Introduction and objectives: The abuse of ecstasy as a recreational drug is widespread, despite its complications such as cardiac injury and dyslipidaemia. Till date, the involvement of testosterone and xanthine oxidase (XO)/ uric acid (UA)/ caspase 3 signaling in ecstasy-induced cardiac injury and dysmetabolism is yet to be reported. The possible effect of glutathione in ecstasy-induced cardiac injury is also yet to be documented. Hence, this study was designed to evaluate the involvement of circulating testosterone and XO/UA/caspase 3 pathway in ecstasy-induced cardiac injury and dysmetabolism. Also, the effect of glutathione in ecstasy-induced cardiac injury was explored. Methods: Forty eight male Wistar rats were randomly distributed into six groups (n= 8). The control rats received distilled water, glutathione-treated rats received 15 mg/kg of glutathione, low dose ecstasy-treated (LDE) and high dose ecstasy-treated (HDE) rats received 5 mg/kg and 15 mg/kg of ecstasy respectively, LDE + glutathione-treated rats received 15 mg/kg of glutathione and 5 mg/kg of ecstasy, and HDE + glutathione-treated rats received 15 mg/kg of glutathione and 15 mg/kg of ecstasy via gavage for 8 weeks. Results: Ecstasy significantly increased the relative cardiac mass, but did not significantly alter the body weight gain and absolute cardiac mass. It also caused increased mean arterial pressure, diastolic pressure, heart rate, PR interval, and QT interval. In addition, it led to insulin resistance and improved β-cell function, increased fasting levels of insulin and plasma and cardiac lactate, lactate dehydrogenase, creatinine kinase, troponin I and T, C-reactive protein, total cholesterol, triglycerides, LDL-C, lipid peroxidation, TNF-α, IL-1β, IL-6, and NF-kB levels. These alterations were accompanied by increased plasma and cardiac levels of XO, UA, and caspase 3, reduced circulating testosterone, glutathione content, and glucose-6- phosphate dehydrogenase, and distortion of cardiac histo-architecture. However, glutathione administration averted ecstasy-driven cardiac injury and metabolic derangement. Conclusions: Taken together, these findings infer that ecstasy induces defective cardiac metabolic flexibility, which is associated with upregulation of XO/UA/caspase 3 signaling and downregulation of circulating testosterone and glutathione defense mechanisms. Also, these results indicate that glutathione alleviates ecstasy-induced cardiac metabolic inflexibility by suppressing XO/UA/caspase 3 signaling and enhancing circulating testosterone and glutathione defense mechanisms. Self funded This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
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