promote pulmonary tumour progression, and metastasis by the synergistic effect of matrix degrading proteases and adhesion proteins [8]

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