PMID- 31168027 OWN - NLM STAT- MEDLINE DCOM- 20190708 LR - 20190708 IS - 1880-3989 (Electronic) IS - 0388-1350 (Linking) VI - 44 IP - 6 DP - 2019 TI - Ketoconazole pretreatment ameliorates carbon tetrachloride-induced acute liver injury in rats by suppressing inflammation and oxidative stress. PG - 405-414 LID - 10.2131/jts.44.405 [doi] AB - Several studies have demonstrated the chemopreventive role of ketoconazole in animal models of liver injury. However, the underlying molecular mechanisms of this hepatoprotective effect are poorly understood. The present study assessed the potential of ketoconazole to enhance resistance to carbon tetrachloride-induced hepatotoxicity in vivo in a rat model. Ketoconazole pretreatment adult male rats were intraperitoneally injected with carbon tetrachloride for 24 hr and various hepatic parameters were analyzed. We observed decreased serum transaminases activity, reduced nuclear RelA/p65 expression, and suppressed production of pro-inflammatory cytokines in the liver tissue. Histopathological examination demonstrated ketoconazole pretreatment to extensively prevent liver injury. In addition, it significantly increased nuclear factor-erythroid 2 p45-related factor 2 (Nrf2) protein expression, glutathione (GSH) to oxidized glutathione (GSSG) ratio, and antioxidant enzymes gene expression. These results suggest that ketoconazole pretreatment ameliorates carbon tetrachloride-induced acute liver injury in rats, signifying its anti-inflammatory and antioxidant functions. FAU - Zhou, Yunsong AU - Zhou Y AD - The First Clinical Medical College, Guangzhou Univ Chinese Med, China. AD - Lingnan Medical Research Center, Guangzhou Univ Chinese Med, China. FAU - Peng, Chong AU - Peng C AD - The First Clinical Medical College, Guangzhou Univ Chinese Med, China. AD - Lingnan Medical Research Center, Guangzhou Univ Chinese Med, China. FAU - Zhou, Zunming AU - Zhou Z AD - The First Clinical Medical College, Guangzhou Univ Chinese Med, China. AD - Lingnan Medical Research Center, Guangzhou Univ Chinese Med, China. FAU - Huang, Keer AU - Huang K AD - The First Clinical Medical College, Guangzhou Univ Chinese Med, China. AD - The First Affliated Hospital of Guangzhou Univ Chinese Med, China. AD - Lingnan Medical Research Center, Guangzhou Univ Chinese Med, China. LA - eng PT - Journal Article PL - Japan TA - J Toxicol Sci JT - The Journal of toxicological sciences JID - 7805798 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Cytokines) RN - 0 (NF-E2-Related Factor 2) RN - 0 (Nfe2l2 protein, rat) RN - CL2T97X0V0 (Carbon Tetrachloride) RN - GAN16C9B8O (Glutathione) RN - R9400W927I (Ketoconazole) SB - IM MH - Animals MH - Anti-Inflammatory Agents/pharmacology/*therapeutic use MH - Carbon Tetrachloride MH - Chemical and Drug Induced Liver Injury/*drug therapy/metabolism/pathology MH - Cytokines/metabolism MH - Glutathione/metabolism MH - Ketoconazole/pharmacology/*therapeutic use MH - Liver/drug effects/metabolism/pathology MH - Male MH - NF-E2-Related Factor 2/metabolism MH - Oxidative Stress/drug effects MH - Rats, Sprague-Dawley OTO - NOTNLM OT - Acute liver injury OT - Adaptive response OT - Aryl hydrocarbon receptor OT - Carbon tetrachloride OT - Ketoconazole OT - Nuclear factor erythroid 2-related factor 2 EDAT- 2019/06/07 06:00 MHDA- 2019/07/10 06:00 CRDT- 2019/06/07 06:00 PHST- 2019/06/07 06:00 [entrez] PHST- 2019/06/07 06:00 [pubmed] PHST- 2019/07/10 06:00 [medline] AID - 10.2131/jts.44.405 [doi] PST - ppublish SO - J Toxicol Sci. 2019;44(6):405-414. doi: 10.2131/jts.44.405.